−Removed: are a clinical-stage biopharmaceutical company principally focusing on the development of innovative biological therapeutics for
−Removed: the treatment of degenerative diseases and to provide other related services.
−Removed: Our proprietary products are derived from perinatal
−Removed: sources and manufactured to retain the naturally occurring microRNAs, without the addition or combination of any other substance
−Removed: or diluent (“RAAM Products”).
−Removed: Our RAAM Products and related services are principally used in the health care industry
−Removed: administered through doctors and clinics (collectively, the “Providers”).
−Removed: November 2016 to February 2018, we operated our own laboratory facilities to process and distribute RAAM Products developed through
−Removed: trade secrets acquired in connection with the employment of newly hired executives during November 2016 and March 2017.
−Removed: this time, we also implemented an in-house sales force and made arrangements with newly identified independent distributors to
−Removed: sell our RAAM Products.
−Removed: February 2018, we sold or transferred our laboratory facilities and all related assets (“Sale”), including intellectual
−Removed: property rights, to Vera Acquisition LLC, a Utah limited liability company (“Vera”).
−Removed: From the date of the Sale until
−Removed: the Company’s new laboratory facility became operational, as described below, the Company relied on short-term supply agreements
−Removed: with third party manufacturers to provide it with the products it sold and distributed to its customers.
−Removed: in February 2019, the Company began taking steps to once again operate a placental tissue bank processing laboratory in Miami,
−Removed: Florida for the purpose of performing research and development and the manufacturing and processing of anti-aging and cellular
−Removed: therapy derived products.
−Removed: This new laboratory facility became operational in May 2019 and thereupon, the Company began producing
−Removed: products that are now being sold and distributed to its customers.
−Removed: Company’s leading product, Zofin™
−Removed: (Organicell TM Flow) is an acellular, biologic therapeutic derived from
−Removed: perinatal sources and is manufactured to retain naturally occurring microRNAs, without the addition or combination of any other
−Removed: substance or diluent.
−Removed: This product contains over 300 growth factors, cytokines, chemokines, and 102 unique microRNAs as well as
−Removed: other exosomes/nanoparticles derived from perinatal tissues.
−Removed: Company has actively taken steps to meet compliance with current and anticipated United States Food and Drug Administration
−Removed: (“FDA”) regulations expected to be effective beginning in May 2021 that will require that the sale of products
−Removed: that fall under Section 351 of the Public Health Services Act pertaining to marketing traditional biologics and human cells,
−Removed: tissues and cellular and tissue based products (“HCT/Ps”) can only be sold pursuant to an approved biologics
−Removed: license application (“BLA”).
−Removed: To date, the Company has obtained certain Investigation New Drug
−Removed: (“IND”), and emergency IND (“eIND”) approvals from the FDA, including applicable Institutional Review
−Removed: Board (“IRB”) approvals which authorized the Company to commence clinical trials or treatments in connection with
−Removed: the use of Zofin™
−Removed: (Organicell TM Flow) and related treatment protocols.
−Removed: The Company is pursuing efforts to
−Removed: commence and complete the clinical studies as well as obtaining approval to commence additional studies for other specific
−Removed: indications it has identified that the use of its products will provide more favorable and desired health related benefits
−Removed: for patients seeking alternative treatment options than are currently available.
−Removed: November 2020, the Company formed Livin Again Inc., a wholly owned subsidiary of the Company for the purpose of among other things,
−Removed: providing independent education, advertising and marketing services, (“Marketing Services”) to providers that provide
−Removed: medical and other healthcare, anti-aging and regenerative services (“Regenerative Services”) including FDA-approved
−Removed: IV vitamin and mineral liquid infusions (“IV Drip Therapies”).
−Removed: The Company intends to initially market such services
−Removed: by coordinating turnkey opportunities for Providers to provide IV Drip Therapies at select properties and locations.
−Removed: Impact To Economy And Business Environment
−Removed: current outbreak of the novel coronavirus (“COVID-19”) and resulting impact to the United States economic environments
−Removed: began to take hold during March 2020.
−Removed: The adverse public health developments and economic effects of the COVID-19 outbreak in
−Removed: the United States, have adversely affected the demand for our products and services by our customers and from patients of our
−Removed: customers as a result of quarantines, facility closures and social distancing measures put into effect in connection with the
−Removed: COVID-19 outbreak and which currently still continue to have a negative impact to our business and the economy.
−Removed: These restrictions
−Removed: have adversely affected the Company’s sales, results of operations and financial condition.
−Removed: In response to the COVID-19
−Removed: outbreak, the Company (a) has accelerated its research and development activities, particularly in regards to potential health
−Removed: benefits of the Company’s products in addressing various health concerns associated with COVID-19 and (b) is seeking to
−Removed: raise additional debt and/or equity financing to support working capital requirements until sale for its products to providers
−Removed: resumes to levels pre COVID-19.
−Removed: is no assurance as to when the adverse impact to the United States and worldwide economies resulting from the COVID-19 outbreak
−Removed: will be eliminated, if at all, and whether any new or recurring pandemic outbreaks will occur again in the future causing similar
−Removed: or worse devastating impact to the United States and worldwide economies and to our business.
−Removed: Compliance Steps
−Removed: connection with the Company’s ongoing research and development efforts and the Company’s efforts to meet
−Removed: compliance with current and anticipated United States Food and Drug Administration (“FDA”) regulations expected
−Removed: to be enforced beginning in May 2021 requiring that the sale of products that fall under Section 351 of the Public Health
−Removed: Services Act pertaining to marketing traditional biologics and human cells, tissues and cellular and tissue based products
−Removed: (“HCT/Ps”) can only be sold pursuant to an approved biologics license application (“BLA”), the
−Removed: Company has obtained certain Investigation New Drug (“IND”) and emergency IND (“eIND”) approvals from the FDA, including applicable Institutional Review Board
−Removed: (“IRB”) approvals which authorized the Company to commence clinical trials or treatments in connection with the
−Removed: use of the Company’s products and related treatment protocols.
−Removed: The status of the Company’s current IND’s
−Removed: and eIND’s submitted and approved for past or planned treatments and/or clinical trials are described
−Removed: Company’s FDA submitted and/or approved phase I/II IND’s and eIND’s:
−Removed: # 19881 approved on 04/30/2020 - A Phase I/II Randomized, Double Blinded, Placebo Trial
−Removed: to Evaluate the Safety and Potential Efficacy of Intravenous Infusion of OrganicellTM
−Removed: Flow for the Treatment of Moderate to Severe Acute Respiratory Syndrome (SARS) Related
−Removed: to COVID-19 Infection vs Placebo.
−Removed: IRB was approved by the Institute of Regenerative and
−Removed: Cellular Medicine (“IRCM”) on 06/04/2020 (approval number:
+Added: We are a clinical-stage biopharmaceutical company
+Added: principally focusing on the development of innovative biological therapeutics for the treatment of degenerative diseases and to provide
+Added: other related services.
+Added: Our proprietary products are derived from perinatal sources and manufactured to retain the naturally occurring
+Added: microRNAs, without the addition or combination of any other substance or diluent (“RAAM Products”).
+Added: Our RAAM Products and
+Added: related services are principally used in the health care industry administered through doctors and clinics (“Providers”).
+Added: Since May 2019, Organicell has operated a placental
+Added: tissue bank processing laboratory in Miami, Florida for the purpose of performing research and development and the manufacturing and processing
+Added: of the anti-aging and cellular therapy derived products that we sell and distribute to our customers.
+Added: The Company’s leading product, Zofin™
+Added: (also known as Organicell TM Flow), is an acellular, biologic therapeutic derived from perinatal sources and is manufactured
+Added: to retain naturally occurring microRNAs, without the addition or combination of any other substance or diluent.
+Added: This product contains
+Added: over 300 growth factors, cytokines, chemokines, and 102 unique microRNAs as well as other exosomes/nanoparticles derived from perinatal
+Added: To date, the Company has obtained certain Investigation
+Added: New Drug (“IND”), and eighteen emergency IND (“eIND”) approvals from the FDA, including applicable Institutional
+Added: Review Board (“IRB”) approvals which authorized the Company to commence clinical trials or treatments in connection with the
+Added: use of Zofin™ and related treatment protocols.
+Added: The Company is pursuing efforts to complete its already approved clinical studies
+Added: (see below) as well as obtaining approval to commence additional studies for other specific indications it has identified that the use
+Added: of its products will provide more favorable and desired health related benefits for patients seeking alternative treatment options than
+Added: are currently available.
+Added: The ability of the Company to succeed in these efforts is subject to among other things, the Company having sufficient
+Added: available working capital to fund the substantial costs of completing clinical trials, which the Company currently does not have, and
+Added: ultimately, obtaining approval from the FDA.
+Added: New FDA guidance which was announced in November
+Added: 2017 and which became effective in May 2021 (postponed from November 2020 due to the COVID-19 pandemic) requires that the sale of products
+Added: that fall under Section 351 of the Public Health Services Act pertaining to marketing traditional biologics and human cells, tissues and
+Added: cellular and tissue based products (“HCT/Ps”) can only be sold pursuant to an approved biologics license application (“BLA”).
+Added: We have not obtained any opinion or ruling regarding
+Added: the Company’s operations and whether the processing, sales and distribution of the products we currently produce would be subject
+Added: to the FDA’s previously announced intended enforcement policies regarding HCT/P’s.
+Added: However, we do not believe that our products
+Added: fall within these guidelines and intend to vigorously defend against any adverse interpretation by the FDA on the classification of our
+Added: products that may be deemed as falling under this defined regulation, if any.
+Added: Notwithstanding the foregoing, we are undertaking efforts
+Added: on an ongoing basis to mitigate any potential risks associated with an adverse ruling by the FDA and the subsequent limitations on our
+Added: ability to continue to generate revenues from the sale of our products in the United States until the Company obtains the required licenses.
+Added: The efforts include continuing with clinical trials, expanding sales internationally and developing new product offerings and/or designations
+Added: of products that would not fall under these regulations.
+Added: During November 2020, the Company formed Livin’
+Added: Again Inc., a wholly owned subsidiary, for the purpose of among other things, providing independent education, advertising and marketing
+Added: services, to Providers that provide medical and other healthcare, anti-aging and regenerative services.
+Added: including FDA-approved IV vitamin
+Added: and mineral liquid infusions (“IV Drip Therapies”).
+Added: To date, there has been no significant activity and the Company has no
+Added: timetable, if any, as to when IV Drip Therapies revenues will commence.
+Added: Developments During the Fiscal Year ended October
+Added: In April 2020, the FDA approved an IND application
+Added: for the Company’s lead product, Zofin™, (IND # 19881) for a Phase I/II Randomized, Double Blinded, Placebo Trial to Evaluate
+Added: the Safety and Potential Efficacy of Intravenous Infusion of OrganicellTM Flow for the Treatment of Moderate to Severe Acute Respiratory
+Added: Syndrome (SARS) Related to COVID-19 Infection vs Placebo.
+Added: The IRB was approved by the Institute of Regenerative and Cellular Medicine
+Added: (“IRCM”) during June 2020 (approval number:
IRCM-2020-254).
−Removed: The clinical trial is currently in process.
−Removed: A total of nine patients have been enrolled
−Removed: to the study thus far.
−Removed: approved on 05/11/2020 - Treatment for Acute hypoxic respiratory failure with ARDS secondary
−Removed: to COVID-19 infection for single patient.
−Removed: approved on 05/11/2020 - Treatment for Acute hypoxic respiratory secondary to bilateral
−Removed: pneumonia secondary to COVID-19 with ARDS for single patient.
−Removed: approved on 05/29/2020 –
−Removed: Treatment for Acute respiratory failure with hypoxia,
−Removed: secondary to COVID-19 with ARDS for single patient.
−Removed: approved on 07/24/2020 - Treatment of COVID-19 positive for single patient.
−Removed: approved on 8/01/2020 - Treatment of post COVID-19 complication for single patient.
−Removed: approved on 8/17/2020 - Treatment of post-COVID-19 complications for single patient.
−Removed: approved on 8/17/2020 - Treatment of post-COVID-19 complications for single patient.
−Removed: approved on 8/20/2020 - Treatment of respiratory failure due to COVID-19 infection for
−Removed: single patient.
−Removed: approved on 8/21/2020 - Treatment for ARDS associated with COVID-19 for single patient.
−Removed: approved on 8/25/2020 - Treatment of COVID-19 positive for single patient.
−Removed: approved on 8/25/2020 - Treatment of COVID-19 positive for single patient.
−Removed: approved on 9/05/2020 - Treatment of COVID-19 positive for single patient.
−Removed: approved on 9/22/2020 - Treatment of post COVID-19 complications for single patient.
−Removed: approved on 10/10/2020 - Treatment for ARDS associated with COVID-19 for single patient.
−Removed: approved on 10/14/2020 - Treatment for ARDS associated with COVID-19 for single patient.
−Removed: approved on 10/16/2020 - Treatment for ARDS associated with COVID-19 for single patient.
−Removed: approved on 12/04/2020 - Treatment of mild to moderate symptoms of COVID-19 for a single
−Removed: approved on 12/04/2020 - Treatment of COVID-19 pneumonia and respiratory failure with
−Removed: ARDS for a single patient.
−Removed: Access to Zofin TM (Organicell TM Flow) approved on 09/24/2020 -
−Removed: Treatment of Patients with COVID-19 Outpatient and Inpatient Population.
−Removed: Expected to start trial during fiscal year ended October 31, 2021.
−Removed: Phase I/II Double Blinded, Placebo Trial to Evaluate the Safety and Potential Efficacy
−Removed: of Intravenous Infusion of Zofin™
−Removed: (Organicell TM Flow) for the Treatment
−Removed: of patients diagnosed with chronic obstructive pulmonary disease (COPD).
−Removed: on January 27, 2021.
−Removed: Expected to start trial during fiscal year ended October 31, 2021.
−Removed: Phase I/II Randomized, Double Blinded, Placebo Trial to Evaluate the Safety and Potential
−Removed: Efficacy of Intravenous Infusion of Zofin TM (Organicell TM Flow)
−Removed: for the Treatment of Post COVID-19 Complications “Long Haulers”
−Removed: Pending IND and IRB approval.
−Removed: Company is pursuing efforts to commence and complete the above-described clinical studies as well as obtaining approval to commence
−Removed: additional studies for other specific indications it has identified that the use of its products will provide more favorable and
−Removed: desired health related benefits for patients seeking alternative treatment options than are currently available.
−Removed: The ability of
−Removed: the Company to succeed in these efforts is subject to among other things, the Company having sufficient available working capital
−Removed: to fund the substantial costs of completing clinical trials, which the Company currently does not have, and ultimately, obtaining
−Removed: approval from the FDA.
−Removed: Care Industry Overview
−Removed: traditional health care industry in the United States is predominantly controlled by the rules of the Centers for Medicare &
−Removed: Medicaid Services (“CMS”) (wwws.cms.gov) and commercial health insurance companies.
−Removed: This control limits patients’
−Removed: access to alternative medical therapies, that recent medical literature demonstrates highly beneficial outcomes in the field of
−Removed: anti-aging and regenerative medicine.
−Removed: Traditional allopathic medicine of health care provided to patients in the United States
−Removed: relies on government and commercial health insurance for payment of the costs associated with their day-to-day health care.
−Removed: of this close relationship, physicians must follow government and commercial insurers guidelines in order to stay in the plans
−Removed: and receive reimbursement.
−Removed: Physicians are restricted in their ability to expand the nature of the treatments provided beyond industry
−Removed: practices because of legal ramifications and/or lack of knowledge concerning protocol of cutting-edge anti-aging and regenerative
−Removed: medical treatments.
−Removed: the above, anecdotal and medical literature has shown an increased demand by patients for access to alternative medical therapies
−Removed: and treatments.
−Removed: Patients are seeking these alternatives to traditional allopathic medicine, due to the adverse events associated
−Removed: with traditional pharmaceuticals, risks associated with surgeries, and that traditional medicine and insurers are not addressing
−Removed: wellness or preventive medicine sufficiently.
−Removed: To address a wide variety of aging issues, safe alternatives to pathologies, including
−Removed: access to other treatments and pharmaceuticals and to achieve beneficial “elective”
−Removed: health treatments, we intend utilize
−Removed: the latest regenerative technologies.
−Removed: These alternative pathways to date have had significant restrictions because of regulations
−Removed: imposed by the FDA, other regulatory bodies and insurers due to lack of randomized controlled studies, yet many published case
−Removed: series demonstrate safety and efficacy.
−Removed: Patients and consumers are looking to safe alternatives compared more traditional medicine,
−Removed: including the following:
−Removed: Tissue based therapies
−Removed: ○ Adipose-derived
−Removed: stromal vascular fraction
−Removed: marrow-derived stem cell therapies
−Removed: blood derived therapies ( i.e., platelet rich plasma);
−Removed: ○ Placental-based
−Removed: documented since 1910 for safety and efficacy, tissue processed from human amniotic membrane
−Removed: and fluid, donated by consenting mothers delivering a full-term healthy baby by scheduled
−Removed: Caesarean section, avoiding any ethical or moral concerns, proven safety record, case
−Removed: series documented success in a multitude of systemic and local pathologies
−Removed: factor, cytokine therapies
+Added: Enrollment for the clinical trial began in September 2020.
+Added: of ten patients have been enrolled to the study thus far and currently the clinical trial is not enrolling subjects due to the challenges
+Added: of enrolling the remaining study population.
+Added: In March 2021, Organicell entered into a Material
+Added: Cooperative Research and Development Agreement with the Centers for Disease Control and Prevention (the “CDC”) to determine
+Added: the anti-inflammatory and anti-infective effectiveness of Zofin™ in experimental models of influenza infection.
+Added: Pursuant to the
+Added: agreement, Organicell will supply the CDC with Zofin™ and using well established in vitro and in vivo experimental models of influenza
+Added: infection, the CDC will test the anti-infective and anti-inflammatory properties of Zofin™.
+Added: All the proposed experiments will be
+Added: performed in the appropriate biosafety levels and approved protocols at the Immunology and Pathogenesis Branch / Influenza Division of
+Added: In April 2021, the Company entered into a similar
+Added: agreement with Oklahoma State University to evaluate Zofin TM for the treatment of respiratory diseases caused by virus infections
+Added: of pandemic potential and the FDA approved an Investigational New Drug (“IND”) application for Zofin™, in the treatment
+Added: of knee osteoarthritis.
+Added: In June 2021, Organicell announced the results
+Added: of its expanded access (EA) intermediate size patient population trial (NCT04657406) for treatment of COVID-19 patients with Zofin™,
+Added: which EA trial had been authorized by the FDA in September 2020.
+Added: The results of the EA trial indicated that treatment of participants
+Added: met endpoints for safety and efficacy in patients with mild to moderate COVID-19;
+Added: mitigated mild and moderate symptoms;
+Added: improved pulmonary opacities detected in chest X-rays;
+Added: improved inflammatory biomarkers.
+Added: The trial was conducted at United Memorial Medical
+Added: Center in Houston, Texas.
+Added: The study enrolled a total of 11 subjects:
+Added: adults between the age of 35 to 69 who were fighting COVID-19 infection
+Added: and presented respiratory fatigue with and without exertion, cough, and shortness of breath and met all inclusion/exclusion criteria.
+Added: One patient withdrew before receiving any doses of Zofin TM .
+Added: Two subjects withdrew at day 14 post treatment with Zofin TM .
+Added: As a result, eight subjects completed the day 30 follow-up and are included in the data analysis.
+Added: The administration of Zofin TM in
+Added: the trial was well tolerated in all enrolled subjects, with no adverse events.
+Added: Chest X-ray data demonstrated that 75% of subjects had
+Added: bilateral opacities caused by COVID-19 infection at day 0 (baseline), prior to treatment with Zofin TM and thirty (30)
+Added: days after Zofin TM treatment, chest X-ray data showed 83% of treated subjects had normal lung imaging, indicating complete
+Added: Upon such time that Organicell enrolls and submits additional patient data from the above-mentioned study, Organicell intends
+Added: to submit the updated results of the trial to the FDA for approval of an amendment to the Company’s previously approved IND (NCT04384445)
+Added: to perform a placebo-controlled Phase II clinical trial to confirm safety and efficacy in a randomized fashion.
+Added: The Company is currently in the process of pursuing
+Added: the implementation of three other previously approved clinical trials:
+Added: In January 2021, the Company announced that the FDA had approved an IND application for its lead product, Zofin™, in the treatment of patients diagnosed with chronic obstructive pulmonary disease (“COPD”).
+Added: This approved trial design will be a double blinded, placebo-controlled, phase I/II trial investigating the safety and potential efficacy of intravenous infusion (IV) of Zofin™ for the treatment of COPD.
+Added: The Company and the clinical research organization (“CRO”) are currently working to initiate the trial which the Company expects enrollment to begin during the quarter ending April 30, 2022, subject to the successful negotiation and execution of definitive agreements with the site facility where the study patients will be treated and the Company raising sufficient working capital to finance the trial, as to all of which no assurance can be given.
+Added: In April 2021, the Company announced that the FDA had approved the IND application for its lead product, Zofin™, in the treatment of knee osteoarthritis.
+Added: This approved trial design, will be a double blinded, placebo-controlled, phase I/II trial investigating the safety and potential efficacy of Zofin™ for patients suffering with knee osteoarthritis.
+Added: The Company and the CRO are currently working to initiate the trial which the Company expects enrollment to begin during the quarter ending July 31, 2022, subject to the successful negotiation and execution of definitive agreements with the site facility where the study patients will be treated and the Company raising sufficient working capital to finance the trial, as to all of which no assurance can be given.
+Added: In July 2021, the Company announced that the FDA had approved an IND application for its lead product, Zofin™, for the treatment of ‘Prolonged COVID-19 Symptoms’ (“Long Haulers”).
+Added: This approved trial design consists of a double blinded, placebo-controlled, randomized phase I/II trial designed to investigate the safety and potential efficacy of Zofin™ in treating COVID-19 Long Haulers.
+Added: The Company and the CRO are currently working to initiate the trial which the Company expects enrollment to begin during February 2022, subject to the successful negotiation and execution of definitive agreements with the site facility where the study patients will be treated and the Company raising sufficient working capital to finance the trial, as to all of which no assurance can be given.
+Added: In June 2021, the Company announced that it was
+Added: launching a service platform for their first autologous product called Patient Pure X TM (PPX TM ).
+Added: is a non-manipulated biologic containing the nanoparticle fraction from a patient’s own peripheral blood.
+Added: The Company began
+Added: to accept minimal orders for this service during October 2021.
+Added: The Company expects that once capacity for providing the service is adequate
+Added: (either from processing capacity available or to become available at the Company’s existing facilities or through third party arrangements)
+Added: as well as continued favorable response from health care providers and patients from the use of PPX TM , the Company will seek
+Added: to expand this service on a larger scale.
+Added: In April 2021, we announced that an initial trial
+Added: of ten COVID -19 patients in India conducted by CWI India, our Indian partner, generated positive results.
+Added: The trial had been conducted
+Added: by CWI India, our Indian partner with whom we had entered a product testing and distribution agreement in February 2021, to collaborate
+Added: on a study or studies to evaluate the effects of Zofin™ on moderate to severe COVID-19 patients in India.
+Added: The ten patients in the
+Added: initial trial were treated at hospitals in Bangalore, Kozhikode and Chennai, and all ten patients recovered from their symptoms and were
+Added: discharged from the hospital.
+Added: Based on the initial results of this trial, CWI India has since been seeking to obtain government approval
+Added: to conduct an expanded trial of up to sixty-five patients with moderate to severe COVID-19, who were to be treated at these hospitals.
+Added: To date, CWI India has not obtained the required approval and it is uncertain if they will ultimately be successful in doing so.
+Added: is eventually obtained, we anticipate that CWI India will conduct the trials in a timely manner.
+Added: If the results of the expanded trial
+Added: prove to be positive, Organicell and CWI India intend to file with the ICMR (Indian Council for Medical Research) for Emergency Use Approval
+Added: to use Zofin™ in India as a therapeutic for treating COVID-19.
+Added: In May 2021, the Company announced that its Zofin TM therapy
+Added: has been approved by Pakistani regulators to be used for a treatment of a named COVID-19 patient hospitalized at the Pakistan Institute
+Added: of Medical Sciences on compassionate grounds.
+Added: In addition to this compassionate grounds authorization, Organicell received further indications
+Added: from the Pakistani regulators to begin a broader trial of Zofin TM with up to 60 additional patients suffering from moderate
+Added: to severe COVID-19.
+Added: The Company has already shared data with Pakistani regulatory authorities in the country in support of this effort.
+Added: To date, the Company and the Company’s Pakistani partner for the proposed study have not obtained the required approval and the
+Added: Company is uncertain if they will ultimately be successful in doing so.
+Added: If approval is eventually obtained, we anticipate that the trial
+Added: will be conducted in a timely manner.
+Added: In addition, in May 2021, Organicell also entered into a one-year exclusive distribution agreement
+Added: with Apex Services Pakistan to import and distribute Zofin TM to hospitals and clinics in the country, subject to the issuance
+Added: of all necessary approvals and licenses by the Drug Regulatory Authority of Pakistan, which as previously stated, have not yet been obtained.
+Added: On June 17, 2021, Organicell received a subpoena
+Added: dated June 14, 2021, from the Atlanta Regional Office of the SEC requiring the production of certain documents and communications in connection
+Added: with the treatment and results of various COVID-19 patients, as discussed in the Company’s Current Reports on Form 8-K filed with
+Added: the SEC during the period from May 27, 2020 through May 11, 2021.
+Added: The Company is fully cooperating with the SEC’s investigation
+Added: and believes that it will be able to provide all of the information requested by the SEC.
+Added: The Company can make no assurances as to the
+Added: time or resources that will need to be devoted to this investigation or its final outcome, or the impact, if any, of this investigation
+Added: or any proceedings on the Company’s current business, financial condition, results of operations, cash flows, or the Company’s
+Added: future operations.
+Added: Recent Development
+Added: On January 11, 2022, the Company entered into
+Added: a Securities Purchase Agreement (the “SPA”) with AJB Capital Investments, LLC (the “Purchaser”), pursuant to which
+Added: we sold a Promissory Note in the principal amount of $600,000 (the “Note”) to the Purchaser in a private transaction to for
+Added: a purchase price of $540,000 (giving effect to original issue discount of $60,000).
+Added: In connection with the sale of the Note, the Company
+Added: also paid the Purchaser’s legal fees and due diligence costs of $12,500 and brokerage fees of $9,000 to J.H.
+Added: Darbie & Co., a
+Added: registered broker-dealer.
+Added: After payment of the legal fees and brokerage fees, the net proceeds to the Company were $518,500, which will
+Added: be used for working capital and other general corporate purposes.
+Added: The Note matures on July 11, 2022, subject to
+Added: extension at the option of the Company for up to an additional six month period, bears interest at the a rate of 10% per annum for the
+Added: first six months and 12% per annum thereafter if extended, and only following an event of default (as defined in the Note), is convertible
+Added: into shares of the Company’s common stock at a conversion price equal to the lower of the “VWAP” (as hereinafter defined)
+Added: of the common stock during (i) the twenty (20) trading day period preceding the issuance date of the Note;
+Added: or (ii) the twenty (20) trading
+Added: day period preceding the date of conversion of the Note.
+Added: As used in the Note, “VWAP” means, for any date, the price of our
+Added: common stock as determined by the first of the following clauses that applies:
+Added: (i) if the common stock is then listed or quoted on one
+Added: or more established stock exchanges or national market systems, the daily volume weighted average price of the common stock for such date
+Added: on the trading market on which the common stock is then listed or quoted as reported by Bloomberg L.P.;
+Added: or (ii) if the common stock is
+Added: regularly quoted on an automated quotation system (including applicable tiers of the over-the-counter market maintained by OTC Market
+Added: Group, Inc.) or by a recognized securities dealer, the volume weighted average price of the common stock for such date on the applicable
+Added: OTC Markets Group, Inc.
+Added: tier or as quoted by such securities dealer.
+Added: In accordance with the terms of the SPA, as of January 11, 2022,
+Added: the Company has reserved 36,923,080 shares of its authorized but unissued common stock for issuance in the event the Purchaser exercises
+Added: its right to convert the Note following an event of default.
+Added: may be prepaid by the Company at any time without penalty.
+Added: The Note also contains covenants, events of defaults, penalties, default
+Added: interest and other terms and conditions customary in transactions of this nature.
+Added: Pursuant to the terms of the SPA, the Company
+Added: paid a commitment fee to the Purchaser in the amount of $200,000 (the “Initial Commitment Fee”) in the form of 3,076,921 shares
+Added: of the Company’s common stock (the “Initial Commitment Fee Shares”).
+Added: In addition, if the Company exercises the option
+Added: to extend the maturity date of the Note, the Company will pay an additional commitment fee to the Purchaser in the amount of $100,000
+Added: (the “Additional Commitment Fee,” and together with the Initial Commitment Fee, collectively, the “Commitment Fee”)
+Added: in the form of an additional 1,538,462 shares of its common stock (the “Additional Commitment Fee Shares,” and together with
+Added: the Initial Commitment Fee Shares, collectively, the “Commitment Fee Shares”).
+Added: In the event that by the first anniversary
+Added: of repayment of the Note by the Company, the Purchaser has not generated the amount of the Commitment Fee from public sales of the Commitment
+Added: Fee Shares, the Company shall either pay the amount of any such shortfall either (i) by issuing additional shares of our common stock
+Added: at a price equal to the VWAP for the common stock during the five (5) trading day period prior to such anniversary date;
+Added: or (ii) in cash,
+Added: in which case, the Company shall repurchase any unsold Commitment Fee Shares then held by the Purchaser for such shortfall amount.
+Added: The offer and sale of the Note to the Purchaser
+Added: was made in a private transaction exempt from the registration requirements of the Securities Act of 1933, as amended (the “Securities
+Added: Act”), in reliance on exemptions afforded by Section 4(a)(2) of the Securities Act and Rule 506(b) of Regulation D promulgated thereunder.
+Added: COVID-19 Impact on Economy and Business Environment
+Added: The adverse public health developments and economic
+Added: effects of the ongoing COVID-19 outbreak in the United States have adversely affected the demand for our products and services by our
+Added: customers and from patients of our customers as a result of quarantines, facility closures and social distancing measures put into effect.
+Added: These restrictions have adversely affected the Company’s sales, results of operations and financial condition.
+Added: In response to the
+Added: COVID-19 outbreak, the Company (a) has accelerated its research and development activities;
+Added: (b) is seeking to raise additional debt and/or
+Added: equity financing to support working capital requirements;
+Added: and (c) continues to take steps to stabilize and increase revenues from the
+Added: sale of its products.
+Added: There is no assurance as to when the adverse impact
+Added: to the United States and worldwide economies resulting from the COVID-19 outbreak will be eliminated, if at all, and whether any new or
+Added: recurring pandemic outbreaks will occur again in the future causing a similar or worse devastating impact to the United States and worldwide
+Added: economies or our business.
+Added: Industry Overview
+Added: The traditional health care industry in the United
+Added: States is predominantly controlled by the rules of the Centers for Medicare & Medicaid Services (“CMS”) (wwws.cms.gov)
+Added: and commercial health insurance companies.
+Added: This control limits patients’ access to alternative medical therapies, that recent medical
+Added: literature demonstrates highly beneficial outcomes in the field of anti-aging and regenerative medicine.
+Added: Traditional allopathic medicine
+Added: of health care provided to patients in the United States relies on government and commercial health insurance for payment of the costs
+Added: associated with their day-to-day health care.
+Added: Because of this close relationship, physicians must follow government and commercial insurers
+Added: guidelines in order to stay in the plans and receive reimbursement.
+Added: Physicians are restricted in their ability to expand the nature of
+Added: the treatments provided beyond industry practices because of legal ramifications and/or lack of knowledge concerning protocol of cutting-edge
+Added: anti-aging and regenerative medical treatments.
+Added: Despite the above, anecdotal and medical literature
+Added: has shown an increased demand by patients for access to alternative medical therapies and treatments.
+Added: Patients are seeking these alternatives
+Added: to traditional allopathic medicine, due to the adverse events associated with traditional pharmaceuticals, risks associated with surgeries,
+Added: and that traditional medicine and insurers are not addressing wellness or preventive medicine sufficiently.
+Added: To address a wide variety
+Added: of aging issues, safe alternatives to pathologies, including access to other treatments and pharmaceuticals and to achieve beneficial
+Added: “elective” health treatments, we intend utilize the latest regenerative technologies.
+Added: These alternative pathways to date have
+Added: had significant restrictions because of regulations imposed by the FDA, other regulatory bodies and insurers due to lack of randomized
+Added: controlled studies, yet many published case series demonstrate safety and efficacy.
+Added: Patients and consumers are looking to safe alternatives
+Added: compared more traditional medicine, including the following:
+Added: ● Cellular/ Tissue based therapies
+Added: ○ Adipose-derived stromal vascular fraction
+Added: ○ Bone marrow-derived stem cell therapies
+Added: ○ Peripheral blood derived therapies ( i.e., platelet rich plasma);
+Added: ○ Placental-based therapies
+Added: Ø Technology documented since 1910 for safety and efficacy, tissue processed from human amniotic membrane
+Added: and fluid, donated by consenting mothers delivering a full-term healthy baby by scheduled Caesarean section, avoiding any ethical or moral
+Added: concerns, proven safety record, case series documented success in a multitude of systemic and local pathologies
+Added: ○ Growth factor, cytokine therapies
○ Supplements
−Removed: lotions and creams for the largest organ the skin
−Removed: ● Nontraditional
−Removed: medical alternatives
+Added: Ø Medical foods
+Added: ○ Weight control
+Added: ○ Topical lotions and creams for the largest organ the skin
+Added: ● Nontraditional medical alternatives
○ Acupuncture
2 unchanged sentences
● Self-directed
−Removed: patients who desire alternative treatments rely on the following options:
−Removed: United States
−Removed: United States
−Removed: and South America
−Removed: directly with physicians knowledgeable in providing regenerative medical services
−Removed: Business Strategy :
−Removed: current business strategy is to achieve the following goals and milestones:
−Removed: on current strategy to commence and complete clinical studies as well as obtaining approval
−Removed: to commence additional studies for other specific indications that we identify that the
−Removed: use of our products will provide more favorable and desired health related benefits for
−Removed: patients seeking alternative treatment options than are currently available.
−Removed: clinical based studies associated with the use of our products (independently and/or
−Removed: in conjunction with Providers and/or Manufacturers) and seek accelerated approval for
−Removed: each product application in accordance with the 21st Century Cures Act (“Cures
−Removed: Act”) and/or through the granting of an FDA-approved biologics application (BLA)
−Removed: to allow products to be lawfully marketed and/or sold in the United States;
−Removed: the Company’s maintains compliance with existing and the anticipated changes to
−Removed: FDA regulations, including the use and sale of tissue-based products (HCT/Ps) published
−Removed: in November 2017 and expected to take effect by May 2021, as well as readiness to respond
−Removed: to ongoing future changes to regulations impacting our products;
−Removed: to build out our lab facilities to meet expected production and research requirements;
−Removed: high profile and industry recognized medical advisors, researchers and/or scientists
−Removed: to help identify and develop new and emerging technologies concerning biologics and to
−Removed: assure our Products remain cutting edge and competitive to products offered by other
−Removed: alternative products and services to (a) offset any potential decline in revenues resulting
−Removed: from FDA limitations on the sales and distribution of our existing products currently
−Removed: being sold and distributed as a result of our commencement of clinical trials using such
−Removed: products and/or future expected FDA restrictions on RAAM products and (b) provide our
−Removed: Providers with alternative product and treatment options to remain competitive with the
−Removed: market and our Providers to meet the needs and demands of their patients;
−Removed: our sales market and network of Providers outside of the United States
−Removed: sources of exclusive and superior suppliers of RAAM products;
−Removed: strategic relationships to acquire existing Providers and/or suppliers or owners of IP
−Removed: associated with additional desired RAAM products;
−Removed: and expand operations to provide for growth of our revenues;
−Removed: revenues for RAAM related products;
−Removed: of additional in-house sales personnel
−Removed: ● Selectively
−Removed: engaging independent distributors
−Removed: private label products to distributors
−Removed: market recognition for our Organicell brand from:
−Removed: and participating in industry trade shows
−Removed: our sales market outside of the United States
−Removed: the number of RAAM product offerings for various modalities using proprietary processing,
−Removed: formulas and administration techniques
−Removed: additional revenues from IV Drip Therapies to be conducted through Livin Again
−Removed: our referral network of Providers based on:
−Removed: product offerings
−Removed: ● Demonstrating
−Removed: a realistic and executable regulatory roadmap to assure Company and product compliance
−Removed: with current and anticipated FDA regulations
−Removed: and providing educational support to Providers regarding our products and regulatory
−Removed: additional working capital;
−Removed: shortfalls in working capital to fund ongoing expenses and required payments to vendors
−Removed: and creditors until revenues are stabilized;
−Removed: ongoing costs to pursue clinical trials;
−Removed: capital expenditures associated with maintaining compliance of our facilities and products;
−Removed: our strategy to develop and expand our revenues for the sales and distribution of RAAM
−Removed: related products described above;
−Removed: additional personnel to support our growth and planned expansion;
−Removed: our CRM, e-commerce and ERP capabilities to facilitate marketing, sales and distribution
−Removed: functionality and accounting for our operations.
−Removed: Company Corporate Governance;
−Removed: previously announced plans to complete a reverse split, and a reduction in the authorized
−Removed: shares outstanding.
−Removed: The Company believes a reverse split will bring value to the issued
−Removed: and outstanding shares of the Company by limiting dilution of operating results by an
−Removed: excessive number of shares overhanging the market;
−Removed: additional independent members to the Board of Directors that will provide overall industry
−Removed: expertise and fulfill audit committee and independent director requirements to meet listing
−Removed: requirements for the national stock exchanges;
−Removed: to develop and expand the Company’s internal control policies
−Removed: population of the United States and the developed world is getting older and living longer.
−Removed: According to a United States Consensus
−Removed: Bureau’s report, “An Aging World:
−Removed: America’s 65-and-over population is projected to nearly double
−Removed: over the next three decades, ballooning from 48 million to 88 million by 2050 and that worldwide, the 65-and-over population will
−Removed: more than double to 1.6 billion by 2050.
−Removed: According to the report, in 2015, 14.9% of the U.S.
−Removed: population was 65 or over and the
−Removed: United States was the 48th oldest country out of 228 countries and areas in the world in 2015.
−Removed: Baby boomers began reaching age
−Removed: 65 in 2011 and by 2050 the older share of the U.S.
+Added: Currently, patients who desire alternative treatments
+Added: rely on the following options:
+Added: ■ Medical Tourism
+Added: ○ In United States
+Added: ○ Off-shore United States
+Added: Ø Central and South America
+Added: ■ Consulting directly with physicians knowledgeable in providing regenerative medical services
+Added: ■ Unlicensed life coaches
+Added: Current Business Strategy
+Added: Our current business strategy is to achieve the
+Added: following goals and milestones:
+Added: ● Execute on our current strategy to complete existing clinical studies and secure approval to commence
+Added: additional studies for other specific indications that we identify that the use of our products will provide more favorable and desired
+Added: health related benefits for patients seeking alternative treatment options than are currently available;
+Added: ● Perform clinical based studies associated with the use of our products (independently and/or in conjunction
+Added: with Providers, Manufacturers, Government Agencies and Educational Institutions) and seek accelerated approval where available for each
+Added: product application in accordance with the 21st Century Cures Act (“Cures Act”) and/or through the granting of an FDA-approved
+Added: biologics application (“BLA”) to allow products to be lawfully marketed and/or sold in the United States;
+Added: ● Assure the Company’s maintains compliance with existing and the anticipated changes to FDA regulations,
+Added: including the guidance related to the use and sale of tissue-based products (“HCT/Ps”) which was published in November 2017
+Added: and took effect in May 2021 (postponed from November 2020 due to the COVID-19 pandemic), as well as readiness to respond to ongoing future
+Added: changes to regulations impacting our products;
+Added: ● Continue to expand our laboratory facilities to meet expected production, processing and research requirements;
+Added: ● Engage high profile and industry recognized medical advisors, researchers and/or scientists to help identify
+Added: and develop new and emerging technologies concerning biologics and to assure our Products remain cutting edge and competitive to products
+Added: offered by other companies;
+Added: ● Identify alternative products and services to (a) offset any potential decline in revenues resulting from
+Added: FDA limitations on the sales and distribution of our existing products currently being sold and distributed and/or future expected FDA
+Added: restrictions on RAAM products;
+Added: and (b) provide our Providers with alternative product and treatment options to remain competitive with
+Added: the market and our Providers to meet the needs and demands of their patients;
+Added: ● Identify sources of exclusive and superior suppliers of RAAM products and/or raw materials used by us
+Added: in processing our RAAM products;
+Added: ● Identify strategic relationships and acquisition targets that would enhance and/or accelerate the growth
+Added: of the Company;
+Added: (a) existing raw material and/or medical device suppliers or owners of IP associated with existing and/or additional desired
+Added: RAAM products, (b) alliances with Providers that specialized in RAAM products, and/or (c) alliances with marketing and distribution companies
+Added: of RAAM products.
+Added: ● Develop and expand operations to provide for growth of our revenues;
+Added: ○ Expand our sales market and network of Providers within and outside of the United States to increase revenues
+Added: for RAAM related products through:
+Added: ▪ Hiring additional in-house sales personnel;
+Added: ▪ Selectively engaging independent distributors;
+Added: ▪ Marketing private label products to distributors;
+Added: ▪ Increasing market recognition for our Organicell brand from:
+Added: marketing and participating in industry trade
+Added: ○ Increase the number of RAAM product offerings for various modalities using proprietary processing, formulas
+Added: and administration techniques, including the Company’s new product PPX TM
+Added: ○ Extend our referral network of Providers based on:
+Added: ▪ Superior product offerings;
+Added: ▪ Demonstrating a realistic and executable regulatory roadmap to assure Company and product compliance with
+Added: current and anticipated FDA regulations;
+Added: ▪ Developing and providing educational support to Providers regarding our products and regulatory concerns;
+Added: ● Secure additional working capital;
+Added: ○ Fund shortfalls in working capital to fund ongoing expenses and required payments to vendors and creditors
+Added: until revenues are stabilized;
+Added: ○ Fund ongoing costs to complete current pipeline of clinical trials as well as future clinical trials;
+Added: ○ Fund capital expenditures associated with maintaining compliance of our facilities and products;
+Added: ○ Fund our strategy to develop and expand our revenues for the sales and distribution of RAAM related products
+Added: described above;
+Added: ○ Hire additional personnel to support our growth and planned expansion;
+Added: ○ Enhance our CRM, e-commerce and ERP capabilities to facilitate marketing, sales and distribution functionality
+Added: and accounting for our operations.
+Added: ● Enhance Company Corporate Governance;
+Added: ○ Appoint additional independent members to the Board of Directors that will provide overall industry expertise
+Added: and fulfill audit committee and independent director requirements to meet listing requirements for the national stock exchanges;
+Added: ○ Continue to develop and expand the Company’s internal control policies;
+Added: ○ Continue to explore previously announced plans to uplist the Company to the Nasdaq for the purpose of
+Added: enhancing interest and investment opportunities for the Company once the Company is able to demonstrate compliance with initial listing
+Added: requirements, including minimum share price and stockholder’s equity thresholds.
+Added: Market Overview
+Added: The population of the United States and the developed
+Added: world is getting older and living longer.
+Added: According to a United States Consensus Bureau’s report, “An Aging World:
+Added: America’s 65-and-over population is projected to nearly double over the next three decades, ballooning from 48 million to 88 million
+Added: by 2050 and that worldwide, the 65-and-over population will more than double to 1.6 billion by 2050.
+Added: According to the report, in 2015,
+Added: 14.9% of the U.S.
+Added: population was 65 or over and the United States was the 48th oldest country out of 228 countries and areas in the world
+Added: Baby boomers began reaching age 65 in 2011 and by 2050 the older share of the U.S.
population will increase to 22.1%.
−Removed: world average age of death has increased by 35 years since 1970, with declines in death rates in all age groups, including those
−Removed: aged 60 and older (Source:
−Removed: Institute for Health Metrics and Evaluation, 2013;
+Added: The world average age of death has increased by
+Added: 35 years since 1970, with declines in death rates in all age groups, including those aged 60 and older (Source:
+Added: Institute for Health Metrics
+Added: and Evaluation, 2013;
Mathers et al., 2015).
−Removed: The leading causes of death
−Removed: are shifting, in part because of increasing longevity.
−Removed: Between 1990 and 2013, the number of deaths from non-communicable diseases
−Removed: (“NCDs”) has increased by 42%;
−Removed: and the largest increases in the proportion of global deaths took place among the population
−Removed: aged 80 and over.
−Removed: An estimated 42.8% of deaths worldwide occur in the population aged 70 and over, with 22.9% in the population
−Removed: aged 80 and over.
−Removed: according to the Center for Disease Control (“CDC”), “Medical Tourism”
−Removed: (a term commonly used to describe
−Removed: people traveling outside their home country for medical treatment) is a worldwide, multibillion-dollar phenomenon that is expected
−Removed: to grow substantially in the next 5–10 years.
−Removed: Studies have estimated that hundreds of thousands of medical tourists
−Removed: travel from the United States annually and that patients pursue medical care abroad for a variety of reasons, including a desire
−Removed: to receive a procedure or therapy not available in their country of residence.
−Removed: Common categories of procedures that US travelers
−Removed: pursue during medical tourism trips include orthopedic surgery, cosmetic surgery, cardiology (cardiac surgery), oncologic care,
−Removed: and dentistry.
−Removed: Common destinations include Thailand, Mexico, Singapore, India, Malaysia, Cuba, Brazil, Argentina, and Costa Rica.
−Removed: we are able to implement our intended business plan, we believe that we will be well situated to address this increased consumer
−Removed: demand for alternative medical treatments.
−Removed: we market our RAAM products and services to a network of Providers through in-house, contracted sales personnel and/or from independent
−Removed: distributors.
−Removed: As of October 31, 2020, we had four salespeople who marketed our RAAM products and services.
−Removed: In addition, we had
−Removed: arrangements with several independent distributors that were marketing and distributing our products.
−Removed: We intend in the future
−Removed: to expand our in-house sales force and independent distributors as our working capital improves, our product line expands and
−Removed: as volumes increase.
−Removed: We also intend to develop and offer ongoing training seminars to provide the best possible information on
−Removed: the latest advances on anti-aging, and regenerative medicine to Providers.
−Removed: Materials and Sources of Supply
−Removed: the completion of the Sale in February 2018 through April 2019, we purchased all of our RAAM Products through supply arrangements
−Removed: directly with third-party manufacturers or indirectly from distributors of other third-party manufacturers.
−Removed: May 2019, we once again began to manufacture our own RAAM Products in our newly developed Miami, Florida laboratory facilities
−Removed: and acquired the required raw materials and supplies for our RAAM research and development and the manufacturing of our RAAM placental-related
−Removed: products from unaffiliated third-party laboratories pursuant Supply Arrangements.
−Removed: the event any one or more of our current suppliers are unwilling or unable to sell us required raw materials and/or products,
−Removed: for any reason, we may not be able to provide replacement products to our customers, or if other supply arrangements can be made,
−Removed: the replacement products and terms may not be as favorable.
−Removed: RAAM business is not dependent on any one or more customers, especially as our customer and distribution network expands.
−Removed: customer base is increasingly broad based and throughout the United States and worldwide.
−Removed: table below sets forth a summary of our intellectual property rights.
−Removed: Applications:
−Removed: Organicell TM
−Removed: Provisional Patent Application on file for its Organicell TM line
−Removed: of products and the proprietary techniques used in during processing perinatal fluid.
−Removed: Provisional Patent Application No.
+Added: The leading causes of death are shifting, in part because of increasing longevity.
+Added: 1990 and 2013, the number of deaths from non-communicable diseases (“NCDs”) has increased by 42%;
+Added: and the largest increases
+Added: in the proportion of global deaths took place among the population aged 80 and over.
+Added: An estimated 42.8% of deaths worldwide occur in the
+Added: population aged 70 and over, with 22.9% in the population aged 80 and over.
+Added: Also, according to the Centers for Disease Control
+Added: (the “CDC”), “Medical Tourism” (a term commonly used to describe people traveling outside their home country for
+Added: medical treatment) is a worldwide, multibillion-dollar phenomenon that is expected to grow substantially in the next 5–10 years.
+Added: Studies have estimated that hundreds of thousands of medical tourists travel from the United States annually and that
+Added: p atients pursue medical care abroad for a variety of reasons, including a desire to receive a procedure or therapy not available
+Added: in their country of residence.
+Added: Common categories of procedures that US travelers pursue during medical tourism trips include orthopedic
+Added: surgery, cosmetic surgery, cardiology (cardiac surgery), oncologic care, and dentistry.
+Added: Common destinations include Thailand, Mexico,
+Added: Singapore, India, Malaysia, Cuba, Brazil, Argentina, and Costa Rica.
+Added: If we are able to implement our intended business
+Added: plan, we believe that we will be well situated to address this increased consumer demand for alternative medical treatments.
+Added: Marketing and Sales
+Added: Currently, we market our RAAM products and services
+Added: to a network of Providers through in-house, contracted sales personnel and/or from independent distributors.
+Added: As of October 31, 2021, we
+Added: had four salespeople who marketed our RAAM products and services.
+Added: In addition, we had arrangements with several independent distributors
+Added: that were marketing and distributing our products.
+Added: We intend in the future to expand our in-house sales force and independent distributors
+Added: as our working capital improves, our product line expands and as volumes increase.
+Added: We also intend to develop and offer ongoing training
+Added: seminars to provide the best possible information on the latest advances on anti-aging, and regenerative medicine to Providers.
+Added: Raw Materials and Sources of Supply
+Added: We acquire the raw materials and supplies for
+Added: our RAAM research and development and the manufacturing of our RAAM placental-related products from unaffiliated third-party laboratories
+Added: pursuant to supply arrangements.
+Added: In the event any one or more of our current suppliers
+Added: are unwilling or unable to sell us required raw materials and/or products, for any reason, we may not be able to provide replacement products
+Added: to our customers, or if other supply arrangements can be made, the replacement products and terms may not be as favorable.
+Added: Our RAAM business is not dependent on any one
+Added: or more customers, especially as our customer and distribution network expands.
+Added: Our customer base is increasingly broad based and throughout
+Added: the United States and worldwide.
+Added: Intellectual Property
+Added: The table below sets forth a summary of our intellectual
+Added: property rights.
+Added: Patent Applications:
+Added: Organicell TM has a U.S.
+Added: Patent Application on file for its Organicell TM line of products and the proprietary techniques used in during processing perinatal fluid.
+Added: Patent Application No.
COMPOSITIONS COMPRISING NANOPARTICLES, METHOD OF MAKING AND USES THEREOF
2 unchanged sentences
Organicell Regenerative Medicine, Inc.
−Removed: Filing Deadline :
+Added: Conversion Filing Deadline :
April 10, 2021
2 unchanged sentences
055878 / 0801 & 055878 / 0900
+Added: Organicell TM has an International Patent Application on file for its Organicell TM line of products and the proprietary techniques used in during processing perinatal fluid.
+Added: International Patent Application No.
+Added: PCT/IB2021/052982
+Added: COMPOSITIONS COMPRISING NANOPARTICLES, METHOD OF MAKING AND USES THEREOF
+Added: April 10, 2021
+Added: Maria Ines Mitrani
+Added: Organicell Regenerative Medicine, Inc.
+Added: National Phase Filing Deadline :
+Added: October 10, 2022
+Added: MARIA INES MITRANI (Assignor), ORGANICELL REGENERATIVE MEDICINE, INC.
+Added: Organicell TM has a U.S.
+Added: Provisional Patent Application on file for its Organicell TM PPX product and the proprietary techniques used in the administration of blood-derived exosomes to treat pain.
+Added: Provisional Patent Application No.
+Added: METHOD OF TREATING PAIN IN A PATIENT COMPRISING THE USE OF EXTRACELLULAR VESICLES
+Added: December 8, 2021
+Added: Maria Ines Mitrani, Michael Bellio, and Albert Mitrani
+Added: Organicell Regenerative Medicine, Inc.
+Added: Conversion Filing Deadline :
+Added: December 8, 2022
Goods/Services :
−Removed: Radiation sterilized biologically derived products developed from perinatal tissue material in the nature of cultured
−Removed: biological tissue and non-cultured biological tissue, for aesthetic purposes, other than for medical or veterinary purposes
+Added: Radiation sterilized biologically derived products developed from perinatal tissue material in the nature of cultured biological tissue and non-cultured biological tissue, for aesthetic purposes, other than for medical or veterinary purposes (IC 001)
+Added: Serial Number :
+Added: Filing Date :
November 19, 2020
Organicell Regenerative Medicine, Inc.
−Removed: Pending, awaiting examination
+Added: Notice of allowance received August 17, 2021
Goods/Services :
−Removed: Radiation sterilized biologically derived products developed from perinatal tissue material for medical and medical regenerative
−Removed: purposes, namely, biological tissue grafts, implants comprising living tissue, surgical implants comprising living tissue,
−Removed: and biological implants for cushioning tissues and supporting tissue repair and homeostasis (IC 005)
+Added: Radiation sterilized biologically derived products developed from perinatal tissue material for medical and medical regenerative purposes, namely, biological tissue grafts, implants comprising living tissue, surgical implants comprising living tissue, and biological implants for cushioning tissues and supporting tissue repair and homeostasis (IC 005)
+Added: Serial Number :
+Added: Filing Date :
November 19, 2020
Organicell Regenerative Medicine, Inc.
+Added: Notice of allowance received August 17, 2021
+Added: Goods/Services :
+Added: Radiation sterilized biologically derived products developed from perinatal tissue material in the nature of cultured biological tissue and non-cultured biological tissue, for aesthetic purposes, other than for medical or veterinary purposes (IC 001)
+Added: Serial Number :
+Added: Filing Date :
+Added: October 14, 2021
+Added: Organicell Regenerative Medicine, Inc.
Pending, awaiting examination
Goods/Services :
−Removed: Biologically derived nanoparticles, namely, exosomes and extracellular vesicles, developed from perinatal tissue material
−Removed: for aesthetic purposes, other than for medical or veterinary purposes (IC 001)
+Added: Radiation sterilized biologically derived products developed from perinatal tissue material for medical and medical regenerative purposes, namely, biological tissue grafts, implants comprising living tissue, surgical implants comprising living tissue, and biological implants for cushioning tissues and supporting tissue repair and homeostasis (IC 005)
+Added: Serial Number :
+Added: Filing Date :
+Added: October 14, 2021
+Added: Organicell Regenerative Medicine, Inc.
+Added: Pending, awaiting examination
+Added: Goods/Services :
+Added: Biologically derived nanoparticles, namely, exosomes and extracellular vesicles, developed from perinatal tissue material for aesthetic purposes, other than for medical or veterinary purposes (IC 001)
+Added: Serial Number :
+Added: Filing Date :
September 9, 2020
1 unchanged sentence
Notice of Allowance issued January 26, 2021;
+Added: 1 st extension of time requested and approved.
Goods/Services :
−Removed: Biologically derived nanoparticles, namely, exosomes and extracellular vesicles, developed from perinatal tissue for medical
−Removed: and medical regenerative purposes, namely, biological tissue grafts, implants comprising living tissue, surgical implants
−Removed: comprising living tissue, and biological implants for cushioning tissues and supporting tissue repair and homeostasis
+Added: Biologically derived nanoparticles, namely, exosomes and extracellular vesicles, developed from perinatal tissue for medical and medical regenerative purposes, namely, biological tissue grafts, implants comprising living tissue, surgical implants comprising living tissue, and biological implants for cushioning tissues and supporting tissue repair and homeostasis (IC 005)
+Added: Serial Number :
+Added: Filing Date :
September 9, 2020
1 unchanged sentence
Notice of Allowance issued January 26, 2021;
+Added: 1 st extension of time filed and approved.
Goods/Services :
−Removed: Biologically derived products developed from perinatal tissue material in the nature of cultured biological tissue and
−Removed: non-cultured biological tissue, for aesthetic purposes, other than for medical or veterinary purposes (IC 001);
−Removed: derived products developed from perinatal tissue material for medical and medical regenerative purposes, namely, biological
−Removed: tissue grafts, implants comprising living tissue, surgical implants comprising living tissue, and biological implants
−Removed: for cushioning tissues and supporting tissue repair and homeostasis (IC 005)
+Added: Biologically derived products developed from perinatal tissue material in the nature of cultured biological tissue and non-cultured biological tissue, for aesthetic purposes, other than for medical or veterinary purposes (IC 001);
+Added: Biologically derived products developed from perinatal tissue material for medical and medical regenerative purposes, namely, biological tissue grafts, implants comprising living tissue, surgical implants comprising living tissue, and biological implants for cushioning tissues and supporting tissue repair and homeostasis (IC 005)
+Added: Serial Number :
+Added: Filing Date :
July 13, 2020
Organicell Regenerative Medicine, Inc.
−Removed: Pending, response to Office Action filed October 29, 2020
+Added: Notice of allowance issued May 18, 2021 – 1 st extension of time filed and approved
Goods/Services:
−Removed: Biologically derived products developed from perinatal tissue material in the nature of cultured biological tissue
−Removed: and non-cultured biological tissue, for aesthetic purposes, other than for medical or veterinary purposes (IC 001);
−Removed: derived products developed from perinatal tissue material for medical and medical regenerative purposes, namely, biological
−Removed: tissue grafts, implants comprising living tissue, surgical implants comprising living tissue, and biological implants
−Removed: for cushioning tissues and supporting tissue repair and homeostasis (IC 005)
+Added: Biologically derived products developed from perinatal tissue material in the nature of cultured biological tissue and non-cultured biological tissue, for aesthetic purposes, other than for medical or veterinary purposes (IC 001);
+Added: Biologically derived products developed from perinatal tissue material for medical and medical regenerative purposes, namely, biological tissue grafts, implants comprising living tissue, surgical implants comprising living tissue, and biological implants for cushioning tissues and supporting tissue repair and homeostasis (IC 005)
+Added: Serial Number :
+Added: Filing Date :
Organicell Regenerative Medicine, Inc.
Notice of Allowance issued December 22, 2020;
+Added: Office Action received July 27, 2021
Goods/Services :
1 unchanged sentence
non-medicated skin serums;
−Removed: all of the aforementioned goods are made in whole or in substantial
−Removed: part of organic ingredients (IC 003)
+Added: all of the aforementioned goods are made in whole or in substantial part of organic ingredients (IC 003)
+Added: Serial Number :
+Added: Filing Date :
January 23, 2017
Organicell Regenerative Medicine, Inc.
+Added: Registration Number:
+Added: Registration Date:
September 19, 2017
1 unchanged sentence
Goods/Services :
−Removed: plasma extracts for medical use, namely, plasma extract containing purified and concentrated exosomes derived from whole
+Added: plasma extracts for medical use, namely, plasma extract containing purified and concentrated exosomes derived from whole human blood
+Added: Serial Number :
+Added: Filing Date :
January 24, 2020
Organicell Regenerative Medicine, Inc.
−Removed: Notice of Allowance issued July 28, 2020 –
−Removed: 1 st extension filed and approved
+Added: Notice of Allowance issued July 28, 2020 – 2nd extension of time filed and approved
PATIENT PURE X - PPX
Goods/Services :
−Removed: plasma processing services for others, namely, extracting purified and concentrated exosomes based on whole blood harvested
−Removed: from patients for use by hospitals, clinics, or other organizations or persons involved in delivering healthcare services
+Added: plasma processing services for others, namely, extracting purified and concentrated exosomes based on whole blood harvested from patients for use by hospitals, clinics, or other organizations or persons involved in delivering healthcare services to patients
+Added: Serial Number :
+Added: Filing Date :
January 24, 2020
Organicell Regenerative Medicine, Inc.
−Removed: Notice of Allowance issued August 18, 2020
−Removed: www.organicell.com
−Removed: to our employment agreements with our executives, all work product that is created, prepared, produced, authored, edited, amended,
−Removed: conceived or reduced to practice by each executive individually or jointly with others during the period of their employment by
−Removed: the Company and relating in any way to the business or contemplated business, research or development of the Company (regardless
−Removed: of when or where the Work Product is prepared or whose equipment or other resources is used in preparing the same), as well as
−Removed: any and all rights in and to copyrights, trade secrets, trademarks (and related goodwill), patents and other intellectual property
−Removed: rights therein arising in any jurisdiction throughout the world and all related rights of priority under international conventions
−Removed: with respect thereto, including all pending and future applications and registrations thereof, and continuations, divisions, continuations-in-part,
−Removed: reissues, extensions and renewals thereof (collectively, "Intellectual Property Rights"), the sole and exclusive property
−Removed: of the Company.
−Removed: All of the Work Product consisting of copyrightable subject matter shall be deemed "work made for hire"
−Removed: as defined in 17 U.S.C.
−Removed: 101 and such copyrights are therefore owned by the Company or if not applicable, deemed to be irrevocably
−Removed: assigned to the Company, for no additional consideration.
−Removed: The Intellectual Property Rights in any “Pre-existing Materials”
−Removed: included contained in the Work Product shall be retained by the executive but the executive shall be deemed to have granted to
−Removed: the Company an irrevocable, worldwide, unlimited, royalty-free license to use, publish, reproduce, display, distribute copies
−Removed: of, and prepare derivative works based upon, such Pre-Existing Materials and derivative works thereof.
−Removed: The Company may not assign,
−Removed: transfer and sublicense such rights to others without executive’s consent, other than to a wholly owned subsidiary of the
−Removed: The executive shall provide written notice to the Company’s Chief Executive Officer therein notifying the Company
−Removed: new intellectual property including the Pre-Existing Materials.
−Removed: regenerative medicine field is highly competitive and subject to rapid technological change and regulation.
−Removed: Companies compete
−Removed: on the basis of product efficacy, pricing, and ease of handling/logistics.
−Removed: A critically important factor for growth in the US
−Removed: market is third-party reimbursement, which is difficult to obtain, and the process can be time-consuming and expensive.
−Removed: that it will take some time before RAAM products will be widely accepted under health insurance coverage.
−Removed: In addition, growth
−Removed: of this industry is expected to expand as additional research and development into the benefits of regenerative products and specific
−Removed: products becomes more widely accepted as a result of FDA mandated or optional clinical trials are performed by industry stakeholders.
−Removed: stated previously, there is a growing urgency in the industry for companies to meet the anticipated new and more stringent regulatory
−Removed: deadlines to be imposed by the FDA in connection with regulation of RAAM products that were previously announced to go into effect
−Removed: As a result of these concerns, the Company and our competitors are expected to need to pursue research and development
−Removed: efforts and submit IND applications for FDA approval to commence clinical trials for RAAM products being sold to assure that their
−Removed: respective operations and products remain compliant with FDA regulations and there is no adverse impact to future operations.
−Removed: In addition, the Company believes that the ability to demonstrate that products and operations comply with regulations are important
−Removed: factors for companies in the industry to be successful in the future.
−Removed: intend to perform clinical trials for our RAAM Products for the purpose of obtaining biologics license status from the FDA to
−Removed: provide us with advantages over our competitors, including acceleration for acceptance of our products in traditional insurance
−Removed: plans, compliance with FDA regulations and to provide our customers with superior education and support of the benefits of our
−Removed: Initially we are positioning ourselves as a cash-based health care alternative for consumers that can provide higher
−Removed: levels of improvement, that is not available from traditional allopathic medicine at this time.
−Removed: Company competes in multiple areas of clinical treatment where regenerative biomaterials may be employed to modulate inflammation,
−Removed: enhance healing and reduce scar tissue formation:
−Removed: advanced wound care treatment, spine, orthopedic, surgery and sports medicine.
−Removed: primary competitive products in this space include autologous serums derived from blood, bone marrow, and adipose tissue (Regenexx)
−Removed: and allograft products derived from amniotic fluid or amniotic membrane, umbilical cord blood or umbilical cord tissue matrix,
−Removed: or from culture-expanded perinatal cells.
−Removed: Our competitors are primarily producer-distributor companies which include Predictive
−Removed: Biotech, Kimera Labs, MiMedix Group, Inc., Invitrx Therapeutics, Liveyon, BioD (“dermaSciences”), and Direct Biologics,
−Removed: as well as a number of distributors who sell white-labeled products from those producer-distributor entities.
−Removed: Additionally, there
−Removed: are a variety of accredited blood, bone, and soft tissue banks that we will be competing against, including Utah Cord Bank and
−Removed: Cord for Life.
−Removed: stated previously, the demand for RAAM products is very high and expected to grow with the growing baby boomer generation getting
−Removed: older, the increase in patients desiring to seek health care options outside of traditional therapies, the growing trend in the
−Removed: desire of individuals to remain active longer in life and the ongoing rise in health care costs which RAAM products may provide
−Removed: a more efficient and economical alternative for certain conditions.
−Removed: Company’s operations are subject to FDA regulations in connection with the sales and distribution of its RAAM products.
−Removed: In addition, the Company relies on supply agreements with birth tissue recovery companies, supply manufacturers and/or third party
−Removed: distributors for the supply of RAAM products and/or the Company’s intended objectives to conduct research and development
−Removed: and clinical trials of RAAM products, all of whom are required to comply with FDA regulations.
−Removed: We anticipate these regulations
−Removed: will be heavily enforced and subject to more restrictive regulations by the FDA in the future.
−Removed: A summary of the current FDA regulations
−Removed: is set forth below:
−Removed: Premarket Clearance and Approval Requirements
−Removed: the products that are sold by the Company are derived from human tissue that is purchased by the Company and processed directly
−Removed: in the Company’s laboratory facilities.
−Removed: At times when the Company did not manufacture its own products, the products sold
−Removed: were manufactured and processed by third party manufacturers.
−Removed: As discussed below, some tissue-based products are regulated solely
−Removed: under Section 361 of the Public Health Service Act as human cells, tissues and cellular and tissue-based products, or HCT/Ps,
−Removed: which do not require premarket clearance or approval by the FDA.
−Removed: Other tissue products are regulated as biologics and, in order
−Removed: to be lawfully marketed in the United States, require an FDA-approved BLA.
−Removed: FDA is continually changing and formulating new guidelines for this industry.
−Removed: In addition, the FDA has published some additional
−Removed: draft guidelines related to this industry and the ultimate form of the regulations are not yet known.
−Removed: Regulated as HCT/Ps
−Removed: FDA has specific regulations governing human cells, tissues and cellular and tissue-based products, or HCT/Ps.
−Removed: An HCT/P is a product
−Removed: containing or consisting of human cells or tissue intended for transplantation into a human patient.
−Removed: HCT/Ps that meet the criteria
−Removed: for regulation solely under Section 361 of the Public Health Service Act (so-called “361 HCT/Ps”) are not subject
−Removed: to approval requirements and they are subject to post-market regulatory requirements.
−Removed: be a 361 HCT/P, a product generally should meet following criteria:
−Removed: minimally manipulated, no structural change, or be mixed with anything;
−Removed: intended for homologous use, essentially used for the same purpose that it was used in
−Removed: manufacture must not involve combination with another article, except for water, crystalloids
−Removed: or a sterilizing, preserving or storage agent;
−Removed: must not be dependent upon the metabolic activity of living cells for its primary function.
−Removed: Regulated as Biologics- The BLA Pathway
−Removed: typical steps for obtaining FDA approval of a BLA to market a biologic product in the U.S.
−Removed: of preclinical laboratory tests, animal studies and formulations studies under the FDA’s
+Added: Notice of Allowance issued August 18, 2020 – 2nd extension of time filed and approved
+Added: Pursuant to our employment agreements with our
+Added: executives, all work product that is created, prepared, produced, authored, edited, amended, conceived or reduced to practice by each
+Added: executive individually or jointly with others during the period of their employment by the Company and relating in any way to the business
+Added: or contemplated business, research or development of the Company (regardless of when or where the Work Product is prepared or whose equipment
+Added: or other resources is used in preparing the same), as well as any and all rights in and to copyrights, trade secrets, trademarks (and
+Added: related goodwill), patents and other intellectual property rights therein arising in any jurisdiction throughout the world and all related
+Added: rights of priority under international conventions with respect thereto, including all pending and future applications and registrations
+Added: thereof, and continuations, divisions, continuations-in-part, reissues, extensions and renewals thereof (collectively, “Intellectual
+Added: Property Rights”), the sole and exclusive property of the Company.
+Added: All of the Work Product consisting of copyrightable subject matter
+Added: shall be deemed “work made for hire” as defined in 17 U.S.C.
+Added: § 101 and such copyrights are therefore owned by the Company
+Added: or if not applicable, deemed to be irrevocably assigned to the Company, for no additional consideration.
+Added: The Intellectual Property Rights
+Added: in any “Pre-existing Materials” included contained in the Work Product shall be retained by the executive but the executive
+Added: shall be deemed to have granted to the Company an irrevocable, worldwide, unlimited, royalty-free license to use, publish, reproduce,
+Added: display, distribute copies of, and prepare derivative works based upon, such Pre-Existing Materials and derivative works thereof.
+Added: Company may not assign, transfer and sublicense such rights to others without executive’s consent, other than to a wholly owned
+Added: subsidiary of the Company.
+Added: The executive shall provide written notice to the Company’s Chief Executive Officer therein notifying
+Added: the Company new intellectual property including the Pre-Existing Materials.
+Added: The regenerative medicine field is highly competitive
+Added: and subject to rapid technological change and regulation.
+Added: Companies compete on the basis of product efficacy, pricing, and ease of handling/logistics.
+Added: A critically important factor for growth in the US market is third-party reimbursement, which is difficult to obtain, and the process
+Added: can be time-consuming and expensive.
+Added: We expect that it will take some time before RAAM products will be widely accepted under health insurance
+Added: In addition, growth of this industry is expected to expand as additional research and development into the benefits of regenerative
+Added: products and specific products becomes more widely accepted as a result of FDA mandated or optional clinical trials are performed by industry
+Added: stakeholders.
+Added: As stated previously, companies competing in the
+Added: industry must now meet the new and more stringent regulatory deadlines imposed by the FDA in connection with regulation of RAAM products
+Added: that went into effect in May 2021 (postponed from November 2020 due to the COVID-19 pandemic).
+Added: As a result of these concerns, the Company
+Added: and our competitors are expected to need to pursue research and development efforts, submit IND applications for FDA approval to commence
+Added: clinical trials for RAAM products and ultimately obtaining a biologic license for their products to be sold, to assure that their respective
+Added: operations and products remain compliant with FDA regulations and there is no adverse impact to future operations.
+Added: We have not obtained any opinion or ruling regarding
+Added: the Company’s operations and whether the processing, sales and distribution of the products we currently produce would be subject
+Added: to the FDA’s previously announced intended enforcement policies regarding HCT/P’s.
+Added: However, we do not believe that our products
+Added: fall within these guidelines and intend to vigorously defend against any adverse interpretation by the FDA on the classification of our
+Added: products that may be deemed as falling under this defined regulation, if any.
+Added: Notwithstanding the foregoing, we are undertaking efforts
+Added: on an ongoing basis to mitigate any potential risks associated with an adverse ruling by the FDA and the subsequent limitations on our
+Added: ability to continue to generate revenues from the sale of our products in the United States until the Company obtains the required licenses.
+Added: The efforts include continuing with clinical trials both domestically and internationally, expanding sales internationally and developing
+Added: new product offerings and/or designations of products that would not fall under these regulations, including the Company’s recent
+Added: launching of PPX TM .
+Added: We intend to perform clinical trials for our RAAM
+Added: Products for the purpose of obtaining biologics license status from the FDA to provide us with advantages over our competitors, including
+Added: acceleration for acceptance of our products in traditional insurance plans, compliance with FDA regulations and/or to provide our customers
+Added: with superior education and support of the benefits of our products.
+Added: Initially we are positioning ourselves as a cash-based health care
+Added: alternative for consumers that can provide higher levels of improvement, that is not available from traditional allopathic medicine at
+Added: The Company competes in multiple areas of clinical
+Added: treatment where regenerative biomaterials may be employed to modulate inflammation, enhance healing and reduce scar tissue formation:
+Added: advanced wound care treatment, including spine, orthopedic, sports medicine, and surgical as well as regenerative and aesthetics applications.
+Added: The primary competitive products in this space
+Added: and which are now subject to being classified as an HCT/P product that must meet current regulatory guidelines and require IND approvals,
+Added: clinical trials, and ultimately biologic license are allograft products derived from perinatal sources including amniotic fluid, amniotic
+Added: and placental powders, amniotic or placental frozen tissues or liquids, cord blood derived products, and Wharton’s jelly derived
+Added: As a result of this increased regulatory oversight of HCT/P’s, competitors have begun shifting their product portfolios
+Added: to autologous solutions including serums derived from blood, bone marrow, and adipose tissue.
+Added: These products are the fastest growing sector
+Added: of regenerative medicine due to their compliant regulatory position with the FDA.
+Added: Our allogenic competitors are primarily producer-distributor
+Added: companies which historically included Predictive Biotech, Kimera Labs, MiMedix Group, Inc., Invitrx Therapeutics, Liveyon, BioD (“dermaSciences”),
+Added: Signature Biologics, Direct Biologics and Vitti Labs, as well as a number of distributors who sell white-labeled products from those producer-distributor
+Added: Additionally, there are a variety of accredited blood, bone, and soft tissue banks that we historically competed against, including
+Added: Utah Cord Bank and Cord for Life.
+Added: Currently one of the largest companies in the autologous segment is Regenexx.
+Added: We also expect to see
+Added: the growth of many additional autologous equipment manufacturers during 2022, including APEX Biologix LLC.
+Added: In connection with the new FDA regulations that
+Added: went into effect in May 2021 described above, the Company believes that two of the largest perinatal product manufacturers in the United
+Added: States, Predictive Biotech and Utah Cord Bank, have closed their operations.
+Added: In addition, the FDA has indicated that hundreds of other
+Added: manufacturers and clinics have already received warning letters of violations of the new FDA regulations.
+Added: To date, the Company has not
+Added: received any warning letters or correspondence from the FDA indicating that our products were not in compliance with the current FDA regulations.
+Added: As stated previously, the demand for RAAM products
+Added: is very high and expected to grow with the growing baby boomer generation getting older, the increase in patients desiring to seek health
+Added: care options outside of traditional therapies, the growing trend in the desire of individuals to remain active longer in life and the
+Added: ongoing rise in health care costs which RAAM products may provide a more efficient and economical alternative for certain conditions.
+Added: Government Regulation
+Added: The Company’s operations are subject to
+Added: FDA regulations in connection with the sales and distribution of its RAAM products.
+Added: In addition, the Company relies on supply agreements
+Added: with birth tissue recovery companies, supply manufacturers and/or third party distributors for the supply of RAAM products and/or the
+Added: Company’s intended objectives to conduct research and development and clinical trials of RAAM products, all of whom are required
+Added: to comply with FDA regulations.
+Added: We anticipate these regulations will be heavily enforced and subject to more restrictive regulations by
+Added: the FDA in the future.
+Added: A summary of the current FDA regulations is set forth below.
+Added: FDA Premarket
+Added: Clearance and Approval Requirements
+Added: Tissue Products
+Added: Currently the products that are sold by the Company
+Added: are derived from human tissue that is purchased by the Company and processed directly in the Company’s laboratory facilities.
+Added: times when the Company did not manufacture its own products, the products sold were manufactured and processed by third party manufacturers.
+Added: As discussed below, some tissue-based products are regulated solely under Section 361 of the Public Health Service Act as human cells,
+Added: tissues and cellular and tissue-based products, or HCT/Ps, which do not require premarket clearance or approval by the FDA.
+Added: products are regulated as biologics and, in order to be lawfully marketed in the United States, require an FDA-approved BLA.
+Added: The FDA is continually changing and formulating
+Added: new guidelines for this industry.
+Added: In addition, the FDA has published some additional draft guidelines related to this industry and the
+Added: ultimate form of the regulations are not yet known.
+Added: Products Regulated as HCT/Ps
+Added: The FDA has specific regulations governing human
+Added: cells, tissues and cellular and tissue-based products, or HCT/Ps.
+Added: An HCT/P is a product containing or consisting of human cells or tissue
+Added: intended for transplantation into a human patient.
+Added: HCT/Ps that meet the criteria for regulation solely under Section 361 of the Public
+Added: Health Service Act (so-called “361 HCT/Ps”) are not subject to approval requirements and they are subject to post-market regulatory
+Added: requirements.
+Added: To be a 361 HCT/P, a product generally should
+Added: meet following criteria:
+Added: ● Be minimally manipulated, no structural change, or be mixed with anything;
+Added: ● Be intended for homologous use, essentially used for the same purpose that it was used in the donor;
+Added: ● Its manufacture must not involve combination with another article, except for water, crystalloids or a
+Added: sterilizing, preserving or storage agent;
+Added: ● It must not be dependent upon the metabolic activity of living cells for its primary function.
+Added: Products Regulated as Biologics-
+Added: The BLA Pathway
+Added: The typical steps for obtaining FDA approval of
+Added: a BLA to market a biologic product in the U.S.
+Added: ● Completion of preclinical laboratory tests, animal studies and formulations studies under the FDA’s
good laboratory practices regulations;
−Removed: to the FDA of an Investigational New Drug Application (“IND”) for human clinical
−Removed: testing, which must become effective before human clinical trials may begin and which
−Removed: must include independent Institutional Review Board (“IRB”) approval at each
−Removed: clinical site before the trials may be initiated;
−Removed: ● Performance
−Removed: of adequate and well-controlled clinical trials in accordance with Good Clinical Practices
+Added: ● Submission to the FDA of an Investigational New Drug Application (“IND”) for human clinical
+Added: testing, which must become effective before human clinical trials may begin and which must include independent Institutional Review Board
+Added: (“IRB”) approval at each clinical site before the trials may be initiated;
+Added: ● Performance of adequate and well-controlled clinical trials in accordance with Good Clinical Practices
to establish the safety and efficacy of the product for each indication;
−Removed: to the FDA of a Biologics License Application for marketing the product, which includes,
−Removed: among other things, reports of the outcomes and full data sets of the clinical trials,
−Removed: and proposed labeling and packaging for the product;
−Removed: ● Satisfactory
−Removed: completion of an FDA Advisory Committee review;
−Removed: ● Satisfactory
−Removed: completion of an FDA inspection of the manufacturing facility or facilities at which
−Removed: the product is produced to assess compliance with Current Good Manufacturing Practices
−Removed: (“cGMP”) regulations.
−Removed: clinical trials are conducted in three phases:
−Removed: I trials typically involve a small number of healthy volunteers and are designed
−Removed: to provide information about the product safety.
−Removed: II trials are conducted in a larger but limited group of patients afflicted with
−Removed: a specific diagnosis in order to determine preliminary efficacy, and to identify possible
−Removed: adverse effects.
−Removed: studies are designated as Phase IIA and efficacy studies are designated as Phase IIB.
−Removed: III clinical trials are generally large-scale, multi-center, comparative trials conducted
−Removed: with patients who have a specific condition in order to provide statistically valid proof
−Removed: of efficacy, as well as safety and potency.
−Removed: some cases, the FDA will require Phase IV , or post-marketing trials, to collect
−Removed: additional data after a product is on the market.
−Removed: process of obtaining an approved BLA requires the expenditure of substantial time, effort and financial resources and may take
−Removed: years to complete.
−Removed: Post-Market Regulation
−Removed: processors are required to register as an establishment with the FDA.
−Removed: We intend on becoming a registered establishment, accredited
−Removed: by the American Association of Tissue Banks (“AATB”) for the storage and distribution of tissue products that we purchase
−Removed: directly or indirectly from third party manufacturers.
−Removed: Once we are registered, we will be required to comply with regulations,
−Removed: including those regulations regarding storage, controls, access, labeling, record keeping, security, processes, compliance with
−Removed: established Good Tissue Practices, and documentation associated with the sale of our products by our customers to their patients.
−Removed: Our facilities will be subject to periodic inspections to assess our records and determination of our compliance with the regulations.
−Removed: covered by a BLA, 510(k) clearance, or a PMA are subject to numerous additional regulatory requirements, which include, among
−Removed: others, compliance with cGMP, which imposes certain procedural, substantive and record keeping requirements, labeling regulations,
−Removed: the FDA’s general prohibition against promoting products for unapproved or “off-label”
−Removed: uses, and additional
−Removed: adverse event reporting.
−Removed: Regulation Specific to Tissue Products
−Removed: AATB, has issued operating standards for tissue banking, whether manufacturing and/or storing products as a distributor of manufactured
−Removed: products by third parties.
−Removed: Compliance with these standards is a requirement in order to become a licensed tissue bank.
+Added: ● Submission to the FDA of a Biologics License Application for marketing the product, which includes, among
+Added: other things, reports of the outcomes and full data sets of the clinical trials, and proposed labeling and packaging for the product;
+Added: ● Satisfactory completion of an FDA Advisory Committee review;
+Added: ● Satisfactory completion of an FDA inspection of the manufacturing facility or facilities at which the
+Added: product is produced to assess compliance with Current Good Manufacturing Practices (“cGMP”) regulations.
+Added: Generally, clinical trials are conducted in three
+Added: ● Phase I trials typically involve a small number of healthy volunteers and are designed to provide
+Added: information about the product safety.
+Added: ● Phase II trials are conducted in a larger but limited group of patients afflicted with a specific
+Added: diagnosis in order to determine preliminary efficacy, and to identify possible adverse effects.
+Added: o Dosage studies are designated as Phase IIA and efficacy studies are designated as Phase IIB.
+Added: ● Phase III clinical trials are generally large-scale, multi-center, comparative trials conducted
+Added: with patients who have a specific condition in order to provide statistically valid proof of efficacy, as well as safety and potency.
+Added: ● In some cases, the FDA will require Phase IV , or post-marketing trials, to collect additional data
+Added: after a product is on the market.
+Added: The process of obtaining an approved BLA requires
+Added: the expenditure of substantial time, effort and financial resources and may take years to complete.
+Added: FDA Post-Market Regulation
+Added: Tissue processors are required to register as
+Added: an establishment with the FDA.
+Added: We intend on becoming a registered establishment, accredited by the American Association of Tissue Banks
+Added: (“AATB”) for the storage and distribution of tissue products that we purchase directly or indirectly from third party manufacturers.
+Added: Once we are registered, we will be required to comply with regulations, including those regulations regarding storage, controls, access,
+Added: labeling, record keeping, security, processes, compliance with established Good Tissue Practices, and documentation associated with the
+Added: sale of our products by our customers to their patients.
+Added: Our facilities will be subject to periodic inspections to assess our records
+Added: and determination of our compliance with the regulations.
+Added: Products covered by a BLA, 510(k) clearance, or
+Added: a PMA are subject to numerous additional regulatory requirements, which include, among others, compliance with cGMP, which imposes certain
+Added: procedural, substantive and record keeping requirements, labeling regulations, the FDA’s general prohibition against promoting products
+Added: for unapproved or “off-label” uses, and additional adverse event reporting.
+Added: Other Regulation Specific
+Added: to Tissue Products
+Added: The AATB, has issued operating standards for tissue
+Added: banking, whether manufacturing and/or storing products as a distributor of manufactured products by third parties.
+Added: Compliance with these
+Added: standards is a requirement in order to become a licensed tissue bank.
Century Cures Act
−Removed: December 2016, President Obama signed the 21st Century Cures Act (the “Act”) into law.
−Removed: The Act includes many
−Removed: provisions that aim to speed up the process of bringing new drugs and devices to market.
−Removed: One of the Act’s most significant
−Removed: amendments to the Federal Food, Drug and Cosmetic Act allows the FDA to grant accelerated approval to regenerative medicine products,
−Removed: while also providing the agency with wide discretion on creating new approaches to regenerative medicine.
−Removed: This legislative development
−Removed: is the result of increased pressure from patients and other stakeholders to move regenerative medicine advancements more quickly
−Removed: from the lab into the clinic.
−Removed: Specifically,
−Removed: the new accelerated approval pathway authorized by the Act allows certain regenerative medicine products to be designated as “regenerative
−Removed: advanced therapy”
−Removed: and become eligible for priority review by FDA.
−Removed: To qualify for this pathway, the product must be aimed
−Removed: at a serious disease and have the potential to deal with currently unmet medical needs.
−Removed: It must also meet the Act’s new
−Removed: definition of a regenerative advanced therapy, which is defined as “cell therapy, therapeutic tissue engineering products,
−Removed: human cell and tissue products, and combination products using any such therapies or products, except for those regulated solely
−Removed: under section 361 of the Public Health Service Act.”
−Removed: This broad definition would seem to encompass the majority of regenerative
−Removed: medicine products known to be currently in the development stages.
−Removed: with the existing accelerated approval pathway for drugs and biologics, this new regulatory pathway would allow a regenerative
−Removed: medicine product to be approved for marketing based on surrogate or intermediate clinical trial endpoints rather than longer term
−Removed: clinical outcomes.
−Removed: The use of such endpoints can decrease the number, duration, and complexity of clinical trials that are needed
−Removed: to prove a longer-term outcome.
−Removed: Subsequently, a sponsor would have to conduct confirmatory clinical trials to ensure that the
−Removed: surrogate or intermediate endpoint was in fact predictive of patients’
−Removed: clinical response to the product, otherwise the accelerated
−Removed: approval could be withdrawn.
−Removed: Act also requires the FDA to work with the National Institute of Standards and Technology (“NIST”) and other stakeholders
−Removed: to develop standards and consensus definitions for regenerative medicine products.
−Removed: Such standards are expected to play a large
−Removed: role in advancing this nascent industry by allowing companies to rely on FDA-recognized standards, rather than creating and validating
−Removed: their own as is the case today.
−Removed: Act attempts to create a research network and a public-private partnership to assist developers in generating definitive evidence
−Removed: about whether their proposed therapies indeed provide clinical benefits that are hoped for.
−Removed: The Act also requires the FDA to track
−Removed: and report the number and type of applications filed for regenerative medicine products, including the number of products approved
−Removed: through the new accelerated approval pathway.
−Removed: The law also includes provisions that require the FDA to publish guidance on how
−Removed: it will design and implement an approval process for regenerative medicine devices.
−Removed: 2017 FDA Guidelines
−Removed: November 2017, the FDA released four guidance documents (two final, two draft) in an effort to implement a “comprehensive
−Removed: policy framework”
−Removed: for existing laws and regulations governing regenerative medicine products, including human cells, tissues,
−Removed: and cellular and tissue-based products (“HCT/Ps”).
−Removed: These guidance documents build upon the previous regulatory
−Removed: framework for these products, which was completed in 2005.
−Removed: A guidance document cannot alter a regulation, but can clarify
−Removed: how the FDA intends to enforce the regulation.
−Removed: The Comprehensive regenerative medicine policy framework intends to spur innovation,
−Removed: efficient access to potentially transformative products, while ensuring safety & efficacy.
−Removed: framework builds upon the FDA’s existing risk-based regulatory approach to more clearly describe what products are regulated
−Removed: as drugs, devices, and/or biological products.
−Removed: Further, two of the guidance documents propose an efficient, science-based process
−Removed: for helping to ensure the safety and effectiveness of these therapies, while supporting development in this area.
−Removed: guidance documents also defines a risk-based framework for how the FDA intends to focus its enforcement actions against those
−Removed: products that raise potential significant safety concerns.
−Removed: This modern framework is intended to balance the agency’s commitment
−Removed: to safety with mechanisms to drive further advances in regenerative medicine so innovators can bring new, effective therapies
−Removed: to patients as quickly and safely as possible.
−Removed: The policy also delivers on important provisions of the Act.
−Removed: Guidance Documents
−Removed: two final guidance documents clarify the FDA’s interpretation of the risk-based criteria manufacturers use to determine
−Removed: whether a product is subject to the FDA’s premarket review.
−Removed: first guidance provides greater clarity around when cell and tissue-based products would be exempted from the established
−Removed: regulations if they are removed from and implanted into the same individual within the same surgical procedure and remain in their
−Removed: original form.
−Removed: The second final guidance helps stakeholders better understand how existing regulatory criteria apply to their
−Removed: products by clarifying how the agency interprets the existing regulatory definitions “minimal manipulation”
−Removed: and “homologous
−Removed: As this field advances, the FDA has noted that there are a growing number of regenerative medicine products subject
−Removed: to FDA premarket authorization.
−Removed: These guidance documents will help explain how the FDA will provide a risk-based framework for
−Removed: its oversight.
−Removed: The policy framework defines how the FDA intends to take action against unsafe products while facilitating continued
−Removed: innovation of promising technologies.
−Removed: accomplish this goal, the guidance document has clarified the FDA’s view of “minimal manipulation”
−Removed: and “homologous
−Removed: These are two concepts that are defined in current regulation to establish the legal threshold for when a product
−Removed: is subject to the FDA’s premarket approval requirements.
−Removed: By further clarifying these terms in the final guidance, the FDA
−Removed: is applying a modern framework for its oversight.
−Removed: regulations at 21 C.F.R.
−Removed: Part 1271, previous draft guidance documents, and untitled letters establish the agency’s approach
−Removed: to regulating HCT/Ps.
−Removed: Some HCT/Ps are exempt from premarket approval and are subject to regulation solely under section 361 of
−Removed: the Public Health Service Act (“PHS Act”) (so-called “361 HCT/Ps”) whereas others require premarket approval
−Removed: (i.e., as a drug, device, or biologic) (so-called “351 HCT/Ps”).
−Removed: Both 361 HCT/Ps and 351 HCT/Ps are subject
−Removed: to FDA requirements (at Part 1271) for registration and listing, donor-eligibility, current good tissue practices, and other requirements
−Removed: intended to prevent transmission of communicable diseases.
−Removed: Those that are the subject of the “same surgical procedure”
−Removed: exception –
−Removed: are exempt from both premarket approval requirements and the requirements of Part 1271.
−Removed: This regime is
−Removed: outlined in a flow chart, which is one of the few new features of the final guidance documents and is presented below:
−Removed: order to allow manufacturers of products time to comply with the requirements, the FDA announced that it intended (originally
−Removed: through November 2020) to exercise enforcement discretion for certain products that are subject to the FDA’s premarket review
+Added: 2016, President Obama signed the 21st Century Cures Act (the “Act”) into law.
+Added: The Act includes many provisions
+Added: that aim to speed up the process of bringing new drugs and devices to market.
+Added: One of the Act’s most significant amendments to the
+Added: Federal Food, Drug and Cosmetic Act allows the FDA to grant accelerated approval to regenerative medicine products, while also providing
+Added: the agency with wide discretion on creating new approaches to regenerative medicine.
+Added: This legislative development is the result of increased
+Added: pressure from patients and other stakeholders to move regenerative medicine advancements more quickly from the lab into the clinic.
+Added: Specifically, the new accelerated approval pathway
+Added: authorized by the Act allows certain regenerative medicine products to be designated as “regenerative advanced therapy” and
+Added: become eligible for priority review by FDA.
+Added: To qualify for this pathway, the product must be aimed at a serious disease and have the potential
+Added: to deal with currently unmet medical needs.
+Added: It must also meet the Act’s new definition of a regenerative advanced therapy, which
+Added: is defined as “cell therapy, therapeutic tissue engineering products, human cell and tissue products, and combination products using
+Added: any such therapies or products, except for those regulated solely under section 361 of the Public Health Service Act.” This broad
+Added: definition would seem to encompass the majority of regenerative medicine products known to be currently in the development stages.
+Added: As with the existing accelerated approval pathway
+Added: for drugs and biologics, this new regulatory pathway would allow a regenerative medicine product to be approved for marketing based on
+Added: surrogate or intermediate clinical trial endpoints rather than longer term clinical outcomes.
+Added: The use of such endpoints can decrease the
+Added: number, duration, and complexity of clinical trials that are needed to prove a longer-term outcome.
+Added: Subsequently, a sponsor would have
+Added: to conduct confirmatory clinical trials to ensure that the surrogate or intermediate endpoint was in fact predictive of patients’
+Added: clinical response to the product, otherwise the accelerated approval could be withdrawn.
+Added: The Act also requires the FDA to work with the
+Added: National Institute of Standards and Technology (“NIST”) and other stakeholders to develop standards and consensus definitions
+Added: for regenerative medicine products.
+Added: Such standards are expected to play a large role in advancing this nascent industry by allowing companies
+Added: to rely on FDA-recognized standards, rather than creating and validating their own as is the case today.
+Added: The Act attempts to create a research network
+Added: and a public-private partnership to assist developers in generating definitive evidence about whether their proposed therapies indeed
+Added: provide clinical benefits that are hoped for.
+Added: The Act also requires the FDA to track and report the number and type of applications filed
+Added: for regenerative medicine products, including the number of products approved through the new accelerated approval pathway.
+Added: includes provisions that require the FDA to publish guidance on how it will design and implement an approval process for regenerative
+Added: medicine devices.
+Added: November 2017 FDA Guidelines
+Added: In November 2017, the FDA released four guidance
+Added: documents (two final, two draft) in an effort to implement a “comprehensive policy framework” for existing laws and regulations
+Added: governing regenerative medicine products, including human cells, tissues, and cellular and tissue-based products (“HCT/Ps”).
+Added: These guidance documents build upon the previous regulatory framework for these products, which was completed in 2005.
+Added: document cannot alter a regulation, but can clarify how the FDA intends to enforce the regulation.
+Added: The Comprehensive regenerative medicine
+Added: policy framework intends to spur innovation, efficient access to potentially transformative products, while ensuring safety & efficacy.
+Added: The framework builds upon the FDA’s existing
+Added: risk-based regulatory approach to more clearly describe what products are regulated as drugs, devices, and/or biological products.
+Added: two of the guidance documents propose an efficient, science-based process for helping to ensure the safety and effectiveness of these
+Added: therapies, while supporting development in this area.
+Added: The suite of guidance documents also defines a risk-based framework for how the
+Added: FDA intends to focus its enforcement actions against those products that raise potential significant safety concerns.
+Added: This modern framework
+Added: is intended to balance the agency’s commitment to safety with mechanisms to drive further advances in regenerative medicine so innovators
+Added: can bring new, effective therapies to patients as quickly and safely as possible.
+Added: The policy also delivers on important provisions of
+Added: Final Guidance Documents
+Added: The two final guidance documents clarify the FDA’s
+Added: interpretation of the risk-based criteria manufacturers use to determine whether a product is subject to the FDA’s premarket review.
+Added: The first guidance provides greater clarity
+Added: around when cell and tissue-based products would be exempted from the established regulations if they are removed from and implanted into
+Added: the same individual within the same surgical procedure and remain in their original form.
+Added: The second final guidance helps stakeholders
+Added: better understand how existing regulatory criteria apply to their products by clarifying how the agency interprets the existing regulatory
+Added: definitions “minimal manipulation” and “homologous use.” As this field advances, the FDA has noted that there
+Added: are a growing number of regenerative medicine products subject to FDA premarket authorization.
+Added: These guidance documents will help explain
+Added: how the FDA will provide a risk-based framework for its oversight.
+Added: The policy framework defines how the FDA intends to take action against
+Added: unsafe products while facilitating continued innovation of promising technologies.
+Added: To accomplish this goal, the guidance document
+Added: has clarified the FDA’s view of “minimal manipulation” and “homologous use.” These are two concepts that
+Added: are defined in current regulation to establish the legal threshold for when a product is subject to the FDA’s premarket approval
+Added: requirements.
+Added: By further clarifying these terms in the final guidance, the FDA is applying a modern framework for its oversight.
+Added: FDA regulations at 21 C.F.R.
+Added: Part 1271, previous
+Added: draft guidance documents, and untitled letters establish the agency’s approach to regulating HCT/Ps.
+Added: Some HCT/Ps are exempt from
+Added: premarket approval and are subject to regulation solely under section 361 of the Public Health Service Act (“PHS Act”) (so - called
+Added: “361 HCT/Ps”) whereas others require premarket approval (i.e., as a drug, device, or biologic) (so - called
+Added: “351 HCT/Ps”).
+Added: Both 361 HCT/Ps and 351 HCT/Ps are subject to FDA requirements (at Part 1271) for registration and listing,
+Added: donor-eligibility, current good tissue practices, and other requirements intended to prevent transmission of communicable diseases.
+Added: that are the subject of the “same surgical procedure” exception – are exempt from both premarket approval requirements
+Added: and the requirements of Part 1271.
+Added: This regime is outlined in a flow chart, which is one of the few new features of the final guidance
+Added: documents and is presented below:
+Added: Enforcement Discretion
+Added: In order to allow manufacturers of products time
+Added: to comply with the requirements, the FDA announced that it intended (originally through November 2020 and extended to May 2021 because
+Added: of the COVID-19 pandemic) to exercise enforcement discretion for certain products that are subject to the FDA’s premarket review
under the existing regulations, but are not currently meeting these requirements.
1 unchanged sentence
discretion for those products that pose a potential significant safety concern.
−Removed: Going forward, the FDA will apply a risk-based
−Removed: approach to enforcement, taking into account how products are being administered as well as the diseases and conditions for which
−Removed: they are being used.
−Removed: This risk-based approach allows product manufacturers time to engage with the FDA, as to determine if they
−Removed: need to submit a marketing authorization application and, if so, submit their application to the FDA for approval.
−Removed: July 20, 2020, the FDA announced it was extending the enforcement discretion policy an additional six months through May 2021
−Removed: as a result of the challenges presented by the COVID-19 pandemic.
−Removed: FDA’s enforcement discretion policy for IND and premarket approval requirements does not apply to products that have been
−Removed: associated with reported safety concerns or have the potential to cause significant safety concerns to patients.
−Removed: The FDA has stepped
−Removed: up its oversight of cellular and related products in recent years and has issued compliance actions, including numerous warning
−Removed: and untitled letters, and pursued litigation for serious violations of the law, including some involving patient harm.
−Removed: the FDA has not changed its basic approach to regulating HCT/Ps, the FDA intends to exercise enforcement discretion up through
−Removed: May 2021 with regard to 351 HCT/Ps requiring premarket approval.
−Removed: The guidance states that, in order to “give manufacturers
−Removed: time to determine if they need to submit an IND or marketing application in light of this guidance,”
−Removed: the FDA intends to
−Removed: exercise enforcement discretion (i.e., the Agency may permit marketing without an approved marketing application) if the HCT/P
−Removed: “is intended for autologous use and its use does not raise reported safety concerns or potential significant safety concerns.”
−Removed: FDA has indicated it intends to focus enforcement actions on “products with higher risk,”
−Removed: taking into account factors
−Removed: such as non-autologous (allogeneic) use, the route of administration, the site of administration, and whether the product is intended
−Removed: for homologous or non-homologous use.
−Removed: For example, HCT/Ps administered via intravenous injection or infusion, aerosol inhalation,
−Removed: intraocular injection, or injection or infusion into the central nervous system, will be prioritized over HCT/Ps administered
−Removed: by intradermal, subcutaneous, or intra-articular injection.
−Removed: Similarly, HCT/Ps intended for non-homologous use, particularly those
−Removed: intended to treat serious or life-threatening conditions, “are more likely to raise significant safety concerns than HCT/Ps
−Removed: intended for homologous use”.
−Removed: Company believes that the new regulatory restrictions being implemented by the FDA are intended to assure that all parties involved
−Removed: in the chain of gathering, processing, distributing and/or administrating RAAM related products have met the required standards
−Removed: to assure that the manufacturing, marketing the administration of the RAAM regulated products are not misleading and are performed
−Removed: in a safe and ethical manner and in accordance with the “objective intent”
−Removed: of the manufacturer.
−Removed: Draft Guidance Documents
−Removed: two draft guidances provide important information to help spur development and access to innovative regenerative therapies.
−Removed: first draft guidance, which builds off the regenerative medicine provisions in the Act, addresses how the FDA intends to simplify
−Removed: and streamline its application of the regulatory requirements for devices used in the recovery, isolation, and delivery of regenerative
−Removed: medicine advanced therapies, including combination products.
−Removed: The guidance specifies that devices intended for use with a specific
−Removed: RMAT may, together with the RMAT, be considered to comprise a combination product.
−Removed: second draft guidance describes the expedited programs that may be available to sponsors of regenerative medicine therapies, including
−Removed: the new Regenerative Medicine Advanced Therapy (“RMAT”) designation created by the 21st Century Cures Act, Priority
−Removed: Review, and Accelerated Approval.
−Removed: In addition, the guidance describes the regenerative medicine therapies that may be eligible
−Removed: for RMAT designation –
−Removed: including cell therapies, therapeutic tissue engineering products, human cell and tissue products,
−Removed: and combination products using any such therapies or products, as well as gene therapies that lead to a durable modification of
−Removed: cells or tissues (including genetically modified cells).
−Removed: Abuse and False Claims
−Removed: are directly and indirectly subject to various federal and state laws governing relationships with healthcare providers and pertaining
−Removed: to healthcare fraud and abuse, including anti-kickback laws.
−Removed: In particular, the federal Anti-Kickback Statute prohibits
−Removed: persons from knowingly and willfully soliciting, offering, receiving or providing remuneration, directly or indirectly, in exchange
−Removed: for or to induce either the referral of an individual, or the furnishing, arranging for or recommending a good or service for
−Removed: which payment may be made in whole or part under federal healthcare programs, such as the Medicare and Medicaid programs.
+Added: Going forward, the FDA will apply a risk-based approach
+Added: to enforcement, taking into account how products are being administered as well as the diseases and conditions for which they are being
+Added: This risk-based approach allows product manufacturers time to engage with the FDA, as to determine if they need to submit a marketing
+Added: authorization application and, if so, submit their application to the FDA for approval.
+Added: The FDA’s enforcement discretion policy
+Added: for IND and premarket approval requirements does not apply to products that have been associated with reported safety concerns or have
+Added: the potential to cause significant safety concerns to patients.
+Added: The FDA has stepped up its oversight of cellular and related products
+Added: in recent years and has issued compliance actions, including numerous warning and untitled letters, and pursued litigation for serious
+Added: violations of the law, including some involving patient harm.
+Added: The FDA has indicated it intends to focus enforcement
+Added: actions on “products with higher risk,” taking into account factors such as non - autologous
+Added: (allogeneic) use, the route of administration, the site of administration, and whether the product is intended for homologous or non-homologous
+Added: For example, HCT/Ps administered via intravenous injection or infusion, aerosol inhalation, intraocular injection, or injection or
+Added: infusion into the central nervous system, will be prioritized over HCT/Ps administered by intradermal, subcutaneous, or intra-articular
+Added: Similarly, HCT/Ps intended for non-homologous use, particularly those intended to treat serious or life-threatening conditions,
+Added: “are more likely to raise significant safety concerns than HCT/Ps intended for homologous use”.
+Added: The Company believes that the new regulatory restrictions
+Added: being implemented by the FDA are intended to assure that all parties involved in the chain of gathering, processing, distributing and/or
+Added: administrating RAAM related products have met the required standards to assure that the manufacturing, marketing the administration of
+Added: the RAAM regulated products are not misleading and are performed in a safe and ethical manner and in accordance with the “objective
+Added: intent” of the manufacturer.
+Added: We have not obtained any opinion or ruling regarding
+Added: the Company’s operations and whether the processing, sales and distribution of the products we currently produce would be subject
+Added: to the FDA’s previously announced intended enforcement policies regarding HCT/P’s.
+Added: However, we do not believe that our products
+Added: fall within these guidelines and intend to vigorously defend against any adverse interpretation by the FDA on the classification of our
+Added: products that may be deemed as falling under this defined regulation, if any.
+Added: Notwithstanding the foregoing, we are undertaking efforts
+Added: on an ongoing basis to mitigate any potential risks associated with an adverse ruling by the FDA and the subsequent limitations on our
+Added: ability to continue to generate revenues from the sale of our products in the United States until the Company obtains the required licenses.
+Added: The efforts include continuing with clinical trials, expanding sales internationally and developing new product offerings and/or designations
+Added: of products that would not fall under these regulations.
+Added: New Draft Guidance Documents
+Added: The two draft guidances provide important information
+Added: to help spur development and access to innovative regenerative therapies.
+Added: The first draft guidance, which builds off the regenerative
+Added: medicine provisions in the Act, addresses how the FDA intends to simplify and streamline its application of the regulatory requirements
+Added: for devices used in the recovery, isolation, and delivery of regenerative medicine advanced therapies, including combination products.
+Added: The guidance specifies that devices intended for use with a specific RMAT may, together with the RMAT, be considered to comprise a combination
+Added: The second draft guidance describes the expedited
+Added: programs that may be available to sponsors of regenerative medicine therapies, including the new Regenerative Medicine Advanced Therapy
+Added: (“RMAT”) designation created by the 21st Century Cures Act, Priority Review, and Accelerated Approval.
+Added: In addition, the guidance
+Added: describes the regenerative medicine therapies that may be eligible for RMAT designation – including cell therapies, therapeutic
+Added: tissue engineering products, human cell and tissue products, and combination products using any such therapies or products, as well as
+Added: gene therapies that lead to a durable modification of cells or tissues (including genetically modified cells).
+Added: Fraud, Abuse and False Claims
+Added: We are directly and indirectly subject to various
+Added: federal and state laws governing relationships with healthcare providers and pertaining to healthcare fraud and abuse, including anti-kickback
+Added: In particular, the federal Anti-Kickback Statute prohibits persons from knowingly and willfully soliciting, offering,
+Added: receiving or providing remuneration, directly or indirectly, in exchange for or to induce either the referral of an individual, or the
+Added: furnishing, arranging for or recommending a good or service for which payment may be made in whole or part under federal healthcare programs,
+Added: such as the Medicare and Medicaid programs.
(See 42 U.S.C.
−Removed: Penalties for violations include criminal penalties and civil sanctions such as fines,
−Removed: imprisonment and possible exclusion from Medicare, Medicaid and other federal healthcare programs.
−Removed: The Anti-Kickback
−Removed: Statute is broad and prohibits many arrangements and practices that are lawful in businesses outside of the healthcare industry.
+Added: Penalties for violations include criminal penalties
+Added: and civil sanctions such as fines, imprisonment and possible exclusion from Medicare, Medicaid and other federal healthcare programs.
+Added: Anti-Kickback Statute is broad and prohibits many arrangements and practices that are lawful in businesses outside of the healthcare industry.
implementing the statute, the Office of Inspector General of the U.S.
−Removed: Department of Health and Human Services (“OIG”)
−Removed: has issued a series of regulations, known as the “safe harbors.”
−Removed: These safe harbors set forth provisions
−Removed: that, if all their applicable requirements are met, will assure healthcare providers and other parties that they will not be prosecuted
−Removed: under the Anti-Kickback Statute.
−Removed: has established guidelines and protocols for medical device manufacturers in their relationships with healthcare professionals
−Removed: on matters including research and development, product training and education, grants and charitable contributions, support of
−Removed: third-party educational conferences, and consulting arrangements.
−Removed: Adoption of the AdvaMed Code by a medical device
−Removed: manufacturer is voluntary, and while the OIG and other federal and state healthcare regulatory agencies encourage its adoption
−Removed: and may look to the AdvaMed Code, they do not view adoption of the AdvaMed Code as proof of compliance with applicable laws.
−Removed: We have incorporated the principles of the AdvaMed Code in our standard operating procedures, sales force training programs, and
−Removed: relationships with health care professionals.
−Removed: Manufacturing
−Removed: February 2018, when we sold our manufacturing assets to a third party in connection with the Sale through April 2019, we relied
−Removed: upon third party manufacturers and processors.
−Removed: In May 2019, we opened our new placental tissue bank processing laboratory in Miami,
−Removed: Florida and resumed operations of a placental tissue bank processing laboratory in Miami, Florida.
−Removed: the period that we were not manufacturing our own products, the products we sold to our customers were delivered directly to them
−Removed: by the manufacturer of the products.
−Removed: Now that we are once again are operating a laboratory facility, we intend on becoming a registered
−Removed: establishment, accredited by the American Association of Tissue Banks (“AATB”) for the storage and distribution of
−Removed: tissue products that we purchase directly or indirectly from third party manufacturers.
−Removed: laboratory and distribution facilities are subject to periodic unannounced inspections by regulatory authorities based on the
−Removed: activities we may be engaged, and may undergo compliance inspections conducted by the FDA and corresponding state and foreign
−Removed: agencies based on our operations.
−Removed: We intend to seek American Association Blood Banks (“AABB”) or AATB accreditation
−Removed: in connection with the storage of products we intend to distribute.
−Removed: Environmental
−Removed: the date of the Sale in February 2018 through April 2019, we did not process or directly handle biomedical materials.
−Removed: in May 2019, we operated laboratory facilities that process or directly handled biomedical materials whereby we receive and/or
−Removed: generate wastes that are required to be disposed.
−Removed: We contract with third parties for the transport, treatment, and disposal of
−Removed: the waste that we obtain and at all times plan on being compliant with applicable laws and regulations promulgated by the Resource
−Removed: Conservation and Recovery Act, the U.S.
−Removed: Environmental Protection Agency and similar state agencies.
−Removed: the period from the Sale through May 2019, we sold products that were purchased from third party manufacturers.
−Removed: All of our shipments
−Removed: prior to December 2018, were delivered directly from the product manufacturers to our customers and accordingly we did not take
−Removed: possession of any product at any time.
−Removed: October 31, 2020, we had approximately 18 full-time employees and no part-time employees.
−Removed: We also engaged two other persons as
−Removed: consultants that assisted with various administrative activities.
−Removed: From time to time, the Company engages independent contractors
−Removed: for sales and administration activities.
−Removed: There are no collective bargaining agreements.
+Added: Department of Health and Human Services (“OIG”) has
+Added: issued a series of regulations, known as the “safe harbors.” These safe harbors set forth provisions that, if all
+Added: their applicable requirements are met, will assure healthcare providers and other parties that they will not be prosecuted under the Anti-Kickback
+Added: AdvaMed has established guidelines and protocols
+Added: for medical device manufacturers in their relationships with healthcare professionals on matters including research and development, product
+Added: training and education, grants and charitable contributions, support of third-party educational conferences, and consulting arrangements.
+Added: of the AdvaMed Code by a medical device manufacturer is voluntary, and while the OIG and other federal and state healthcare regulatory
+Added: agencies encourage its adoption and may look to the AdvaMed Code, they do not view adoption of the AdvaMed Code as proof of compliance
+Added: with applicable laws.
+Added: We have incorporated the principles of the AdvaMed Code in our standard operating procedures, sales force
+Added: training programs, and relationships with health care professionals.
+Added: Manufacturing (Processing)
+Added: We intend on becoming a registered establishment,
+Added: accredited by the American Association of Tissue Banks (“AATB”) for the storage and distribution of tissue products that we
+Added: purchase directly or indirectly from third party manufacturers.
+Added: Our laboratory and distribution facilities are
+Added: subject to periodic unannounced inspections by regulatory authorities based on the activities we may be engaged, and may undergo compliance
+Added: inspections conducted by the FDA and corresponding state and foreign agencies based on our operations.
+Added: We intend to seek American Association
+Added: Blood Banks (“AABB”) or AATB accreditation in connection with the storage of products we intend to distribute.
+Added: FDA Compliance Steps
+Added: To date, the Company has obtained certain IND
+Added: and emergency IND (“eIND”) approvals from the U.S.
+Added: Food and Drug Administration (the “FDA”), including applicable
+Added: Institutional Review Board (“IRB”) approvals which authorized the Company to commence clinical trials or treatments in connection
+Added: with the use of Zofin™ and related treatment protocols.
+Added: In connection with the Company’s approved
+Added: eINDs, the approvals authorize physicians to treat their patients with Zofin TM under a specified protocol when there is no
+Added: comparable or satisfactory therapy option available for an individual patient who has a serious or immediately life-threatening disease.
+Added: These are not formal clinical trials and the Company is not given access to full patient data associated with such treatments.
+Added: FDA’s reporting requirements, the Company submitted an annual report for all of the eINDs to the FDA to formally close each of the
+Added: The annual report consists of a written summary of the results including any adverse effects.
+Added: For each of the Company’s approved eIND’s
+Added: described below, the approved protocol consisted of administering three or four individual doses of Zofin TM over an 8-day period
+Added: and monitoring the patient for a period of 21-days from the date of administering the initial dose.
+Added: The use of an eIND for “expanded access”
+Added: is primarily to treat patients with the investigational drug and not to answer safety or efficacy questions about the drug.
+Added: With respect to the Company’s approved INDs
+Added: and ongoing clinical trials, until such time that the clinical trial is closed and the associated data is reviewed and analyzed by third
+Added: parties, the Company is not privy to actual patient outcomes and is unable to provide updates on the results of such clinical trials.
+Added: To date, there has not been a severe adverse event
+Added: that has been reported to be associated with the use of Zofin ™ .
+Added: The information provided below represents the
+Added: Company’s most up to date information regarding results from the Company’s FDA approved and submitted eINDs and approved phase
+Added: I/II INDs and other trial related activities:
+Added: For each of the patients that have been treated
+Added: under the Company’s approved eIND’s described below, the Company had endeavored to obtain initial and follow-up patient information
+Added: beginning with the initial date that Zofin TM was administered.
+Added: As stated earlier, the collection of this information was not
+Added: required by applicable FDA regulations, but the Company desired to obtain such information in an effort to support and improve its ongoing
+Added: research and development activities.
+Added: The patient outcome information provided below for each eIND identified is based on information provided
+Added: by the patient’s treating physicians, has not been audited and/or verified by the Company or by any independent third party for
+Added: accuracy or completeness and the Company does not make any representations as to the accuracy or completeness of such information.
+Added: the Company is not making any claims and/or inferences as to any direct or indirect correlation of the reported patient outcomes and the
+Added: use of Zofin TM by providing such information.
+Added: eIND#22370 approved on 05/11/2020 - Treatment for Acute hypoxic respiratory failure with ARDS secondary
+Added: to COVID-19 infection for single patient.
+Added: Patient required mechanical ventilation prior to treatment and developed acute metabolic encephalopathy
+Added: with ICU delirium along with acute kidney injury and anemia.
+Added: The patient was treated in May 2020.
+Added: Patient’s respiratory function
+Added: at 21-days post treatment, transitioned from a 21% t-collar to room air PMV and decannulation on day 26.
+Added: The physician reported that patient
+Added: was discharged from hospital after 29-days post treatment.
+Added: The single eIND was closed during FDA’s annual reporting.
+Added: eIND#22371 approved on 05/11/2020 - Treatment for Acute hypoxic respiratory secondary to bilateral pneumonia
+Added: secondary to COVID-19 with ARDS for single patient.
+Added: Patient had also developed acute kidney failure due to sepsis and was placed on hemodialysis.
+Added: The patient was treated in May 2020.
+Added: During the course of the treatment, patient’s respiratory function transitioned from CPAP 5
+Added: PS 10 30% ventilation to 30% T-Collar ventilation by day 28.
+Added: The patient’s acute delirium improved.
+Added: During the observational 21-day
+Added: period, the physician reported that the patient remained in the step-down unit and required regular hemodialysis treatment due to the
+Added: kidney injury.
+Added: The physician reported that the patient passed away 104 days after treatment.
+Added: The single eIND was closed during FDA’s
+Added: annual reporting.
+Added: eIND#22897 approved on 05/29/2020 – Treatment for Acute respiratory failure with hypoxia, secondary
+Added: to COVID-19 with ARDS for single patient.
+Added: Patient had respiratory impairment due to ARDS and an acute kidney injury that required regular
+Added: hemodialysis.
+Added: The patient was treated in June 2020.
+Added: After receiving the treatment, the patient’s respiratory function improved with
+Added: a complete decannulation from oxygen therapy by day 4.
+Added: The patient had a complete recovery of renal function, with decreased creatinine
+Added: concentration levels, and was removed from hemodialysis by day 17.
+Added: The physician indicated that the patient was discharged 26-days post
+Added: treatment initiation.
+Added: The single eIND was closed during FDA’s annual reporting.
+Added: eIND#25426 approved on 07/24/2020 - Treatment of COVID-19 positive for single patient.
+Added: The patient was
+Added: treated in July 2020.
+Added: The patient was experiencing fatigue, cough, and shortness of breath at rest and upon exertion.
+Added: At baseline, the
+Added: patient’s oxygen saturation was 94% with elevated inflammatory biomarkers TNF-a, IL-6, CRP, and D-dimer.
+Added: Patient reported improvement
+Added: in fatigue, cough, and shortness of breath by day 21.
+Added: Furthermore, inflammatory biomarkers IL-6, CRP, and TNF-alpha all decreased into
+Added: normal range within 21 days.
+Added: The physician indicated that the patient reported returning to normal activity by day 28.
+Added: The single eIND
+Added: was closed during FDA’s annual reporting.
+Added: eIND#25888 approved on 8/01/2020 - Treatment of post COVID-19 complication for single patient.
+Added: was treated in August 2020.
+Added: Patient was experiencing shortness of breath, fevers, total malaise, arthropathies vomiting, diarrhea, headaches,
+Added: and loss of smell.
+Added: At baseline, bilateral pneumonia with shortness of breath was the primary factor that lead to the long-hauler diagnosis.
+Added: Blood oxygen saturation level was 95%.
+Added: The patient began to experience improvements in shortness of breath complications early in the
+Added: treatment protocol.
+Added: By the conclusion of the study, the physician indicated that the patient returned to normal with no observation of
+Added: impairments or respiratory distress.
+Added: The single eIND was closed during FDA’s annual reporting.
+Added: eIND#26560 approved on 8/17/2020 - Treatment of post-COVID-19 complications for single patient.
+Added: was treated in August 2020.
+Added: At baseline, the patient reported prolonged fatigue and shortness of breath.
+Added: No abnormalities were found in
+Added: chest x-ray images, oxygen saturation, or inflammatory biomarkers.
+Added: 20 days post treatment, the physician indicated that the patient continued
+Added: to experience post-COVID-19 fatigue, shortness of breath, muscle aches, and hair loss.
+Added: The single eIND was closed during FDA’s annual
+Added: eIND#26561 approved on 8/17/2020 - Treatment of post-COVID-19 complications for single patient.
+Added: was treated in August 2020.
+Added: At baseline, the patient reported prolonged fatigue, shortness of breath, body aches and headaches.
+Added: improvements in fatigue, mental fog, and shortness of breath with exertion were reported 3 days after the 3 rd dose.
+Added: physician indicated that the patient refused to have further follow up 3 days after the 3 rd dose.
+Added: The single eIND was closed
+Added: during FDA’s annual reporting.
+Added: eIND#26676 approved on 8/20/2020 - Treatment of respiratory failure due to COVID-19 infection for single
+Added: The patient was treated in August 2020.
+Added: Patient was in ICU in severe critical condition prior to initiation of the treatment.
+Added: The physician indicated that the patient passed away 5 days after initiation of the treatment, having received two of the three doses
+Added: of Zofin TM as per the protocol.
+Added: The single eIND was closed during FDA’s annual reporting
+Added: eIND#26700 approved on 8/21/2020 - Treatment for ARDS associated with COVID-19 for a single patient.
+Added: patient was treated in August 2020.
+Added: Patient was in ICU in severe critical condition prior to initiation of the treatment.
+Added: The physician
+Added: indicated that the patient passed away 7 days after initiation of the treatment, having received two of the three doses of Zofin TM
+Added: as per the protocol.
+Added: The single eIND was closed during FDA’s annual reporting.
+Added: eIND#26776 approved on 8/25/2020 - Treatment of COVID-19 positive for single patient.
+Added: The patient was
+Added: treated in September 2020.
+Added: Patient was experiencing significant fatigue, cough, and shortness of breath;
+Added: inflammatory biomarker CRP was
+Added: also elevated at baseline.
+Added: Initial O2 saturation levels fluctuated from 88-95%.
+Added: Significant improvements were first noted 2 days after
+Added: the 2nd dose including a decrease in fever and overall improvement in wellbeing.
+Added: At day 14, the physician reported that the patient returned
+Added: to work, with a resolution of all reported symptoms.
+Added: The patients O2 saturation returned to a stable 98% and CRP biomarker levels decreased
+Added: to normal levels by day 14.
+Added: The single eIND was closed during FDA’s annual reporting.
+Added: eIND#26777 approved on 8/25/2020 - Treatment of COVID-19 positive for single patient.
+Added: The patient was
+Added: treated in September 2020.
+Added: At baseline, patient was experiencing symptoms of fever, fatigue, cough, and shortness of breath.
+Added: Patient first
+Added: reported 25% improvement after the first dose and 95% improvement 2 days after the second dose.
+Added: At the day 8 time point, the only clinical
+Added: feature still present was an occasional cough.
+Added: The physician reported that the patient returned to work 24 hours after the 3rd dose.
+Added: single eIND was closed during FDA’s annual reporting.
+Added: eIND#26864 approved on 9/05/2020 - Treatment of COVID-19 positive for single patient.
+Added: The patient was
+Added: treated in September 2020.
+Added: Patient was in ICU in severe critical condition, on ECMO, prior to initiation of the treatment.
+Added: received 4 doses of Zofin TM and the physician indicated that the patient remained stable on ECMO 21 days after the 1st dose.
+Added: The physician reported that the patient passed away 41 days after treatment initiation.
+Added: The single eIND was closed during FDA’s
+Added: annual reporting.
+Added: eIND#26821 approved on 9/22/2020 - Treatment of post COVID-19 complications for single patient.
+Added: was treated in September 2020.
+Added: At time of initiation of the treatment, the patient reported symptoms to include generalized myalgias,
+Added: headaches and fatigue.
+Added: On day 60, the physician indicated that the patient reported marked improvement with arthralgias and achiness but
+Added: still had complaints of fatigue, headaches and shortness of breath..
+Added: The single IND was closed during FDA’s annual reporting.
+Added: eIND#26964 approved on 10/10/2020 - Treatment for ARDS associated with COVID-19 for single patient.
+Added: patient was treated in October 2020.
+Added: Patient was in ICU for 16 days and in severe critical condition receiving 100% FiO2, PC mode of ventilator
+Added: and PEEP 10 prior to initiation of treatment.
+Added: The physician reported that the patient passed away 1 day after treatment initiation (only
+Added: 1 dose of the protocol was administered).
+Added: The single eIND was closed during FDA’s annual reporting.
+Added: eIND#26972 approved on 10/14/2020 - Treatment for ARDS associated with COVID-19 for single patient.
+Added: patient was treated in October 2020.
+Added: Patient was in ICU in severe critical condition prior to initiation of the treatment.
+Added: The physician
+Added: reported that the patient passed away 13 days after initiation of the first dose and having only received 2 of the 4 doses as per the
+Added: The single eIND was closed during FDA’s annual reporting.
+Added: eIND#26978 approved on 10/16/2020 - Treatment for ARDS associated with COVID-19 for single patient.
+Added: patient was treated in October 2020.
+Added: Patient was in ICU suffering with pneumonia and respiratory failure.
+Added: Initiation of treatment was
+Added: 6-days post hospital admission and the patient received a total of 4 doses of Zofin TM .
+Added: Physician reported patient was discharged
+Added: and reported to be in stable condition with complete respiratory improvement.
+Added: The single eIND was closed during FDA’s annual reporting.
+Added: eIND#27128 approved on 12/04/2020 - Treatment of mild to moderate symptoms of COVID-19 for a single patient.
+Added: The patient was treated in December 2020.
+Added: Clinical features prior to infusion included low-grade fever, chills, muscle and joint aches,
+Added: severe headaches, dry cough, feeling slightly breathless and fatigue.
+Added: Upon day 13, physician reported the patient had less muscle and
+Added: joint aches and increased energy.
+Added: The single eIND was closed during FDA’s annual reporting.
+Added: eIND#27165 approved on 12/15/2020 - Treatment of COVID-19 pneumonia and respiratory failure with ARDS
+Added: for a single patient.
+Added: The patient was treated in December 2020.
+Added: Patient had a severely debilitating medical situation following COVID-19.
+Added: Prior to the use of Zofin TM , patient required use of 100% oxygen non-rebreather face mask.
+Added: The physician reported that the
+Added: patient passed away 75 days after only receiving the initial dose of the protocol (only 1 dose of Zofin TM was administered,
+Added: the patient refused the second and third doses at day 4 and 8 as prescribed by the protocol).
+Added: The single eIND was closed during FDA’s
+Added: annual reporting.
+Added: Expanded Access to Zofin TM (Organicell TM Flow) approved on 09/24/2020 - Treatment
+Added: of Patients with COVID-19 Outpatient and Inpatient Population.
+Added: The IRB was approved by the Institute of Regenerative and Cellular Medicine
+Added: on December 16, 2020 (approval number:
+Added: IRCM-2020-269).
+Added: The trial was conducted at United Memorial Medical Center in Houston, Texas.
+Added: study enrolled a total of 11 subjects:
+Added: adults between the age of 35 to 69 who were fighting COVID-19 infection and presented respiratory
+Added: fatigue with and without exertion, cough, and shortness of breath and met all inclusion/exclusion criteria.
+Added: One patient withdrew before
+Added: receiving any doses of Zofin TM .
+Added: Two subjects withdrew at day 14 post treatment with Zofin TM .
+Added: As a result, eight
+Added: subjects completed the day 30 follow-up and are included in the data analysis.
+Added: The administration of Zofin TM in the trial
+Added: was well tolerated in all enrolled subjects, with no adverse events.
+Added: Chest X-ray data demonstrated that 75% of subjects had bilateral
+Added: opacities caused by COVID-19 infection at day 0 (baseline), prior to treatment with Zofin TM and thirty (30) days after
+Added: Zofin TM treatment, chest X-ray data showed 83% of treated subjects had normal lung imaging, indicating complete recovery.
+Added: Upon such time that Organicell enrolls and submits additional patient data from the above-mentioned study, Organicell intends to submit
+Added: the updated results of the trial to the FDA for approval of an amendment to the Company’s previously approved IND (NCT04384445)
+Added: to perform a placebo-controlled Phase II clinical trial to confirm safety and efficacy in a randomized fashion.
+Added: IND # 19881 approved on 04/30/2020 - A Phase I/II Randomized, Double Blinded, Placebo Trial to Evaluate
+Added: the Safety and Potential Efficacy of Intravenous Infusion of OrganicellTM Flow for the Treatment of Moderate to Severe Acute Respiratory
+Added: Syndrome (SARS) Related to COVID-19 Infection vs Placebo.
+Added: IRB was approved by the Institute of Regenerative and Cellular Medicine (“IRCM”)
+Added: on 06/04/2020 (approval number:
+Added: IRCM-2020-254).
+Added: The clinical trial is currently in process.
+Added: A total of ten patients have been enrolled
+Added: to the study thus far and currently the clinical trial is not enrolling subjects due to the challenges of enrolling the remaining study
+Added: IND #27378 approved on 06/24/21.
+Added: A Phase I/II Randomized, Double Blinded, Placebo Trial to Evaluate the
+Added: Safety and Potential Efficacy of Intravenous Infusion of Zofin TM (Organicell TM Flow) for the Treatment of Post COVID-19
+Added: Complications “Long Haulers” vs Placebo.
+Added: The Company and the CRO are currently working to initiate the trial which the
+Added: Company expects enrollment to begin during February 2022, subject to the successful negotiation and execution of definitive agreements
+Added: with the site facility where the study patients will be treated and the Company raising sufficient working capital to finance the trial,
+Added: as to all of which no assurance can be given.
+Added: IND # 23198 approved on 01/27/2021.
+Added: A Phase I/II Double Blinded, Placebo Trial to Evaluate the Safety
+Added: and Potential Efficacy of Intravenous Infusion of Zofin™ (Organicell TM Flow) for the Treatment of patients diagnosed
+Added: with chronic obstructive pulmonary disease (COPD).
+Added: Expected to start trial during the quarter ending April 30, 2022.
+Added: The Company and the
+Added: CRO are currently working to initiate the trial which the Company expects enrollment to begin during the quarter ending April 30, 2022,
+Added: subject to the successful negotiation and execution of definitive agreements with the site facility where the study patients will be treated
+Added: and the Company raising sufficient working capital to finance the trial, as to all of which no assurance can be given.
+Added: IND # 23788 approved on 04/06/2021.
+Added: A Phase I/II Randomized, Double Blinded, Placebo Trial to Evaluate
+Added: the Safety and Potential Efficacy of Zofin TM Infused Intravenously in Patients Suffering with Knee Osteoarthritis vs Placebo.
+Added: The Company and the CRO are currently working to initiate the trial which the Company expects enrollment to begin during the quarter ending
+Added: July 31, 2022, subject to the successful negotiation and execution of definitive agreements with the site facility where the study patients
+Added: will be treated and the Company raising sufficient working capital to finance the trial, as to all of which no assurance can be given.
+Added: In April 2021, we announced that an initial trial of ten COVID -19 patients in India conducted by CWI
+Added: India, our Indian partner, generated positive results.
+Added: The trial had been conducted by CWI India, our Indian partner with whom we had
+Added: entered a product testing and distribution agreement in February 2021, to collaborate on a study or studies to evaluate the effects of
+Added: Zofin™ on moderate to severe COVID-19 patients in India.
+Added: The ten patients in the initial trial were treated at hospitals in Bangalore,
+Added: Kozhikode and Chennai, and all ten patients recovered from their symptoms and were discharged from the hospital.
+Added: Based on the initial
+Added: results of this trial, CWI India has since been seeking to obtain government approval to conduct an expanded trial of up to sixty-five
+Added: patients with moderate to severe COVID-19, who were to be treated at these hospitals.
+Added: To date, CWI India has not obtained the required
+Added: approval and it is uncertain if they will ultimately be successful in doing so.
+Added: If approval is eventually obtained, we anticipate that
+Added: CWI India will conduct the trials in a timely manner.
+Added: If the results of the expanded trial prove to be positive, Organicell and CWI India
+Added: intend to file with the ICMR (Indian Council for Medical Research) for Emergency Use Approval to use Zofin™ in India as a therapeutic
+Added: for treating COVID-19.
+Added: In May 2021, the Company announced that its Zofin TM therapy has been approved by Pakistani
+Added: regulators to be used for a treatment of a single COVID-19 patient hospitalized at the Pakistan Institute of Medical Sciences under compassionate
+Added: In addition to this compassionate grounds authorization, Organicell received further indications to begin a broader trial of
+Added: Zofin TM with up to 60 additional patients suffering from moderate to severe COVID-19.
+Added: The Company has already shared data
+Added: with Pakistani regulatory authorities in the country in support of this effort.
+Added: To date, the Company and the Company’s Pakistani
+Added: partner for the proposed study have not obtained the required approvals and the Company is uncertain if they will ultimately be successful
+Added: If approval is eventually obtained, we anticipate that the trial will be conducted in a timely manner.
+Added: In addition, in May
+Added: 2021, Organicell also entered into a one-year exclusive distribution agreement with Apex Services Pakistan to import and distribute Zofin TM
+Added: to hospitals and clinics in the country, subject to the issuance of all necessary approvals and licenses by the Drug Regulatory Authority
+Added: of Pakistan, which as previously stated, have not yet been obtained.
+Added: The Company is pursuing efforts to complete all
+Added: of its approved clinical trials and to obtain approval for and commence additional studies for other specific indications it has identified
+Added: that the use of its products will provide more favorable and desired health related benefits for patients seeking alternative treatment
+Added: options than are currently available.
+Added: The ability of the Company to succeed in these efforts is subject to among other things, the Company
+Added: having sufficient available working capital to fund the substantial costs of completing clinical trials, which the Company currently does
+Added: not have, and ultimately, obtaining approval from the FDA.
+Added: Environmental Laws
+Added: Since May 2019, we have operated laboratory facilities
+Added: that process or directly handled biomedical materials whereby we receive and/or generate wastes that are required to be disposed.
+Added: with third parties for the transport, treatment, and disposal of the waste that we obtain and at all times plan on being compliant with
+Added: applicable laws and regulations promulgated by the Resource Conservation and Recovery Act, the U.S.
+Added: Environmental Protection Agency and
+Added: similar state agencies.
+Added: At October 31, 2021, we had approximately 22 full-time
+Added: employees and no part-time employees.
+Added: We also engaged two other persons as consultants that assisted with various regulatory and administrative
+Added: From time to time, the Company engages independent contractors for sales and administration activities.
+Added: There are no collective
+Added: bargaining agreements.
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.