−Removed: Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities
+Added: Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities
Market Information
5 unchanged sentences
since October 16, 2008.
−Removed: The last price of our common stock as reported on the NYSE American on February
+Added: The last price of our common stock as reported on the NYSE American on March
3, 2021 was $0.6445 per share.
4 unchanged sentences
imposed under Nevada corporate law.
−Removed: The timing, amount and form of dividends, if any, will depend on, among other things, our results
−Removed: of operations, financial condition, cash requirements and other factors deemed relevant by our Board of Directors.
−Removed: The Series A Preferred Stock ranks senior
−Removed: to the shares of our common stock and shares of our Series B Preferred Stock with respect to dividend rights and holders of Series
−Removed: A Preferred Stock are entitled to a cumulative dividend at the rate of 2.0% per annum, payable quarterly in arrears, as set
−Removed: forth in the Certificate of Designation of Series A Convertible Preferred Stock.
−Removed: As of February 18, 2020, we had approximately
+Added: The timing, amount and form of dividends, if any, will depend on, among other things, our
+Added: results of operations, financial condition, cash requirements and other factors deemed relevant by our Board of Directors.
+Added: The Series A Preferred Stock, none of which remains outstanding, ranked senior to the shares of our common stock and shares of our Series
+Added: B Preferred Stock with respect to dividend rights and holders of Series A Preferred Stock were entitled to a cumulative dividend at the
+Added: rate of 2.0% per annum, payable quarterly in arrears, as set forth in the Certificate of Designation of Series A Convertible Preferred
+Added: As of March 3, 2021, we had approximately
343 stockholders of record of our common stock.
5 unchanged sentences
Equity Compensation Plan Information
−Removed: See Part II–Item 12 under the heading
−Removed: “Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters—Equity Compensation
−Removed: Plan Information” of this Annual Report on Form 10-K for equity compensation plan information.
+Added: See Part II–Item 12 under the
+Added: heading “Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters—Equity Compensation
+Added: Plan Information”
+Added: of this Annual Report on Form 10-K for equity compensation plan information.
Recent Sales of Unregistered Securities
8 unchanged sentences
as defined by Rule 12b-2 of the Exchange Act and is not required to provide the information required under this item.
+Added: Management’s Discussion and Analysis of Financial Condition and Results of Operations
+Added: The following discussion of our financial
+Added: condition and results of operations should be read in conjunction with our audited financial statements and notes thereto for the
+Added: years ended December 31, 2020 and 2019 included elsewhere in this Annual Report.
+Added: In addition to historical information, the
+Added: following discussion contains certain forward-looking statements that involve risks, uncertainties and assumptions.
+Added: Where possible,
+Added: we have tried to identify these forward-looking statements by using words such as “anticipate,”
+Added: “believe,”
+Added: “intends,”
+Added: or similar expressions.
+Added: Our actual results could differ materially from those expressed or implied by the
+Added: forward-looking statements due to important factors and risks including, but not limited to, those set forth under “Risk
+Added: Factors”
+Added: in Part I, Item 1A of this Annual Report.
+Added: We are a diversified clinical-stage company
+Added: developing therapeutics designed to treat gastrointestinal (GI) diseases in areas of high unmet need.
+Added: Our lead clinical development
+Added: candidates are:
+Added: (1) SYN-004 (ribaxamase) which is designed to degrade certain commonly used intravenous (IV) beta-lactam
+Added: antibiotics within the GI tract to prevent microbiome damage, Clostridioides difficile infection (CDI), overgrowth of pathogenic
+Added: organisms, the emergence of antimicrobial resistance (AMR), and acute graft-versus-host-disease (aGVHD) in allogeneic hematopoietic
+Added: cell transplant (HCT) recipients, and (2) SYN-020, a recombinant oral formulation of the enzyme intestinal alkaline phosphatase
+Added: (IAP) produced under cGMP conditions and intended to treat both local GI and systemic diseases.
+Added: We plan to explore and evaluate a range
+Added: of strategic options, which may include:
+Added: in-licensing opportunities;
+Added: evaluation of potential acquisitions;
+Added: or other potential strategic
+Added: transactions.
+Added: In the meantime, we remain focused on working with our clinical development partners to advance the planned Phase
+Added: 1b/2a clinical trial of SYN-004 (ribaxamase) in allogeneic hematopoietic cell transplant (HCT) patients, and advancing the clinical
+Added: development program for SYN-020 intestinal alkaline phosphatase (IAP) in multiple potential indications.
+Added: We are continuing to assess the potential
+Added: impact of the COVID-19 pandemic.
+Added: We are in close contact with our clinical development partners in order to assess the impact
+Added: of COVID-19 on our studies and current timelines and costs.
+Added: While we currently do not anticipate any interruptions in our
+Added: operations due to COVID-19, it is possible that if the COVID-19 pandemic persists, for an extended period of time, we could experience
+Added: significant disruptions to our clinical development timelines due to the COVID-19 pandemic, which would adversely affect our business,
+Added: financial condition, results of operations and growth prospects.
+Added: In response to the spread of COVID-19 as
+Added: well as public health directives and orders, we have implemented a number of measures designed to ensure employee safety and business
+Added: We have limited access to our offices and are allowing our administrative employees to continue their work outside
+Added: of our offices in order to support the community efforts to reduce the transmission of COVID-19 and protect employees, complying
+Added: with guidance from federal, state and local government and health authorities.
+Added: The full extent to which the COVID-19 outbreak will
+Added: directly or indirectly impact our business, results of operations and financial condition will depend on future developments that
+Added: are highly uncertain and cannot be accurately predicted.
+Added: The effects of the governmental orders and our work-from-home policies
+Added: may negatively impact productivity, disrupt our business and delay our clinical programs and timelines, the magnitude of which
+Added: will depend, in part, on the length and severity of the restrictions and other limitations on our ability to conduct our business
+Added: in the ordinary course.
+Added: Our Product Pipeline
+Added: aGVHD acute graft-vs-host disease;
+Added: allogeneic-HCT
+Added: allogeneic hematopoietic cell transplant patients;
+Added: AMR antimicrobial resistance;
+Added: CDI Clostridioides difficile infection.
+Added: SAD single ascending dose
+Added: ¹Additional products with preclinical
+Added: proof-of-concept include SYN-006 (carbapenemase) designed to prevent aGVHD and infection by vancomycin resistant enterococci and
+Added: SYN-007 (ribaxamase) DR designed to prevent antibiotic associated diarrhea with oral β-lactam antibiotics.
+Added: ²Dependent on funding/partnership.
+Added: ³Announced option-license agreement
+Added: with Massachusetts General Hospital to develop SYN-020 in several potential indications related to inflammation and gut barrier
+Added: *Based on management’s current beliefs
+Added: and expectations.
+Added: Summary of Clinical and Preclinical
+Added: Therapeutic Area
+Added: Current Status
+Added: Prevention of microbiome damage, CDI, overgrowth of pathogenic organisms, AMR, and aGVHD in allogeneic HCT recipients (Degrade IV beta-lactam antibiotics)
+Added: (oral enzyme)
+Added: outcomes from End of Phase 2 meeting, including Food and Drug Administration (FDA)-proposed criteria for Phase 3 clinical efficacy
+Added: and safety which, if achieved, may support submission for marketing approval on the basis of a single Phase 3 clinical trial (Q4
+Added: Clarified market/potential partner needs and identified potential additional indications in specialty patient
+Added: populations such as allogeneic hematopoietic cell transplant (HCT) patients
+Added: clinical trial agreement (CTA) with Washington University School of Medicine to conduct a Phase 1b/2a clinical trial to evaluate
+Added: safety, tolerability and pharmacokinetics in up to 36 evaluable adult allogeneic HCT recipients (Q3 2019)
+Added: Received official meeting minutes from FDA Type-C meeting held on December 2, 2019 to discuss development in allogeneic HCT
+Added: recipients who are administered IV beta-lactam antibiotics in response to fever (Q1 2020)
+Added: written notification from the FDA informing the Company that the FDA determined the Phase 1b/2a clinical program in adult allogeneic
+Added: hematopoietic cell transplant (HCT) recipients may proceed per the submitted clinical program protocol (Q3 2020)
+Added: University has begun screening patients for enrollment of the first of three antibiotic cohorts for the Phase 1b/2a
+Added: clinical trial of SYN-004 in adult HCT recipients (Q1 2021)
+Added: Preserve gut barrier, treat local GI inflammation, and restore gut microbiome
+Added: (oral IAP enzyme)
+Added: high expressing manufacturing cell lines for intestinal alkaline phosphatase (IAP) (1H 2017)
+Added: basic Drug Supply manufacturing process and potential tablet formulation (2H 2017)
+Added: potential clinical indications with unmet medical need including enterocolitis associated with radiation therapy for cancer (Q1
+Added: pre-IND (Investigational New Drug) meeting with the FDA to clarify requirements for IND-enabling toxicology studies and manufacturing
+Added: requirements (Q2 2019)
+Added: into an agreement with Massachusetts General Hospital (“MGH”) granting the Company an option for an exclusive license
+Added: to intellectual property and technology related to the use of IAP to maintain GI and microbiome health, diminish systemic inflammation,
+Added: and treat age-related diseases (Q2 2020)
+Added: IND application with U.S.
+Added: FDA supporting an initial indication for the treatment of radiation enteropathy secondary to pelvic cancer
+Added: therapy (Q2 2020)
+Added: study-may-proceed letter from U.S.
+Added: FDA to conduct a Phase 1 single ascending dose study in healthy volunteers, designed to evaluate
+Added: SYN-020 for safety, tolerability, and pharmacokinetic parameters (Q3 2020)
+Added: Phase 1 single-ascending-dose (SAD) study is expected to commence during the second quarter of 2021.
+Added: A topline data readout is
+Added: anticipated during the third quarter of 2021, pandemic conditions permitting.
+Added: Prevention of CDI, overgrowth of pathogenic organisms and AMR (Degrade IV carbapenem antibiotics)
+Added: (oral enzyme)
+Added: P2A as a potent carbapenemase that is stable in the GI tract
+Added: a formulated research lot for oral delivery (2017)
+Added: microbiome protection in a pig model of ertapenem administration (Q1 2018)
+Added: supporting data demonstrating SYN-006 attenuated emergence of antibiotic resistance in a pig model, including encoded beta-lactamases
+Added: and genes conferring resistance to a broad range of antibiotics such as aminoglycosides and macrolides (Q1 2019)
+Added: Prevention of CDI, overgrowth of pathogenic organisms and AMR (Degrade oral beta-lactam antibiotics)
+Added: (oral enzyme)
+Added: work ongoing to expand the utility of SYN-004 (ribaxamase) for use with oral beta-lactam antibiotics
+Added: supportive data from a second canine animal model demonstrating that when co-administered with oral Amoxicillin and oral Augmentin,
+Added: oral SYN-007 did not interfere with systemic absorption of antibiotics but did diminish microbiome damage associated with these
+Added: antibiotics (Q2 2018)
+Added: supportive data demonstrating SYN-007 mitigated antibiotic-mediated gut microbiome alterations and maintained gut microbiome integrity
+Added: when co-administered with oral amoxicillin in a dose-response canine study (Q2 2019)
+Added: supportive data demonstrating SYN-007 protected the gut microbiome of dogs from amoxicillin and the beta-lactam/beta-lactamase
+Added: inhibitor combination amoxicillin/clavulanate and also reduced the emergence of antibiotic resistance in a canine study (Q1 2020)
+Added: Prevention and treatment of pertussis
+Added: (monoclonal antibody
+Added: supportive preclinical data demonstrating that an extended half-life version of hu1B7, a component of SYN-005, provided protection
+Added: from pertussis for five weeks in a neonatal non-human primate study (Q4 2017)
+Added: Collaboration
+Added: with UT Austin
+Added: Financial Developments
+Added: B Riley and AGP Securities Sales Agreement
+Added: During the year ended
+Added: December 31, 2020, we sold an aggregate of 9.2 million shares of our common stock and received net proceeds of
+Added: approximately $3.4 million before deducting issuance expenses pursuant to that certain At
+Added: Market Issuance Sales Agreement, dated August 5, 2016, with B.
+Added: Riley Securities, Inc.
+Added: (formerly known as B.
+Added: Riley FBR, Inc.),
+Added: as amended by amendment no.
+Added: 1 thereto, dated May 7, 2018 (the “Original ATM Sales Agreement”).
+Added: entered into an Amended and Restated At Market Issuance Sales Agreement, dated February 9, 2021, with B.
+Added: Riley Securities, Inc.,
+Added: Riley, and A.G.P./Alliance Global Partners, or AGP and together with B.
+Added: Riley, the sales agents (the “Amended and Restated
+Added: ATM Sales Agreement”), which replaced the Original ATM Sales Agreement.
+Added: Subsequent to year end through March 3,
+Added: 2021 , we have sold approximately 76.3 million shares of our common stock and received net
+Added: proceeds of approximately $63.8 million, pursuant to the Original ATM Sales Agreement and the Amended and Restated ATM Sales Agreement.
+Added: Stock Warrants
+Added: On November 16, 2020, the exercise
+Added: price of warrants issued by us in October 2018 (the “2018 Warrants”) was reduced from $1.38 per Warrant per full
+Added: share of the Company’s common stock, $0.001 par value per share (the “Common Stock”), to $0.69 per 2018 Warrant
+Added: per full share of Common Stock pursuant to the terms of the Warrants.
+Added: The reduction was the result of the issuance of shares of
+Added: common stock by the us through its “at the market offering”
+Added: An entry to reduce the income available to common
+Added: shareholders was recorded for $880,000 to recognize the value of the effect of the change in exercise price.
+Added: During January and
+Added: February 2021, 11,655,747 2018 Warrants were exercised for cash proceeds of $ 8.
+Added: Critical Accounting Policies and Estimates
+Added: The preparation of our consolidated financial
+Added: statements in accordance with accounting principles generally accepted in the United States of America (U.S.
+Added: GAAP) requires management
+Added: to make estimates and assumptions that affect the reported amounts of assets, liabilities, net revenues and expenses, and related
+Added: We believe our estimates and assumptions are reasonable;
+Added: however, actual results and the timing of the recognition
+Added: of such amounts could differ from these estimates.
+Added: There are accounting policies that we believe
+Added: are significant to the presentation of our consolidated financial statements.
+Added: The most significant accounting policies relate to
+Added: stock-based compensation, warrants, grants and research and development costs.
+Added: Stock-Based Compensation
+Added: We recognize stock-based compensation expense
+Added: under the provisions of ASC 718, Compensation—Stock Compensation (“ASC 718”) .
+Added: The fair value of stock
+Added: options granted is the fair market value on the grant date.
+Added: We apply the Black-Scholes option pricing model to determine the fair
+Added: value of our stock options.
+Added: Inherent in this model are assumptions related to expected stock-price volatility, option life, risk-free
+Added: interest rate and dividend yield.
+Added: We estimate the volatility of our common stock at the date of grant based on historical volatility.
+Added: We estimate the expected life of our stock options using the weighted average life between the dates that options become fully
+Added: vested and the maximum life of options granted.
+Added: The risk-free interest rate is based on the U.S.
+Added: Treasury zero-coupon yield curve
+Added: on the grant date for a maturity similar to the expected life of the options.
+Added: The dividend rate is based on our historical rate,
+Added: which we anticipate to remain at zero.
+Added: The assumptions used in calculating the fair value of stock options represent our best estimates,
+Added: however these estimates involve inherent uncertainties and the application of management judgment.
+Added: As a result, if factors change
+Added: and different assumptions are used, the stock-based compensation expense could be materially different in the future.
+Added: we only recognize expense for those stock options expected to vest over the service period.
+Added: We have issued common stock warrants in
+Added: connection with the execution of certain equity financings.
+Added: The fair value of certain warrants, deemed to be derivative instruments,
+Added: is recorded as a derivative liability under the provisions of Financial Accounting Standards Board (FASB) Accounting Standards
+Added: Codification (ASC) 815, Derivatives and Hedging (“ASC 815”), upon issuance.
+Added: Subsequently, the liability is adjusted
+Added: to fair value as of each reporting period and the changes in fair value of derivative liabilities are recorded in the consolidated
+Added: statement of operations under the caption “Change in fair value of warrant liability.”
+Added: The fair value of warrants deemed to be
+Added: derivative instruments is determined using Monte Carlo simulations using varying assumptions regarding volatility of our common
+Added: share price, remaining life of the warrant and risk-free interest rates at each period end.
+Added: We thus use model-derived valuations
+Added: where significant value drivers are unobservable to third parties to determine the fair value and accordingly classify such warrants
+Added: as Level 3 per ASC 820, Fair Value Measurement (Topic 820).
+Added: In 2020 and 2019, the Monte Carlo simulations were not used
+Added: as the value of the warrants were deemed to be minimal based on the historical fair value of the warrants and the Company’s
+Added: current stock price.
+Added: Research and Development Costs
+Added: We expense research and development costs
+Added: associated with developmental products not yet approved by the FDA to research and development expense as incurred.
+Added: development costs consist primarily of license fees (including upfront payments), milestone payments, manufacturing costs,
+Added: salaries, stock-based compensation and related employee costs, fees paid to consultants and outside service providers for laboratory
+Added: development, legal expenses resulting from intellectual property prosecution and other expenses relating to the design, development,
+Added: testing and enhancement of our product candidates.
+Added: Research and development expenses include external contract research organization
+Added: (“CRO”) services.
+Added: We make payments to the CROs based on agreed upon terms and may include payments in advance of study
+Added: We review and accrue CRO expenses based on services performed and rely on estimates of those costs applicable to the
+Added: stage of completion of study as provided by the CRO.
+Added: Accrued CRO costs are subject to revisions as such studies progress to completion.
+Added: At December 31, 2020 and 2019, we have accrued CRO expenses of $0.7 million that are included in accrued expenses.
+Added: As of December 31,
+Added: 2020, and 2019, we have prepaid CRO costs of $470,000 and $48,000, respectively.
+Added: Results of Operations
+Added: Years Ended December 31, 2020
+Added: General and Administrative Expenses
+Added: General and administrative expenses increased
+Added: to $5.0 million for the year ended December 31, 2020, from $4.6 million for the year ended December 31, 2019.
+Added: This increase
+Added: of 8.7% is due to increased legal costs related to business development, patent execution, employee contract matters, vacation
+Added: expense, insurance costs and registration fees.
+Added: The charge relating to stock-based compensation expense was $0.3 million for the
+Added: year ended December 31, 2020, compared to $0.3 million for the year ended December 31, 2019.
+Added: Research and Development Expenses
+Added: Research and development expenses
+Added: decreased to $5.1 million for the year ended December 31, 2020, from $11.1 million for the year ended December 31,
+Added: This decrease of 54.1% is primarily due to a reduction in preclinical and manufacturing activity of SYN-020 IAP and
+Added: the result of the response to the global COVID-19 pandemic by our clinical development partners which led to the
+Added: postponement of the Phase 1b/2a clinical trial of SYN-004 (ribaxamase) in allogeneic HCT recipients and the SYN-010 clinical
+Added: trial and to a lesser extent the discontinuation of the Phase 2b investigator sponsored clinical trial of SYN-010.
+Added: development expenses also include a charge relating to non-cash stock-based compensation expense of $66,000 for the year
+Added: ended December 31, 2020, compared to $75,000 for the year ended December 31, 2019.
+Added: The following table sets forth our research
+Added: and development expenses directly related to our therapeutic areas for the years ended December 31, 2020 and 2019.
+Added: expenses were external costs associated with preclinical studies and clinical trials.
+Added: Indirect research and development costs related
+Added: to employee costs, facilities, manufacturing, stock-based compensation and research and development support services are not directly
+Added: allocated to specific drug candidates.
+Added: Therapeutic Areas
+Added: (in thousands)
+Added: (in thousands)
+Added: Other therapeutic areas
+Added: Total direct costs
+Added: Total indirect costs
+Added: Total Research and development
+Added: Total Other Income
+Added: Total other income was $44,000 for the
+Added: year ended December 31, 2020, compared to other income of $283,000 for the year ended December 31, 2019.
+Added: income for the year ended December 31, 2020 and 2019 is primarily comprised of interest income from investments.
+Added: Our net loss for the year ended December 31,
+Added: 2020 was $10.1 million, or $0.66 per common share, compared to $15.4 million, or $0.98 per common share for the year ended December 31,
+Added: Net loss attributable to common stockholders for the year ended December 31, 2020 excludes net loss attributable to
+Added: non-controlling interest of $73,000 and includes the accretion of the Series B preferred stock deemed dividends of $1.4 million
+Added: on converted shares and Series A preferred stock accrued dividends of $254,000.
+Added: Net loss attributable to common stockholders
+Added: for the year ended December 31, 2019 excludes net loss attributable to non-controlling interest of $77,000 and includes the
+Added: accretion of the Series B preferred stock deemed dividends of $524,000 on converted shares and Series A preferred stock
+Added: accrued dividends of $248,000.
+Added: Liquidity and Capital Resources
+Added: With the exception of the three months
+Added: ended June 30, 2010 and the three months ended December 31, 2017, we have experienced significant losses since inception,
+Added: incurred negative cash flows from operations, and have a significant accumulated deficit.
+Added: We have incurred an accumulated deficit
+Added: of $248.1 million as of December 31, 2020 and expect to continue to incur losses in the foreseeable future.
+Added: Our cash and cash equivalents totaled $6.2
+Added: million as of December 31, 2020, a decrease of $8.8 million from December 31, 2019.
+Added: During the year ended December 31,
+Added: 2020, the primary use of cash was for working capital requirements and operating activities which resulted in a net loss of $10.1
+Added: million for the year ended December 31, 2020.
+Added: Subsequent to year end through March 3, 2021, we have raised approximately $71.8
+Added: million from cash received via the exercise of the 2018 Warrants and sales of our common stock through the Original ATM Sales Agreement
+Added: and the Amended and Restated ATM Sales Agreement.
+Added: With the cash available in early March 2021 of $72.6 million, we believe these
+Added: resources will be sufficient to fund our operations through at least the end of the first quarter of 2023.
+Added: As a result of the global COVID-19
+Added: pandemic, management was able to extend the Company’s cash runway in 2020 since our clinical development partners (CSMC
+Added: and Washington University) reduced their operating capacity to include only essential activities as part of their response to
+Added: the pandemic.
+Added: These delays impacted the timelines for our clinical programs, which included delaying commencement of the
+Added: Phase 1b/2a clinical trial of SYN-004, as well as a temporary halting of enrollment for the since discontinued clinical trial
+Added: If enrollment in our ongoing Phase 1b/2a clinical trial being conducted by Washington University is further
+Added: postponed due to COVID-19 developments, we expect to continue to experience reduced expenses until such time as enrollment
+Added: On September 30, 2020, CSMC agreed to discontinue the ongoing Phase 2b investigator-sponsored clinical study of
+Added: SYN-010 following the results of a planned interim futility analysis.
+Added: Although it was concluded that SYN-010 was well
+Added: tolerated, it was also concluded that SYN-010 is unlikely to meet its primary endpoint by the time enrollment is
+Added: Although we are experiencing limited, if
+Added: any, adverse impact to our financial stability stemming from the global economic slowdown, the overall disruption of global healthcare
+Added: systems and other risks and uncertainties associated with the COVID-19 pandemic, including uncertainty regarding our clinical timelines,
+Added: our business, financial condition, results of operations and growth prospects could be materially adversely affected.
+Added: Historically, we have financed our operations
+Added: primarily through public and private sales of our securities, and we expect to continue to seek and obtain additional capital in
+Added: a similar manner.
+Added: During the year ended December 31, 2020, our only source of financing other than warrant exercises was from
+Added: sales of 9.2 million shares of our common stock utilizing our at-the-market offering program through the Original ATM Sales
+Added: Agreement pursuant to which we received net proceeds of approximately $3.4 million.
+Added: Subsequent to year end through March 3, 2021,
+Added: the Company sold approximately 76.3 million shares of the Company’s common stock for net proceeds of approximately $63.8
+Added: million pursuant to the Original ATM Sales Agreement and the Amended and Restated ATM Sales Agreement.
+Added: During the year ended
+Added: December 31, 2019, we did not engage in financing activities as capital raised via a public offering of our common stock
+Added: during the year ended December 31, 2018 was sufficient to satisfy our cash needs in 2019 and 2020.
+Added: The Amended and
+Added: Restated ATM Sales Agreement enables us to offer and sell shares of our common stock from time to time through B Riley and
+Added: AGP as our sales agents.
+Added: Sales of common stock under the Amended and Restated ATM Sales Agreement are made in sales deemed to
+Added: be an “at the market offering”
+Added: as defined in Rule 415 promulgated under the Securities Act.
+Added: B Riley and AGP
+Added: are entitled to receive a commission rate of up to 3.0% of gross sales in connection with the sale of our common stock sold
+Added: on our behalf.
+Added: There can be no assurance that we will
+Added: be able to continue to raise funds through the sale of shares of common stock through the Amended and Restated ATM Sales Agreement.
+Added: If we raise funds by selling additional shares of common stock or other securities convertible into common stock, the ownership
+Added: interest of our existing stockholders will be diluted.
+Added: If we are not able to obtain funding for future clinical trials when needed,
+Added: we will be unable to carry out our business plan and we will be forced to delay the initiation of future clinical trials until
+Added: such time as we obtain adequate financing.
+Added: We have committed, and expect to continue
+Added: to commit, substantial capital in order to implement our business strategy, including our planned product development efforts,
+Added: preparation for our planned clinical trials, and performance of clinical trials and our research and discovery efforts.
+Added: our cash position of $72.6 million in early March 2021 is sufficient to fund our operations through at least the end of the
+Added: first quarter of 2023, including continuation of our ongoing Phase 1b/2a clinical study of SYN-004 (ribaxamase) in allogeneic HCT
+Added: recipients for the prevention of aGVHD, as well as our planned Phase 1 and Phase 2s clinical programs for SYN-020.
+Added: Following the anticipated completion of
+Added: our ongoing Phase 1b/2a clinical study of SYN-004 (ribaxamase) in allogeneic HCT recipients, the planned Phase 1 SAD and MAD studies
+Added: and planned Phase 2a clinical trial of SYN-020, we will need to obtain additional funds for future clinical trials.
+Added: We anticipate
+Added: that our future clinical trials will be much larger in size and require larger cash expenditures than the aforementioned clinical
+Added: We do not have any committed sources of financing for future clinical trials at this time, and it is uncertain whether
+Added: additional funding will be available when we need it on terms that will be acceptable to us, or at all.
+Added: As the COVID-19 coronavirus continues to
+Added: spread around the globe, we have experienced disruptions that impacted our business and clinical trials, including halting the
+Added: enrollment of new patients in our ongoing Phase 2b investigator-sponsored clinical trial of SYN-010 clinical study and postponement
+Added: of clinical site initiation of the Phase 1b/2a clinical trial of SYN-004.
+Added: The full impact of the COVID-19 outbreak continues to
+Added: evolve as of the date of this report.
+Added: As such, it is uncertain as to the full magnitude that the pandemic will have on our financial
+Added: condition, liquidity, and future results of operations.
+Added: We are actively monitoring the global situation and its potential impact
+Added: on our financial condition, liquidity, operations, suppliers, industry, and workforce.
+Added: Given the daily evolution of the COVID-19
+Added: outbreak and the global responses to curb its spread, we are not able to estimate the future effects of the COVID-19 outbreak on
+Added: our results of operations, financial condition, or liquidity.
+Added: License and Contractual Agreement Obligations
+Added: We have entered into several license and
+Added: collaborative agreements for the right to use research, technology and patents.
+Added: Some of these license and collaborative agreements
+Added: may contain milestones.
+Added: The specific timing of such milestones cannot be predicted and are dependent on future developments as
+Added: well as regulatory actions which cannot be predicted with certainty (including actions which may never occur).
+Added: Further, under the
+Added: terms of certain licensing agreements, we may have the obligation to pay certain milestones contingent upon the achievement of
+Added: specific levels of sales.
+Added: Off-Balance Sheet Arrangements
+Added: During the years ended December 31,
+Added: 2020 and 2019, we did not have, and we do not currently have, any off-balance sheet arrangements, as defined under SEC rules.
+Added: Contractual Obligations
+Added: We are a smaller reporting company as defined
+Added: by Rule 12b-2 of the Exchange Act and are not required to provide the information required under this item.
+Added: Consulting Fees
+Added: In November 2017, we engaged a regulatory
+Added: consultant to assist in our efforts to prepare, file and obtain FDA approval for ribaxamase.
+Added: The term of the engagement was
+Added: on a monthly basis, provided that either party may terminate the agreement at any time by providing the other party a six-month
+Added: notice period.
+Added: We are obligated to pay the consultant a monthly retainer in addition to the success fee payments of up to an aggregate
+Added: of $4,500,000 for attainment of certain regulatory milestones.
+Added: We do not deem the contingent fee is probable at this time.
+Added: and Qualitative Disclosures About Market Risk
+Added: The Company is a smaller reporting company
+Added: as defined by Rule 12b-2 of the Exchange Act and is not required to provide the information required under this item.
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.