UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
Form 10-Q
(Mark One)
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☑
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QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
EXCHANGE ACT OF 1934
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For the quarterly period ended September 30, 2016
or
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☐
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TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
EXCHANGE ACT OF 1934
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For the transition period from
to
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Commission File Number: 000-54014
VistaGen Therapeutics, Inc.
(Exact name of registrant as specified in its charter)
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Nevada
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20-5093315
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(State or other jurisdiction of
incorporation or organization)
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(I.R.S. Employer
Identification No.)
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343 Allerton Avenue
South San Francisco, CA 94080
(Address of principal executive offices including zip
code)
(650) 577-3600
(Registrant’s telephone number, including area
code)
Indicate by check mark whether the registrant (1) has filed
all reports required to be filed by Section 13 or 15(d) of the
Securities Exchange Act of 1934 during the preceding 12 months
(or for such shorter period that the registrant was required to
file such reports), and (2) has been subject to such filing
requirements for the past 90 days. Yes ☒ No ☐
Indicate by check mark whether the registrant has submitted
electronically and posted on its corporate Web site, if any, every
Interactive Data File required to be submitted and posted pursuant
to Rule 405 of Regulation S-T (§232.405 of this
chapter) during the preceding 12 months (or for such shorter
period that the registrant was required to submit and post such
files). Yes ☒
No ☐
Indicate by check mark whether the registrant is a large
accelerated filer, an accelerated filer, a non-accelerated filer,
or a smaller reporting company. See the definitions of “large
accelerated filer,” “accelerated filer” and
“smaller reporting company” in Rule 12b-2 of the
Exchange Act.
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Large accelerated filer
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[ ]
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Accelerated filer
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[ ]
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Non-Accelerated filer
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[ ]
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Smaller reporting company
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[X]
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(do not check if a smaller reporting company)
Indicate by check mark whether the registrant is a shell company
(as defined in Rule 12b-2 of the Exchange Act). Yes
☐ No ☒
As of November 11, 2016, 8,379,921 shares of the registrant’s common stock,
$0.001 par value, were issued and
outstanding.
VistaGen Therapeutics, Inc.
Quarterly Report on Form 10-Q
for the Quarter Ended September 30, 2016
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Page
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Item 1.
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1
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2
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3
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4
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15
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29
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30
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30
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65
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65
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66
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67
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PART I. FINANCIAL INFORMATION
Item 1. Condensed Consolidated Financial Statements
(Unaudited)
VISTAGEN THERAPEUTICS, INC.
CONDENSED CONSOLIDATED BALANCE
SHEETS
(Amounts in Dollars, except share amounts)
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Current
assets:
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Cash
and cash equivalents
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$6,257,100
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$428,500
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Prepaid
expenses and other current assets
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648,900
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426,800
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Total
current assets
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6,906,000
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855,300
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Property
and equipment, net
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69,200
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87,600
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Security
deposits and other assets
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47,800
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46,900
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$7,023,000
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$989,800
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LIABILITIES AND STOCKHOLDERS’ EQUITY
(DEFICIT)
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Current
liabilities:
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Accounts
payable
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$930,200
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$936,000
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Accrued
expenses
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795,000
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814,000
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Current
portion of notes payable and accrued interest
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71,100
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43,600
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Capital
lease obligations
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600
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1,100
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Total
current liabilities
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1,796,900
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1,794,700
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Non-current
liabilities:
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Notes
payable
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-
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27,200
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Accrued
dividends on Series B Preferred Stock
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1,101,600
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2,089,600
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37,400
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55,500
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Total
non-current liabilities
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1,139,000
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2,172,300
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2,935,900
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3,967,000
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Commitments
and contingencies
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Stockholders’
equity (deficit):
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Preferred
stock, $0.001 par value; 10,000,000 shares authorized at September
30, 2016 and March 31, 2016:
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Series
A Preferred, 500,000 shares authorized and outstanding at September
30, 2016 and March 31, 2016
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500
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500
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Series
B Preferred; 4,000,000 shares authorized at September 30, 2016 and
March 31, 2016; 1,160,240 shares
and 3,663,077 shares issued and outstanding at September 30, 2016
and March 31, 2016, respectively
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1,200
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3,700
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Series
C Preferred; 3,000,000 shares authorized at September 30, 2016 and
March 31, 2016;
2,318,012 shares issued and outstanding at September 30, 2016 and
March 31, 2016
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2,300
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2,300
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Common
stock, $0.001 par value; 30,000,000 shares authorized at September
30, 2016 and March 31, 2016;
8,405,128 and 2,623,145 shares issued at September 30, 2016 and
March 31, 2016, respectively
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8,400
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2,600
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Additional
paid-in capital
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144,854,200
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132,725,000
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Treasury
stock, at cost, 135,665 shares of common stock held at September
30, 2016 and March 31, 2016
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(3,968,100)
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(3,968,100)
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(136,811,400)
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(131,743,200)
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Total
stockholders’ equity (deficit)
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4,087,100
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(2,977,200)
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Total
liabilities and stockholders’ equity (deficit)
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$7,023,000
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$989,800
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See accompanying notes to Condensed Consolidated Financial
Statements.
VISTAGEN THERAPEUTICS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF
OPERATIONS AND COMPREHENSIVE LOSS
(Unaudited)
(Amounts in dollars, except share amounts)
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Three Months Ended
September 30,
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Six Months Ended
September 30,
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Operating
expenses:
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Research
and development
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$1,606,100
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$1,656,100
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2,431,800
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$2,028,700
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General
and administrative
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1,493,600
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3,730,500
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2,631,200
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5,179,000
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Total
operating expenses
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3,099,700
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5,386,600
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5,063,000
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7,207,700
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Loss
from operations
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(3,099,700)
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(5,386,600)
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(5,063,000)
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(7,207,700)
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Other
expenses, net:
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Interest
expense, net
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(1,400)
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(12,200)
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(2,800)
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(767,300)
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Change
in warrant liability
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-
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-
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-
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(1,894,700)
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Loss
on extinguishment of debt
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-
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(1,649,300)
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(26,700,200)
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Loss
before income taxes
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(3,101,100)
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(7,048,100)
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(5,065,800)
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(36,569,900)
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Income
taxes
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-
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(2,400)
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(2,300)
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Net
loss
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$(3,101,100)
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$(7,048,100)
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$(5,068,200)
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$(36,572,200)
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Accrued
dividend on Series B Preferred stock
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(241,000)
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(614,700)
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(780,800)
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(828,000)
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Deemed
dividend on Series B Preferred Units
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-
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(886,900)
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(111,100)
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(1,143,100)
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Net
loss attributable to common stockholders
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$(3,342,100)
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$(8,549,700)
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$(5,960,100)
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$(38,543,300)
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Basic
and diluted net loss attributable to common stockholders per
common share
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$(0.42)
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$(5.26)
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$(0.91)
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$(24.21)
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Weighted
average shares used in computing basic and
diluted net loss attributable to common stockholders
per common share
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8,041,619
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1,624,371
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6,577,769
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1,592,104
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Comprehensive
loss
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$(3,101,100)
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$(7,048,100)
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$(5,068,200)
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$(36,572,200)
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See accompanying notes to Condensed Consolidated Financial
Statements.
VISTAGEN THERAPEUTICS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH
FLOWS
(Unaudited)
(Amounts in Dollars)
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Six Months Ended September 30,
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Cash
flows from operating activities:
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Net
loss
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$(5,068,200)
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$(36,572,200)
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Adjustments
to reconcile net loss to net cash used in operating
activities:
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Depreciation
and amortization
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26,000
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28,900
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Amortization
of discounts on convertible and promissory notes
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-
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564,800
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Change
in warrant liability
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-
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1,894,700
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Stock-based
compensation
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306,700
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3,769,900
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Expense related to modification of warrants, including exchange of
warrants for Series C Preferred and common stock
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57,400
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122,300
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Amortization
of deferred rent
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(18,100)
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(11,600)
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Fair
value of common stock granted for services
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217,000
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500,000
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Fair
value of Series B Preferred stock granted for services
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375,000
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707,500
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Fair
value of warrants granted for services
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227,500
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-
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Gain
on currency fluctuation
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-
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(6,300)
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Loss
on extinguishment of debt
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-
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26,700,200
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Changes
in operating assets and liabilities:
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Prepaid
expenses and other current assets
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40,400
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24,200
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Accounts
payable and accrued expenses, including accrued
interest
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(36,800)
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(51,900)
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Net
cash used in operating activities
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(3,873,100)
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(2,329,500)
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Cash
flows from investing activities:
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Purchases
of equipment
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(7,700)
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-
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Net
cash used in investing activities
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(7,700)
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-
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Cash
flows from financing activities:
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Net
proceeds from issuance of common stock and warrants, including
Units
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9,537,100
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280,000
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Net
proceeds from issuance of Series B Preferred Units
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278,000
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2,722,800
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Repayment
of capital lease obligations
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(500)
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(500)
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Repayment
of notes
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(105,200)
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(48,800)
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Net
cash provided by financing activities
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9,709,400
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2,953,500
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Net
increase in cash and cash equivalents
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5,828,600
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624,000
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Cash
and cash equivalents at beginning of period
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428,500
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70,000
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Cash
and cash equivalents at end of period
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$6,257,100
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$694,000
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Supplemental
disclosure of noncash activities:
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Conversion
of Senior Secured Notes, Subordinate Convertible Notes, Promissory
Notes, Accounts payable and other debt into Series B
Preferred
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$-
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$18,891,400
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Insurance
premiums settled by issuing note payable
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$117,500
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$79,400
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Accrued
dividends on Series B Preferred
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$780,800
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$828,000
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Accrued
dividends on Series B Preferred settled upon conversion by issuance
of common stock
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$1,768,800
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$22,700
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See accompanying notes to Condensed Consolidated Financial
Statements.
VISTAGEN THERAPEUTICS, INC.
NOTES TO CONDENSED CONSOLIDATED
FINANCIAL STATEMENTS
(Unaudited)
Note 1. Description of Business
Overview
VistaGen Therapeutics, Inc. (NASDAQ: VTGN), a Nevada corporation,
is a clinical-stage biopharmaceutical company dedicated to
developing and commercializing innovative product candidates for
patients with diseases and disorders involving the central nervous
system (CNS). Our principal executive offices are
located at 343 Allerton Avenue, South San Francisco,
California 94080, and our telephone number is (650) 577-3600. Our
website address is www.vistagen.com.
Unless the context otherwise requires, the words
“VistaGen Therapeutics,
Inc.”
“VistaGen,” “we,” “the Company,” “us” and “our” refer to VistaGen Therapeutics, Inc., a
Nevada corporation.
Our lead product candidate, AV-101, is a new generation, oral
antidepressant drug candidate in Phase 2 development for the
adjunctive treatment of Major Depressive Disorder
(MDD) in patients with an inadequate response to
standard antidepressants approved by the U.S. Food and Drug
Administration (FDA). We believe AV-101 may also have
therapeutic potential in chronic neuropathic pain, epilepsy,
Huntington’s disease and Parkinson’s
disease.
AV-101’s mechanism of action, as an N-methyl D aspartate
receptor (NMDAR) antagonist binding selectively at the glycine
binding (GlyB) co-agonist site of the NMDAR, is fundamentally
differentiated from all FDA-approved antidepressants, as well as
all atypical antipsychotics used to augment standard antidepressant
therapy.
Our ongoing Phase 2a clinical study of AV-101 in subjects with
treatment-resistant MDD is being fully funded by the U.S. National
Institute of Mental Health (NIMH) under our February 2015 Cooperative Research and
Development Agreement (CRADA) with the NIMH, and is being conducted by Dr.
Carlos Zarate, Jr., Chief of the NIMH’s Experimental
Therapeutics & Pathophysiology Branch and its Section on
Neurobiology and Treatment of Mood and Anxiety Disorders. The first
patient in this NIMH-sponsored Phase 2a study was dosed in November
2015. Previous NIMH studies, including studies conducted by Dr.
Zarate, have focused on the antidepressant effects of low dose,
intravenous (I.V.) ketamine in patients with treatment-resistant
depression. These NIMH studies, as well as clinical research by
others, have demonstrated robust antidepressant effects in patients
with treatment-resistant MDD within twenty-four hours of a single
low dose of I.V. ketamine. We believe orally administered AV-101
may have potential to deliver ketamine-like fast-acting
antidepressant effects without ketamine’s serious side
effects.
We are preparing to launch our Phase 2b clinical study of AV-101
for the adjunctive treatment of MDD in patients with an inadequate
response to standard, FDA-approved antidepressants. We
currently anticipate commencement of this multi-center, multi-dose,
double blind, placebo-controlled Phase 2b efficacy and safety study
in the first half of 2017. Dr. Maurizio Fava, Professor of
Psychiatry at Harvard Medical School and Director, Division of
Clinical Research, Massachusetts General Hospital
(MGH) Research Institute, will be the Principal
Investigator of our Phase 2b study of AV-101 in MDD. Dr.
Fava was the co-Principal Investigator with Dr. A. John Rush of the
largest clinical trial conducted in depression to date, the STAR*D
study, whose findings were published in journals such as the New
England Journal of Medicine (NEJM) and the Journal of the American Medical
Association (JAMA). We currently anticipate top line results in
this Phase 2b study in the third calendar quarter of
2018.
In addition to clinical development of AV-101, we are advancing
potential commercial applications of our human pluripotent stem
cell (hPSC) technology
platform, including drug rescue and regenerative medicine
(RM). Our small
molecule drug rescue programs involve using CardioSafe 3D, our
customized cardiac bioassay system, to develop new chemical
entities (NCEs) for our
internal pipeline. Potential RM applications include using
blood, cartilage, heart and/or liver cells derived from hPSCs for
(A) cell-based therapy, (B) cell repair therapy, and/or (C) tissue
engineering. We may pursue these drug rescue and RM
applications in collaboration with third-parties.
AV-101 and Major Depressive Disorder
Background
The World Health Organization (WHO) estimates that 350 million people worldwide are
affected by depression. According to the U.S. National Institutes
of Health (NIH) major depression is one of the most common
mental disorders in the U.S. The NIMH reports that, in 2014, an
estimated 15.7 million adults aged 18 or older in the U.S. had at
least one major depressive episode in the past year. This
represented 6.7 percent of all U.S. adults. According to the U.S.
Centers for Disease Control and Prevention (CDC) one in 10 Americans over the age of 12 takes an
antidepressant medication.
Most standard, FDA-approved antidepressants target neurotransmitter
reuptake inhibition – either serotonin (SSRIs) or serotonin/norepinephrine (SNRIs). Even when effective, these standard depression
medications take many weeks to achieve adequate antidepressant
effects. Nearly two out of every three drug-treated depression
patients, including an estimated 6.9 million drug-treated MDD
patients in the U.S., obtain inadequate therapeutic benefit from
initial treatment with a standard antidepressant. Unfortunately,
even after treatment with as many as four different standard
antidepressants, nearly one out of every three drug-treated
depression patients do not achieve adequate therapeutic
benefits. Such depression patients often seek to treat
their depression with non-drug-related approaches, such as
Electroconvulsive Therapy (ECT), or to augment their inadequate response to
standard antidepressants by adding an atypical antipsychotic (such
as, for example, aripiprazole) to their treatment regimen, despite
the modest potential therapeutic benefit and significant risk of
additional side effects with such augmentation
options.
All standard antidepressants have risks of significant side
effects, including, among others, potentially anxiety, metabolic
syndrome, sleep disturbance and sexual dysfunction. They
also have a “Black Box” warning due to risks of
worsening depression and suicide in certain groups. Use of atypical
antipsychotics to augment inadequately performing standard
antidepressants increases the risk of serious side effects,
including, potentially, tardive dyskinesia, significant weight
gain, diabetes and heart disease, while offering only a modest
potential increase in therapeutic benefit. Use of ECT increases the
risk of serious side effects, including, headaches, tiredness,
disorientation, intense sleepiness, hallucinations and long-term
memory loss.
AV-101
AV-101, our oral new generation antidepressant drug candidate, is
in Phase 2 clinical development for the adjunctive treatment of MDD
patients with an inadequate response to standard antidepressants.
As published in the October 2015 issue of the
peer-reviewed, Journal of Pharmacology and
Experimental Therapeutics, in an article entitled, The prodrug 4-chlorokynurenine
causes ketamine-like antidepressant effects, but not side effects,
by NMDA/glycineB-site inhibition, using well-established preclinical models of
depression, AV-101 was shown to induce fast-acting, dose-dependent,
persistent and statistically significant antidepressant-like
responses, following a single treatment. These responses were
equivalent to those seen with a single, sub-anesthetic control dose
of the NMDAR antagonist ketamine. In the same preclinical studies,
a standard antidepressant, the SSRI fluoxetine, did not induce
rapid onset antidepressant-like responses. In addition, these
studies confirmed that the fast-acting antidepressive effects of
AV-101 were mediated through the GlyB site and involved the
activation of a key neurological pathway, the
alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic
acid (AMPA) receptor pathway. Activation of the AMPA
receptor pathway is a common feature of fast-acting
antidepressants.
Following the completion of our NIH-funded, randomized, double
blind, placebo-controlled Phase 1a and Phase 1b safety studies, we
are now collaborating with the NIMH in a Phase 2a study. Under our
February 2015 CRADA, the NIMH is funding, and Dr. Carlos Zarate Jr.
of the NIMH as Principal Investigator is conducting, our ongoing
Phase 2a efficacy and safety study of AV-101 in subjects with
treatment-resistant MDD. The trial is expected to enroll 20 to 28
patients. The first patient was dosed in November 2015,
and we currently anticipate receiving topline results in the second
quarter of 2017.
We are preparing to launch our Phase 2b clinical study of AV-101
for the adjunctive treatment of MDD in patients with an inadequate
response to standard, FDA-approved antidepressants. We anticipate
the launch of this Phase 2b study, with Dr. Maurizio Fava of
Harvard Medical School serving as Principal Investigator, in the
first half of 2017. We anticipate top line results from this Phase
2b study in the third calendar quarter of
2018.
Several preclinical studies support the hypothesis that AV-101 also
has the potential to treat multiple CNS disorders and
neurodegenerative diseases in addition to depression, including
chronic neuropathic pain, epilepsy, Parkinson’s disease and
Huntington’s disease, where modulation of the NMDAR, AMPA
pathway and/or active metabolites of AV-101 may achieve therapeutic
benefit.
CardioSafe 3D™; NCE Drug Rescue and Regenerative
Medicine
CardioSafe 3D™ is
our customized in vitro cardiac bioassay system capable of
predicting potential human heart toxicity of small molecule
NCEs in vitro, long before they are ever tested in animal and
human studies. Our current strategic interests involving our stem
cell technology platform include (i) advancing current internal
efforts focused on CardioSafe 3D drug rescue to expand our drug candidate
pipeline with selected proprietary small molecule NCEs, leveraging
substantial prior research and development investments by
pharmaceutical companies and others related to public domain NCEs
terminated before FDA approval due to heart toxicity risks and (ii)
establishing collaborative arrangements with qualified
third-parties focused on RM applications, including (A) cell-based therapy
(injection of stem cell-derived mature organ-specific cells
obtained through directed differentiation), (B) cell repair therapy
(induction of regeneration by biologically active molecules
administered alone or produced by infused genetically engineered
cells), or (C) tissue engineering (transplantation
of in
vitro grown complex
tissues), involving hPSC-derived blood, bone, cartilage, heart
and/or liver cells. We may collaborate with one or more
third-parties in connection with these potential commercial
applications of our stem cell technology
platform.
Subsidiaries
VistaGen Therapeutics, Inc., a California corporation
(VistaGen
California), is our
wholly-owned subsidiary. Our Condensed Consolidated Financial
Statements in this Report also include the accounts of VistaGen
California’s two wholly-owned subsidiaries, Artemis
Neuroscience, Inc., a Maryland corporation, and VistaStem Canada,
Inc., a corporation organized under the laws of Ontario,
Canada.
Note 2. Basis of Presentation
The accompanying unaudited Condensed Consolidated Financial
Statements have been prepared in accordance with accounting
principles generally accepted in the United States
(U.S.
GAAP) for interim financial
information and with the instructions to Form 10-Q and
Rule 8-03 of Regulation S-X. Accordingly, they do not contain
all of the information and footnotes required for complete
consolidated financial statements. In the opinion of management,
the accompanying unaudited Condensed Consolidated Financial
Statements reflect all adjustments, which include only normal
recurring adjustments, necessary to present fairly our interim
financial information. The accompanying Condensed Consolidated
Balance Sheet at March 31, 2016 has been derived from our audited
consolidated financial statements at that date but does not include
all disclosures required by U.S. GAAP. The operating results
for the three and six months ended September 30, 2016 are not
necessarily indicative of the operating results to be expected for
our fiscal year ending March 31, 2017 or for any other interim
period or any other future period.
The accompanying unaudited Condensed Consolidated Financial
Statements and notes to Condensed Consolidated Financial Statements
should be read in conjunction with our audited Consolidated
Financial Statements for the fiscal year ended March 31, 2016
contained in our Annual Report on Form 10-K, as filed with the
Securities and Exchange Commission (SEC) on June 24, 2016.
The accompanying unaudited Condensed Consolidated Financial
Statements have been prepared assuming we will continue as a going
concern. As a developing-technology company having not yet
developed commercial products or achieved sustainable revenues, we
have experienced recurring losses and negative cash flows from
operations resulting in a deficit of $136.8 million accumulated
from inception through September 30, 2016. We expect losses and
negative cash flows from operations to continue for the foreseeable
future as we engage in further potential development of AV-101 and
launch and execute our drug rescue programs and pursue potential
drug development and regenerative medicine
opportunities.
Since our inception in May 1998 through September 30, 2016, we have
financed our operations and technology acquisitions primarily
through the issuance and sale of our equity and debt securities,
including convertible promissory notes and short-term promissory
notes, for cash proceeds of approximately $44.3 million, as well as
from an aggregate of approximately $16.4 million of government
research grant awards, strategic collaboration payments and other
revenues. Additionally, we have issued equity securities with an
approximate value at issuance of $30.1 million in non-cash
settlements of certain liabilities, including liabilities for
professional services rendered to us or as compensation for such
services.
Between April 1, 2016 and May 4, 2016, we
sold to accredited investors Series B Preferred Units consisting of
39,714 unregistered shares of our Series B Preferred Stock, par
value $0.001 per share (Series B
Preferred), and five year
warrants to purchase 39,714 shares of our common stock, from which
we received cash proceeds of $278,000. Further, on May 16, 2016 we
consummated an underwritten public offering pursuant to which we
issued an aggregate of 2,570,040 registered shares of our
common stock at the public offering price of $4.24 per share and
five-year warrants to purchase up to 2,705,883 registered
shares of common stock, with an exercise price of $5.30 per share,
at the public offering price of $0.01 per warrant, including shares
and warrants issued pursuant to the exercise of the underwriters'
over-allotment option (the May 2016 Public
Offering). We received
net cash proceeds of approximately $9.5 million from the May 2016
Public Offering after deducting fees and expenses.
We believe that we
currently have sufficient financial resources to fund our expected
operations through the first half of 2017, including preparation
for and launch of our AV-101 Phase 2b study in MDD. Although
our current financial resources are not yet sufficient to complete
our AV-101 Phase 2b study when launched, we anticipate raising
sufficient additional capital through sales of our securities in
2017 to satisfy our key corporate objectives, including completion
of our AV-101 Phase 2b study in 2018. There can be no assurance,
however, that future financing will be available in sufficient
amounts, in a timely manner, or on terms acceptable to us,
if at all. We may also seek research and development
collaborations that could generate revenue, as well as government
grant awards. Further, strategic collaborations, such as our
February 2015 CRADA with the NIMH providing for the NIMH to fund
our Phase 2a study of AV-101 in MDD, may provide non-dilutive
resources to advance our strategic initiatives while reducing a
portion of our future cash outlays and working capital
requirements. Although we may seek additional collaborations that
could generate revenue, as well as new government grant awards, no
assurance can be provided that any such collaborations or awards
will occur in the future. Our future working capital
requirements will depend on many factors, including, without
limitation, the scope and nature of opportunities related to our
success and the success of certain other companies in clinical
trials, including our development of AV-101 as a treatment for MDD
and other CNS conditions, and our stem cell technology platform,
the availability of, and our ability to obtain, government grant
awards and our ability to enter into collaborations on terms
acceptable to us. To further advance the clinical development of
AV-101 and our stem cell technology platform, as well as support
our operating activities, we plan to continue to carefully manage
our routine operating costs, including our employee headcount and
related expenses, as well as costs relating to regulatory
consulting, contract research and development, investor relations
and corporate development, legal, accounting, public company
compliance and other professional services and working capital
costs.
Notwithstanding the foregoing, substantial additional financing may
not be available to us on a timely basis, on acceptable terms, or
at all. If we are unable to obtain substantial additional financing
on a timely basis in the near term, our business, financial
condition, and results of operations may be harmed, the price of
our stock may decline, we may be required to reduce, defer, or
discontinue certain of our research and development activities and
we may not be able to continue as a going concern. These
unaudited Condensed Consolidated Financial Statements do not
include any adjustments that might result from the outcome of this
uncertainty.
Note 3. Summary of Significant Accounting
Policies
Use of Estimates
The preparation of financial statements in conformity with
U.S. GAAP requires management to make estimates and
assumptions that affect the reported amounts of assets and
liabilities, the disclosure of contingent assets and liabilities at
the date of the financial statements, and the reported amounts of
revenues and expenses during the reporting period. Actual results
could differ from those estimates. Significant estimates
include those relating to share-based compensation, and assumptions
that have been used to value warrants, warrant modifications,
warrant liabilities. We do not currently have, nor have we had
during the periods covered by this report, any arrangements
requiring the recognition of revenue.
Research and Development Expenses
Research and development expenses are composed of both internal and
external costs. Internal costs include salaries and
employment-related expenses of scientific personnel and direct
project costs. External research and development expenses consist
primarily of costs associated with nonclinical and clinical
development of AV-101, now in Phase 2 clinical development,
initially for Major Depressive Disorder, stem cell
technology-related research and development costs, and costs
related to the filing, maintenance and prosecution of patents and
patent applications. All such costs are charged to expense as
incurred.
Stock-Based Compensation
We recognize compensation cost for all stock-based awards to
employees or consultants based on the grant date fair value of the
award. Non-cash, stock-based compensation expense is recognized
over the period during which the employee or consultant is required
to perform services in exchange for the award, which generally
represents the scheduled vesting period. We have no awards with
market or performance conditions. For equity awards to
non-employees, we re-measure the fair value of the awards as they
vest and the resulting value is recognized as an expense during the
period over which the services are performed.
The table below summarizes stock-based compensation expense
included in the accompanying Condensed Consolidated Statements of
Operations and Comprehensive Loss for the three and six months
ended September 30, 2016 and 2015.
|
|
|
|
|
|
|
|
|
|
|
Research
and development expense:
|
|
|
|
|
|
|
|
|
|
Stock
option grants
|
$82,000
|
$31,900
|
$126,000
|
$47,400
|
Warrants
granted to officer in March 2014
|
-
|
2,900
|
-
|
5,700
|
Warrants
granted to officer in September 2015
|
-
|
852,200
|
-
|
852,200
|
|
|
|
|
|
|
82,000
|
887,000
|
126,000
|
905,300
|
|
|
|
|
|
General
and administrative expense:
|
|
|
|
|
|
|
|
|
|
Stock
option grants
|
116,800
|
9,100
|
180,700
|
16,100
|
Warrants granted to officers and directors
|
|
|
|
in
March 2014
|
-
|
3,900
|
-
|
7,800
|
Warrants granted to officers, directors and
|
|
|
|
consultants
in September 2015
|
-
|
2,840,700
|
-
|
2,840,700
|
|
|
|
|
|
|
116,800
|
2,853,700
|
180,700
|
2,864,600
|
|
|
|
|
|
Total
stock-based compensation expense
|
$198,800
|
$3,740,700
|
$306,700
|
$3,769,900
|
In June 2016, our Board of Directors (the Board) approved the grant of options to purchase an
aggregate of 655,000 shares of our common stock at an exercise
price of $3.49 per share to the independent members of our Board
and to our officers, including our newly-hired Chief Medical
Officer. In September 2016, the Board approved the grant of an
option to purchase 125,000 shares of our common stock at an
exercise price of $4.27 per share to another newly-hired officer.
At September 30, 2016, there were stock options outstanding to
purchase 1,100,643 shares of our common stock at a weighted average
exercise price of $5.26 per share. We valued the options granted in
June 2016 and September 2016 using the Black-Scholes Option Pricing
Model and the following weighted average
assumptions:
Assumption:
|
|
|
Market
price per share at grant date
|
$3.49
|
$4.27
|
Exercise
price per share
|
$3.49
|
$4.27
|
Risk-free
interest rate
|
1.34%
|
1.29%
|
Contractual
or estimated term in years
|
6.68
|
6.25
|
Volatility
|
81.69%
|
83.26%
|
Dividend
rate
|
0.0%
|
0.0%
|
Shares
|
655,000
|
125,000
|
|
|
|
Fair Value per share
|
$2.50
|
$3.05
|
During September 2015, our Board approved the grant of options to
purchase an aggregate of 90,000 shares of our common stock at an
exercise price of $9.25 per share to our non-officer employees and
certain consultants. The Board also granted immediately vested
warrants to purchase an aggregate of 650,000 shares of our common
stock to our executive officers, independent members of our Board
and certain consultants. We valued the warrants and options granted
in September 2015 using the Black-Scholes Option Pricing Model and
the following assumptions:
Assumption:
|
|
|
|
Market
price per share at grant date
|
$9.11
|
$9.11
|
$9.11
|
Exercise
price per share
|
$9.25
|
$9.25
|
$9.25
|
Risk-free
interest rate
|
1.52%
|
2.02%
|
2.20%
|
Contractual
or estimated term in years
|
5.00
|
6.25
|
10.00
|
Volatility
|
77.19%
|
79.48%
|
103.42%
|
Dividend
rate
|
0.0%
|
0.0%
|
0.0%
|
Shares
|
650,000
|
60,000
|
30,000
|
|
|
|
|
Fair Value per share
|
$5.68
|
$6.35
|
$8.27
|
Comprehensive Loss
We have no components of other comprehensive loss other than net
loss, and accordingly our comprehensive loss is equivalent to our
net loss for the periods presented.
Income (Loss) per Common Share
Basic
net income (loss) per share of
common stock excludes the effect of dilution and is computed by
dividing net income (loss) by
the weighted-average number of shares of common stock outstanding
for the period. Diluted net income
(loss) per share of common stock reflects the potential
dilution that could occur if securities or other contracts to issue
shares of common stock were exercised or converted into shares of
common stock. In calculating diluted
net income (loss) per share, we have historically adjusted the
numerator for the change in the fair value of the warrant liability
attributable to outstanding warrants, only if dilutive, and
increased the denominator to include the number of potentially
dilutive common shares assumed to be outstanding during the period
using the treasury stock method. The change in the fair value of
the warrant liability, which was eliminated in May 2015, had no
impact on the diluted net earnings per share calculation in any
period included in these unaudited Condensed Consolidated Financial
Statements.
As a result of our net loss for the periods presented,
potentially dilutive securities were excluded from the computation
of net loss per share, as their effect would be antidilutive. For
the three and six month periods ended September 30, 2016 and 2015,
the accrual for dividends on our Series B Preferred and the deemed
dividend attributable to the issuance of our Series B Preferred
Units represent deductions from our net loss to arrive at net loss
attributable to common stockholders for those periods.
Potentially
dilutive securities excluded in determining diluted net loss
attributable to common stockholders per common share are as
follows:
|
|
|
|
|
|
|
|
Series A Preferred stock issued and
outstanding (1)
|
750,000
|
750,000
|
|
|
|
Series B Preferred stock issued and
outstanding (2)
|
1,160,240
|
3,426,523
|
|
|
|
Series C Preferred stock issued and
outstanding (3)
|
2,318,012
|
-
|
|
|
|
Outstanding
options under the 2008 and 1999 Stock Incentive Plans
|
1,100,643
|
296,738
|
|
|
|
Outstanding
warrants to purchase common stock
|
4,678,414
|
4,687,211
|
|
|
|
Warrant
shares issuable to PLTG upon exchange of Series A
Preferred
|
|
|
under
the terms of the October 11, 2012 Note Exchange and
Purchase
|
|
|
Agreement,
as subsequently amended
|
-
|
535,715
|
|
|
|
Total
|
10,007,309
|
9,696,187
|
____________
|
|
|
(1) Assumes exchange under the
terms of the October 11, 2012 Note Exchange and Purchase Agreement
with PLTG, as amended
|
(2) Assumes exchange under the
terms of the Certificate of Designation of the Relative Rights and
Preferences of the Series B 10% Convertible Preferred Stock,
effective May 5, 2015
|
(3) Assumes exchange under the
terms of the Certificate of Designation of the Relative Rights and
Preferences of the Series C Convertible Preferred Stock, effective
January 25, 2016
|
Recent Accounting Pronouncements
Other
than as identified below, there have been no recent accounting
pronouncements or changes in accounting pronouncements during the
six months ended September 30, 2016, as compared to the recent
accounting pronouncements described in the Company’s Form
10-K for the fiscal year ended March 31, 2016, that are of
significance or potential significance to the Company.
In August 2016, the Financial Accounting Standards Board issued
guidance to reduce the diversity in the presentation of certain
cash receipts and cash payments presented and classified in the
statement of cash flows. The guidance addresses the following eight
specific cash flow issues: (1) debt prepayment or debt
extinguishment costs, (2) settlement of zero-coupon debt
instruments or other debt instruments with coupon interest rates
that are insignificant in relation to the effective interest rate
of the borrowing, (3) contingent consideration payments made after
a business combination, (4) proceeds from the settlement of
insurance claims, (5) proceeds from settlement of corporate-owned
life insurance policies, including bank-owned life insurance
policies, (6) distributions received from equity method investees,
(7) beneficial interests in securitization transitions and (8)
separately identifiable cash flows and application of predominance
principle. The guidance will be effective for fiscal years and
interim periods beginning after December 15, 2017, and early
adoption is permitted. The guidance requires retrospective
adoption. We are evaluating the effect that ASU No. 2016-15 will
have on our consolidated financial statements and related
disclosures.
Note 4. Fair Value Measurements
We do not use derivative instruments for hedging of market risks or
for trading or speculative purposes.
In conjunction with certain Senior Secured Convertible Promissory
Notes that we issued to Platinum Long Term Growth VII, LLC
(PLTG) between October 2012 and July 2013 and the
related PLTG Warrants, and the contingently issuable Series A
Exchange Warrant, we determined that the warrants included certain
exercise price and other adjustment features requiring the warrants
to be treated as liabilities, which were recorded at their
issuance-date estimated fair values and marked to market at each
subsequent reporting period. We determined the fair value of the
warrant liabilities using Level 3 (unobservable) inputs, since
there was minimal comparable external market data available. Inputs
used to determine fair value included the remaining contractual
term of the warrants, risk-free interest rates, expected volatility
of the price of the underlying common stock, and the probability of
a financing transaction that would trigger a reset in the warrant
exercise price, and, in the case of the Series A Exchange Warrant,
the probability of PLTG’s exchange of the shares of Series A
Preferred it holds into shares of common stock. The change in the
fair value of these warrant liabilities between March 31, 2015 and
their subsequent elimination (described below) was recognized as a
non-cash expense in the Condensed Consolidated Statement of
Operations and Comprehensive Loss for the three months ended June
30, 2015.
On May 12, 2015, we entered into an agreement with PLTG pursuant to
which PLTG agreed to amend the PLTG Warrants to (i) fix the
exercise price thereof at $7.00 per share, (ii) eliminate the
exercise price reset features and (iii) fix the number of shares of
our common stock issuable thereunder. This agreement and
the related modification of the PLTG Warrants resulted in the
elimination of the warrant liability with respect to the PLTG
Warrants during the quarter ended June 30, 2015.
In January 2016, we entered into an Exchange Agreement with PLTG
pursuant to which PLTG exchanged all outstanding PLTG Warrants plus
the shares issuable pursuant to the Series A Preferred Exchange
Warrant for unregistered shares of our Series C Convertible
Preferred Stock (Series C
Preferred) in the ratio of 0.75
share of Series C Preferred for each warrant share
cancelled.
We carried no assets or liabilities at fair value at September 30,
2016 or March 31, 2016.
Note 5. Prepaid Expenses and Other Current
Assets
Prepaid expenses and other current assets are composed of the
following at September 30, 2016 and March 31, 2016:
|
|
|
|
|
|
|
|
|
Insurance
|
$94,900
|
$27,000
|
Prepaid
compensation under financial advisory
|
|
|
and
other consulting agreements
|
550,800
|
337,500
|
Public
offering expenses
|
-
|
57,400
|
Technology
license fees and all other
|
3,200
|
4,900
|
|
|
|
|
$648,900
|
$426,800
|
Accrued expenses are composed of the following at September 30,
2016 and March 31, 2016:
|
|
|
|
|
|
|
|
|
Accrued
professional services
|
$133,000
|
$318,000
|
Accrued
AV-101 development expenses
|
662,000
|
186,000
|
Accrued
compensation
|
-
|
310,000
|
|
|
|
|
$795,000
|
$814,000
|
Note 7. Notes Payable
The following table summarizes our unsecured promissory notes at
September 30, 2016 and March 31, 2016.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
5.75%
Note payable to insurance premium financing company
(current)
|
$71,100
|
$-
|
$71,100
|
$-
|
$-
|
$-
|
|
|
|
|
|
|
|
7.0% Note
payable to Progressive Medical Research
|
$-
|
$-
|
$-
|
$58,800
|
$12,000
|
$70,800
|
|
-
|
-
|
-
|
(31,600)
|
(12,000)
|
(43,600)
|
|
|
|
|
|
|
|
7.0% Notes
payable - non-current portion
|
$-
|
$-
|
$-
|
$27,200
|
$-
|
$27,200
|
|
|
|
|
|
|
|
Total
notes payable to unrelated parties
|
$71,100
|
$-
|
$71,100
|
$58,800
|
$12,000
|
$70,800
|
|
(71,100)
|
-
|
(71,100)
|
(31,600)
|
(12,000)
|
(43,600)
|
|
$-
|
$-
|
$-
|
$27,200
|
$-
|
$27,200
|
Between May 2015 and August 2015, we extinguished the outstanding
balances of approximately $17,200,000 of indebtedness, including
all senior secured promissory notes and a substantial portion of
other indebtedness that was either due and payable or would have
become due and payable prior to March 31, 2016, by converting such
indebtedness into shares of our Series B Preferred.
Evaluating each converted note or debt class separately, we
determined that the conversion of each of such notes and other debt
instruments into Series B Preferred should be accounted for as an
extinguishment of debt. Because the fair value of the Series B
Preferred into which the debt instruments were converted in all
cases exceeded the carrying value of the debt, we recorded an
aggregate non-recurring non-cash loss on extinguishment of debt of
$26,700,200, in our fiscal year ended March 31, 2016, of which
$25,050,900 was recorded in the quarter ended June 30, 2015, and
the remaining $1,649,300 was recorded in the quarter ended
September 30, 2015, as reflected in the accompanying Consolidated
Statement of Operations and Comprehensive Loss for that
period.
On January 5, 2016, we paid in full the $33,300 outstanding balance
(principal and accrued but unpaid interest) of the promissory note
previously issued to the University of California in connection
with our collaborative research and development relationship with
the University of California at Davis.
On June 13, 2016, we paid in full the $71,600 outstanding balance
(principal and accrued but unpaid interest) of the promissory note
we issued to Progressive Medical Research (PMR) in connection with our clinical development
relationship with PMR.
In May 2016, we executed a promissory note in the face amount of
$117,500 in connection with certain insurance policy premiums. The
note is payable in monthly installments of $12,100, including
principal and interest, through March 2017, and the remaining
balance of such note as of September 30, 2016 was
$71,100.
Note 8. Capital Stock
Series B Preferred Unit Offering
In April and May 2016, in self-placed private placement
transactions, we sold to accredited investors an aggregate of
$278,000 of units in our Series B Preferred Unit offering, which
units consist of Series B Preferred and Series B Warrants
(together Series B Preferred
Units). We issued 39,714 shares
of Series B Preferred and Series B Warrants to purchase 39,714
shares of our common stock. Through the termination of
the Series B Preferred Unit offering in May 2016, we received an
aggregate of $5,303,800 in cash proceeds from our self-placed
private placement and sale of the Series B Preferred
Units.
We allocated the proceeds from the sale of the Series B Preferred
Units during April and May 2016 to the Series B Preferred and the
Series B Warrants based on their relative fair values on the dates
of the sales. We determined that the fair value of a share
of Series B Preferred was equal to the quoted market value of a
share of our common stock on the date of a Series B Preferred Unit
sale. We calculated the fair value of
the Series B Warrants using the Black Scholes Option Pricing Model
and the weighted average assumptions indicated in the table below.
The table below also presents the aggregate allocation of the
Series B Preferred Unit sales proceeds based on the relative fair
values of the Series B Preferred and the Series B Warrants as of
their respective Series B Preferred Unit sales dates. The
difference between the relative fair value per share of the Series
B Preferred, approximately $4.20 per share, and its Conversion
Price (or stated value) of $7.00 per share represents a deemed
dividend to the purchasers of the Series B Preferred Units.
Accordingly, we have recognized a deemed dividend in the aggregate
amount of $111,100 in arriving at net loss attributable to common
stockholders in the accompanying Condensed Consolidated
Statement of Operations and Comprehensive Loss for the six months
ended September 30, 2016.
Unit
Warrants
|
|
|
Aggregate
Allocation of
|
|
|
Weighted
Average Issuance Date Valuation Assumptions
|
|
Per Share
|
Aggregate
|
|
Aggregate
|
Proceeds
Based on
|
Warrant
|
|
|
|
|
Risk free
|
|
|
|
Fair
|
Fair Value
|
|
Proceeds
|
Relative
Fair Value of:
|
Shares
|
|
Market
|
Exercise
|
Term
|
Interest
|
|
Dividend
|
|
Value of
|
of Unit
|
|
of Unit
|
Unit
|
Unit
|
Issued
|
|
Price
|
Price
|
(Years)
|
Rate
|
Volatility
|
Rate
|
|
Warrant
|
Warrants
|
|
Sales
|
Stock
|
Warrant
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
39,714
|
|
$ 8.45
|
$ 7.00
|
5.00
|
1.27%
|
78.43%
|
0.0%
|
|
$ 5.63
|
$ 223,500
|
|
$ 278,000
|
$ 166,900
|
$ 61,100
|
May 2016 Public Offering and NASDAQ Uplisting
Effective on May 16, 2016, we consummated an underwritten public
offering of our securities, pursuant to which we issued an
aggregate of 2,570,040 registered shares of our common stock at a
public sales price of $4.24 per share and five-year warrants
exercisable at $5.30 per share to purchase an aggregate of
2,705,883 shares of our common stock at a public sales price of
$0.01 per warrant share, including shares and warrants issued in
June 2016 pursuant to the exercise of the underwriters’
over-allotment option (the May 2016 Public
Offering). We received gross
proceeds of approximately $10.9 million and net proceeds of
approximately $9.5 million from the May 2016 Public Offering, after
deducting underwriters’ commissions and other offering
expenses. The warrants issued in the May 2016 Public Offering have
no anti-dilution or other exercise price or share reset features,
except as is customary with respect to a change in the
Company’s capital structure in the event of a stock split or
dividend, and, accordingly, we have accounted for them as equity
warrants.
The
securities included in the May 2016 Public Offering Warrants were
offered, issued and sold under a prospectus filed with the
Securities and Exchange Commission (SEC) pursuant to an effective
registration statement (Registration Statement) filed with the
SEC on Form S-1 (File No. 333-210152) pursuant to the Securities
Act of 1933, as amended (Securities Act). The Registration
Statement was first filed with the SEC on March 14, 2016, and was
declared effective on May 10, 2016.
In
connection with the completion of our May 2016 Public Offering, our
common stock was approved for listing on The NASDAQ Capital Market,
and began trading under the symbol “VTGN” on May 11,
2016.
Conversion of Series B Preferred into Common Stock
During April 2016, prior to the May 2016 Public Offering, holders
of an aggregate of 7,500 shares of Series B Preferred voluntarily
converted such shares into an equivalent number of registered
shares of our common stock. In connection with such
conversions, we issued an aggregate of 510 shares of our
unregistered common stock as payment in full of $4,000 in accrued
dividends on the Series B Preferred that was voluntarily
converted.
On May 19, 2016, upon the consummation of the May 2016 Public
Offering, an aggregate of 2,403,051 shares of Series B Preferred
were automatically converted into an aggregate of 2,192,847
registered shares of our common stock and an aggregate of 210,204
shares of our unregistered common stock. Additionally, we issued an
aggregate of 416,806 shares of our unregistered common stock as
payment in full of $1,642,100 in accrued dividends on the Series B
Preferred that was automatically converted, at the rate of one
share of common stock for each $3.94 of accrued Series B Preferred
dividends. On June 15, 2016, pursuant to the
underwriters’ exercise of their over-allotment option, an
additional 44,500 shares of Series B Preferred were converted into
44,500 shares of our registered common stock. We issued
an additional 9,580 shares of our unregistered common stock as
payment in full of $37,400 in accrued dividends on the Series B
Preferred that was automatically converted, at the rate of one
share of common stock for each $3.90 in accrued
dividends.
In
August 2016, one of the remaining holders of our Series B Preferred
voluntarily converted 87,500 shares of
Series B Preferred into an equivalent number of registered shares
of our common stock. In connection with this conversion,
we issued 26,258 shares of our unregistered common stock as payment
in full of $85,300 in accrued dividends on the Series B Preferred
that was voluntarily converted.
Issuance of Common Stock to Professional Services
Providers
In September 2016, we issued an aggregate of 170,000 shares
of our unregistered common stock having an aggregate fair value on
the date of issuance of $737,800 to various professional services
providers. Of that amount, we issued 120,000 shares having a fair value of $520,800 on
the date of issuance for services to be rendered from October 2016
to December 2016. The value of these shares has been
recorded as a prepaid expense at September 30, 2016 and will be
expensed during the quarter ended December 31, 2016.
Modification of Warrants
Between April 1, 2016 and May 4, 2016, we entered into Warrant
Exchange Agreements with certain holders of outstanding warrants to
purchase an aggregate of 41,469 shares of our common stock pursuant
to which the holders agreed to the cancellation of such warrants in
exchange for the issuance of an aggregate of 31,238 shares of our
unregistered common stock.
We accounted for the exchange of these warrants as warrant
modifications, comparing their fair value prior to the exchange
with the fair value of the common stock issued. We calculated the
weighted average fair value of the warrants prior to the exchange
to be $5.37 per share, or $223,700, using the Black Scholes Option
Pricing Model and the following weighted average assumptions:
market price per share: $8.44; exercise price per share: $7.37;
risk-free interest rate: 1.23%; remaining contractual term: 4.77
years; volatility: 79.0%; and expected dividend rate: 0%. The
weighted average fair value of the aggregate of 31,238 shares of
common stock issued in the exchange was $8.45 per share or
$264,000. Accordingly, we recognized the additional fair
value, $40,300, as warrant modification expense, included as a
component of general and administrative expenses in our Condensed
Consolidated Statement of Operations and Comprehensive Loss
for the quarter ended June 30, 2016.
In August 2016, we entered into Warrant Exchange Agreements with
holders of outstanding warrants to purchase an aggregate of 20,000
shares of our common stock pursuant to which the holders agreed to
the cancellation of such warrants in exchange for the issuance of
an aggregate of 15,000 shares of our unregistered common stock. We
likewise accounted for the exchange of these warrants as warrant
modifications. We calculated the weighted average fair value of the
warrants prior to the exchange to be $1.64 per share, or $32,900,
using the Black Scholes Option Pricing Model and the following
weighted average assumptions: market price per share: $3.33;
exercise price per share: $8.00; risk-free interest rate: 1.10%;
remaining contractual term: 4.58 years; volatility: 87.0%; and
expected dividend rate: 0%. The weighted average fair value
of the aggregate of 15,000 shares of common stock issued in the
exchange was $3.33 per share or $50,000. Accordingly, we
recognized the additional fair value, $17,100, as warrant
modification expense, included as a component of general and
administrative expenses in the accompanying Condensed
Consolidated Statement of Operations and Comprehensive Loss
for the quarter ended September 30, 2016.
Warrants Outstanding
Following the warrant issuances in the May 2016 Public Offering,
the Series B Warrant issuances and the warrant exchanges described
above, at September 30, 2016, we had outstanding warrants to
purchase shares of our common stock at a weighted average exercise
price of $6.44 per share as follows:
|
Expiration
|
Shares Subject to Purchase at
|
|
|
|
|
|
|
$4.50
|
9/26/2019
|
25,000
|
$5.30
|
5/16/2021
|
2,705,883
|
$6.00
|
9/26/2019
|
75,000
|
$7.00
|
12/11/2018
to 3/3/2023
|
1,417,125
|
$8.00
|
3/25/2021
|
210,000
|
$10.00
|
8/31/2016
to 1/11/2020
|
131,358
|
$20.00
|
9/15/2019
|
110,448
|
$30.00
|
11/20/2017
|
3,600
|
|
|
|
4,678,414
|
With the exception of 2,705,883 shares of common stock underlying
the warrants issued in the May 2016 Public Offering, all of the
common shares underlying our outstanding warrants are
unregistered.
Note 9. Related Party Transactions
Cato Holding Company (CHC), doing business as Cato BioVentures
(CBV), is the parent of Cato Research Ltd
(CRL) . CRL is a contract research, development and
regulatory services organization (CRO) engaged by us for certain aspects of the
development of AV-101. CBV is among our largest institutional
stockholders at September 30, 2016, holding approximately 7.5% of
our outstanding common stock. Shawn Singh, our Chief Executive
Officer and member of our Board of Directors, served as Managing
Principal of CBV and Chief Business Officer and General Counsel of
CRL from February 2001 to August 2009. On October 10, 2012, we
issued to CBV an unsecured promissory note in the principal amount
of $310,400 (the 2012 CBV
Note) and a five-year warrant
to purchase 12,500 restricted shares of our common stock at a price
of $30.00 per share (the CBV Warrant). Additionally, on October
10, 2012, we issued to CRL: (i) an unsecured
promissory note in the initial principal amount of $1,009,000,
payable solely in restricted shares of our common stock and
which accrued interest at the rate of 7.5% per annum, compounded
monthly (the CRL Note), as payment in full for all contract research
and development services and regulatory advice rendered to us
by CRL through December 31, 2012 with respect to CRO services,
including regulatory strategy and preclinical and clinical
development of AV-101, and (ii) a five-year warrant to
purchase, at a price of $20.00 per share, 50,450 restricted
shares of our common stock, such number of shares to be adjusted in
relation to accrued interest on the CRL Note (CRL Warrant). The Cato Notes and additional amounts payable
to CRL for CRO services were extinguished in June 2015 in exchange
for our issuance of an aggregate of 328,571 shares of Series B
Preferred to CBV, which shares of Series B Preferred were
automatically converted into an equal number of registered shares
of our common stock in connection with the May 2016 Public
Offering. CBV also participated in our February 2016 warrant
exchange, exchanging the CBV Warrant and the CRL Warrant, as
adjusted to reflect accrued interest, for an aggregate of 54,894
shares of our unregistered common stock.
Under the terms of our CRO arrangement with CRL related to the
development of AV-101, we incurred expenses of $27,800 and $10,900
for the quarters ended September 30, 2016 and 2015, respectively,
and $78,200 and $22,100 in the six month periods ended September
30, 2016 and 2015, respectively. Total interest expense, including
amortization of note discount, on the notes payable to CBV and CRL
was $28,200 for the three-month period ended June 30, 2015 during
which the notes were extinguished.
Note 10. Subsequent Events
We have
evaluated subsequent events through November 11, 2016 and have
identified the following matters requiring disclosure:
Warrants Exchanged for Common Stock
In
October 2016, we entered into a Warrant Exchange Agreement with a
holder of outstanding warrants to purchase 113,944 shares of our
common stock pursuant to which the holder agreed to cancel such
warrants in exchange for the issuance of 85,458 restricted shares
of our common stock.
Issuance of Common Stock for Professional Services
Effective November
1, 2016, we issued 25,000 shares of our unregistered common stock
as partial compensation for investor relations, market awareness
and other services.
Stock Option
Grants
Effective November
9, 2016, our Board authorized the grant of stock options to
purchase an aggregate of 560,000 shares of our common stock
pursuant to our Amended and Restated 2016 Stock Incentive
Plan. Options were granted to independent members of our
Board and our officers and employees. The ten-year options
are exercisable at $3.80 per share and vest over a period of three
years.
Lease Extension
Effective November
10, 2016, we entered into an amendment to the lease of our
headquarters facility, pursuant to which the term of the lease was
extended from July 31, 2017 to July 31, 2022 and the base rent
under the lease for the five-year extension period was specified. A
copy of the amended lease is attached to this Quarterly Report on
Form 10-Q.
Item 2.
|
|
MANAGEMENT’S
DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF
OPERATIONS
|
Cautionary Note Regarding Forward-Looking Statements
This Quarterly Report on Form 10-Q (Quarterly Report) includes
forward-looking statements. All statements contained in this
Quarterly Report other than statements of historical fact,
including statements regarding our future results of operations and
financial position, our business strategy and plans, and our
objectives for future operations, are forward- looking statements.
The words “believe,” “may,”
“estimate,” “continue,”
“anticipate,” “intend,”
“expect” and similar expressions are intended to
identify forward-looking statements. We have based these forward-
looking statements largely on our current expectations and
projections about future events and trends that we believe may
affect our financial condition, results of operations, business
strategy, short-term and long-term business operations and
objectives, and financial needs. These forward-looking statements
are subject to a number of risks, uncertainties and assumptions.
Our business is subject to significant risks including, but not
limited to, our ability to obtain additional financing, the results
of our research and development efforts, the results of
non-clinical and clinical testing, the effect of regulation by the
United States Food and Drug Administration (FDA) and other
agencies, the impact of competitive products, product development,
commercialization and technological difficulties, the effect of our
accounting policies, and other risks as detailed in the section
entitled “Risk Factors” in this Quarterly
Report. Further, even if our product candidates appear
promising at various stages of development, our share price may
decrease such that we are unable to raise additional capital
without significant dilution or other terms that may be
unacceptable to our management, Board of Directors and
stockholders.
Moreover, we operate in a very competitive and rapidly changing
environment. New risks emerge from time to time. It is not possible
for our management to predict all risks, nor can we assess the
impact of all factors on our business or the extent to which any
factor, or combination of factors, may cause actual results to
differ materially from those contained in any forward-looking
statements we may make. In light of these risks, uncertainties and
assumptions, the future events and trends discussed in this
Quarterly Report may not occur and actual results could differ
materially and adversely from those anticipated or implied in the
forward-looking statements.
You should not rely upon forward-looking statements as predictions
of future events. The events and circumstances reflected in the
forward-looking statements may not be achieved or occur. Although
we believe that the expectations reflected in the forward-looking
statements are reasonable, we cannot guarantee future results,
levels of activity, performance or achievements. We are under no
duty to update any of these forward-looking statements after the
date of this Quarterly Report or to conform these statements to
actual results or revised expectations. If we do update one or more
forward-looking statements, no inference should be drawn that we
will make additional updates with respect to those or other
forward-looking statements.
Business Overview
We are a clinical-stage biopharmaceutical company dedicated to
developing and commercializing innovative product candidates for
patients with diseases and disorders involving the central nervous
system (CNS). Unless the context otherwise requires, the
words “VistaGen Therapeutics,
Inc.”
“VistaGen,” “we,” “the Company,” “us” and “our” refer to VistaGen Therapeutics, Inc., a
Nevada corporation. All references to future quarters and years in
this Item 2 refer to calendar quarters and calendar years, unless
reference is made otherwise.
Our lead product candidate, AV-101, is a new generation, oral
antidepressant drug candidate in Phase 2 development, initially for
the adjunctive treatment of Major Depressive Disorder
(MDD) in patients with an inadequate response to
standard antidepressants approved by the U.S. Food and Drug
Administration (FDA). We believe AV-101 may also have
therapeutic potential in other CNS indications, including chronic
neuropathic pain, epilepsy, Huntington’s disease and
Parkinson’s disease.
AV-101’s mechanism of action, as an N-methyl D aspartate
receptor (NMDAR) antagonist binding selectively at the glycine
binding (GlyB) co-agonist site of the NMDAR, is fundamentally
differentiated from all FDA-approved antidepressants, as well as
all atypical antipsychotics used to augment standard antidepressant
therapy.
We are preparing to launch our Phase 2b clinical study of AV-101
for the adjunctive treatment of MDD in patients with an inadequate
response to standard, FDA-approved antidepressants
(Phase 2b
Study). We currently
anticipate commencement of this multi-center, multi-dose, double
blind, placebo-controlled Phase 2b efficacy and safety study in the
first half of 2017. Dr. Maurizio Fava, Professor of Psychiatry at
Harvard Medical School and Director, Division of Clinical Research,
Massachusetts General Hospital (MGH) Research Institute, will be the Principal
Investigator of our Phase 2b Study. Dr. Fava was the co-Principal
Investigator with Dr. A. John Rush of the largest clinical trial
conducted in depression to date, the STAR*D study, whose findings
were published in journals such as the New England Journal of
Medicine (NEJM) and the Journal of the American Medical
Association (JAMA). We currently anticipate top line results in
this Phase 2b Study in the third quarter of
2018.
In addition to clinical development of AV-101, we are advancing
potential commercial applications of our human pluripotent stem
cell (hPSC) technology
platform, including drug rescue and regenerative medicine
(RM). Our small
molecule drug rescue programs involve using CardioSafe 3D, our
customized cardiac bioassay system, to develop new chemical
entities (NCEs) for our
internal pipeline. Potential RM applications include using
blood, cartilage, heart and/or liver cells derived from hPSCs for
(A) cell-based therapy, (B) cell repair therapy, and/or (C) tissue
engineering. We may pursue these drug rescue and RM
applications in collaboration with third-parties.
AV-101 and Major Depressive Disorder
Background
The World Health Organization (WHO) estimates that 350 million people worldwide are
affected by depression. According to the U.S. National Institutes
of Health (NIH) major depression is one of the most common
mental disorders in the U.S. The NIMH reports that, in 2014, an
estimated 15.7 million adults aged 18 or older in the U.S. had at
least one major depressive episode in the past year. This
represented 6.7 percent of all U.S. adults. According to the U.S.
Centers for Disease Control and Prevention (CDC) one in 10 Americans over the age of 12 takes an
antidepressant medication.
Most standard, FDA-approved antidepressants target neurotransmitter
reuptake inhibition – either serotonin (SSRIs) or serotonin/norepinephrine (SNRIs). Even when effective, these standard depression
medications take many weeks to achieve adequate antidepressant
effects. Nearly two out of every three drug-treated depression
patients, including an estimated 6.9 million drug-treated MDD
patients in the U.S., obtain inadequate therapeutic benefit from
initial treatment with a standard antidepressant. Unfortunately,
even after treatment with as many as four different standard
antidepressants, nearly one out of every three drug-treated
depression patients do not achieve adequate therapeutic
benefits. Such treatment-resistant depression patients
often seek to treat their depression with non-drug-related
approaches, such as Electroconvulsive Therapy (ECT), or to augment their inadequate
response to standard antidepressants by adding an atypical
antipsychotic (such as, for example, aripiprazole) to their
treatment regimen, despite only modest potential therapeutic
benefit and significant risk of additional side effects from such
augmentation options.
All standard antidepressants have risks of significant side
effects, including, among others, potentially anxiety, metabolic
syndrome, sleep disturbance and sexual dysfunction. They
also have a “Black Box” warning due to risks of
worsening depression and suicide in certain groups. Use of atypical
antipsychotics to augment inadequately performing standard
antidepressants increases the risk of serious side effects,
including, potentially, tardive dyskinesia, significant weight
gain, diabetes and heart disease, while offering only a modest
potential increase in therapeutic benefit. Use of ECT increases the
risk of serious side effects, including, headaches, tiredness,
disorientation, intense sleepiness, hallucinations and long-term
memory loss.
AV-101
AV-101, our oral new generation antidepressant drug candidate, is
in Phase 2 clinical development, initially for the adjunctive
treatment of MDD patients with an inadequate response to standard
antidepressants. As published in the October 2015 issue of the
peer-reviewed, Journal of Pharmacology and
Experimental Therapeutics, in an article entitled, The prodrug 4-chlorokynurenine
causes ketamine-like antidepressant effects, but not side effects,
by NMDA/glycineB-site inhibition, using well-established preclinical models of
depression, AV-101 was shown to induce fast-acting, dose-dependent,
persistent and statistically significant antidepressant-like
responses, following a single treatment. These responses were
equivalent to those seen with a single, sub-anesthetic control dose
of the NMDAR antagonist ketamine. In the same preclinical studies,
a standard antidepressant, the SSRI fluoxetine, did not induce
rapid onset antidepressant-like responses. In addition, these
studies confirmed that the fast-acting antidepressive effects of
AV-101 were mediated through the GlyB site and involved the
activation of a key neurological pathway, the
alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid
(AMPA)
receptor pathway. Activation of the AMPA receptor pathway is a
common feature of fast-acting antidepressants.
Following the completion of our NIH-funded, randomized, double
blind, placebo-controlled AV-101 Phase 1a and Phase 1b safety
studies, we are now collaborating with the NIMH in a Phase 2a
study. Under our February 2015 CRADA, the NIMH is funding, and Dr.
Carlos Zarate Jr. of the NIMH as Principal Investigator is
conducting, our ongoing Phase 2a efficacy and safety study of
AV-101 in subjects with treatment-resistant MDD. The trial is
expected to enroll 20 to 28 patients. The first patient
was dosed in November 2015, and we currently anticipate topline
results in the second quarter of 2017.
We are preparing to launch our Phase 2b Study of AV-101 for the
adjunctive treatment of MDD in patients with an inadequate response
to standard, FDA-approved antidepressants. We currently anticipate
the launch of the Phase 2b Study, with Dr. Maurizio Fava of Harvard
Medical School serving as Principal Investigator, in the first half
of 2017. We currently anticipate topline results from the Phase 2b
Study in the third quarter of 2018.
We believe several preclinical studies support the hypothesis that
AV-101 also has the potential to treat multiple CNS disorders and
neurodegenerative diseases in addition to MDD, including chronic
neuropathic pain, epilepsy, Parkinson’s disease and
Huntington’s disease, where modulation of the NMDAR, AMPA
pathway and/or active metabolites of AV-101 may achieve therapeutic
benefit.
CardioSafe 3D™; NCE Drug Rescue and Regenerative
Medicine
CardioSafe 3D™ is
our customized in vitro cardiac bioassay system capable of
predicting potential human heart toxicity of small molecule
NCEs in vitro, long before they are ever tested in animal and
human studies. We are currently focused on potential commercial
applications of our stem cell technology platform involving (i)
use of CardioSafe 3D for small molecule NCE drug discovery and
drug rescue to expand our drug candidate pipeline, leveraging
substantial prior research and development investments by
pharmaceutical companies and others related to public domain NCEs
terminated before FDA approval due to heart toxicity risks and (ii)
RM, including (A) cell-based therapy (injection of stem
cell-derived mature organ-specific cells obtained through directed
differentiation), (B) cell repair therapy (induction of
regeneration by biologically active molecules administered alone or
produced by infused genetically engineered cells), or (C) tissue
engineering (transplantation of in vitro grown complex tissues) using hPSC-derived
blood, bone, cartilage, heart and/or liver cells. We may
collaborate with one or more third-parties in connection with these
potential commercial applications of our stem cell technology
platform.
Financial Operations Overview and Results of
Operations
Our critical accounting policies and estimates and recent
accounting pronouncements are disclosed in our Annual Report on
Form 10-K for the fiscal year ended March 31, 2016, as filed with
the SEC on June 24, 2016, and in Note 3 to the accompanying
unaudited Condensed Consolidated Financial Statements included in
Part 1, Item 1 of this Quarterly Report on Form
10-Q.
Summary
Net Loss
We have
not yet achieved revenue-generating status from any of our product
candidates or technologies. Since
inception, we have devoted substantially all of our time and
efforts to developing our lead CNS product candidate, AV-101, from
early preclinical studies to our ongoing Phase 2 clinical
development programs in MDD, as well as stem cell technology
research and development, bioassay development, small molecule drug
development, and creating, protecting and patenting intellectual
property related to our product candidates and technologies, with
the corollary initiatives of recruiting and retaining personnel and
raising working capital. As of September 30, 2016, we had an
accumulated deficit of approximately $136.8 million. Our net loss
for the six months ended September 30, 2016 was approximately $5.1
million. Our net loss for the six months ended September 30, 2015
was approximately $36.6 million, which amount included a
non-recurring, non-cash loss of approximately $26.7 million
attributable to extinguishment and conversion of approximately
$17.2 million of our prior indebtedness into equity securities
between May and August 2015. We expect losses to continue for the
foreseeable future, primarily related to our further clinical
development of AV-101 for the adjunctive treatment of MDD, as well
as a range of other CNS indications.
Summary of Six Months Ended September 30, 2016
During the six months ended September 30, 2016, we continued to (i)
advance clinical development of AV-101 as a new generation
antidepressant, (ii) expand the regulatory foundation to support
Phase 2 clinical development of AV-101 in the U.S. both as a new
adjunctive treatment for patients with inadequate response to
standard, FDA-approved antidepressants and as a new therapeutic
alternative for several other CNS indications, and, (iii) on a
limited basis, advance both (a) the predictive toxicology
capabilities of CardioSafe 3D for drug rescue applications, including our
ongoing participation in the FDA’s Comprehensive in-vitro
Proarrhythmia Assay (CiPA) initiative designed to change the landscape of
preclinical drug development by providing a more complete and
accurate assessment of potential drug effects on cardiac risk, and
(b) regenerative medicine opportunities related to our stem cell
technology platform.
Pursuant to our February 2015 Cooperative Research and Development
Agreement (CRADA) with the NIH, the NIH continues to fund, and Dr.
Carlos Zarate Jr. of the NIMH continues to conduct, a Phase 2a
clinical study of AV-101 in treatment-resistant MDD. In addition,
we continue preparations for our Phase 2b clinical study of AV-101
for the adjunctive treatment of MDD in patients with an inadequate
response to standard, FDA-approved antidepressants (the
Phase 2b
Study). We currently anticipate
the launch of the Phase 2b Study, with Dr. Maurizio Fava of Harvard
Medical School serving as Principal Investigator, in the first half
of 2017.
In May 2016, we consummated an underwritten public offering of our
securities, pursuant to which we issued to institutional investors
an aggregate of 2,570,040 registered shares of our common stock and
five-year warrants exercisable at $5.30 per share to purchase an
aggregate of 2,705,883 shares of our common stock and received net
proceeds, after deducting underwriters’ commissions and other
expenses, of approximately $9.5 million (May 2016 Public
Offering). In connection with
the May 2016 Public Offering, we also uplisted our common stock to
the NASDAQ Capital Markets, where it has traded under the symbol
“VTGN” since May 11, 2016. Please see the section
titled “Liquidity and Capital
Resources” below, for a
discussion of our capital needs following the May 2016 Public
Offering.
In addition to bolstering our Clinical and Regulatory Advisory
Board with the appointment of Dr. Maurizio Fava as Chairman and the
addition of members Dr. Sanjay Matthew and Dr. Thomas Laughren, all
pre-eminent opinion leaders in the field of depression, and the
addition of veteran healthcare executive Jerry Gin, Ph.D., MBA to
our Board of Directors, we recently enhanced our management
team with the addition of Mark A. Smith, MD, Ph.D., as our Chief
Medical Officer in June 2016. Dr. Smith has over 20 years of
pharmaceutical industry and CNS drug development experience.
He has been a successful project leader in both drug
discovery and development on projects resulting in approximately 20
investigational new drugs (INDs). Dr. Smith has directed
clinical trials examining depression, bipolar disorder, anxiety,
schizophrenia, Alzheimer’s disease, ADHD and agitation in
Phase 1 through Phase 2b. In addition, Dr. Smith has vast knowledge
and expertise in translational neuroscience, clinical trial design
and regulatory interactions. Further, in September 2016, we
appointed Mark A. McPartland as our Vice President of Corporate
Development and Investor Relations. Mr. McPartland has over 20
years of experience in corporate development, capital markets,
corporate communications and management consulting for companies at
varying stage of their corporate evolution, including early- and
mid-stage biopharmaceutical companies. Mr. McPartland will
concentrate his initial efforts in expanding awareness of VistaGen
across a range of investors, researchers, patients, clinicians and
potential partners.
As a
matter of course, we attempt to minimize to the greatest extent
possible cash commitments and expenditures for both internal and
external research and development and general and administrative
services. To further advance the
clinical development of AV-101 and our stem cell technology
platform, as well as support our operating activities, we will
continue to carefully manage our routine operating costs, including
our internal employee related expenses, as well as external costs
relating to regulatory consulting, contract research and
development, investor relations and corporate development, legal,
accounting, public company compliance and other professional
services and working capital costs.
Results of Operations
Comparison of Three Months Ended September 30, 2016 and
2015
The following table summarizes the results of our operations for
the three months ended September 30, 2016 and 2015 (amounts in
thousands).
|
Three Months Ended
September 30,
|
|
|
|
Operating
expenses:
|
|
|
Research
and development
|
$1,606
|
$1,656
|
General
and administrative
|
1,494
|
3,731
|
Total
operating expenses
|
3,100
|
5,387
|
|
|
|
Loss
from operations
|
(3,100)
|
(5,387)
|
|
|
|
Interest
expense, net
|
(1)
|
(12)
|
Loss
on extinguishment of debt
|
-
|
(1,649)
|
|
|
|
Loss
before income taxes
|
(3,101)
|
(7,048)
|
Income
taxes
|
-
|
-
|
|
|
|
Net
loss
|
$(3,101)
|
$(7,048)
|
Accrued
dividend on Series B Preferred Stock
|
(241)
|
(615)
|
Deemed
dividend on Series B Preferred Stock
|
-
|
(887)
|
Net
loss attributable to common stockholders
|
$(3,342)
|
$(8,550)
|
Revenue
We reported no revenue for the quarters ended September 30, 2016 or
2015 and we presently have no revenue generating arrangements.
However, as indicated previously, we have entered into a CRADA with
the NIH providing for NIH funding of a Phase 2a clinical study of
AV-101 in treatment resistant Major Depressive Disorder. This Phase
2a study, which began in November 2015, is being fully funded by
the NIH and conducted at the NIMH by Dr. Carlos Zarate,
Jr.
Research and Development Expense
Research and development expense totaled $1,606,100 for the quarter
ended September 30, 2016, a 3% decrease compared with the
$1,656,100 reported for the quarter ended September 30, 2015, which
included significant noncash stock-based compensation expense.
Although the decrease between periods is modest, current period
costs reflect the increasing impact of our concentration on
continued development of AV-101 and preparations for launch of the
Phase 2b Study, which is currently anticipated in the first half of
2017. The following table indicates the primary components of
research and development expense for each of the periods (amounts
in thousands):
|
Three Months Ended
September 30,
|
|
|
|
|
|
|
Salaries
and benefits
|
$461
|
$212
|
Stock-based
compensation
|
82
|
887
|
Consulting
and other professional services
|
31
|
24
|
Technology
licenses and royalties
|
94
|
434
|
Project-related
research and supplies:
|
|
|
AV-101
|
817
|
13
|
Stem
cell and all other
|
51
|
21
|
|
868
|
34
|
Rent
|
62
|
55
|
Depreciation
|
8
|
10
|
|
|
|
Total
Research and Development Expense
|
$1,606
|
$1,656
|
The increase in salaries and benefits reflects the impact of a
bonus payment made to our President and Chief Scientific Officer
(CSO), the hiring of Dr. Mark Smith as our Chief
Medical Officer (CMO), and salary increases granted to our CSO and the
four non-officer members of our scientific
staff.
The decrease in stock based compensation expense is primarily
attributable to the $852,200 fair value, determined using the
Black-Scholes Option Pricing Model and the assumptions indicated in
Note 2, Summary of Significant
Accounting Policies, to the
accompanying Condensed Consolidated Financial Statements in Part I
of this Report, of the September 2015 grant of immediately vested
and expensed warrants to purchase 150,000 shares of our common
stock granted to our CSO. Stock compensation expense in 2016
reflects the ratable amortization of option grants made to our CSO
and CMO, scientific staff and consultants, most recently in June
2016 (CSO and CMO only) and September 2015 (primarily in 2016
expense). Our stock options are generally amortized over a two-year
to four-year vesting period. A substantial number of the option
grants made in or prior to our fiscal year ended March 31, 2014
became fully-vested and were fully-expensed prior to the quarter
ended September 30, 2016.
Consulting services reflects fees paid or accrued for scientific,
preclinical and clinical development and regulatory advisory
services rendered to us by third-parties, primarily by members of
our scientific and clinical and regulatory advisory
boards.
Technology license expense reflects both recurring annual fees as
well as legal counsel and other costs related to patent prosecution
and protection that we are required to fund under the terms of
certain of our stem cell technology license agreements or have
elected to pursue for commercial purposes. We recognize these costs
as they are invoiced to us by the licensors and they do not occur
ratably throughout the year or between years. In both periods, but
to a greater extent in the quarter ended September 30, 2015, this
expense includes legal counsel and other costs we have incurred to
advance in the U.S. and numerous foreign countries numerous pending
patent applications with respect to AV-101 and our stem cell
technology platform. Expense for the quarter ended September 30,
2015, also included approximately $153,000 of fees and expenses
related to stem cell technology related licenses acquired from
University Health Network (UHN) in connection with our Sponsored Research
Collaboration Agreement with UHN. Further, in July 2015, we granted
an aggregate of 10,000 shares of our Series B Preferred having an
aggregate fair value on the date of grant of $120,000 to two
strategic intellectual property legal service
providers.
AV-101 project expenses for the quarter ended September 30, 2016
includes continuing costs incurred to develop more efficient and
cost-effective production methods for AV-101 and for certain
pre-production and preclinical trial analyses and procedures to
facilitate Phase 2 clinical development of AV-101, including the
Phase 2b Study. AV-101 expense in both periods reflects the costs
associated with monitoring for and responding to potential feedback
related to the AV-101 Phase 1 clinical trials and addressing other
matters required under the terms of our prior NIH grant awards,
primarily through our Cato Research Ltd., our CRO for our Phase 1
safety studies. Stem cell and other project related expenses in
both periods were nominal.
General and Administrative Expense
General and administrative expense decreased to $1,493,600 from
$3,730,500, for the quarters ended September 30, 2016 and 2015,
respectively, primarily as a result of the decrease in noncash
stock compensation expense attributable to option and warrant
grants to employees and noncash expense related to grants of equity
securities in payment of certain professional services. The
following table indicates the primary components of general and
administrative expenses for each of the periods (amounts in
thousands):
|
Three Months Ended
September 30,
|
|
|
|
|
|
|
Salaries
and benefits
|
$485
|
$172
|
Stock-based
compensation
|
117
|
2,854
|
Consulting
Services
|
36
|
28
|
Legal,
accounting and other professional fees
|
207
|
511
|
Investor
relations
|
471
|
22
|
Insurance
|
38
|
34
|
Travel
expenses
|
23
|
38
|
Rent
and utilities
|
45
|
39
|
Warrant
modification expense
|
17
|
-
|
All
other expenses
|
54
|
33
|
|
|
|
Total
General and Administrative Expense
|
$1,493
|
$3,731
|
The increase in salaries and benefits reflects the impact of bonus
payments made to our Chief Executive Officer (CEO) and Chief Financial Officer (CFO); the hiring of Mark McPartland as our Vice
President of Corporate Development and Investor Relations; and
salary increases granted to our CEO, CFO and a non-officer member
of our administrative staff and the change in that employee’s
status from part-time to full-time.
The decrease in stock based compensation expense is primarily
attributable to the $2,841,000 fair value, determined using the
Black-Scholes Option Pricing Model and the assumptions indicated in
Note 2, Summary of Significant
Accounting Policies, to the
accompanying Condensed Consolidated Financial Statements in Part I
of this Report, of the September 2015 grant of immediately vested
and expensed warrants to purchase 500,000 shares of our common
stock granted to our CEO, CFO, independent members of our Board of
Directors and certain consultants. Stock compensation expense in
2016 reflects the ratable amortization of option grants made to our
CEO, CFO, independent members of our Board of Directors and
administrative staff and consultants, most recently in June 2016
(CEO, CFO and independent Board members only) and September 2015
(primarily in 2016 expense), as well as to Mr. McPartland upon his
commencement of employment in September 2016. Our stock options are
generally amortized over a two-year to four-year vesting period. A
substantial number of the option grants made in or prior to our
fiscal year ended March 31, 2014 became fully-vested and were
fully-expensed prior to the quarter ended September 30,
2016.
Consulting services primarily includes fees recognized for the
services of independent members of our Board of Directors. We added
an additional independent director to our Board in March
2016.
Legal, accounting and other professional fees in the quarter ended
September 30, 2015 included $337,500 of noncash expense recognized
during the quarter pursuant to the June 30, 2015 grant of an
aggregate of 90,000 shares of our Series B Preferred having an
aggregate fair value of $1,350,000 as compensation for financial
advisory and corporate development service contracts with two
independent contractors for services to be performed through June
30, 2016. In the quarter ended
September 30, 2016, we also granted an aggregate of 25,000
unregistered shares of our common stock having a fair value of
$108,500 to a legal services provider as compensation for services.
In both years, professional services fees also include the expense
related to the annual audit of the prior year financial statements
and quarterly reviews of current year financial
statements.
Investor relations expense includes the fees of our external
service providers for a broad spectrum of investor relations and
market awareness and support functions and, in the quarter ended
September 30, 2016, initiatives that include numerous meetings and
other communication activities focused on expanding market
awareness of the Company, including among investment professionals
and investment advisors, and individual and institutional
investors. In the quarter ended September 30, 2016, we granted an
aggregate of 25,000 unregistered shares of our common stock having
a fair value at the time of issuance of $108,500 to an investor
relations service provider as compensation for services, and,
as noted in Note 8,
Capital
Stock, to the accompanying
Condensed Consolidated Financial Statements in Part I of this
Report, 120,000 unregistered shares of our common stock having a
fair value at the time of issuance of $520,800 to a consulting
services provider for corporate development and other strategic
advisory services to be rendered from October 2016 to December
2016. The value of the latter common stock grant was
recorded as a prepaid expense at the date of the grant and will be
expensed during the quarter ended December 31, 2016.
In both periods, travel expense reflects costs associated with
presentations to and meetings with existing and potential
individual and institutional investors, investment professionals
and investment advisors, media and securities analysts, as well as
various investor relations, market awareness and corporate
development initiatives.
In August 2016, we entered into warrant exchange agreements with
certain warrant holders pursuant to which the warrant holders
exchanged outstanding warrants to purchase an aggregate of 20,000
shares of our common stock for an aggregate of 15,000 shares of our
unregistered common stock. As with similar transactions
during the quarters ended March 31, 2016 and June 30, 2016, we
accounted for these transactions as warrant modifications,
resulting in our recognition of $17,100 in noncash expense in the
quarter ended September 30, 2016.
Interest and Other Expenses, Net
Interest expense, net totaled $1,400 for the quarter ended
September 30, 2016 compared to $12,200 reported for the quarter
ended September 30, 2015, with both quarters reflecting the impact
of the extinguishment of a substantial majority of our promissory
notes, as well as other indebtedness, between May 2015 and August
2015 by conversion into our Series B Preferred or cash repayment
and the related elimination of note interest and discount
amortization. The following table summarizes the primary components
of interest expense for each of the periods (amounts in
thousands):
|
Three Months Ended
September 30,
|
|
|
|
|
|
|
Interest
expense on promissory notes
|
$-
|
$13
|
Amortization
of discount on promissory notes
|
-
|
14
|
Other
interest expense, including on capital leases and premium
financing
|
1
|
1
|
|
1
|
28
|
Effect
of foreign currency fluctuations on notes payable
|
-
|
(16)
|
Interest
income
|
-
|
-
|
|
|
|
Interest
expense, net
|
$1
|
$12
|
Interest expense on promissory notes in the quarter ended September
30, 2015 represents the quarterly interest accrued on our
outstanding Note A to Morrison & Foerster prior to its
conversion into our Series B Preferred in August 2015, our
outstanding note to University of California at Davis prior to our
repayment of such note in January 2016 and our outstanding note to
Progressive Medical Research prior to our repayment of such in June
2016. Discount amortization for the same period was attributable to
Note A to Morrison & Foerster. Other interest expense in both
periods relates to interest paid on insurance premium financing and
one capital lease of office equipment.
During the quarter ended September 30, 2015, we eliminated the
outstanding balances of an additional approximately $1.8 million of
promissory notes and other debt (after having eliminated the
outstanding balances of approximately $15.4 million of promissory
notes, including our Senior Secured Notes, our 2014 Unit Notes and
other debt and certain adjustments thereto, in the quarter ended
June 30, 2015) by converting such balances into shares of our
Series B Preferred. We treated the conversion of the indebtedness
into Series B Preferred as extinguishments of debt for accounting
purposes. Because the fair value of the Series B Preferred we
negotiated in settlement of the promissory notes and other
indebtedness in the both the quarter ended September 30, 2015 and
the quarter ended June 30, 2015 exceeded the carrying value of the
debts, we incurred non-recurring noncash losses on each of the
extinguishments. During the quarter ended September 30, 2015, we
recorded an aggregate net noncash loss of $1,649,300 attributable
to the extinguishment of debt converted into Series B
Preferred.
We allocated proceeds from our self-placed private placement sales
of Series B Preferred Units during the quarter ended September 30,
2015 to the Series B Preferred and the Series B Warrants based on
their relative fair values on the dates of the sales. The
difference, for accounting purposes, between the relative fair
value per share of the Series B Preferred, approximately $4.05 per
share, and its Conversion Price (or stated value) of $7.00 per
share represented a deemed dividend to the purchasers of the Series
B Preferred Units. Accordingly, we recognized a deemed dividend in
the aggregate amount of $886,900 in arriving at net loss
attributable to common stockholders for the quarter ended
September 30, 2015 in the
accompanying Condensed Consolidated Statement of Operations and
Comprehensive Loss included in Part I of this Report. Our private
placement offering of Series B Preferred Units was completed in May
2016.
We have
recognized $241,000 and $614,700 for
the quarters ended September 30, 2016 and 2015, respectively,
representing the 10% cumulative dividend payable on our Series B
Preferred as an additional deduction in arriving at net loss
attributable to common stockholders in the accompanying
Condensed Consolidated Statement of Operations and Comprehensive
Loss included in Part I of this Report. The reduction in the
quarterly dividend accrual results from the automatic conversion of
an aggregate of 2,403,051 shares of
Series B Preferred upon our completion of the May 2016 Public
Offering, as disclosed in Note 8, Capital
Stock, to the accompanying
Condensed Consolidated Financial Statements in Part I of this
Report.
Comparison of Six Months Ended September 30, 2016 and
2015
The following table summarizes the results of our operations for
the six months ended September 30, 2016 and 2015 (amounts in
thousands).
|
Six Months Ended
September 30,
|
|
|
|
Operating
expenses:
|
|
|
Research
and development
|
$2,432
|
$2,029
|
General
and administrative
|
2,631
|
5,179
|
Total
operating expenses
|
5,063
|
7,208
|
|
|
|
Loss
from operations
|
(5,063)
|
(7,208)
|
|
|
|
Interest
expense (net)
|
(3)
|
(767)
|
Change
in warrant liabilities
|
-
|
(1,895)
|
Loss
on extinguishment of debt
|
-
|
(26,700)
|
|
|
|
Loss
before income taxes
|
(5,066)
|
(36,570)
|
Income
taxes
|
(2)
|
(2)
|
|
|
|
Net
loss
|
$(5,068)
|
$(36,572)
|
Accrued
dividend on Series B Preferred Stock
|
(781)
|
(828)
|
Deemed
dividend on Series B Preferred Stock
|
(111)
|
(1,143)
|
Net
loss attributable to common stockholders
|
$(5,960)
|
$(38,543)
|
Revenue
We reported no revenue for the six month periods ended September
30, 2016 or 2015 and we presently have no revenue generating
arrangements. However, as indicated previously, we have entered
into a CRADA with the NIH providing for the NIH to fund and conduct
a Phase 2a clinical study of AV-101 in treatment resistant Major
Depressive Disorder. This Phase 2a study, which began in November
2015, is being funded by the NIH and conducted at the NIMH by Dr.
Carlos Zarate, Jr.
Research and Development Expense
Research and development expense totaled $2,431,800 for the six
months ended September 30, 2016, approximately 20% greater than the
$2,028,700 incurred for the six months ended September 30, 2015,
reflecting our increasing focus on the continued development of
AV-101 and preparations to launch the Phase 2b Study, which we
currently anticipate to begin in the first half of 2017, and offset
by a reduction in noncash stock compensation expense compared to
the prior period. The following table indicates the primary
components of research and development expense for each of the
periods (amounts in thousands):
|
Six Months Ended
September 30,
|
|
|
|
|
|
|
Salaries
and benefits
|
$711
|
$414
|
Stock-based
compensation
|
126
|
905
|
Consulting
and other professional services
|
58
|
46
|
Technology
licenses and royalties
|
254
|
487
|
Project-related
research and supplies:
|
|
|
AV-101
|
1,069
|
24
|
Stem
cell and all other
|
79
|
23
|
|
1,148
|
47
|
Rent
|
118
|
108
|
Depreciation
|
17
|
21
|
All
other
|
-
|
1
|
|
|
|
Total
Research and Development Expense
|
$2,432
|
$2,029
|
The increase in salaries and benefits reflects the impact of bonus
payments made to our President and Chief Scientific Officer
(CSO) and to the four non-officer members of our
scientific staff, the hiring of Dr. Mark Smith as our Chief Medical
Officer (CMO), and salary increases granted to our CSO and
members of our scientific staff.
The decrease in stock based compensation expense is primarily
attributable to the $852,200 fair value, determined using the
Black-Scholes Option Pricing Model and the assumptions indicated in
Note 2, Summary of Significant
Accounting Policies, to the
accompanying Condensed Consolidated Financial Statements in Part I
of this Report, of the September 2015 grant of immediately vested
and expensed warrants to purchase 150,000 shares of our common
stock granted to our CSO. Stock compensation expense in 2016
reflects the ratable amortization of option grants made to our CSO
and CMO, scientific staff and consultants, most recently in June
2016 (CSO and CMO only) and September 2015 (primarily in 2016
expense). Our stock options are generally amortized over a two-year
to four-year vesting period. A substantial number of the option
grants made in or prior to our fiscal year ended March 31, 2014
became fully-vested and were fully-expensed prior to the quarter
ended September 30, 2016.
Consulting services reflects fees paid or accrued for scientific,
preclinical and clinical development and regulatory advisory
services rendered to us by third-parties, primarily by members of
our scientific and clinical and regulatory advisory
boards.
Technology license expense reflects both recurring annual fees as
well as legal counsel and other costs related to patent prosecution
and protection that we are required to fund under the terms of
certain of our stem cell technology license agreements or have
elected to pursue for commercial purposes. We recognize these costs
as they are invoiced to us by the licensors and they do not occur
ratably throughout the year or between years. Additionally, in both
periods, this expense includes legal counsel and other costs we
have incurred to advance in the U.S. and numerous foreign countries
several pending patent applications with respect to AV-101 and our
stem cell technology platform. Expense for the six months ended
September 30, 2015, also included approximately $153,000 of fees
and expenses related to stem cell technology related licenses
acquired in connection with our Sponsored Research Collaboration
Agreement with UHN. Further, in July 2015, we granted an aggregate
of 10,000 shares of our Series
B Preferred having an aggregate fair value on the date of grant of
$120,000 to two intellectual property legal service
providers.
AV-101 project expenses for the six months ended September 30, 2016
includes continuing costs incurred to develop more efficient and
cost-effective production methods for AV-101 and for certain
pre-production and preclinical trial analyses and procedures to
facilitate Phase 2 clinical development of AV-101, including the
Phase 2b Study. We expect these expenses to increase materially
over the next several quarters as we conduct the Phase 2b Study.
Additionally, AV-101 expense in both periods reflects the costs
associated with monitoring for and responding to potential feedback
related to our AV-101 Phase 1 clinical safety program and
addressing other matters required under the terms of our prior NIH
grant awards, primarily through our CRO for our Phase 1 safety
studies, Cato Research Ltd. Stem cell and other project related
expenses in both periods were nominal.
General and Administrative Expense
General and administrative expense decreased to $2,631,200 from
$5,179,000, for the six month periods ended September 30, 2016 and
2015, respectively, primarily as a result of the decrease in
noncash stock compensation expense attributable to option and
warrant grants to employees, officer and independent Board members
and noncash expense related to grants of equity securities in
payment of certain professional services during 2015. The following
table indicates the primary components of general and
administrative expenses for each of the periods (amounts in
thousands):
|
Six Months Ended September 30,
|
|
|
|
|
|
|
Salaries
and benefits
|
$675
|
$348
|
Stock-based
compensation
|
181
|
2,865
|
Consulting
services
|
69
|
56
|
Legal,
accounting and other professional fees
|
749
|
1,470
|
Investor
relations
|
579
|
56
|
Insurance
|
78
|
72
|
Travel
and entertainment
|
72
|
55
|
Rent
and utilities
|
85
|
76
|
Warrant
modification expense
|
57
|
122
|
All
other expenses
|
86
|
59
|
|
|
|
Total
General and Administrative Expense
|
$2,631
|
$5,179
|
The increase in salaries and benefits reflects the impact of bonus
payments made to our Chief Executive Officer (CEO) and Chief Financial Officer (CFO), the hiring of Mark McPartland as our Vice
President of Corporate Development and Investor Relations, and
salary increases granted to our CEO, CFO and a non-officer member
of our administrative staff and the change in that employee’s
status from part-time to full-time.
The decrease in stock based compensation expense is primarily
attributable to the $2,841,000 fair value, determined using the
Black-Scholes Option Pricing Model and the assumptions indicated in
Note 2, Summary of Significant
Accounting Policies, to the
accompanying Condensed Consolidated Financial Statements in Part I
of this Report, of the September 2015 grant of immediately vested
and expensed warrants to purchase 500,000 shares of our common
stock granted to our CEO, CFO, independent members of our Board of
Directors and certain consultants. Stock compensation expense in
2016 reflects the ratable amortization of option grants made to our
CEO, CFO, independent members of our Board of Directors and
administrative staff and consultants, most recently in June 2016
(CEO, CFO and independent Board members only) and September 2015
(primarily in 2016 expense), as well as to Mr. McPartland upon his
commencement of employment in September 2016. Our stock options are
generally amortized over a two-year to four-year vesting period. A
substantial number of the option grants made in or prior to our
fiscal year ended March 31, 2014 became fully-vested and were
fully-expensed prior to the quarter ended September 30,
2016.
Consulting services primarily includes fees recognized for the
services of independent members of our Board of Directors. We added
an additional independent director to our Board in March
2016.
Legal, accounting and other professional fees in the six month
periods ended September 30, 2016 and 2015, each included $337,500
of noncash expense recognized during the respective period pursuant
to the June 30, 2015 grant of an aggregate of 90,000 shares
of our Series B Preferred having an aggregate fair value of
$1,350,000 as compensation for financial advisory and corporate
development service contracts with two independent contractors for
services performed between July 1, 2015 and June 30, 2016. During
the six-month period ended September
30, 2016, we also granted an aggregate of 25,000 unregistered
shares of our common stock having a fair value at the date of
issuance of $108,500 to a legal services provider as compensation
for services. During the six-month period ended September 30, 2015,
we granted an aggregate of 50,000 shares of our common stock having
a fair value of $500,000 pursuant to two corporate development
contracts and granted 25,000 shares of our Series B Preferred
having a fair value at the time of issuance of $250,000 to legal
counsel as compensation for services in connection with our debt
restructuring and other corporate finance matters. In both years,
professional services fees also include the expense related to the
annual audit of the prior year financial statements and quarterly
reviews of current year financials statements.
Investor relations expense includes the fees of our external
service providers for a broad spectrum of investor relations and
market awareness and support functions and, in the six-month period
ended September 30, 2016, initiatives that include meetings and
other communication activities focused on expanding market
awareness of the Company, including among investment professionals
and investment advisors, individual and institutional investors,
media and securities analysts. In the six months ended September
30, 2016, we also granted an aggregate of 25,000 unregistered
shares of our common stock having a fair value at the time of
issuance of $108,500 to an investor relations service provider as
compensation for services, and, as disclosed in Note 8, Capital
Stock, to the accompanying
Condensed Consolidated Financial Statements in Part I of this
Report, in September 2016, 120,000 unregistered shares of our
common stock having a fair value at the time of issuance of
$520,800 to a consulting services provider for corporate
development and strategic advisory services to be rendered from
October 2016 to December 2016. The value of the latter
common stock grant was recorded as a prepaid expense at the date of
the grant and will be expensed during the quarter ended December
31, 2016.
In both periods, travel expense reflects costs associated with
presentations to and meetings with existing and potential investors
and investment professionals and advisors, media and securities
analysts, as well as various investor relations, market awareness
and corporate development initiatives.
Between April 2016 and August 2016, we entered into warrant
exchange agreements with certain warrant holders pursuant to which
the warrant holders exchanged outstanding warrants to purchase an
aggregate of 61,649 shares of our common stock for an aggregate of
46,238 shares of our unregistered common stock. As with
similar transactions during our fiscal year ended March 31, 2016,
we accounted for these transactions as warrant modifications,
resulting in our recognition of an aggregate of $57,400 in noncash
expense during the six-month period ended September 30, 2016.
Warrant modification expense in the six-month period ended
September 30, 2015 reflects the impact of June 2015 strategic
reductions in the exercise price of certain outstanding warrants,
generally from $30.00 per share to $10.00 per share.
Interest and Other Expenses, Net
Interest expense, net, totaled $2,800 for the six months ended
September 30, 2016, a significant decrease compared to the $767,300
reported for the six months ended September 30, 2015, resulting
from the extinguishment of substantially all of our promissory
notes, as well as other indebtedness, between May 2015 and August
2015 by conversion into our Series B Preferred or cash repayment
and the related elimination of note interest and discount
amortization. The following table summarizes the primary components
of interest expense for each of the periods (amounts in
thousands):
|
Six Months Ended
September 30,
|
|
|
|
|
|
|
Interest
expense on promissory notes
|
$ 1
|
$206
|
Amortization
of discount on promissory notes
|
-
|
565
|
Other
interest expense, including on capital leases and premium
financing
|
2
|
2
|
|
3
|
773
|
Effect
of foreign currency fluctuations on notes payable
|
-
|
(6)
|
Interest
income
|
-
|
-
|
|
|
|
Interest
expense, net
|
$3
|
$767
|
Interest expense on promissory notes in the six months ended
September 30, 2016 represents only the interest accrued on our
promissory note to Progressive Medical Research prior to its
repayment in June 2016. The substantial overall decrease in
interest expense on promissory notes and the related amortization
of discounts on such notes between the periods reflects the
cessation of interest accrual and discount amortization upon the
extinguishment and conversion of all outstanding Senior Secured
Convertible Notes, certain 10% convertible notes
(2014 Unit
Notes) and other outstanding
promissory notes into shares of our Series B Preferred between May
2015 and August 2015.
Under the terms of our October 2012 Note Exchange and Purchase
Agreement with Platinum Long Term Growth VII, LLC
(PLTG), we issued certain Senior Secured Convertible
Promissory Notes and a related Exchange Warrant and Investment
Warrants between October 2012 and July 2013. Upon PLTG’s
exchange of the shares of our Series A Preferred Stock held by PLTG
into shares of our common stock, we were also required to issue a
Series A Exchange Warrant to PLTG. We determined that the various
warrants included certain exercise price and other adjustment
features requiring us to treat the warrants as liabilities.
Accordingly, we recorded a noncash warrant liability at its
estimated fair value as of the date of warrant issuance or contract
execution. As described in Note 4, Fair Value
Measurements, to the Condensed
Consolidated Financial Statements included in Part 1, Item 1
of this Report, on May 12, 2015, we entered into an agreement with
PLTG pursuant to which we amended the various warrants to fix the
exercise price thereof and eliminate the anti-dilution reset
features that had previously required the warrants to be treated as
liabilities and carried at fair value. Accordingly, during the
quarter ended June 30, 2015, we adjusted these warrants to their
fair value, reflecting an increase of $1,894,700 since March 31,
2015, resulting primarily from the increase in the market price of
our common stock in relation to the exercise price of the warrants,
and then subsequently eliminated the entire warrant liability with
respect to these warrants. In January 2016, the PLTG warrants were
exchanged for shares of our Series C Preferred
stock.
Between May 2015 and August 2015 we extinguished the outstanding
balances of approximately $17,200,000 of promissory notes,
including our Senior Secured Notes, our 2014 Unit Notes and other
debt and certain adjustments thereto that were either already due
and payable or would have otherwise matured prior to March 31, 2016
by converting such balances into shares of our Series B Preferred.
We treated the conversion of the indebtedness into Series B
Preferred as extinguishments of debt for accounting purposes. Since
the fair value of the Series B Preferred we negotiated in
settlement of the promissory notes and other indebtedness exceeded
the carrying value of the debts, we incurred non-recurring noncash
losses on each of the extinguishments. Additionally, under the
terms of our May 2015 agreement with PLTG in which they agreed to,
among other things, convert the Senior Secured Notes and certain
other of our convertible promissory notes into Series B Preferred,
we issued to PLTG 400,000 shares of Series B Preferred
having an aggregate fair value of $4.0 million and Series B Warrants to purchase 1.2 million
shares of our common stock having an aggregate of fair value
of $8,270,900. We recognized this
aggregate fair value as an additional noncash component of
loss on extinguishment of debt. Many of the 2014 Unit Notes that were converted into
Series B Preferred contained a beneficial conversion feature at the
time they were originally issued. We accounted for the repurchase
of the beneficial conversion feature at the time the 2014 Unit
Notes were extinguished and converted, an aggregate of $2,237,100,
as a reduction to the loss on extinguishment of debt. We recorded
an aggregate net non-recurring noncash loss of $26.7 million
attributable to the extinguishment of the indebtedness converted
into shares of Series B Preferred.
We allocated the proceeds from self-placed private placement sales
of Series B Preferred Units to the Series B Preferred and the
Series B Warrants based on their relative fair values on the dates
of the sales. The difference between the relative fair value per
share of the Series B Preferred, approximately $4.20 per share and
$4.06 per share for the six month periods ended September 30, 2016
and 2015, respectively, and its Conversion Price (or stated value)
of $7.00 per share represents a deemed dividend to the purchasers
of the Series B Preferred Units. Accordingly, we recognized a
deemed dividend in the aggregate amount of $111,100 and $1,143,100
in arriving at net loss attributable to common stockholders
for the six months ended September 30,
2016 and 2015, respectively, in the accompanying Condensed
Consolidated Statement of Operations and Comprehensive Loss
included in Part I of this Report. Further, we recognized $780,000
and $828,000 for the six months ended
September 30, 2016 and 2015, respectively, representing the 10%
cumulative dividend payable on our Series B Preferred as an
additional deduction in arriving at net loss attributable to common
stockholders in the accompanying Condensed Consolidated
Statement of Operations and Comprehensive Loss, included elsewhere
in this Report. The reduction in the dividend accrual results from
the automatic conversion of an
aggregate of 2,403,051 shares of Series B Preferred upon our
completion of the May 2016 Public Offering, as disclosed in Note
8, Capital
Stock, to the accompanying
Condensed Consolidated Financial Statements in Part I of this
Report.
Liquidity and Capital Resources
Since our inception in May 1998 through September 30, 2016, we have
financed our operations and technology acquisitions primarily
through the issuance and sale of our equity and debt securities,
including convertible promissory notes and short-term promissory
notes, for cash proceeds of approximately $44.3 million, as well as
from an aggregate of approximately $16.4 million of government
research grant awards, strategic collaboration payments and other
revenues, but not including the fair market value of the NIH-funded
AV-101 Phase 2a clinical study in MDD. Additionally, we have issued
equity securities with an approximate aggregate value at issuance
of $30.1 million in non-cash settlements of certain liabilities,
including liabilities for professional services rendered to us or
as compensation for such services.
Between April 1, 2016 and May 4, 2016, we sold to
accredited investors Series B Preferred Units consisting of 39,714
unregistered shares of our Series B Preferred Stock, par value
$0.001 per share (Series B
Preferred), and five year
warrants to purchase 39,714 shares of our common stock, and we
received cash proceeds of $278,000. Further, on May 16, 2016 we
consummated the May 2016 Public Offering, an underwritten public
offering pursuant to which we issued an aggregate of 2,570,040
registered shares of our common stock at the public offering price
of $4.24 per share and five-year warrants to purchase up
to 2,705,883 registered shares of common stock, with an
exercise price of $5.30 per share, at the public offering price of
$0.01 per warrant, including shares and warrants issued pursuant to
the exercise of the underwriters' over-allotment option. We
received net cash proceeds of approximately $9.5 million from the
May 2016 Public Offering after deducting fees and expenses. We
believe that we currently have sufficient financial resources to
fund our expected operations through the first half of 2017,
including preparation for and launch of our AV-101 Phase 2b Study
in MDD. Although our current financial resources are not yet
sufficient to complete our AV-101 Phase 2b Study when launched, we
anticipate raising sufficient additional capital in 2017 to satisfy
our key corporate objectives, including completion of our AV-101
Phase 2b Study in 2018. Accordingly, our executive management
continues to focus significant efforts on raising additional
capital to complete the Phase 2b Study and for other operational
requirements through sales of our securities, which may
include both debt and equity securities, or from other sources.
There can be no assurance, however, that future financing will be
available in sufficient amounts, in a timely manner, or on terms
acceptable to us, if at all.
We may also seek research and development collaborations that could
generate revenue, as well as government grant awards. Further,
strategic collaborations, such as our February 2015 CRADA which
provides for the NIMH to fully fund our Phase 2a study of AV-101 in
MDD, may provide non-dilutive resources to advance our strategic
initiatives while reducing a portion of our future cash outlays and
working capital requirements. Although we may seek additional
collaborations that could generate revenue, as well as new
government grant awards, no assurance can be provided that any such
collaborations or awards will occur in the future.
Our future working capital requirements will depend on many
factors, including, without limitation, the scope and nature of
opportunities related to our success and the success of certain
other companies in clinical trials, including our development of
AV-101 as a treatment for MDD and other CNS conditions, and our
stem cell technology platform, the availability of, and our ability
to obtain, government grant awards and our ability to enter into
collaborations on terms acceptable to us. To further advance the
clinical development of AV-101 and our stem cell technology
platform, as well as support our operating activities, we plan to
continue to carefully manage our routine operating costs, including
our employee headcount and related expenses, as well as costs
relating to regulatory consulting, contract research and
development, investor relations and corporate development, legal,
accounting, public company compliance and other professional
services and working capital costs.
Notwithstanding the foregoing, substantial additional financing may
not be available to us on a timely basis, on acceptable terms, or
at all. If we are unable to obtain substantial additional financing
on a timely basis in the near term, our business, financial
condition, and results of operations may be harmed, the price of
our stock may decline, we may be required to reduce, defer, or
discontinue certain of our research and development activities and
we may not be able to continue as a going
concern.
Cash and Cash Equivalents
The following table summarizes changes in cash and cash equivalents
for the periods stated (in thousands):
|
Six Months Ended
September 30,
|
|
|
|
|
|
|
Net
cash used in operating activities
|
$(3,873)
|
$(2,330)
|
Net
cash used in investing activities
|
(8)
|
-
|
Net
cash provided by financing activities
|
9,709
|
2,954
|
|
|
|
Net
increase in cash and cash equivalents
|
5,828
|
624
|
Cash
and cash equivalents at beginning of period
|
429
|
70
|
|
|
|
Cash
and cash equivalents at end of period
|
$6,257
|
$694
|
Off-Balance Sheet Arrangements
We have no off-balance sheet arrangements.
Disclosure Controls and Procedures
Our management, with the participation of our Chief Executive
Officer and Chief Financial Officer, evaluated the effectiveness of
our disclosure controls and procedures (as defined in Rule
13a-15(e) of the Exchange Act) as of the end of the period covered
by this Report. Based on that evaluation, our Chief Executive
Officer and our Chief Financial Officer concluded that our
disclosure controls and procedures as of the end of the period
covered by this Report were effective.
Internal Control over Financial Reporting
There was no change in our internal control over financial
reporting (as defined in Rule 13a-15(f) of the Exchange Act) that
occurred during the fiscal quarter to which this Report relates
that has materially affected, or is reasonably likely to materially
affect, our internal control over financial reporting.
PART II: OTHER INFORMATION
Item 1. Legal
Proceedings
None.
Investing in our securities involves a high degree of risk. You
should consider carefully the risks and uncertainties described
below, together with all of the other information in this Quarterly
Report on Form 10-Q and in our Annual Report on Form 10-K filed
with the Securities and Exchange Commission for the fiscal year
ended March 31, 2016 before investing in our securities. The risks
described below are not the only risks facing our
Company. Additional risks and uncertainties not
currently known to us or that we currently deem to be immaterial
may also materially adversely affect our business, financial
condition and/or operating results. If any of the following
risks are realized, our business, financial condition and
results of operations could be materially and adversely
affected.
Risks Related to Product Development, Regulatory Approval and
Commercialization
We depend heavily on the success of AV-101. We cannot be certain
that we will be able to obtain regulatory approval for, or
successfully commercialize AV-101, or any product
candidate.
We currently have no drug products for sale and may never be able
to develop and commercialize marketable drug products. Our business
depends heavily on the successful development, regulatory approval
and commercialization of AV-101 for depression, including for MDD,
and various other diseases and disorders involving the CNS, as well
as, but to a more limited extent, our ability to produce, develop
and commercialize NCEs from our drug rescue programs. AV-101 will
require substantial additional Phase 2 and Phase 3 clinical
development, testing and regulatory approval before we are
permitted to commence its commercialization and is unlikely to
achieve regulatory approval until at least 2021, if at all. Each
drug rescue NCE will require substantial non-clinical development,
all phases of clinical development, and regulatory approval before
we are permitted to commence its commercialization. The
non-clinical studies and clinical trials of our product candidates
are, and the manufacturing and marketing of our product candidates
will be, subject to extensive and rigorous review and regulation by
numerous government authorities in the United States and in other
countries where we intend to test and, if approved, market any
product candidate. Before obtaining regulatory approvals for the
commercial sale of any product candidate, we must demonstrate
through non-clinical studies and clinical trials that the product
candidate is safe and effective for use in each target indication.
Drug development is a long, expensive and uncertain process, and
delay or failure can occur at any stage of any of our non-clinical
studies or clinical trials. This process can take many years and
may also include post-marketing studies and surveillance, which
will require the expenditure of substantial resources beyond the
proceeds we have raised to date. Of the large number of drugs in
development in the United States, only a small percentage will
successfully complete the FDA regulatory approval process and will
be commercialized. Accordingly, even if we are able to obtain the
requisite financing to continue to fund our non-clinical studies
and clinical trials, we cannot assure you that AV-101, any drug
rescue NCE, or any other product candidate will be successfully
developed or commercialized.
We are not permitted to market our product candidates in the United
States until we receive approval of a New Drug Application
(NDA) from the FDA, or in any foreign countries until
we receive the requisite approval from such countries. In late
2015, in collaboration with the NIMH under our CRADA, we began a
Phase 2a clinical trial involving AV-101, to study its safety,
tolerability and efficacy in patients with MDD. If our Phase 2a
clinical trial of AV-101 is successful, we expect the FDA to
require us to complete at least two pivotal Phase 3 clinical trials
in order to submit an NDA for AV-101 as an adjunctive treatment for
MDD patients with an inadequate response to standard, FDA-approved
antidepressants. Also, we anticipate that the FDA will require
that we conduct additional toxicity studies and additional
non-clinical studies before submitting an NDA for AV-101.
The
results of all of these trials and studies are not known until
after the studies are concluded.
Obtaining FDA approval of an NDA is a complex, lengthy, expensive
and uncertain process, and the FDA may delay, limit or deny
approval of AV-101 or any of our product candidates for many
reasons, including, among others:
●
if our NDA,
if and when submitted, is reviewed by an advisory committee, the
FDA may have difficulties scheduling an advisory committee meeting
in a timely manner or the advisory committee may recommend against
approval of our application or may recommend that the FDA require,
as a condition of approval, additional non-clinical studies or
clinical trials, limitations on approved labeling or distribution
and use restrictions;
●
the FDA may require development of a Risk
Evaluation and Mitigation Strategy (REMS) as a condition of approval or
post-approval;
●
the FDA or the applicable foreign regulatory
agency may determine that the manufacturing processes or facilities
of third-party contract manufacturers with which we contract do not
conform to applicable requirements, including current Good
Manufacturing Practices (cGMPs); or
●
the FDA or
applicable foreign regulatory agency may change its approval
policies or adopt new regulations.
Any of these factors, many of which are beyond our control, could
jeopardize our ability to obtain regulatory approval for and
successfully commercialize AV-101 or any other product candidate we
may develop, including drug rescue NCEs. Any such setback in our
pursuit of regulatory approval would have a material adverse effect
on our business and prospects.
We intend to seek a Fast Track designation from the FDA for AV-101
for adjunctive treatment of MDD patients with an inadequate
response to standard antidepressants. Even if the FDA approves Fast
Track designation for AV-101 for this indication, it may not
actually lead to a faster development or regulatory review or
approval process.
The Fast Track designation is a program offered by the FDA pursuant
to certain mandates under the FDA Modernization Act of 1997,
designed to facilitate drug development and to expedite the review
of new drugs that are intended to treat serious or life threatening
conditions. Compounds selected must demonstrate the potential to
address unmet medical needs. The Fast Track designation allows for
close and frequent interaction with the FDA. A designated Fast
Track drug may also be considered for priority review with a
shortened review time, rolling submission, and accelerated approval
if applicable. The designation does not, however, guarantee
approval or expedited approval of any application for the
product.
We intend to seek FDA Fast Track designation for AV-101 for
adjunctive treatment of MDD patients with an inadequate response to
standard antidepressants, and we may do so for other product
candidates as well. The FDA has broad discretion whether or not to
grant this designation, and even if we believe AV-101 and other
product candidates are eligible for this designation, we cannot be
sure that the review or approval will compare to conventional FDA
procedures. Even if granted, the FDA may withdraw Fast Track
designation if it believes that the designation is no longer
supported by data from our clinical development
programs.
The number of patients suffering from MDD has not been established
with precision. If the actual number of patients with MDD is
smaller than we anticipate, we or our collaborators may encounter
difficulties in enrolling patients in AV-101 clinical trials,
including our NIH-funded Phase 2a clinical study of AV-101 in
treatment-resistant MDD, thereby delaying or preventing clinical
development. Further, if AV-101 is approved for
adjunctive treatment of MDD patients with an inadequate response to
standard antidepressants, and the market for this indication is
smaller than we anticipate, our ability to achieve profitability
could be limited.
Results of earlier clinical trials may not be predictive of the
results of later-stage clinical trials.
The results of preclinical studies and early clinical trials of
AV-101 and other product candidates may not be predictive of the
results of later-stage clinical trials. AV-101 or other product
candidates in later stages of clinical trials may fail to show the
desired safety and efficacy results despite having progressed
through preclinical studies and initial clinical trials. Many
companies in the biopharmaceutical industry have suffered
significant setbacks in advanced clinical trials due to adverse
safety profiles or lack of efficacy, notwithstanding promising
results in earlier studies. Similarly, our future clinical trial
results may not be successful for these or other
reasons.
This drug candidate development risk is heightened by any changes
in planned clinical trials compared to completed clinical trials.
As product candidates are developed through preclinical to early
and late stage clinical trials towards approval and
commercialization, it is customary that various aspects of the
development program, such as manufacturing and methods of
administration, are altered along the way in an effort to optimize
processes and results. While these types of changes are common and
are intended to optimize the product candidates for later stage
clinical trials, approval and commercialization, such changes do
carry the risk that they will not achieve these intended
objectives.
For example, the results of planned clinical trials may be
adversely affected if we or our collaborator seek to optimize and
scale-up production of a product candidate. In such case, we will
need to demonstrate comparability between the newly manufactured
drug substance and/or drug product relative to the previously
manufactured drug substance and/or drug product. Demonstrating
comparability may cause us to incur additional costs or delay
initiation or completion of our clinical trials, including the need
to initiate a dose escalation study and, if unsuccessful, could
require us to complete additional preclinical or clinical studies
of our product candidates.
If serious adverse events or other undesirable side effects are
identified during the use of AV-101 in clinical trials, it may
adversely affect our development of AV-101 for MDD and other CNS
indications.
AV-101 is currently being tested in an NIMH-investigator sponsored
Phase 2a clinical trial for the treatment of MDD and may be
subjected to testing in the future for other CNS indications in
additional investigator sponsored clinical trials. If serious
adverse events or other undesirable side effects, or unexpected
characteristics of AV-101 are observed in investigator sponsored
clinical trials of AV-101 or our clinical trials, it may adversely
affect or delay our clinical development of AV-101, and the
occurrence of these events would have a material adverse effect on
our business.
Positive results from early preclinical studies and clinical trials
of AV-101 or other product candidates are not necessarily
predictive of the results of later preclinical studies and clinical
trials of such product candidates. If we cannot replicate the
positive results from our earlier preclinical studies and clinical
trials of AV-101 or other product candidates in our later
preclinical studies and clinical trials, we may be unable to
successfully develop, obtain regulatory approval for and
commercialize our product candidates.
Positive results from preclinical studies of our product
candidates, and any positive results we may obtain from early
clinical trials of our product candidates, may not necessarily be
predictive of the results from required later preclinical studies
and clinical trials. Similarly, even if we are able to complete our
planned preclinical studies or clinical trials of our product
candidates according to our current development timeline, the
positive results from our preclinical studies and clinical trials
of our product candidates may not be replicated in subsequent
preclinical studies or clinical trial results. Many companies in
the pharmaceutical and biotechnology industries have suffered
significant setbacks in late-stage clinical trials after achieving
positive results in early-stage development, and we cannot be
certain that we will not face similar setbacks. These setbacks have
been caused by, among other things, preclinical findings made while
clinical trials were underway or safety or efficacy observations
made in preclinical studies and clinical trials, including
previously unreported adverse events. Moreover, preclinical and
clinical data are often susceptible to varying interpretations and
analyses, and many companies that believed their product candidates
performed satisfactorily in preclinical studies and clinical trials
nonetheless failed to obtain FDA approval. We have not yet
completed a Phase 2a clinical trial for AV-101, and if we fail to
produce positive results in our NIH-sponsored Phase 2a clinical
trial of AV-101 in MDD, the development timeline and regulatory
approval and commercialization prospects for AV-101 and,
correspondingly, our business and financial prospects, could be
materially adversely affected.
Failures or delays in the commencement or completion of our planned
clinical trials and non-clinical studies of our product candidates
could result in increased costs to us and could delay, prevent or
limit our ability to generate revenue and continue our
business.
Under our CRADA, we and the NIH have commenced an NIH-funded Phase
2a clinical trial of AV-101 as a treatment for MDD. We will need to
complete at least two additional large clinical trials prior to the
submission of an NDA for AV-101 as a treatment for MDD. Successful
completion of our clinical trials is a prerequisite to submitting
an NDA to the FDA and, consequently, the ultimate approval and
commercial marketing of AV-101 for
MDD and any other product candidates we may develop. We do not know
whether the NIH-funded Phase 2a study of AV-101 or any of our
future-planned clinical trials will be completed on schedule, if at
all, as the commencement and completion of clinical trials can be
delayed or prevented for a number of reasons, including, among
others:
●
the FDA may deny permission to proceed with our
planned clinical trials or any other clinical trials we may
initiate, or may place a clinical trial on
hold;
●
delays in filing or receiving approvals of
additional INDs that may be required;
●
negative results from our ongoing non-clinical
studies;
●
delays in reaching or failing to reach agreement
on acceptable terms with prospective CROs and clinical trial sites,
the terms of which can be subject to extensive negotiation and may
vary significantly among different CROs and trial
sites;
●
inadequate quantity or quality of a product
candidate or other materials necessary to conduct clinical trials,
for example delays in the manufacturing of sufficient supply of
finished drug product;
●
difficulties obtaining Institutional Review Board
(IRB) approval to conduct a clinical trial at a
prospective site or sites;
●
challenges in recruiting and enrolling patients to
participate in clinical trials, including the proximity of patients
to trial sites;
●
eligibility criteria for the clinical trial, the
nature of the clinical trial protocol, the availability of approved
effective treatments for the relevant disease and competition from
other clinical trial programs for similar
indications;
●
severe or unexpected drug-related side effects
experienced by patients in a clinical trial;
●
delays in validating any endpoints utilized in a
clinical trial;
●
the FDA may disagree with our clinical trial
design and our interpretation of data from clinical trials, or may
change the requirements for approval even after it has reviewed and
commented on the design for our clinical
trials;
●
reports from non-clinical or clinical testing of
other CNS therapies that raise safety or efficacy concerns;
and
●
difficulties retaining patients who have enrolled
in a clinical trial but may be prone to withdraw due to rigors of
the clinical trials, lack of efficacy, side effects, personal
issues or loss of interest.
●
Clinical trials may also be delayed or terminated
as a result of ambiguous or negative interim results. In addition,
a clinical trial may be suspended or terminated by us, the FDA, the
IRBs at the sites where the IRBs are overseeing a clinical trial, a
data and safety monitoring board (DSMB), overseeing the clinical
trial at issue or other regulatory authorities due to a number of
factors, including, among others
●
failure to conduct the clinical trial in
accordance with regulatory requirements or our clinical
protocols;
●
inspection of the clinical trial operations or
trial sites by the FDA or other regulatory authorities that reveals
deficiencies or violations that require us to undertake corrective
action, including the imposition of a clinical
hold;
●
unforeseen safety issues, including any that could
be identified in our ongoing non-clinical carcinogenicity studies,
adverse side effects or lack of effectiveness;
●
changes in government regulations or
administrative actions;
●
problems with clinical supply materials;
and
●
lack of adequate funding to continue clinical
trials.
Changes in regulatory requirements, FDA guidance or unanticipated
events during our non-clinical studies and clinical trials of our
product candidates may occur, which may result in changes to
non-clinical studies and clinical trial protocols or additional
non-clinical studies and clinical trial requirements, which could
result in increased costs to us and could delay our development
timeline.
Changes in regulatory requirements, FDA guidance or unanticipated
events during our non-clinical studies and clinical trials may
force us to amend non-clinical studies and clinical trial protocols
or the FDA may impose additional non-clinical studies and clinical
trial requirements. Amendments or changes to our clinical trial
protocols would require resubmission to the FDA and IRBs for review
and approval, which may adversely impact the cost, timing or
successful completion of clinical trials. Similarly, amendments to
our non-clinical studies may adversely impact the cost, timing, or
successful completion of those non-clinical studies. If we
experience delays completing, or if we terminate, any of our
non-clinical studies or clinical trials, or if we are required to
conduct additional non-clinical studies or clinical trials, the
commercial prospects for our product candidates may be harmed and
our ability to generate product revenue will be
delayed.
We rely, and expect that we will continue to rely, on third parties
to conduct any clinical trials for our product candidates. If these
third parties do not successfully carry out their contractual
duties or meet expected deadlines, we may not be able to obtain
regulatory approval for or commercialize our product candidates and
our business could be substantially harmed.
We do not have the ability to independently conduct clinical
trials. We rely on medical institutions, clinical investigators,
contract laboratories and other third parties, such as CROs, to
conduct clinical trials on our product candidates. We enter into
agreements with third-party CROs to provide monitors for and to
manage data for our clinical trials, as well as provide other
services necessary to prepare for, conduct and complete clinical
trials. We rely heavily on these parties for execution of clinical
trials for our product candidates and control only certain aspects
of their activities. As a result, we have less direct control over
the conduct, timing and completion of these clinical trials and the
management of data developed through clinical trials than would be
the case if we were relying entirely upon our own staff.
Communicating with outside parties can also be challenging,
potentially leading to mistakes as well as difficulties in
coordinating activities. Outside parties may:
●
have staffing difficulties;
●
fail to comply with contractual
obligations;
●
experience regulatory compliance
issues;
●
undergo changes in priorities or become
financially distressed; or
●
form relationships with other entities, some of
which may be our competitors.
These factors may materially adversely affect the willingness or
ability of third parties to conduct our clinical trials and may
subject us to unexpected cost increases that are beyond our
control. Nevertheless, we are responsible for ensuring that each of
our clinical trials is conducted in accordance with the applicable
protocol, legal, regulatory and scientific requirements and
standards, and our reliance on CROs or the NIH does not relieve us
of our regulatory responsibilities. We and our CROs and the NIMH
are required to comply with regulations and guidelines, including
current cGCPs for conducting, monitoring, recording and reporting
the results of clinical trials to ensure that the data and results
are scientifically credible and accurate, and that the trial
patients are adequately informed of the potential risks of
participating in clinical trials. These regulations are enforced by
the FDA, the Competent Authorities of the Member States of the
European Economic Area and comparable foreign regulatory
authorities for any products in clinical development. The FDA
enforces cGCP regulations through periodic inspections of clinical
trial sponsors, principal investigators and trial sites. If we or
our CROs fail to comply with applicable cGCPs, the clinical data
generated in our clinical trials may be deemed unreliable and the
FDA or comparable foreign regulatory authorities may require us to
perform additional clinical trials before approving our marketing
applications. We cannot assure you that, upon inspection, the FDA
will determine that any of our clinical trials comply with cGCPs.
In addition, our clinical trials must be conducted with product
candidates produced under cGMPs regulations and will require a
large number of test patients. Our failure or the failure of our
CROs to comply with these regulations may require us to repeat
clinical trials, which would delay the regulatory approval process
and could also subject us to enforcement action up to and including
civil and criminal penalties.
Although we design our clinical trials for our product candidates,
we plan to have CROs, and in the case of our initial AV-101 Phase
2a study in MDD, the NIH, conduct the AV-101 Phase 2 and Phase 3
clinical trials. As a result, many important aspects of our drug
development programs are outside of our direct control. In
addition, the CROs or the NIH, as the case may be, may not perform
all of their obligations under arrangements with us or in
compliance with regulatory requirements, but we remain responsible
and are subject to enforcement action that may include civil
penalties up to and including criminal prosecution for any
violations of FDA laws and regulations during the conduct of our
clinical trials. If the NIH or CROs do not perform clinical trials
in a satisfactory manner, breach their obligations to us or fail to
comply with regulatory requirements, the development and
commercialization of AV-101 and other product candidates may be
delayed or our development program materially and irreversibly
harmed. We cannot control the amount and timing of resources these
CROs or the NIH devote to our program or our clinical products. If
we are unable to rely on clinical data collected by our CROs or the
NIH, we could be required to repeat, extend the duration of, or
increase the size of our clinical trials and this could
significantly delay commercialization and require significantly
greater expenditures.
If any of our relationships with these third-party CROs or the NIH
terminate, we may not be able to enter into arrangements with
alternative CROs or collaborators. If CROs or the NIH do
not successfully carry out their contractual duties or obligations
or meet expected deadlines, if they need to be replaced or if the
quality or accuracy of the clinical data they obtain is compromised
due to the failure to adhere to our clinical protocols, regulatory
requirements or for other reasons, any clinical trials that such
CROs or the NIH are associated with may be extended, delayed or
terminated, and we may not be able to obtain regulatory approval
for or successfully commercialize our product candidates. As a
result, we believe that our financial results and the commercial
prospects for our product candidates in the subject indication
would be harmed, our costs could increase and our ability to
generate revenue could be delayed.
We rely completely on third-party suppliers to manufacture our
clinical drug supplies for our product candidates, and we intend to
rely on third parties to produce non-clinical, clinical and
commercial supplies of any future product candidate.
We do not currently have, nor do we plan to acquire, the
infrastructure or capability to internally manufacture our clinical
drug supply of AV-101 or any other product candidates for use in
the conduct of our nonclinical studies and clinical trials, and we
lack the internal resources and the capability to manufacture any
product candidates on a clinical or commercial
scale. The facilities used by our contract manufacturers
to manufacture the active pharmaceutical ingredient and final drug
product must complete a pre-approval inspection by the FDA and
other comparable foreign regulatory agencies to assess compliance
with applicable requirements, including cGMPs, after we submit our
NDA or relevant foreign regulatory submission to the applicable
regulatory agency.
We do not control the manufacturing process of, and are completely
dependent on, our contract manufacturers to comply with cGMPs for
manufacture of both active drug substances and finished drug
products. If our contract manufacturers cannot successfully
manufacture material that conforms to our specifications and the
strict regulatory requirements of the FDA or applicable foreign
regulatory agencies, they will not be able to secure and/or
maintain regulatory approval for their manufacturing facilities. In
addition, we have no direct control over our contract
manufacturers’ ability to maintain adequate quality control,
quality assurance and qualified personnel. Furthermore, all of our
contract manufacturers are engaged with other companies to supply
and/or manufacture materials or products for such companies, which
exposes our third-party contract manufacturers to regulatory risks
for the production of such materials and products. As a result,
failure to satisfy the regulatory requirements for the production
of those materials and products may affect the regulatory clearance
of our contract manufacturers’ facilities generally. If the
FDA or an applicable foreign regulatory agency determines now or in
the future that these facilities for the manufacture of our product
candidates are noncompliant, we may need to find alternative
manufacturing facilities, which would adversely impact our ability
to develop, obtain regulatory approval for or market our product
candidates. Our reliance on contract manufacturers also exposes us
to the possibility that they, or third parties with access to their
facilities, will have access to and may appropriate our trade
secrets or other proprietary information.
We do not yet have long-term supply agreements in place with our
contract manufacturers and each batch of our product candidates are
individually contracted under a quality and supply agreement. If we
engage new contract manufacturers, such contractors must complete
an inspection by the FDA and other applicable foreign regulatory
agencies. We plan to continue to rely upon contract manufacturers
and, potentially, collaboration partners, to manufacture commercial
quantities of AV-101 and other product candidates, if approved. Our
current scale of manufacturing for AV-101 is adequate to support
our currently planned needs for additional non-clinical studies and
clinical trial supplies.
Even if we receive marketing approval for our product candidates in
the United States, we may never receive regulatory approval to
market our product candidates outside of the United
States.
We have not yet selected any markets outside of the United States
where we intend to seek regulatory approval to market our product
candidates. In order to market any product outside of the United
States, however, we must establish and comply with the numerous and
varying safety, efficacy and other regulatory requirements of other
countries. Approval procedures vary among countries and can involve
additional product candidate testing and additional administrative
review periods. The time required to obtain approvals in other
countries might differ from that required to obtain FDA approval.
The marketing approval processes in other countries may implicate
all of the risks detailed above regarding FDA approval in the
United States as well as other risks. In particular, in many
countries outside of the United States, products must receive
pricing and reimbursement approval before the product can be
commercialized. Obtaining this approval can result in substantial
delays in bringing products to market in such countries. Marketing
approval in one country does not ensure marketing approval in
another, but a failure or delay in obtaining marketing approval in
one country may have a negative effect on the regulatory process in
others. Failure to obtain marketing approval in other countries or
any delay or other setback in obtaining such approval would impair
our ability to market our product candidates in such foreign
markets. Any such impairment would reduce the size of our potential
market, which could have a material adverse impact on our business,
results of operations and prospects.
If we are unable to establish sales and marketing capabilities or
enter into agreements with third parties to market and sell our
product candidates, we may not be able to generate any
revenue.
We do not currently have an infrastructure for the sales, marketing
and distribution of pharmaceutical products, nor do we intend to
create such capabilities. Therefore, in order to market our product
candidates globally, if approved by the FDA or any other regulatory
body, we must make contractual arrangements with third parties to
perform services related to sales, marketing, managerial and other
non-technical capabilities relating to the commercialization of our
product candidates. If we are unable to establish adequate
contractual arrangements for such sales, marketing and distribution
capabilities, or if we are unable to do so on commercially
reasonable terms, our business, results of operations, financial
condition and prospects will be materially adversely
affected.
Even if we receive marketing approval for our product candidates,
our product candidates may not achieve broad market acceptance,
which would limit the revenue that we generate from their
sales.
The commercial success of our product candidates, if approved by
the FDA or other applicable regulatory authorities, will depend
upon the awareness and acceptance of our product candidates among
the medical community, including physicians, patients and
healthcare payors. Market acceptance of our product candidates, if
approved, will depend on a number of factors, including, among
others:
●
the efficacy and safety of our product candidates
as demonstrated in clinical trials, and, if required by any
applicable regulatory authority in connection with the approval for
the applicable indications, to provide patients with incremental
health benefits, as compared with other available
therapies;
●
limitations or warnings contained in the labeling
approved for our product candidates by the FDA or other applicable
regulatory authorities;
●
the clinical indications for which our product
candidates are approved;
●
availability of alternative treatments already
approved or expected to be commercially launched in the near
future;
●
the potential and perceived advantages of our
product candidates over current treatment options or alternative
treatments, including future alternative
treatments;
●
the willingness of the target patient population
to try new therapies and of physicians to prescribe these
therapies;
●
the strength of marketing and distribution support
and timing of market introduction of competitive
products;
●
publicity concerning our products or competing
products and treatments;
●
pricing and cost
effectiveness;
●
the effectiveness of our sales and marketing
strategies;
●
our ability to increase awareness of our product
candidates through marketing efforts;
●
our ability to obtain sufficient third-party
coverage or reimbursement; or
●
the willingness of patients to pay out-of-pocket
in the absence of third-party coverage.
If our product candidates are approved but do not achieve an
adequate level of acceptance by patients, physicians and payors, we
may not generate sufficient revenue from our product candidates to
become or remain profitable. Before granting reimbursement
approval, healthcare payors may require us to demonstrate that our
product candidates, in addition to treating these target
indications, also provide incremental health benefits to patients.
Our efforts to educate the medical community and third-party payors
about the benefits of our product candidates may require
significant resources and may never be successful.
Our product candidates may cause undesirable side effects that
could delay or prevent their regulatory approval, limit the
commercial profile of an approved label, or result in significant
negative consequences following marketing approval, if
any.
Undesirable side effects caused by our product candidates could
cause us or regulatory authorities to interrupt, delay or halt
nonclinical studies and clinical trials and could result in a more
restrictive label or the delay or denial of regulatory approval by
the FDA or other regulatory authorities.
Further, clinical trials by their nature utilize a sample of the
potential patient population. With a limited number of patients and
limited duration of exposure, rare and severe side effects of our
product candidates may only be uncovered with a significantly
larger number of patients exposed to the product candidate. If our
product candidates receive marketing approval and we or others
identify undesirable side effects caused by such product candidates
(or any other similar products) after such approval, a number of
potentially significant negative consequences could result,
including: