Item 2. Management’s Discussion and Analysis
ITEM
2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
This
Management’s Discussion and Analysis of Financial Condition and Results of Operations includes a number of forward-looking statements
that reflect Management’s current views with respect to future events and financial performance. You can identify these statements
by forward-looking words such as “may” “will,” “expect,” “anticipate,” “believe,”
“estimate” and “continue,” or similar words. Those statements include statements regarding the intent, belief
or current expectations of us and members of its management team as well as the assumptions on which such statements are based. Prospective
investors are cautioned that any such forward-looking statements are not guarantees of future performance and involve risk and uncertainties,
and that actual results may differ materially from those contemplated by such forward-looking statements.
Readers
are urged to carefully review and consider the various disclosures made by us in this report and in our other reports filed with the
Securities and Exchange Commission. Important factors known to us could cause actual results to differ materially from
those in forward-looking statements. We undertake no obligation to update or revise forward-looking statements to reflect changed assumptions,
the occurrence of unanticipated events or changes in the future operating results over time. We believe that its assumptions are based
upon reasonable data derived from and known about our business and operations. No assurances are made that actual results of operations
or the results of our future activities will not differ materially from its assumptions. Factors that could cause differences include,
but are not limited to: the COVID-19 pandemic, including its impact on the Company, substantial competition; our possible need for additional
financing; uncertainties of patent protection and litigation; uncertainties of government or third party payor reimbursement; limited
research and development efforts and dependence upon third parties; and risks related to failure to obtain clearances or approvals from
the United States Food and Drug Administration, or FDA, and noncompliance with FDA regulations.
Business
Overview
Tonix is a
fully-integrated biopharmaceutical company focused on developing, licensing and commercializing therapeutics to treat and prevent
human disease and alleviate suffering. Tonix’s development portfolio is focused on central nervous system (CNS) disorders.
Tonix’s priority is to submit a New Drug Application (NDA) to the FDA in the second half of 2024 for TNX-102 SL, a product
candidate for which two statistically significant Phase 3 studies have been completed for the management of fibromyalgia. TNX-102 SL
for fibromyalgia was granted Fast Track designation by the FDA. Tonix expects a decision on marketing approval from the FDA in 2025.
TNX-102 SL is also expected to be tested by the University of North Carolina under a physician IND for Acute Stress Reaction in a
trial funded by the U.S. Department of Defense (DoD), Congressionally Directed Medical Research Program, or CDMRP for approximately
$3 million. Tonix’s CNS portfolio includes TNX-1300 (cocaine esterase), a biologic designed to treat cocaine intoxication that
has FDA Breakthrough Therapy designation. Tonix’s immunology development portfolio consists of biologics to address organ
transplant rejection, autoimmunity and cancer, including TNX-1500, which is a humanized monoclonal antibody targeting CD40-ligand
(CD40L or CD154) being developed for the prevention of allograft rejection and for the treatment of autoimmune diseases. Tonix also
has product candidates in development in the areas of rare disease and infectious disease. Tonix’s infectious disease
portfolio includes TNX-4200, an oral CD45 antagonist in development as a broad-spectrum antiviral. The program was awarded a
contract for up to $34 million of funding by the U.S. Department of Defense (DoD), Defense Threat Reduction Agency (DTRA), to
establish physicochemical properties, pharmacokinetics, and safety attributes to support an Investigational New Drug (IND)
submission and to fund a first-in-human Phase 1 clinical study. Tonix is developing TNX-801 (recombinant horsepox virus), for
preventing mpox (formerly known as monkeypox). On August 14, 2024, the World Health Organization determined that the upsurge of mpox
in a growing number of countries in Africa constitutes a public health emergency of international concern. Tonix owns and operates a
state-of-the art infectious disease research facility in Frederick, MD. Tonix Medicines, our commercial subsidiary, markets
Zembrace® SymTouch® (sumatriptan injection) 3 mg and Tosymra® (sumatriptan nasal spray) 10 mg for the treatment of
acute migraine with or without aura in adults.
Tonix’s
product development candidates are investigational new drugs or biologics and have not been approved for any indication.
Tonix
Medicines has contracted to acquire the Zembrace SymTouch and Tosymra registered trademarks. Intravail is a registered trademark of Aegis
Therapeutics, LLC, a wholly owned subsidiary of Neurelis, Inc.
35
Results
of Operations
We
anticipate that our results of operations will fluctuate for the foreseeable future due to several factors, such as the sales of Zembrace®
and Tosymra®, the progress of our research and development efforts and the timing and outcome of regulatory submissions. Due to these
uncertainties, accurate predictions of future operations are difficult or impossible to make.
Three
Months Ended June 30, 2024 Compared to Three Months Ended June 30, 2023
The
following table sets forth our operating expenses for the quarter ended June 30, 2024 and 2023 (in thousands):
Quarter
ended June 30,
2024
2023
REVENUE
Product
revenue, net
$
2,208
$
—
COSTS
AND EXPENSES:
Cost
of sales
$
3,367
$
—
Research
and development
9,698
21,976
General
and administrative
7,502
7,026
Asset impairment charges
58,957
-
Total
operating expenses
79,524
29,002
Operating
loss
(77,316
)
(29,002
)
Loss
on change in fair value of warrant liabilities
(855)
-
Other
(expense) income, net
(605)
646
Net
loss
$
(78,776
)
$
(28,356
)
Revenues . We
recognized revenue beginning in July 2023, as a result of the acquisition of two marketed products. Revenue recognized for the quarter
ended June 30, 2024, was $2.2 million.
The
Company’s net product revenues are summarized below:
Quarter
ended June 30,
2024
2023
Zembrace
Symtouch
$
1,727
$
—
Tosymra
481
—
Total
product revenues
$
2,208
$
—
Cost
of Sales . We recognized cost of sales beginning in July 2023 as a result of the acquisition of Zembrace and Tosymra
from Upsher Smith. Cost of sales recognized for the quarter ended June 30, 2024, was $3.4 million, including write-downs related to Tosymra
and Zembrace finished goods inventory of approximately $1.7 million based on an assessment of inventory on hand and projected sales prior
to the respective expiration dates.
Research
and Development Expenses . Research and development expenses for the three months ended June 30, 2024 were $9.7 million,
a decrease of $12.3 million, or 56%, from $22.0 million for the three months ended June 30, 2023. This decrease is predominately due
to decreased clinical expenses of $3.8 million, non-clinal expenses of $3.9 million, manufacturing expenses of $1.5 million as a result
of fewer trials in the clinic and pipeline prioritization period over period, employee-related expenses of $1.6 and lab supplies of $1.4
million due to a reduction in expenditures.
The
table below summarizes our direct research and development expenses for our product candidates and development platform for the three
months ended June 30, 2023, and 2022.
Three
Months Ended June 30,
(in
thousands)
2024
2023
Change
Research
and development expenses:
Direct
expenses – TNX – 102 SL
$
1,273
$
3,362
$
(2,089)
Direct
expenses – TNX – 601 ER
146
1,933
(1,787)
Direct
expenses – TNX – 801
65
929
(864)
Direct
expenses – TNX – 1500
432
1,426
(994)
Direct
expenses – TNX – 1800
-
877
(877)
Direct
expenses – TNX – 1900
168
1,322
(1,154)
Direct
expenses – TNX – 3900
-
85
(85
)
Direct
expenses – Other programs
(224)
1,202
(1,426
)
Internal
staffing, overhead and other
7,838
10,840
(3,002)
Total
research & development
$
9,698
$
21,976
$
(12,278)
36
Our
direct research and development expenses consist principally of external costs for clinical, nonclinical and manufacturing, such as fees
paid to contractors, consultants and CROs in connection with our development work. Included in “Internal Staffing, Overhead and
Other” is overhead, supplies, research and development employee costs (including stock option expenses), travel, regulatory and
legal.
General
and Administrative Expenses . General and administrative expenses for the three months ended June 30, 2024 were $7.5 million,
an increase of $0.5 million, or 7%, from $7.0 million incurred in the three months ended June 30, 2023. The increase in primarily an
increase in financial reporting expenses of $0.4 million, related to the shareholder meetings, an increase in sales and marketing of
$0.5 million, offset by a decrease in employee-related expenses of $0.5 million.
Asset
impairment charges . We recognized a non-cash impairment charge of $48.8 million related to property and equipment,
a non-cash impairment of $1.0 million related to goodwill, and a non-cash impairment charge of $9.2 million related to intangible assets,
which is reflected in asset impairment charges in the consolidated statements of operations for the three months ended June 30, 2024.
The impairment of the Tosymra
and Zembrace inventory, intangibles and goodwill was driven by our delayed investment in the sales personnel required to drive growth
in the business as we are focusing our cash resources to further our efforts to bring TNX-102 SL through the approval process and to market.
However, we believe that the benefits and long-term value proposition of the 2023 acquisition of Tosymra and Zembrace remain, in that
we now have the infrastructure to be ready to manufacture and sell TNX-102 SL under an expedited timeline pending FDA approval for which
we expect an FDA decision in 2025.
Net
Loss . As a result of the foregoing, the net loss for the three months ended June 30, 2024 was $78.8 million, an
increase of $50.4 million, or 177%, compared to a net loss of $28.4 million for the three months ended June 30, 2023.
Six
Months Ended June 30, 2024 Compared to Six Months Ended June 30, 2023
The
following table sets forth our operating expenses for the six months ended June 30, 2024 and 2023 (in thousands):
Six
months ended June 30,
2024
2023
REVENUE
Product
revenue, net
$
4,690
$
—
COSTS
AND EXPENSES:
Cost
of sales
$
5,027
$
—
Research
and development
22,561
48,487
General
and administrative
16,812
14,417
Asset impairment charges
58,957
-
Total
operating expenses
103,357
62,904
Operating
loss
(98,667
)
(62,904
)
Gain
on change in fair value of warrant liabilities
6,150
-
Other
(expense) income, net
(1,198)
1,543
Net
loss
$
(93,715
)
$
(61,361
)
Revenues . We
recognized revenue beginning in July 2023, as a result of the acquisition of two marketed products. Revenue recognized for the six months
ended June 30, 2024, was $4.7 million.
37
The
Company’s net product revenues are summarized below:
Six
months ended June 30,
2024
2023
Zembrace
Symtouch
$
3,574
$
—
Tosymra
1,116
—
Total
product revenues
$
4,690
$
—
Cost
of Sales . We recognized cost of sales beginning in July 2023 as a result of the acquisition of Zembrace and Tosymra
from Upsher Smith. Cost of sales recognized for the six months ended June 30, 2024, was $5.0 million, including write-downs related to
Tosymra and Zembrace finished goods inventory of approximately $1.7 million based on an assessment of inventory on hand and projected
sales prior to the respective expiration dates.
Research
and Development Expenses . Research and development expenses for the six months ended June 30, 2024 were $22.6 million, a
decrease of $25.9 million, or 53%, from $48.5 million for the six months ended June 30, 2023. This decrease is predominately due to decreased
clinical expenses of $8.8 million, non-clinal expenses of $8.1 million, manufacturing expenses of $2.4 million as a result of fewer trials
in the clinic and pipeline prioritization period over period, employee-related expenses of $2.4 and lab supplies of $3.2 million due
to a reduction in expenditures.
The
table below summarizes our direct research and development expenses for our product candidates and development platform for the six months
ended June 30, 2024, and 2023.
Six Months Ended June 30,
(in thousands)
2024
2023
Change
Research and development expenses:
Direct expenses – TNX - 102 SL
$ 2,988
$ 6,977
$ (3,989 )
Direct expenses – TNX – 601 ER
674
4,530
(3,856 )
Direct expenses – TNX - 801
620
1,710
(1,090 )
Direct expenses – TNX - 1500
1,222
3,590
(2,368 )
Direct expenses – TNX - 1800
266
1,581
(1,315 )
Direct expenses – TNX - 1900
659
3,541
(2,882 )
Direct expenses – TNX - 3900
—
1,414
(1,414 )
Direct expenses – Other programs
693
3,152
(2,459 )
Internal staffing, overhead and other
15,439
21,992
(6,553 )
Total research & development
$ 22,561
$ 48,487
$ (25,926 )
Our
direct research and development expenses consist principally of external costs for clinical, nonclinical and manufacturing, such as fees
paid to contractors, consultants and contract research organizations in connection with our development work. Included in “Internal
Staffing, Overhead and Other” is overhead, supplies, research and development employee costs (including stock option expenses),
travel, regulatory and legal.
General
and Administrative Expenses . General and administrative expenses for the six months ended June 30, 2024 were $16.8 million,
an increase of $2.4 million, or 17%, from $14.4 million incurred in the six months ended June 30, 2023. The increase is primarily due
to an increase in financial reporting expenses of $1.0 million, related to the special shareholder meetings in 2024, an increase in sales
and marketing of $0.8 million, and transition services agreement fees payable to Upsher Smith of $0.7 million.
Asset
impairment charges . We recognized a non-cash impairment charge of $48.8 million related to property and equipment,
a non-cash impairment of $1.0 million related to goodwill, and a non-cash impairment charge of $9.2 million related to intangible
assets, which is reflected in asset impairment charges in the consolidated statements of operations for the six months ended
June 30, 2024.
The impairment of the Tosymra
and Zembrace inventory, intangibles and goodwill was driven by our delayed investment in the sales personnel required to drive growth
in the business as we are focusing our cash resources to further our efforts to bring TNX-102 SL through the approval process and to market.
However, we believe that the benefits and long-term value proposition of the 2023 acquisition of Tosymra and Zembrace remain, in that
we now have the infrastructure to be ready to manufacture and sell TNX-102 SL under an expedited timeline pending FDA approval for which
we expect an FDA decision in 2025.
Net
Loss . As a result of the foregoing, the net loss for the six months ended June 30, 2024 was $93.7 million, an increase of
$32.3 million, or 53%, compared to a net loss of $61.4 million for the six months ended June 30, 2023.
38
License
Agreements
On
February 13, 2023, we exercised an option to obtain an exclusive license from Columbia for the development of a portfolio of fully human
and murine mAbs for the treatment or prophylaxis of SARS-CoV-2 infection, including our TNX-3600 and TNX-4100 product candidates, respectively.
The licensed mAbs were developed as part of a research collaboration and option agreement between us and Columbia. As of June 30, 2024,
other than the upfront fee, no payments have been accrued or paid in relation to this agreement.
Asset
Purchase Agreements
On
June 23, 2023, we entered into an asset purchase agreement with Upsher Smith for the acquisition of certain assets related to Zembrace
and Tosymra (such businesses collectively, the “Business”) and certain inventory related to the Business for an aggregate
purchase price of approximately $26.5 million, including certain deferred payments (such transaction, the “USL Acquisition”).
The transaction closed on June 30, 2023.
Additionally,
in connection with the acquisition from Upsher Smith, we and Upsher Smith entered into a transition services agreement pursuant to which
Upsher Smith agreed to provide certain transition services to us for base fees equal to $100,000 per month for the first six months,
and $150,000 per month for the seventh through ninth months, plus additional monthly fees for each service category totaling up to $150,000
per month. We have signed an amendment to the transitional services agreement with Upsher Smith so that Upsher Smith will continue to
manage certain government rebates, and Upsher Smith will be reimbursed by us at cost for any rebates they pay on our behalf.
As
the assets acquired from Upsher Smith met the definition of a business under the current accounting guidance, the total purchase price
was allocated to the acquired inventory and other tangible assets, and the developed technology intangible assets related to Zembrace
and Tosymra based on their estimated fair values on the acquisition date. The excess of the purchase price over the fair value of the
acquired assets was recorded as goodwill.
We
have assumed certain obligations of Upsher Smith, including the payment of quarterly royalty payments on annual net sales from the Business
in the U.S. as follows: for Tosymra, 4% for net sales of $0 to $30 million, 7% of net sales of $30 to $75 million; 9% for net sales of
$75 to $100 million; 12% for net sales of $100 to $150 million; and 15% for net sales greater than $150 million. Royalty payments with
respect to Tosymra are payable until the expiration or termination of the product’s Orange Book listed patent(s) with respect to
the United States or, outside the United States, the expiration of the last valid claim covering the product in the relevant country
of the territory. For Zembrace, royalty payments on annual net sales in the U.S. are 3% for net sales of $0 to $30 million, 6% of net
sales of $30 to $75 million; 12% for net sales of $75 to $100 million; 16% for net sales of greater than $100 million. Such royalty payments
are payable until July 19, 2025. Upon the entry of a generic version of the relevant product, the applicable royalty rates will be reduced
by 90% percent for Zembrace, and by 66.7% percent for Tosymra.
In
addition, we have assumed the obligation to pay an additional 3% royalty on net sales of Tosymra, plus an additional 3% if a patent containing
certain claims related to Tosymra issues in the U.S., for 15 years from the first commercial sale of Tosymra in the applicable country
or for as long as the manufacture, use or sale of Tosymra in such country is covered by a valid claim of a licensed patent, and up to
$15 million per Tosymra product on the achievement of sales milestones.
On
February 2, 2023, we entered into an asset purchase agreement with Healion Bio Inc., pursuant
to which we acquired all the pre-clinical infectious disease assets of Healion for $1.2 million. Because the Healion intellectual
property was acquired prior to FDA approval, the $1.2 million cash consideration was expensed as research and development costs since
there is no alternative future use and the acquired intellectual property does not constitute a business.
39
Liquidity
and Capital Resources
As
of June 30, 2024, we had working capital of $3.2 million, comprised primarily of cash and cash equivalents of $4.2 million, Accounts
receivable, net of $3.3 million, Inventory of $9.4 million and prepaid expenses and other of $8.3 million, offset by $10.4 million
of accounts payable, $8.5 million of accrued expenses, short-term loan payable of $2.8 million, and current lease liabilities of
$0.3 million. A significant portion of the accounts payable and accrued expenses are due to work performed in relation to our
clinical programs, and the operations related to Zembrace and Tosymra. During the fourth quarter of 2023, we engaged CBRE, an international
real estate brokerage firm, to potentially find a strategic partner for, or buyer of, our Advanced Development Center in North
Dartmouth, Massachusetts (“ADC”), to align with our current business objectives and priorities. Currently, we do not
have a commitment in place to sell the ADC.
The
following table provides a summary of operating, investing and financing cash flows for the six months ended June 30, 2024, and 2023,
respectively (in thousands):
June
30,
2024
2023
Net
cash used in operating activities
$
(27,494
)
$
(56,278
)
Net
cash used in investing activities
(108
)
(27,818
)
Net
cash provided (used) by financing activities
6,813
(10,471
)
For the six months ended June, 2024 and 2023, we used approximately $27.5
million and $56.3 million of cash in operating activities, respectively, which represents cash outlays for research and development and
general and administrative expenses in such periods. The decrease in cash outlays principally resulted from a decrease in research and
development activities. For the six months ended June 30, 2024, net cash provided from financing activities was $6.8 million predominately
from the issuance of common stock offset by the deferred payment to USL. For the six months ended June 30, 2023, net cash used from financing
activities was $10.5 million, predominately from the repurchase of our common stock. Cash used in investing activities for the six months
ended June 30, 2024 was $0.1 million related to the purchase of property and equipment, and $27.8 million for the six months ended June
30, 2023 related to the purchase of the USL assets and property and equipment.
We
believe that our cash resources at June 30, 2024, and the proceeds that we raised from equity offerings subsequent to the end of the
second quarter of 2024 will meet our operating and capital expenditure requirements into the third quarter of 2024, but not beyond.
We
continue to face significant challenges and uncertainties and, as a result, our available capital resources may be consumed more
rapidly than currently expected due to changes we may make in our research and development spending plans. These factors raise
substantial doubt about our ability to continue as a going concern for the one year period from the date of filing of this Form
10-Q. We have the ability to obtain additional funding through public or private financing or collaborative arrangements with
strategic partners to increase the funds available to fund operations. Without additional funds, we may be forced to delay, scale
back or eliminate some or all of our research and development activities or other operations and potentially delay product
development in an effort to provide sufficient funds to continue our operations. If any of these events occurs, our ability to
achieve our development and commercialization goals will be adversely affected.
Future
Liquidity Requirements
We expect to incur
losses from operations for the near future. We expect to decrease our operating costs to align the Company’s capital and human
resources with its previously announced strategic prioritization of TNX-102 SL product candidate for the management of fibromyalgia.
We will not have enough resources to meet our operating requirements for the one-year period from filing date of this report.
Our
future capital requirements will depend on a number of factors, including the progress of our research and development of product candidates,
the timing and outcome of regulatory approvals, the costs involved in preparing, filing, prosecuting, maintaining, defending and enforcing
patent claims and other intellectual property rights, the status of competitive products, the availability of financing and our success
in developing markets for our product candidates.
40
We
will need to obtain additional capital in order to fund future research and development activities and future capital expenditures. Future
financing may include the issuance of equity or debt securities, obtaining credit facilities, or other financing mechanisms. Even if
we are able to raise the funds required, it is possible that we could incur unexpected costs and expenses, fail to collect significant
amounts owed to us, or experience unexpected cash requirements that would force us to seek alternative financing. Furthermore, if we
issue additional equity or debt securities, shareholders may experience additional dilution or the new equity securities may have rights,
preferences or privileges senior to those of existing holders of our common stock.
If
additional financing is not available or is not available on acceptable terms, we may be required to delay, reduce the scope of or eliminate
our research and development programs, reduce our commercialization efforts or obtain funds through arrangements with collaborative partners
or others that may require us to relinquish rights to certain product candidates that we might otherwise seek to develop or commercialize
independently.
2024 At-the-Market Offering
On July 30, 2024, we
entered into a Sales Agreement with AGP pursuant to which we may issue and sell, from time to time, shares of our common stock
having an aggregate offering price of up to $50.0 million in the ATM. AGP will act as sales agent and will be paid a 3% commission
on each sale under the Sales Agreement. Our common stock will be sold at prevailing market prices at the time of the sale, and, as a
result, prices will vary. Subsequent to June 30, 2024, the Company has sold 0.8 million shares
of common stock under the Sales Agreement, for net proceeds of approximately $0.4 million.
July 2024 Financing
On
July 9, 2024, we entered into a securities purchase agreement with certain institutional and retail investors, pursuant to which we sold
3,393,600 shares of common stock and pre-funded warrants to purchase up to 3,703,140 shares of common stock. The offering price per share
of common stock was $0.57, and the offering price per share of pre-funded warrant was $0.5699.
The
offering closed on July 10, 2024. We incurred offering expenses of approximately $0.5 million, including placement agent fees of approximately
$0.3 million. We received net proceeds of approximately $3.5 million, after deducting the underwriting discount and other offering expenses.
June
2024 Financings
On
June 12, 2024, we entered into a securities purchase agreement with certain investors, pursuant to which we sold 1,199,448 shares of
common stock and pre-funded warrants to purchase up to 2,568,110 shares of common stock. The offering price per share of common stock
was $1.065, and the offering price per share of pre-funded warrant was $1.064.
The
offering closed on June 13, 2024. We incurred offering expenses of approximately $0.5 million, including placement agent fees of approximately
$0.3 million. We received net proceeds of approximately $3.5 million, after deducting the underwriting discount and other offering expenses.
On
June 27, 2024, we entered into a securities purchase agreement with certain institutional and retail investors, pursuant to which we
sold 2,833,900 shares of common stock and pre-funded warrants to purchase up to 4,228,158 shares of common stock. The offering price
per share of common stock was $0.57, and the offering price per share of pre-funded warrant was $0.5699.
The
offering closed on June 28, 2024. We incurred offering expenses of approximately $0.5 million, including placement agent fees of approximately
$0.3 million. We received net proceeds of approximately $3.5 million, after deducting the underwriting discount and other offering expenses.
March
2024 Financing
On
March 28, 2024, we entered into an agreement to sell 336,459 shares of common stock, pre-funded warrants to purchase up to 121,875 shares
of common stock, and accompanying Series E warrants to purchase up to 458,334 shares of common stock with an exercise price of $10,56
per share and expiring five and a half years from date of issuance in a public offering, which closed on April 1, 2024. The offering
price per share of common stock was $9.60 and the offering price per share of pre-funded warrants
was $9.5968.
41
We
incurred offering expenses of approximately $0.5 million, including placement agent fees of approximately $0.3 million. We received net
proceeds of approximately $3.9 million, after deducting the underwriting discount and other offering expenses.
Additionally, with the closing
of the financing on April 1, 2024, we entered into warrant amendments (collectively, the “Warrant Amendments”) with certain
holders of our common warrants (referred to herein as the “Existing Warrants”). We agreed to amend the exercise price of each
Existing Warrant to $10.56 upon approval by our stockholders of a proposal to allow the Existing Warrants to become exercisable in accordance
with Nasdaq Listing Rule 5635 or, if stockholder approval is not obtained by October 1, 2024, we agreed to automatically amend the exercise
price of the Existing Warrants to the Minimum Price (as defined in Nasdaq Listing Rule 5635(d)) of our common stock on October 1, 2024
if and only if the Minimum Price is below the then current exercise price. Upon stockholder approval on May 22, 2024, the termination
date for the warrants issued August 2023 (the “August Warrants”) to purchase up to an aggregate of 217,188 shares was amended
to April 1, 2029; the termination date for Series A Warrants to purchase up to an aggregate of approximately 278,125 shares is April 1,
2029; the termination date for Series B Warrants to purchase up to an aggregate of approximately 278,125 shares is April 1, 2025; the
termination date for Series C Warrants to purchase up to an aggregate of approximately 1,088,248 shares is the earlier of (i) April 1,
2026 and (ii) 10 trading days following notice by we to the Series C Warrant holder of our public announcement of the FDA’s acknowledgement
and acceptance of our NDA relating to TNX-102 SL in patients with Fibromyalgia; the termination date for Series D Warrants to purchase
up to an aggregate of approximately 1,088,248 shares is April 1, 2029. The other terms of the Existing Warrants will remain unchanged.
On May 22, 2024, at the annual meeting of stockholders, our stockholders approved the proposal to amend the exercise prices of the Existing
Warrants to $10.56 per share and extend the expiration dates.
December
2023 Financing
On
December 20, 2023, we entered into a securities purchase agreement (the “Purchase Agreement”) with certain institutional
investors, pursuant to which we sold and issued (i) 791,977 shares of our common stock, (ii) pre-funded warrants (the “Pre-Funded
Warrants”) to purchase up to 897,213 shares of common stock and (iii) Series C warrants to purchase up to 2,533,784 shares of common
stock (the “Series C Warrants”), and (iv) Series D warrants to purchase up to 2,533,784 shares of common stock (the “Series
D Warrants” and, together with the Series C Warrants, the “Common Warrants”). The securities sold in the offering were
sold in fixed combinations as units. The offering price per share of common stock and accompanying Common Warrants was $17.76, and the
offering price per Pre-Funded Warrant and accompanying Common Warrants was $17.7568. The offering closed on December 22, 2023, generating
gross proceeds of approximately $30.0 million, before deducting offering expenses of $2.3 million payable by us. At the closing of the
offering, 203,407 Pre-Funded Warrants were immediately exercised into shares of common stock for nominal proceeds.
The
Pre-Funded Warrants have an exercise price of $0.0001 per share, are immediately exercisable subject to certain ownership limitations,
and can be exercised at any time until exercised in full. The Series C Warrants have an exercise price of $17.76 per share, and are exercisable
on the later of approval by our stockholders of (i) a proposal to approve the filing of an amendment to our Articles of Incorporation,
increasing the number of authorized shares of common stock from 160,000,000 to 1,000,000,000 and (ii) a proposal to allow the Warrants
to become exercisable in accordance with Nasdaq Listing Rule 5635 (the later of such events, the “Approval Date”) and will
expire on the later of (a) 10 trading days following the Approval Date and (b) the earlier of (x) the two year anniversary of the Approval
Date and (y) 10 trading days following the public announcement of the U.S. Food and Drug Administration’s (“FDA”) acknowledgement
and acceptance of the New Drug Application (“NDA”) relating to our TNX-102 SL product candidate in patients with fibromyalgia.
The Series D Warrants have an exercise price of $27.20 per share and are exercisable beginning on the Approval Date through the five-year
anniversary of the Approval Date.
Upon
the closing of the offering, we determined that certain of the Common Warrants did not meet the criteria for equity classification due
to the lack of sufficient authorized and unissued shares to settle the instruments. We have adopted a sequencing approach under ASC 815-40,
Derivatives and Hedging - Contracts in Entity’s Own Equity to determine the classification of its contracts at issuance and at
each subsequent reporting date, whereby shares are allocated based on the earliest issuance date of potentially dilutive instruments,
with the earliest issuance date receiving the first allocation of shares. In the event of identical issuance dates, shares are then allocated
beginning with instruments with the latest maturity date first. Pursuant to this sequencing approach, our authorized and unissued shares
were applied to the Pre-Funded Warrants and the Common Warrants in the following order: (i) the Pre-Funded Warrants, (ii) the Series
D Warrants, and (iii) the Series C Warrants. Based on this analysis, we determined that the authorized shares are sufficient to settle
the remaining Pre-Funded Warrants and 1,591,665 Series D Warrants and were therefore classified in equity. The remaining 942,120 Series
D Warrants and the Series C Warrants associated with the deficit shares were classified as liabilities and are accounted for at fair
value.
42
The
$30.0 million in gross proceeds received by us was first allocated to the Series C Warrants and the liability-classified Series D Warrants
at their respective fair values of approximately $14.4 million and $8.1 million, respectively. The residual proceeds of approximately
$7.5 million were allocated to the shares of common stock, the Pre-Funded Warrants, and the equity-classified Series D Warrants on a
relative fair value basis. The issuance costs totaling $2.3 million were allocated between the equity and liability-classified instruments
on a relative fair value basis. Issuance costs of $1.4 million allocated to the shares, the Pre-Funded Warrants, and the equity-classified
Series D Warrants were recognized as a discount to the proceeds allocated to the equity-classified instruments. Issuance costs of $0.9
million were allocated to the liability-classified Series D Warrants and the Series C Warrants and expensed within Selling, general and
administrative expense on the consolidated statements of operations.
On
January 25, 2024, our stockholders approved the proposal to file an amendment to our Articles of Incorporation to increase the number
of authorized shares of common stock from 160,000,000 to 1,000,000,000.
The
liability-classified Series D Warrants and all of the Series C Warrants were presented within non-current liabilities on the consolidated
balance sheets as of December 31, 2023, and were adjusted to fair value through January 25, 2024, when the warrants were reclassified
to equity. Changes in the fair value of the liability-classified warrants were recognized as a separate component in the consolidated
statement of operations.
September
2023 Financing
On
September 28, 2023, we sold 126,563 shares of common stock; pre-funded warrants to purchase up to 154,687 shares of common stock, and
accompanying Series A warrants to purchase up to 281,250 shares of common stock with an exercise price of $16.00 per share and expiring
five years from date of issuance, and Series B warrants to purchase up to 281,250 shares of common stock with an exercise price of $16.00
per share and expiring one year from date of issuance in a public offering, which closed on October 3, 2023. The offering price per share
of common stock and accompanying warrants was $16.00, and the offering price per share of pre-funded warrant and accompanying warrants
was $15.99.
We
incurred offering expenses of approximately $0.5 million, including placement agent fees of approximately $0.3 million. We received net
proceeds of approximately $4.0 million, after deducting the underwriting discount and other offering expenses.
July
2023 Financing
On
July 27, 2023, we sold 79,062 shares of common stock; pre-funded warrants to purchase up to 139,688 shares of common stock and accompanying
common warrants to purchase up to 218,750 shares of common stock with an exercise price of $32.00 per share in a public offering that
closed on August 1, 2023. The offering price per share of common stock and accompanying common warrant was $32.00, and the offering price
per share of pre-funded warrant and accompanying common warrant was $31.99.
We
incurred offering expenses of approximately $0.7 million, including placement agent fees of approximately $0.5 million. We received net
proceeds of approximately $6.3 million, after deducting the underwriting discount and other offering expenses.
43
2022
Lincoln Park Transaction
On
August 16, 2022, we entered into a purchase agreement (the “2022 Purchase Agreement”) and a registration rights agreement
(the “2022 Registration Rights Agreement”) with Lincoln Park Capital Fund, LLC (“Lincoln Park”). Pursuant to
the terms of the 2022 Purchase Agreement, Lincoln Park has agreed to purchase from us up to $50,000,000 of our common stock (subject
to certain limitations) from time to time during the term of the 2022 Purchase Agreement. Pursuant to the terms of the 2022 Registration
Rights Agreement, we filed with the SEC a registration statement to register for resale under the Securities Act the shares that have
been or may be issued to Lincoln Park under the 2022 Purchase Agreement.
Pursuant
to the terms of the 2022 Purchase Agreement, at the time we signed the 2022 Purchase Agreement and the 2022 Registration Rights Agreement,
we issued 3,125 shares of common stock to Lincoln Park as consideration for its commitment to purchase shares of our common stock under
the 2022 Purchase Agreement. The commitment shares were valued at $1,000,000 and recorded as an addition to equity for the issuance of
the common stock and treated as a reduction to equity as a cost of capital to be raised under the 2022 Purchase Agreement.
During
the three and six months ended June 30, 2023, we sold 0 and 3,000 shares, respectively, of common stock under the 2022 Purchase Agreement,
for net proceeds of approximately $0 and $0.4 million, respectively. No shares were sold during 2024 under the 2022 Purchase Agreement.
At-the-Market
Offerings
On
April 8, 2020, we entered into a sales agreement (the “Sales Agreement”) with AGP pursuant to which we may issue and sell,
from time to time, shares of our common stock having an aggregate offering price of up to $320.0 million in at-the-market offerings (“ATM”)
sales. AGP will act as sales agent and will be paid a 3% commission on each sale under the Sales Agreement. Our common stock will be
sold at prevailing market prices at the time of the sale, and, as a result, prices will vary. There were no sales under the Sales Agreement
during the three and six months ended June 30, 2024. During the three and six months ended June 30, 2023, we sold approximately 13,766
and 29,855 shares, respectively, of common stock under the Sales Agreement, for net proceeds of approximately $1.0 million and $3.0 million,
respectively. There will be no more sales under the 2020 ATM.
Share
Repurchase Program
During
the first quarter of 2023, we repurchased 78,502 of our shares of common stock outstanding under the 2022 share repurchase program
for $12.5 million at prices ranging from $88.00 to $275.52 per share for a gross aggregate cost of approximately $12.5 million .
In addition, we incurred expenses of $0.3 million.
In
January 2023, the Board of Directors approved a new 2023 share repurchase program pursuant
to which we may repurchase up to an additional $12.5 million in value of our outstanding common stock from time to time on
the open market and in privately negotiated transactions subject to market conditions, share price and other factors. During
the first quarter of 2023, we repurchased 5,000 of our shares of common stock outstanding
under the new 2023 share repurchase program at $227.84 per share for a gross aggregate cost of $1.1 million .
Debt
Financing
On
December 8, 2023, we executed a Loan and Guaranty Agreement (the “Loan Agreement”) to issue a 36-month term loan (the “Term
Loan”) in the principal amount of $11.0 million with a maturity date of December 8, 2026 (the “Maturity Date”). The
Term Loan was funded with an original issue discount of 9% of the principal amount of the Term Loan, or $1.0 million, which is being
amortized over the term of the debt as an adjustment to the effective interest rate on the outstanding borrowings.
Borrowings
under the Term Loan bear interest at a fluctuating rate equal to the greater of (i) the prime rate as defined in the Loan Agreement plus
3.5% and (ii) 12%. Interest is payable monthly in arrears commencing in December 2023. In connection with the Term Loan, we deposited
into a reserve account $1.8 million to be used exclusively to fund interest payments related to the Term Loan. The deposit is reflected
as prepaid and other current assets on the consolidated balance sheet.
44
Commencing
on March 8, 2024 and continuing monthly through the Maturity Date, the outstanding principal will be due and payable in monthly installments
of $0.2 million, with the final remaining balance of unpaid principal and interest due and payable on the Maturity Date. In addition,
we must pay a monthly collateral monitoring charge equal to 0.23% of the outstanding principal amount of the term loan as of the date
of payment. We incurred $1.1 million in issuance costs, which is being amortized over the term of the debt as an adjustment to the
effective interest rate on the outstanding borrowings.
The
Loan Agreement provides for voluntary prepayments of the Term Loan, in whole or in part, subject to a prepayment premium. The Loan Agreement
contains customary affirmative and negative covenants by us, which among other things, will require us to provide certain financial reports
to the lenders, to maintain a deposit account to fund interest payments, and limit the ability of us to incur or guarantee additional
indebtedness, pay dividends or make other equity distributions, sell assets, engage in certain transactions, and effect a consolidation
or merger. Our obligations under the Loan Agreement may be accelerated upon customary events of default, including non-payment of principal,
interest, fees and other amounts, covenant default, insolvency, material judgements, inaccuracy of representations and warranties, invalidity
of guarantees. The Term Loan is secured by first priority security interests in our R&D Center in Frederick, Maryland, the Advanced
Development Center in North Dartmouth, Massachusetts, and substantially all of the relevant deposit accounts.
As
of June 30, 2024, the carrying amount of the Term Loan approximated its fair value as the contractual interest rate for the Term Loan
was representative of the then market interest rate.
Stock
Compensation
On
May 1, 2020, our stockholders approved the Tonix Pharmaceuticals Holding Corp. Amended and Restated 2020 Stock Incentive Plan (“Amended
and Restated 2020 Plan”).
Under
the terms of the Amended and Restated 2020 Plan, we may issue (1) stock options (incentive and nonstatutory), (2) restricted stock, (3)
stock appreciation rights (“SARs”), (4) RSUs, (5) other stock-based awards, and (6) cash-based awards. The Amended and Restated
2020 Plan initially provided for the issuance of up to 1,563 shares of common stock, which amount will be increased to the extent
that awards granted under the Plans are forfeited, expire or are settled for cash (except as otherwise provided in the Amended and Restated
2020 Plan). In addition, the Amended and Restated 2020 Plan contains an “evergreen provision” providing for an annual increase
in the number of shares of our common stock available for issuance under the Amended and Restated 2020 Plan on January 1 of each year
for a period of ten years, commencing on January 1, 2021 and ending on (and including) January 1, 2030, in an amount equal to the difference
between (x) twenty percent (20%) of the total number of shares of common stock outstanding on December 31st of the preceding calendar
year, and (y) the total number of shares of common stock reserved under the Amended and Restated 2020 Plan on December 31 st
of such preceding calendar year (including shares subject to outstanding awards, issued pursuant to awards or available for future awards).
The Board of Directors determines the exercise price, vesting and expiration period of the grants under the Amended and Restated 2020
Plan. However, the exercise price of an incentive stock option may not be less than 110% of fair value of the common stock at the date
of the grant for a 10% or more shareholder and 100% of fair value for a grantee who is not a 10% shareholder. The fair value of the common
stock is determined based on quoted market price or in absence of such quoted market price, by the Board of Directors in good faith.
Additionally, the expiration period of grants under the Amended and Restated 2020 Plan may not be more than ten years. As of June 30,
2024, 55,544 options were available for future grants under the Amended and Restated 2020 Plan.
The
aggregate intrinsic value in the preceding table represents the total pretax intrinsic value, based on options with an exercise price
less than our closing stock price at the respective dates.
The
weighted average fair value of options granted during the three and six months ended June 2024 was $5.06 per share and $10.16 per share,
respectively. The weighted average fair value of options granted during the three and six months ended June 2023 was $87.36 per share
and $128.32 per share, respectively.
We
measure the fair value of stock options on the date of grant, based on the Black Scholes option pricing model using certain
assumptions discussed below, and the closing market price of our common stock on the date of the grant. The fair value of the award
is measured on the grant date. One-third of most stock options granted pursuant to the Plans vest 12 months from the date of grant
and 1/36th each month thereafter for 24 months and expire ten years from the date of grant. In addition, we issue options to
directors which vest over a one-year period. We also issue premium options to executive officers which have an exercise price
greater than the grant date fair value and has issued performance-based options which vest when target parameters are met or
probable of being met, subject in each case to a one year minimum service period prior to vesting. Stock-based compensation expense
related to awards is amortized over the applicable service period using the straight-line method.
45
The
risk-free interest rate is based on the yield of Daily U.S. Treasury Yield Curve Rates with terms equal to the expected term of the options
as of the grant date. The expected term of options is determined using the simplified method, as provided in an SEC Staff Accounting
Bulletin, and the expected stock price volatility is based on our historical stock price volatility.
Stock-based
compensation expense relating to options granted of $1.1 million, of which $0.8 million and $0.3 million, related to General and Administration
and Research and Development, respectively was recognized for the quarter ended June 30, 2024. Stock-based compensation expense
relating to options granted of $2.4 million, of which $1.6 million and $0.8 million, related to General and Administration and Research
and Development, respectively was recognized for the quarter ended June 30, 2023.
Stock-based
compensation expense relating to options granted of $2.8 million, of which $2.0 million and $0.8 million, related to General and Administration
and Research and Development, respectively was recognized for the six-month period ended June 30, 2024. Stock-based compensation expense
relating to options granted of $5.2 million, of which $3.6 million and $1.6 million, related to General and Administration and Research
and Development, respectively was recognized for the six-month period ended June 30, 2023.
As
of June 30, 2024, we had approximately $5.5 million of total unrecognized compensation cost related to non-vested awards granted under
the Plans, which we expect to recognize over a weighted average period of 1.87 years.
Employee
Stock Purchase Plans
On
May 6, 2022, our stockholders approved the Tonix Pharmaceuticals Holdings Corp. 2022 Employee Stock Purchase Plan. (the “2022
ESPP”), which was replaced by the Tonix Pharmaceuticals Holdings Corp. 2023 Employee Stock Purchase Plan (the “2023 ESPP”,
and together with the 2022 ESPP, the “ESPP Plans”), which was approved by our stockholders on May 5, 2023.
The
2023 ESPP allows eligible employees to purchase up to an aggregate of 25,000 shares of our common stock. Under the 2023
ESPP, on the first day of each offering period, each eligible employee for that offering period has the option to enroll for that offering
period, which allows the eligible employees to purchase shares of our common stock at the end of the offering period. Each offering
period under the 2023 ESPP is for six months, which can be modified from time-to-time. Subject to limitations, each participant will
be permitted to purchase a number of shares determined by dividing the employee’s accumulated payroll deductions for the offering
period by the applicable purchase price, which is equal to 85 percent of the fair market value of our common stock at the beginning
or end of each offering period, whichever is less. A participant must designate in his or her enrollment package the percentage (if any)
of compensation to be deducted during that offering period for the purchase of stock under the 2023 ESPP, subject to the statutory limit
under the Code. As of June 30, 2024, 22,926 shares were available for future sales under the 2023 ESPP.
The
ESPP Plans are considered compensatory plans with the related compensation cost expensed over the six-month offering period. For the
six months ended June 30, 2024 and 2023, $27,000 and $0, respectively, was expensed. In January 2023, 469 shares that were purchased
as of December 31, 2022, under the 2022 ESPP, were issued. Accordingly, during the first quarter of 2023, approximately $29,000 of employee
payroll deductions accumulated at December 31, 2022, related to acquiring such shares, was transferred from accrued expenses to additional
paid in capital. The remaining $14,000 was returned to the employees. As of December 31, 2023, approximately $44,000 of employee payroll
deductions had accumulated and had been recorded in accrued expenses. In January 2024, 2,074 shares that were purchased as of December
31, 2023, under the 2022 ESPP, were issued. Accordingly, during the first quarter of 2024, approximately $24,000 of employee payroll
deductions accumulated at December 31, 2023, related to acquiring such shares, was transferred from accrued expenses to additional paid
in capital. The remaining $20,000 was returned to the employees. As of June 30, 2024, approximately $33,000 of employee payroll deductions
had accumulated and had been recorded in accrued expenses. In July 2024, 6,927 shares that were purchased as of June 30, 2024, under
the 2022 ESPP, were issued. Accordingly, during the third quarter of 2024, approximately $5,000 of employee payroll deductions accumulated
at June 30, 2024, related to acquiring such shares, was transferred from accrued expenses to additional paid in capital. The remaining
$28,000 was returned to the employees.
Commitments
Research
and Development Contracts
We
have entered into contracts with various contract research organizations with outstanding commitments aggregating approximately $16.9
million at June 30, 2024 for future work to be performed.
46
At
June 30, 2024, future minimum lease payments for operating leases with non-cancelable terms of more than one year were as follows (in
thousands):
Year Ending December 31,
Remainder
of 2024
$
153
2025
299
2026
142
2027
139
2028
and beyond
108
841
Included
interest
(71
)
$
770
Critical
Accounting Policies and Estimates
Our
discussion and analysis of our financial condition and results of operations are based on our consolidated financial statements, which
have been prepared in accordance with accounting principles generally accepted in the United States. The preparation of these financial
statements requires us to make estimates and judgments that affect the reported amounts of assets, liabilities and expenses. We evaluate
our estimates and judgments on an ongoing basis. We base our estimates on historical experience and on assumptions that we believe to
be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and
liabilities that are not readily apparent from other sources. Actual results may differ from these estimates.
We
believe the following critical accounting policies affect our more significant judgments and estimates used in the preparation of our
consolidated financial statements.
Business
Combinations. We apply the acquisition method of accounting for business combinations. Under the acquisition method, the acquiring entity
recognizes all of the identifiable assets acquired and liabilities assumed at their acquisition date fair values. We use our best estimates
and assumptions to estimate the fair values of these tangible and intangible assets. Any excess of the purchase price over amounts allocated
to the assets acquired is recorded as goodwill. The acquired intangible assets are amortized using the straight-line method over the
estimated useful lives of the respective assets. Goodwill is reviewed for impairment on an annual basis, or more frequently if events
or changes in circumstances indicate that the carrying amount of goodwill may be impaired.
Asset impairment charges. We test
certain assets for impairment, including goodwill, indefinite-lived intangibles, long-lived assets and amortizing intangibles. Goodwill
is reviewed for impairment by comparing the carrying value of a reporting unit to its fair value on an annual basis as of June 30, or
more frequently if events or changes in circumstances indicate that the carrying amount of goodwill may be impaired. We evaluate long-lived
assets for impairment, including property and equipment and finite-lived intangibles assets whenever events or changes in circumstances
indicate that their net book value may not be recoverable. When such factors and circumstances exist, we compare the projected undiscounted
future cash flows associated with the related asset or group of assets over their estimated useful lives against their respective carrying
amount. Impairment, if any, is based on the excess of the carrying amount over the fair value, based on market value when available, or
discounted expected cash flows, of those assets and is recorded in the period in which the determination is made.
We completed the required annual
impairment test for goodwill as of June 30, 2024, primarily using an income approach or discounted cash flow analysis. Additionally, due
to a sustained decline in revenues and continued delays in building out the sales team for its commercialized products, we also tested
the commercialized products asset group for recoverability as of June 30, 2024, and determined that the carrying value was not recoverable
and therefore estimated the fair value of the asset group using a discounted cash flow analysis. The significant assumptions used in the
discounted cash flow model included revenue growth, long-term growth rate, and discounts rate. The impairment assessments resulted in
full non-cash impairment of $965,000 of goodwill and $9.2 million, consisting of $6.2 million and $3.0 million for the Zembrace and Tosymra
developed technology, intangible assets, which are reflected in asset impairment charges in the consolidated statements of operations
for the three and six months ended June 30, 2024.
47
During the three months ended
June 30, 2024, we identified certain triggering events related to the ADC and the decommissioning of the ADC. The Company determined that
the carrying value of the ADC was not recoverable and that the carrying value exceeded its fair value. We engaged independent appraisers
to value the building and land, using sales comparison and income capitalization approaches, and the related fixed assets using a indirect
cost approach and market approach. The assessments resulted in a non-cash impairment charge of $48.8 million, which is reflected in asset
impairment charges in the consolidated statements of operations for the three and six months ended June 30, 2024.
Revenue
Recognition. Our gross product revenues are subject to a variety of deductions, which generally are estimated and recorded in the same
period that the revenues are recognized. Such variable consideration represents chargebacks, rebates, prompt pay and other sales discounts,
and product returns. These deductions represent estimates of the related obligations and, as such, knowledge and judgment are required
when estimating the impact of these revenue deductions on gross sales for a reporting period. We began recognizing revenue following
the completion of the USL Acquisition, beginning July 1, 2023, and required variable consideration estimates are currently primarily
based on the acquired products historical results. Adjustments to these estimates to reflect actual results or updated expectations will
be assessed each period. If any of our ratios, factors, assessments, experiences, or judgments are not indicative or accurate estimates
of our future experience, our results could be materially affected. The potential of our estimates to vary differs by program, product,
type of customer and geographic location. In addition, estimates associated with U.S. Medicare and Medicaid governmental rebate programs
are at risk for material adjustment because of the extensive time delay.
Research
and Development. We outsource certain of our research and development efforts and expense the related costs as incurred, including the
cost of manufacturing product for testing, licensing fees and costs associated with planning and conducting clinical trials. The value
ascribed to patents and other intellectual property acquired was expensed as research and development costs, as it related to particular
research and development projects and had no alternative future uses.
We
estimate our accrued expenses. Our clinical trial accrual process is designed to account for expenses resulting from our obligations
under contracts with vendors, consultants and clinical research organizations and clinical site agreements in connection with conducting
clinical trials. The financial terms of these contracts are subject to negotiations, which vary from contract to contract and may result
in payment flows that do not match the periods over which materials or services are provided to us under such contracts. We account for
trial expenses according to the progress of the trial as measured by participant progression and the timing of various aspects of the
trial. We determine accrual estimates that take into account discussions with applicable personnel and outside service providers as to
the progress or state of completion of trials, or the services completed. During the course of a clinical trial, we adjust our clinical
expense recognition if actual results differ from our estimates. We make estimates of our accrued expenses as of each balance sheet date
based on the facts and circumstances known to us at that time. Our clinical trial accruals and prepaid assets are dependent upon the
timely and accurate reporting of contract research organizations and other third-party vendors.
Stock-Based
Compensation. All stock-based payments to employees and to nonemployee directors for their services as directors consisted of grants
of restricted stock and stock options, which are measured at fair value on the grant date and recognized in the consolidated statements
of operations as compensation expense over the relevant vesting period. In addition, for awards that vest immediately and are nonforfeitable,
the measurement date is the date the award is issued.
Deferred
financing costs. Deferred financing costs represent the cost of obtaining financing arrangements and are amortized over the term of the
related debt agreement using the effective interest method. Deferred financing costs related to term debt arrangements are reflected
as a direct reduction of the related debt liability on the consolidated balance sheet. Amortization of deferred financing costs is included
in interest expense on the consolidated statements of operations.
48
Original
issue discount. Certain term debt issued by the Company provides the debt holder with an original issue discount. Original issue discounts
are reflected as a direct reduction of the related debt liability on the consolidated balance sheets and are amortized over the term
of the related debt agreement using the effective interest method. Amortization of original issue discounts are included in interest
expense on the consolidated statements of operations.
Derivative
Instruments and Warrant Liabilities. The Company evaluates all of its financial instruments, including issued warrants to purchase common
stock under ASC 815 – Derivatives and Hedging, to determine if such instruments are derivatives or contain features that qualify
as embedded derivatives. For derivative financial instruments that are accounted for as liabilities, the derivative instrument is initially
recorded at its fair value and is then re-valued at each reporting date, with changes in the fair value reported in the consolidated
statements of operations. The Company uses the Black-Scholes option pricing model to value the derivative instruments at inception and
subsequent valuation dates, which is adjusted for instrument-specific terms as applicable.
From
time to time, certain equity-linked instruments may be classified as derivative liabilities due to the Company having insufficient authorized
shares to fully settle the equity-linked financial instruments in shares. In such a case, the Company has adopted a sequencing approach
under ASC 815-40, Derivatives and Hedging - Contracts in Entity’s Own Equity to determine the classification of its contracts at
issuance and at each subsequent reporting date. If reclassification of contracts between equity and assets or liabilities is necessary,
the Company first allocates remaining authorized shares to equity on the basis of the earliest issuance date of potentially dilutive
instruments, with the earliest issuance date receiving the first allocation of shares. In the event of identical issuance dates, shares
are then allocated to equity beginning with instruments with the latest maturity date first.
The
classification of derivative instruments is reassessed at each reporting date. If the classification changes as a result of events during
a reporting period, the instrument is reclassified as of the date of the event that caused the reclassification. There is no limit on
the number of times a contract may be reclassified.
Other
than contractual obligations incurred in the normal course of business, we do not have any off-balance sheet financing arrangements or
liabilities, guarantee contracts, retain or contingent interests in transferred assets or any obligation arising out of a material variable
interest in an unconsolidated entity.
Recent
Accounting Pronouncements Not Yet Adopted
In
November 2023, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2023-07,
Segment Reporting--Improvements to Reportable Segment Disclosures , which requires incremental disclosures about a public entity’s
reportable segments but does not change the definition of a segment or the guidance for determining reportable segments. The new guidance
requires disclosure of significant segment expenses that are (1) regularly provided to (or easily computed from information regularly
provided to) the chief operating decision maker and (2) included in the reported measure of segment profit or loss. The new standard
also allows companies to disclose multiple measures of segment profit or loss if those measures are used to assess performance and allocate
resources. The guidance will first be effective in our annual disclosures for the year ending December 31, 2024, and will be adopted
retrospectively unless impracticable. Early adoption is permitted. The Company is in the process of assessing the impact of ASU 2023-07
on our disclosures.
49
In
December 2023, the FASB issued ASU 2023-09, Improvements to Income Tax Disclosures, which requires disaggregated information about
our effective tax rate reconciliation as well as information on income taxes paid. The guidance will first be effective in our annual
disclosures for the year ending December 31, 2025, and should be applied on a prospective basis with the option to apply retrospectively.
Early adoption is permitted. The Company is in the process of assessing the impact of ASU 2023-09 on our disclosures.
In
March 2024, the SEC adopted new rules relating to the disclosure of a range of climate-change-related physical and transition risks,
data, and opportunities. The adopted rule contains several new disclosure obligations, including, (i) disclosure on how the board of
directors and management oversee climate-related risks and certain climate-related governance items, (ii) disclosure of information related
to a registrant’s climate-related targets, goals, and/or transition plans, and (iii) disclosure on whether and how climate-related
events and transition activities impact line items above a threshold amount on a registrant’s consolidate financial statements,
including the impact of the financial estimates and the assumptions used. This new rule will first be effective in the Company’s
disclosures for the year ending December 31, 2027. The Company is in the process of assessing the impact on our consolidated financial
statements and disclosures.
ITEM
3 – QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
Not
applicable.
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