We
have met the pre-IND meeting, IND application filing, and successfully completed the Phase I clinical trial milestones encompassing AL001.
If we fail to meet a milestone payment by the specified date, the Licensor may terminate the respective license agreement. If the Licensor
were to terminate either license agreement for whatever reason, it would materially and adversely affect our business, financial position
and future prospects and you would likely lose the entirety of your investment in us.
AL002 License:
Payment | |
Due Date | |
Event |
$ | 50,000 | * |
Completed January 2022 | |
Upon IND application filing |
| | |
| |
|
$ | 50,000 | |
12 months from IND application filing date | |
Upon first dosing of patient in first Phase I clinical trial |
| | |
| |
|
$ | 175,000 | |
12 months from first patient dosed in Phase I | |
Upon completion of first Phase I clinical trial |
| | |
| |
|
$ | 500,000 | |
24 months from completion of first Phase I clinical trial | |
Upon completion of first Phase II clinical trial |
| | |
| |
|
$ | 1,000,000 | |
12 months from completion of the first Phase II clinical trial | |
Upon first patient treated in a Phase III clinical trial |
| | |
| |
|
$ | 10,000,000 | |
7 years from the effective date of the agreement | |
Upon FDA BLA approval |
*Milestone met and completed
On June 10, 2020, we
obtained two additional royalty-bearing exclusive worldwide licenses from the Licensor to a therapy named AL001. One of the additional
licenses is for the treatment of neurodegenerative diseases excluding Alzheimer’s and the other license is for the treatment of
psychiatric diseases and disorders. There are certain license fees and milestone payments required to be paid pursuant to the terms of
the June AL001 License Agreements. Under each of the June AL001 License Agreements, a royalty payment of 3% is required on net sales of
products developed from the licensed technology. For the two additional AL001 licenses, in the aggregate, we paid initial license fees
of $20,000. Additionally, under each of the June AL001 License Agreements, we are required to pay milestone payments on the due dates
to the Licensor for the license of the technology, as follows:
Additional AL001 Licenses:
Payment | |
Due Date | |
Event |
$ | 50,000 | |
Upon IND application filing | |
IND application filing |
| | |
| |
|
$ | 150,000 | |
12 months from IND filing date | |
Upon first dosing of patient in a clinical trial |
| | |
| |
|
$ | 400,000 | |
12 months from first patient dosing | |
Upon Completion of first clinical trial |
| | |
| |
|
$ | 1,000,000 | |
36 months from completion of the first Phase II clinical trial | |
Upon first patient treated in a Phase III clinical trial |
| | |
| |
|
$ | 8,000,000 | |
8 years from the effective date of the agreement | |
First commercial sale |
These June AL001 License Agreements
have an indefinite term that continue until the later of the date no licensed patent under the applicable agreement remains a pending
application or enforceable patent, the end date of any period of market exclusivity granted by a governmental regulatory body, or the
date on which the licensee’s obligations to pay royalties expire under the applicable license agreement.
If we fail to comply with our obligations
in the agreements under which we license intellectual property and other rights from third parties or otherwise experience disruptions
to our business relationships with the Licensor, we could lose license rights that are important to our business.
We are a party to these license
agreements with the Licensor and expect to enter into additional license agreements in the future. The existing license agreements impose,
and we expect that future license agreements will impose, various diligence, milestone payment, royalty and other obligations on us. If
we fail to comply with our obligations under these agreements, or we are subject to a bankruptcy, we may be required to make certain payments
to the Licensor, we may lose the exclusivity of our license, or the Licensor may have the right to terminate the license, in which event
we would not be able to develop or market products covered by the license. The Licensor or any future licensor may take any of these actions,
including terminating a license agreement. Additionally, the milestone and other payments associated with these licenses will make it
less profitable for us to develop our product candidates. If the Licensor were to terminate a license agreement for whatever reason, it
would materially and adversely affect our business, financial position and future prospects and you would likely lose the entirety of
your investment in us.
In some cases, patent prosecution
of our licensed technology is controlled solely by the Licensor. If the Licensor fails to obtain and maintain patent or other protection
for the proprietary intellectual property we license, we could lose our rights to the intellectual property or our exclusivity with respect
to those rights, and our competitors could market competing products using the intellectual property. Licensing of intellectual property
is of critical importance to our business and involves complex legal, business and scientific issues. Disputes may arise regarding intellectual
property subject to a licensing agreement, including but not limited to:
| • | the scope of rights granted under the license agreement and other interpretation-related issues; |
| • | the extent to which our technology and processes infringe on intellectual property of the Licensor that
is not subject to the licensing agreement; |
| • | the sublicensing of patent and other rights; |
| • | our diligence obligations under each of the license agreements and what activities satisfy those diligence
obligations; |
| • | the ownership of inventions and know-how resulting from the joint creation or use of intellectual property
by our licensors and us and our collaborators; and |
| • | the priority of invention of patented technology. |
If disputes over intellectual
property and other rights that we have licensed prevent or impair our ability to maintain our current licensing arrangements on acceptable
terms, we may be unable to successfully develop and commercialize the affected product candidates.
We are substantially dependent on the success
of our product candidates, which may not receive regulatory approval or be successfully commercialized.
In the future, we plan to
submit AL001 and AL002 and, potentially, other product candidates for regulatory approval. Currently, however, neither AL001 nor AL002
has been submitted for regulatory approval, which would be required before we seek to initiate commercial distribution. To date, we have
invested nearly all of our resources in establishing our company and the acquisition of the intellectual property of our product candidates,
AL001 and AL002. Our near-term prospects, including our ability to finance our company and to enter into strategic collaborations and,
ultimately, to generate revenue, are directly dependent upon the successful development, FDA approval and commercialization of AL001 or
AL002.
The development and commercial
success of our product will depend on a number of factors, including, without limitation, the following:
| • | our timely initiation and successful completion of preclinical studies and clinical trials for AL001 or
AL002; |
| • | our demonstration to the satisfaction of the FDA and comparable regulatory bodies of the safety and efficacy
of AL001 or AL002, as well as to obtain regulatory and marketing approval for AL001 or AL002 in the United States, Europe and elsewhere; |
| • | our continued compliance with all clinical and regulatory requirements applicable to AL001 and AL002; |
| • | our maintenance of an acceptable safety profile of AL001 and AL002 following regulatory approval; |
| • | competition with other treatments; |
| • | our creation, maintenance and protection of our intellectual property portfolio, including patents and
trade secrets, and regulatory exclusivity for AL001 and AL002; |
| • | the effectiveness of our and our eventual partners’ marketing, sales and distribution strategy and
operations; |
| • | the ability of our third-party manufacturers to manufacture supplies of our product and product candidates
and to develop, validate and maintain commercially viable manufacturing processes; |
| • | our ability to launch commercial sales of AL001 or AL002 following regulatory approval, whether alone
or in collaboration with others; and |
| • | the acceptance of AL001 and AL002 by physicians, health care payers, patients and the medical community. |
Many of these factors are
beyond our control, and we cannot assure you that we will ever be able to generate sufficient revenue, or any revenue at all, from the
sale of AL001 or AL002. Our failure in any of the above factors, or in successfully commercializing AL001 or AL002 on a timely basis,
could have a material adverse effect on our business, results of operations and financial condition, and the value of your investment
could substantially decline.
AL001 and AL002 may not achieve market acceptance, which would
significantly limit our ability to generate revenue.
Even if we develop AL001 or AL002 and gain
regulatory approvals for either or both candidates, unless physicians and patients accept our product candidates, we may not be able to
sell them and generate significant revenues. We cannot assure you that AL001, AL002 or any other potential product candidates we may eventually
develop will achieve market acceptance and revenue if and when they obtain the requisite regulatory approvals. Market acceptance of any
product candidate depends on a number of factors, including but not limited to:
| • | the indication and warnings approved by regulatory authorities in the product label; |
| • | continued demonstration to the FDA of safety and efficacy in commercial use; |
| • | physicians’ willingness to prescribe the product; |
| • | reimbursement from third-party payers such as government health care systems and insurance companies; |
| • | the price of the product; |
| • | the nature of any post-approval risk management plans mandated by regulatory authorities; |
| • | the effectiveness of marketing and distribution support. |
Any failure by AL001 or AL002
to achieve market acceptance or commercial success could have a material adverse effect on our business, results of operations and financial
condition.
Problems in the manufacturing process, failure
to comply with manufacturing regulations or unexpected increases in manufacturing costs could harm our business, results of operations
and financial condition.
We are responsible for the
manufacture and supply of AL001 and AL002, independently of each other. The manufacturing of AL001 and AL002 necessitates compliance with
applicable regulatory requirements of the FDA and the European Union, as well as with international cGMP and other international regulatory
requirements. As of the date of this Annual Report, we do not have our own manufacturing facilities. We have contracted with a third-party
manufacturer for the clinical supply of AL001 using GMP manufacturing for our planned AL001 clinical trials and plan to contract with
established third parties for the long-term commercial production of AL001 and AL002. The responsibility to obtain market authorization
for AL001 and AL002 remains with us. As such, even if we could potentially have a claim against one or more third parties, we are legally
liable for any noncompliance related to AL001 and AL002 and we expect to retain legal responsibility for any future product candidates
as well.
Additionally, we may have limited control
over the associated manufacturing costs and potential unexpected increases in those costs over time. If costs increase, we may choose
to pass on such costs to our customers, which could reduce our ability to compete by increasing the prices of our products (which we expect
to be priced at a significant premium over competing generic products). See “Risks Related to Our Business and Industry — We
expect to face substantial competition, with other entities possibly discovering, developing or commercializing products before, or more
successfully than, we do.” If we cannot pass on all such costs to our customers, then our profitability would be adversely affected.
If we are unable to manufacture,
or contract to manufacture, AL001 and AL002 in accordance with regulatory specifications, or if there are disruptions in the manufacturing
process due to damage, loss or failure to meet regulatory requirements (including passing inspections) of manufacturing facilities, we
may not be able to meet the demand for our products or supply sufficient product for use in clinical trials, and this may harm our ability
to commercialize AL001 and AL002 on a timely or cost-competitive basis, or preclude us from doing so at all, which could harm our business,
results of operations and financial condition.
Before we or any future commercial
partners can begin commercial manufacture of AL001 and AL002 or any other product candidate that we may develop in the future, we must
obtain FDA regulatory approval for the product, which requires a successful FDA inspection of our manufacturing facilities (or those we
contract with) and the development of quality systems, among other requirements. Even if we successfully pass an FDA Pre-Approval Inspection
of any manufacturing facilities we may establish or contract with, our pharmaceutical facilities would be subject to unannounced inspection
by the FDA and foreign regulatory authorities to ensure ongoing manufacturing compliance, even after product approval. Due to the complexity
of the processes that we anticipate will eventually be used to manufacture AL001 and AL002, we may be unable to pass federal, state or
international regulatory inspections in a cost-effective manner, whether initially or at any time thereafter. If we are unable to comply
with manufacturing regulations, we may be subject to fines, unanticipated compliance expenses, recall or seizure of any approved products,
or legal actions such as injunctions or criminal or civil prosecution. These possible sanctions could materially and adversely affect
our business, results of operations and financial condition. See also “Risks Related to Development and Regulatory Approval of Our
Product.” The regulatory approval process is uncertain, requires us to utilize significant financial, physical and human resources,
and may prevent us or our future commercial partners from obtaining approvals for the commercialization of some or all of our product
candidates.
Serious adverse events or other safety risks
could require us to abandon development and preclude, delay or limit approval of AL001 or AL002, or limit the scope of any approved label
or market acceptance.
If AL001, AL002 or any other
product candidate that we may develop in the future, prior to or after any approval for commercial sale, causes serious or unexpected
side effects, or become associated with other safety risks such as misuse, abuse or diversion, a number of potentially significant negative
consequences could result, including, without limitation, that:
| • | regulatory authorities may interrupt, delay or halt clinical trials; |
| • | regulatory authorities may deny regulatory approval of AL001 or AL002; |
| • | regulatory authorities may require certain labeling statements, such as warnings or contraindications
or limitations on the indications for use, or impose restrictions on distribution in the form of REMS in connection with approval, if
any; |
| • | regulatory authorities may withdraw their approval, require more onerous labeling statements or impose
a more restrictive REMS of any product that is approved; |
| • | we may be required to change the way the product is administered or conduct additional clinical trials; |
| • | any relationships that we may be able to form in the future with any commercial partners may suffer; |
| • | we could be sued and held liable for harm caused to patients; and |
| • | our reputation may suffer. |
We may voluntarily suspend
or terminate our clinical trials if at any time we believe that they present an unacceptable risk to participants or if preliminary data
demonstrate that either AL001 or AL002 is unlikely to receive regulatory approval or is unlikely to be successfully commercialized. In
addition, regulatory agencies, an Ethics Committee or Institutional Review Board (an “IRB”), or data safety monitoring boards
may at any time recommend the temporary or permanent discontinuation of our clinical trials or request that we cease using investigators
in the clinical trials if they believe that the clinical trials are not being conducted in accordance with applicable regulatory requirements,
or that they present an unacceptable safety risk to participants. If we elect or are forced to suspend or terminate a clinical trial of
AL001, AL002 or any other product candidate that we may in the future develop, the commercial prospects for that product will be harmed
and our ability to generate product revenue from that product may be delayed or eliminated. Furthermore, any of these events could prevent
us or our partners from achieving or maintaining market acceptance of the affected product and could substantially increase the costs
of commercializing AL001 or AL002 and materially impair our ability to generate revenue from the commercialization of AL001 or AL002 either
by us or by any future commercial partners with which we may develop a relationship, which and could have a material adverse effect on
our reputation, business, results of operations and financial condition.
If we fail to obtain and sustain an adequate
level of reimbursement for our products by third-party payers, sales and profitability will be adversely affected.
The course of medical treatment
for human patients is, and will continue to be, expensive. We expect that most patients and their families will not be capable of paying
for our potential products themselves.
Accordingly, it is unlikely
that there will be a commercially viable market for AL001 or AL002, if approved, without reimbursement and coverage from third-party payers.
Obtaining reimbursement approval and coverage from third-party payers is a time consuming and expensive process, and we cannot be certain
that reimbursement will be approved and coverage obtained for our current product candidates or any other product candidate we may develop.
Additionally, even if there is some form of reimbursement and coverage from third-party payers, if the level of third-party reimbursement
is insufficient from the patient’s perspective or coverage is limited, our revenue and gross margins will be materially and adversely
affected.
A current trend in the U.S.
health care industry, as well as in other countries around the world, is toward cost containment. Large public and private payers, managed
care organizations, group purchasing organizations and similar organizations are exerting increasing influence on decisions regarding
the use of, and reimbursement levels for, particular treatments. Third-party payers, such as government programs, including Medicare in
the United States, and private health care insurers, carefully review and have increasingly been challenging the coverage of, and prices
charged for, medical products and services. Many third-party payers limit coverage of or reimbursement for newly-approved health care
products. Reimbursement rates and coverage from private health insurance companies vary depending on the company, the insurance plan and
other factors. Cost-control initiatives could decrease the price we or our partners establish for products, which could result in lower
product revenue and profitability.
Reimbursement systems in international
markets vary significantly by country and by region, and reimbursement approvals must be obtained on a country-by-country basis. Our eventual
partners may elect to reduce the price of our products in order to increase the likelihood of obtaining reimbursement approvals. In many
countries, products cannot be commercially launched until reimbursement is approved and the negotiation process in some countries can
exceed 12 months. In addition, pricing and reimbursement decisions in certain countries can be affected by decisions taken in other
countries, which can lead to mandatory price reductions and/or additional reimbursement restrictions across a number of other countries,
which may adversely affect our sales and profitability. If countries set prices that are not sufficient to allow us or our partners to
generate a profit, our partners may refuse to launch the product in such countries or withdraw the product from the market, which would
adversely affect our sales and profitability and could materially and adversely affect our business, results of operations and financial
condition.
Risks Related to Development and Regulatory
Approval of Our Drug Candidates
The regulatory approval process is uncertain,
requires us to utilize significant resources, and may prevent us or our future commercial partners from obtaining approvals for the commercialization
of AL001 or AL002.
The research, testing, manufacturing,
labeling, approval, sale, marketing and testing of AL001 and AL002 are and will be subject to extensive regulation by regulatory authorities
in the United States, Europe and elsewhere, and regulatory requirements applicable to our product differ from country to country. Neither
we nor any commercial partner is permitted to market any of our current or future product candidates in the United States until we receive
approval from the FDA of either a NDA or BLA for AL001 and AL002, respectively. Obtaining approval of an NDA or a BLA can be an uncertain
process that requires us to utilize significant resources. Furthermore, regulatory authorities possess broad discretion regarding processing
time and usually request additional information and raise questions which have to be answered. There is considerable uncertainty regarding
the times at which products may be approved and we have no control over the FDA review process. In addition, failure to comply with FDA
and other applicable U.S. and foreign regulatory requirements may subject us to administrative or judicially imposed sanctions, including:
warning letters, civil and criminal penalties, injunctions, withdrawal of approved products from the market, product seizure or detention,
product recalls, total or partial suspension of production, and refusal to approve pending applications or supplements to approved applications.
Even if we fully comply with
all applicable laws and regulations, the FDA may still determine that our clinical data are insufficient for final approval of an NDA
or BLA. The process required by the FDA and most foreign regulatory authorities before human health care pharmaceuticals may be marketed
generally involves nonclinical laboratory and, in some cases, animal tests; submission of an IND, which must become effective before clinical
trials may begin; adequate and well-controlled human clinical trials to establish the safety and efficacy of the proposed drug for its
intended use or uses; pre-approval inspection of manufacturing facilities and clinical trial sites; and FDA approval of an NDA or BLA,
which must occur before a drug can be marketed or sold.
Regulatory approval of an
NDA or BLA, or any supplement thereof, is not guaranteed, and the approval process requires us to utilize significant resources, could
take several years, and is subject to the substantial discretion of the FDA. Despite the time and expense exerted, failure can occur
at any stage, and we could encounter problems that cause us to abandon or have to repeat or perform additional studies. If our product
or any of our future product candidates fails to demonstrate safety and efficacy in our studies, or for any other reason does not gain
regulatory approval, our business and results of operations will be materially and adversely harmed.
In addition, separate regulatory
approvals are required in order to market any product in many jurisdictions, including the United States, the United Kingdom, European
Economic Area, which consists of the 27 Member States (known as the “EU Member States”) of the European Union plus Norway,
Iceland and Liechtenstein, and many others. Approval procedures vary among countries and can involve additional studies and testing, and
the time required to obtain approval may differ from that required to obtain FDA approval. Studies conducted in one country may not be
accepted by regulatory authorities in other countries. Approval by the FDA does not ensure approval by regulatory authorities in other
countries, and approval by one or more foreign regulatory authorities does not ensure approval by regulatory authorities in other foreign
countries or by the FDA. However, a failure or delay in obtaining regulatory approval in one country may have a negative effect on the
regulatory process in others. The foreign regulatory approval process may include all of the risks associated with obtaining FDA approval.
We may be unable to file for regulatory approvals or do so on a timely basis and, even if we are able to, we may not receive necessary
approvals to commercialize our products in any market. Any of these results could have a material adverse effect on our business, results
of operations and financial condition.
There is a high rate of failure for drug
candidates proceeding through clinical trials.
Generally speaking, there
is a high rate of failure for drug candidates proceeding through clinical trials. We may suffer significant setbacks in our clinical trials
similar to the experience of a number of other companies in the pharmaceutical and biotechnology industries, even after receiving promising
results in earlier trials. Further, even if we view the results of a clinical trial to be positive, the FDA or other regulatory authorities
may disagree with our interpretation of the data. For instance, any such differing interpretation could cause the FDA to require additional
trials. In the event that
| (i) | we obtain negative or inconclusive results from the AL001 or AL002 from a clinical trial, |
| (ii) | the FDA places a clinical hold on our clinical trials due to potential chemistry, manufacturing and controls
issues or other hurdles, or |
| (iii) | the FDA does not approve our NDA for AL001 or our BLA for AL002, then: |
| • | we may not be able to generate sufficient revenue or obtain financing to continue our operations; |
| • | our ability to execute our current business plan will be materially impaired; |
| • | our reputation in the industry and in the investment community would likely be significantly damaged;
and |
| • | the price of our common stock would likely decrease significantly. |
Any of these results could
materially and adversely affect our business, results of operations or financial condition.
Nearly every attempt
at drug approval for Alzheimer’s has failed.
Despite
billions of dollars invested by the National Institute of Health and the biopharmaceutical industry in research programs to develop novel
therapeutics for Alzheimer’s, the FDA has not approved any new drugs for Alzheimer’s
since 2003, except, however, that in June 2021, aducanumab (Biogen, Inc) received approval from the FDA for the treatment of Alzheimer’s
using the accelerated approval pathway. Since 2003, many new types and classes of drugs have been developed and tested in Alzheimer’s,
including monoclonal antibodies, gamma secretase modulators and inhibitors, β-site amyloid precursor protein cleaving enzyme (BACE)
inhibitors, receptor for advanced glycation end-products (RAGE) inhibitors, nicotinic partial agonists and allosteric modulators, serotonin
subtype receptor (5HT6) antagonists, and others. Except for Biogen’s approval, referred to above, virtually all of these scientific
programs have failed in clinical testing.
Clinical trials for AL001 or AL002 can be
expensive, time consuming, uncertain and susceptible to change, delay or termination.
Clinical trials are expensive, time consuming
and difficult to design and implement. The result of a clinical trial may be undesirable and can result in a clinical trial cancellation
or the need for re-evaluation and supplementation. Even if the results of our clinical trials are favorable, the clinical trials for AL001
or AL002 are expected to continue for a few years and may even take significantly longer to complete. In addition, we, the FDA, an
IRB, or other regulatory authority, whether in the United States, European Union or elsewhere, may suspend, delay or terminate our clinical
trials at any time, for various reasons, including, without limitation:
| • | lack of effectiveness of AL001 or AL002 during clinical trials; |
| • | discovery of serious or unexpected toxicities or side effects experienced by trial participants or other
safety issues; |
| • | slower than expected rates of subject recruitment and enrollment rates in clinical trials; |
| • | difficulty in retaining subjects who have initiated a clinical trial but may have withdrawn due to adverse
side effects from the therapy, insufficient efficacy, fatigue with the clinical trial process or for any other reason; |
| • | delays or inability in manufacturing or obtaining sufficient quantities of materials for use in clinical
trials due to manufacturing or regulatory constraints; |
| • | inadequacy of or changes in our manufacturing process or product formulation; |
| • | delays in obtaining regulatory authorization to commence a trial, including experiencing “clinical
holds” or delays requiring suspension or termination of a trial by a regulatory agency, such as the FDA, before or after a trial
is commenced; |
| • | changes in applicable regulatory policies and regulations; |
| • | delays or failure in reaching agreement on acceptable terms in clinical trial contracts or protocols with
prospective clinical trial sites; |
| • | delay or failure to supply product for use in clinical trials which conforms to regulatory specification; |
| • | unfavorable results from ongoing preclinical studies and clinical trials; |
| • | failure of any contract research organizations (“CROs”) that we may partner with in the future,
or other third-party contractors, to comply with all contractual requirements or to perform their services in a timely or acceptable manner; |
| • | failure by us, our employees, any CROs or their employees to comply with all applicable FDA or other regulatory
requirements relating to the conduct of clinical trials; |
| • | scheduling conflicts with participating clinicians and clinical institutions; |
| • | failure to design appropriate clinical trial protocols; or |
| • | regulatory concerns with pharmaceutical products generally and the potential for abuse. |
The occurrence of any of the
foregoing could have a material adverse effect on our business, results of operations and financial condition. See the risk factor “There
is a high rate of failure for drug candidates proceeding through clinical trials” above.
If our products do not receive breakthrough
therapy designation, it could potentially increase the FDA’s review time and adversely impact our development timeline. Even if
the FDA grants breakthrough therapy designation, it does not guarantee faster product development or FDA review and does not necessarily
increase the likelihood of the product candidates receiving approval from the FDA.
Breakthrough therapy designation
is reserved for drug or biologic products that are intended to treat serious conditions and for which preliminary clinical evidence indicates
that the candidate may demonstrate a substantial improvement on one or more clinically significant endpoints over currently available
therapies. The benefits of receiving the designation include additional guidance from FDA throughout the development process, assistance
with designing clinical trials, and coordination with FDA senior managers and experienced review staff. We plan to seek breakthrough therapy
designation for both AL001 and AL002. However, we have not received breakthrough therapy designation or have qualified for
expedited development, and no assurance can be given that we will. Even if we qualify for breakthrough therapy designation or expedited
development, it may not actually lead to faster development or expedited regulatory review and approval or necessarily increase the likelihood
that we will receive FDA approval.
Even if we believe that our
products are strong candidates for breakthrough therapy designation, it is possible that the FDA may determine that our preliminary clinical
evidence is insufficient to justify breakthrough therapy designation. Without this designation, we would not be able to benefit from the
increased FDA guidance and assistance throughout the development process, and it is possible that our development timeline could be extended.
The breakthrough therapy designation,
while advantageous for the development process for the reasons identified above, may nevertheless have little or no positive impact on
our development process. There is no guarantee that, even with the FDA’s assistance through the breakthrough therapy designation,
that the development process will be accelerated, the FDA will review or approve our submissions in a timely manner, or that our product
candidates will ultimately receive approval from the FDA.
In summary, we cannot guarantee
that our product candidates will receive breakthrough therapy designations and, even if they do, we cannot guarantee that such designations
will have any bearing on the FDA’s review or approval of our product candidates.
Even if we receive regulatory approval for
any of our future product candidates, we will be subject to ongoing FDA and other regulatory body obligations and continued regulatory
review, which may result in significant additional expense. Additionally, our product candidates, if approved, will be subject to labeling
and manufacturing requirements and could be subject to other restrictions. Failure to comply with these regulatory requirements or the
occurrence of unanticipated problems with our products could result in significant penalties.
Any regulatory approvals that
we or any of our collaborators receive for AL001, AL002 or any future product candidate may be subject to conditions of approval or limitations
on the approved indicated uses for which the product may be marketed or may contain requirements for potentially costly surveillance to
monitor the safety and efficacy of the product candidate. In addition, AL001, AL002 and any of our future product candidates, if approved
by the FDA or other regulatory bodies, will be subject to extensive and ongoing regulatory requirements regarding the manufacturing processes,
labeling, packaging, distribution, adverse event reporting, storage, advertising, promotion and recordkeeping. These requirements will
include submissions of safety and other post-marketing information and reports, registration, as well as continued compliance with cGMP,
Good Laboratory Practice and Good Clinical Practice, the three types of audits related to the progressive stages needed to bring a pharmaceutical
product to market, for any studies that we conduct post-approval. Later discovery of previously unknown problems with a product, including
adverse events of unanticipated severity or frequency, or with our third-party manufacturers or manufacturing processes, or failure to
comply with regulatory requirements, may result in, among other things:
| • | restrictions on the marketing or manufacturing of the product, withdrawal of the product from the market,
or voluntary or mandatory product recalls; |
| • | fines, warning letters or holds on target studies; |
| • | refusal by the FDA or other applicable regulatory body to approve pending applications or supplements
to approved applications filed by us or our strategic collaborators, or suspension or revocation of product license approvals; |
| • | product seizure or detention, or refusal to permit the import or export of products; and |
| • | injunctions or the imposition of civil or criminal penalties. |
The policies of the FDA and
other regulatory bodies may change, and additional government regulations may be promulgated that could prevent, limit or delay regulatory
approval of AL001 or AL002. We cannot predict the likelihood, nature or extent of government regulation that may arise from future legislation
or administrative action, either in the United States or elsewhere. If we are slow or unable to adapt to changes in existing requirements
or the adoption of new requirements or policies, or if we are not able to maintain regulatory compliance, we may lose any marketing approval
that we may have obtained, and we may not achieve or sustain profitability, which would materially and adversely affect our business,
results of operations and financial condition.
AL001 or AL002 and any of our future product
candidates, if approved, may cause or contribute to adverse medical events that we are required to report to the FDA and regulatory authorities
in other countries and, if we fail to do so, we could be subject to sanctions that would materially harm our business.
If we are successful in commercializing
AL001, AL002 or any of our future product candidates, regulations promulgated by the FDA and by the regulatory authorities in other countries
require that we report certain information about adverse medical events if those products may have caused or contributed to those adverse
events. The timing of our obligation to report would be triggered by the date we become aware of the adverse event as well as the nature
of the event. We may fail to report adverse events we become aware of within the prescribed timeframe. We may also fail to appreciate
that we have become aware of a reportable adverse event, especially if it is not reported to us as an adverse event or if it is an adverse
event that is unexpected or removed in time from the use of our products. If we fail to comply with our reporting obligations, the FDA
and regulatory authorities in other countries could take action including criminal prosecution, the imposition of civil monetary penalties,
seizure of our products, or delay in approval or clearance of future products, which could have a material adverse effect on our business,
results of operations and financial condition.
Legislative or regulatory reforms with respect
to products may make it more difficult and costly for us to obtain regulatory clearance or approval of AL001, AL002 or any of our future
product candidates and to produce, market, and distribute our products after clearance or approval is obtained.
From time to time, legislation
is drafted and introduced in the U.S. Congress and lawmaking bodies in other countries that could significantly change the statutory provisions
governing the testing, regulatory clearance or approval, manufacture, and marketing of regulated products. In addition, FDA regulations
and guidance are often revised or reinterpreted by the FDA in ways that may significantly affect our business and our products. Similar
changes in regulations can occur in other countries. Any new regulations or revisions or reinterpretations of existing regulations in
the United States or in other countries may impose additional costs or lengthen review times of AL001, AL002 and any of our future product
candidates. We cannot determine what effect changes in regulations, statutes, legal interpretation or policies, when and if promulgated,
enacted or adopted may have on our business in the future. Such changes could, among other things, require:
| • | requests for additional endpoints or studies; |
| • | changes to manufacturing methods; |
| • | recall, replacement, or discontinuance of certain products; and |
| • | additional record keeping. |
Each of these would likely
entail substantial time and cost and could have a material adverse effect on our ability to obtain regulatory approval for our product
candidates. In addition, delays in receipt of or failure to receive regulatory clearances or approvals for any future products could materially
and adversely affect our business, results of operations and financial condition.
Our ability to market AL001, AL002 and any
future product candidates in the United States, if approved, will be limited to use for the treatment of the indications for which they
are approved, and if we want to expand the indications for which we may market AL001, AL002 and any future product candidates, we will
need to obtain additional FDA approvals, which may not be granted.
We plan to seek full FDA approval
in the United States for AL001 and AL002 to treat neurodegenerative diseases and psychiatric disorders, including Alzheimer’s. In
addition, we have submitted a pre-IND meeting request with the FDA to explore AL001 for the treatment of bipolar disorder, MDD and PTSD.
If AL001 or AL002 is approved, the FDA will restrict our ability to market or advertise it for the treatment of indications other than
the one for which it is approved, which would limit its use. If we decide to attempt to develop, promote and commercialize new treatment
indications and protocols for AL001, AL002 and potentially other product candidates in the future, we could not predict when, or if, we
would ever receive the approvals required to do so. We would be required to conduct additional studies to support such applications for
additional use, which would consume additional resources and may produce results that do not result in FDA approvals. If we do not obtain
additional FDA approvals, our ability to expand our business in the United States would be adversely affected, which could materially
and adversely affect our business, results of operations and financial condition.
The anticipated development of a REMS for
AL001 or AL002 could cause delays in the approval process and would add additional layers of regulatory requirements that could impact
our ability to commercialize AL001 and AL002 in the United States and reduce their market potential.
As a condition of approval
of an NDA or a BLA, the FDA may require a REMS to ensure that the benefits of the drug outweigh the potential risks. REMS elements can
include medication guides, communication plans for health care professionals, and elements to assure safe use (“ETASU”). ETASU’s
can include, but are not limited to, special training or certification for prescribing or dispensing, dispensing only under certain circumstances,
special monitoring, and the use of patient registries. Moreover, product approval may require substantial post-approval testing and surveillance
to monitor the drug’s safety or efficacy. We may be required to adopt a REMS for AL001 or AL002 to ensure that the benefits outweigh
the risks of abuse, misuse, diversion and other potential safety concerns. Even if the risk of abuse, misuse or diversion are not as high
as for some other products, there can be no assurance that the FDA will approve a manageable REMS for AL001 or AL002, which could create
material and significant limits on our ability to successfully commercialize AL001 and AL002 in the U.S. Delays in the REMS approval process
could result in delays in the NDA or BLA approval process, respectively. In addition, as part of the REMS, the FDA could require significant
restrictions, such as restrictions on the prescription, distribution and patient use of the product, which could significantly impact
our ability to effectively commercialize AL001 or AL002, and dramatically reduce their market potential thereby adversely impacting our
business, financial condition and results of operations. Even if initial REMS are not highly restrictive, if, after launch, AL001, AL002
and other drug candidates were to become subject to significant abuse/non-medical use or diversion from licit channels, this could lead
to negative regulatory consequences, including a more restrictive REMS, which could materially and adversely affect our business, results
of operations and financial condition.
If we are found in violation of “fraud
and abuse” laws, we may be subject to criminal and civil penalties and/or be suspended or excluded from participation in government-run
health care programs, which may adversely affect our business, financial condition and results of operations.
If we are successful in obtaining
marketing approval for our products in the United States and elsewhere, we will be subject to various health care “fraud and abuse”
laws, including anti-kickback laws, false claims laws and other laws intended to reduce fraud and abuse in government-run health care
programs, which could materially and adversely affect us, particularly upon successful commercialization of our products in the United
States. For example, the federal Anti-Kickback Statute makes it illegal for any person, including a prescription drug manufacturer (or
a party acting on its behalf), to knowingly and willfully solicit, receive, offer or pay any remuneration that is intended to induce the
referral of business, including the purchase, order or prescription of a particular drug for which payment may be made under a U.S. health
care program such as Medicare or Medicaid. Under U.S. federal government regulations, some arrangements, known as safe harbors, are deemed
not to violate the Anti-Kickback Statute. Compliance with every element of a safe harbor regulation is required for the arrangement to
be protected. However, arrangements that do not comply with a safe harbor are not per se illegal. Instead, they will be analyzed on a
case-by-case basis. Although we intend to seek to structure our business arrangements in compliance with all applicable requirements,
these laws are broadly written, and it is often difficult to determine precisely how the law will be applied in specific circumstances.
Accordingly, it is possible that our practices may be challenged under the Anti-Kickback Statute and similar laws in other jurisdictions.
Further, false claims laws
prohibit anyone from knowingly and willfully presenting or causing to be presented for payment to third-party payers, including government
payers, reimbursement claims for drugs or services that are false or fraudulent, claims for items or services that were not provided as
claimed, or claims for medically unnecessary items or services. Cases have been brought under false claims laws alleging that off-label
promotion of pharmaceutical products or the payment of kickbacks by pharmaceutical providers has resulted in the submission of false claims
to governmental health care programs. Under laws such as the Health Insurance Portability and Accountability Act of 1996 in the United
States, we are prohibited from knowingly and willfully executing a scheme to defraud any health care benefit program, including private
payers, or knowingly and willfully falsifying, concealing or covering up a material fact or making any materially false, fictitious or
fraudulent statement in connection with the delivery of or payment for health care benefits, items or services. Violations of fraud and
abuse laws may be punishable by criminal and/or civil sanctions, including fines and/or exclusion or suspension from government-run health
care programs such as Medicare and Medicaid and debarment from contracting with the U.S. and other governments. In addition, in the United
States, individuals have the ability to bring actions on behalf of the government and potentially share in the recovery under the federal
False Claims Act as well as under state false claims laws.
Many states in the United
States have adopted fraud and abuse laws similar to their federal counterparts, including laws similar to the Anti-Kickback Statute, some
of which apply to the referral of patients for health care services reimbursed by any source, not just governmental payers. In addition,
California and some other states in the United States have passed laws that require pharmaceutical companies to comply with the April 2003
Office of Inspector General Compliance Program Guidance for Pharmaceutical Manufacturers and/or the Pharmaceutical Research and Manufacturers
of America Code on Interactions with Health Care Professionals. In addition, several states impose other marketing restrictions or require
pharmaceutical companies to make marketing or price disclosures to the state. There are ambiguities as to what is required to comply with
these state requirements and if we fail to comply with an applicable state law requirement, we could be subject to penalties.
We have yet to receive definitive
guidance on the application of fraud and abuse laws to our business. Law enforcement authorities are increasingly focused on enforcing
these laws, and it is possible that some of our future practices may be challenged under these laws. While we believe we will be able
to structure our business arrangements to comply with these laws, it is possible that the government could in the future allege violations
of, or convict us of violating, these laws. If we are found in violation of one of these laws, we could be required to pay a penalty and
could be suspended or excluded from participation in certain government-run health care programs, and our business, results of operations
and financial condition may be materially and adversely affected.
Risks Related to Our Business and Industry
If we fail to attract and keep senior management
and key scientific personnel, we may be unable to successfully develop AL001, AL002 or any future product candidates, conduct our in-licensing
and development efforts or commercialize AL001, AL002 or any of our future product candidates.
Our future growth and success
depend in part on our continued ability to attract, retain and motivate highly qualified management and scientific personnel. We are highly
dependent upon our senior management, particularly Stephan Jackman, our Chief Executive Officer, Lien Escalona, our Chief Financial Officer,
Kenneth S. Cragun, our Senior Vice President of Finance, Henry C.W. Nisser, our Executive Vice President and General Counsel, and David
Katzoff, our Chief Operating Officer, as well as our consultants, Milton C. Ault, III, our Founder and Chairman Emeritus, Dr. Chuanhai
Cao, the neuroscientist who developed AL002, and Dr. Roland (Doug) Shytle, one of the inventors of AL001. The loss of services of
any of these individuals could delay or prevent the successful development of our current or future product pipeline, completion of our
planned development efforts or the commercialization of AL001 or AL002. It is possible that current or former employees of ours could
put forward claims for an alleged right to our patents and demand compensation therefor. If one or more of the key personnel were to leave
us and engage in competing operations, our business, results of operations and financial condition could be materially and adversely affected.
We expect to face substantial competition,
with other entities possibly discovering, developing or commercializing products before, or more successfully than, we do.
The development, FDA approval
and commercialization of new therapy and vaccine products is highly competitive. We will face competition with respect to AL001, AL002
and any other product candidates that we may seek to develop or commercialize in the future, from major pharmaceutical companies, specialty
pharmaceutical companies and biotechnology companies worldwide. In addition to existing therapeutic treatments for the indications we
are targeting with AL001 and AL002, we also face potential competition from other drug candidates in development by other companies. Our
potential competitors include large health care companies, such as Celgene Corporation, Merck & Co., Inc., Sanofi S.A., Eli Lilly
and Company, Bayer AG, Novartis AG, Johnson and Johnson and Boehringer Ingelheim GmbH. We also know of several smaller early-stage
companies that are developing products for use in our segment of the market. Some of the potential competitive compounds referred to above
are being developed by large, well-financed and established pharmaceutical and biotechnology companies or have been partnered with such
companies, which may give them development, regulatory and marketing advantages over our products.
Our commercial opportunity
could be reduced or eliminated if our competitors develop and commercialize products that are safer, more effective, have fewer or less
severe side effects, are more convenient or are less expensive than any products that we may develop. Our competitors also may obtain
FDA or other regulatory approval for their products more rapidly than we may obtain approval for ours, which could result in our competitors
establishing a strong market position before we are able to enter the market. In addition, our ability to compete may be affected in many
cases by insurers or other third-party payers seeking to encourage the use of generic products. If AL001 or AL002 achieves marketing approval,
we expect that it will be priced at a significant premium over competing generic products.
Some of the companies against
which we are competing or against which we may compete in the future have significantly greater financial, physical and human resources
and expertise in research and development, manufacturing, preclinical testing, conducting clinical trials, obtaining regulatory approvals
and marketing approved products than we do. Mergers and acquisitions in the pharmaceutical and biotechnology industries may result in
even more resources being concentrated among a smaller number of our competitors. Smaller and other early-stage companies may also prove
to be significant competitors, particularly through collaborative arrangements with large and established companies. These third parties
compete with us in recruiting and retaining qualified scientific and management personnel, establishing clinical trial sites and patient
registration for clinical trials, as well as in acquiring technologies complementary to, or necessary for, our programs.
If we are unable to compete
successfully, we may be unable to grow and sustain our revenue, which could materially and adversely affect our business, results of operations
and financial condition.
Changes in funding
for the FDA and other government agencies could hinder their ability to hire and retain key leadership and other personnel, or otherwise
prevent our product candidates from being developed or commercialized in a timely manner, which could negatively impact our business.
We
rely on the FDA to assist with the development our product candidates. The ability of the FDA to review and approve new drug products
can be affected by a variety of factors outside of our control, including government budget and funding levels, ability to hire and retain
key personnel and accept the payment of user fees, and statutory, regulatory, and policy changes. Average review times at the agency have
fluctuated in recent years as a result. In addition, government funding of other government agencies that fund research and development
activities is subject to the political process, which is inherently fluid and unpredictable.
Disruptions
at the FDA and other agencies may also slow the time necessary for our product candidates to be reviewed and/or potentially approved by
necessary government agencies, which would adversely affect our business. For example, over the last several years, including for 35 days
beginning on December 22, 2018, the U.S. government has shut down several times and certain regulatory agencies, such as the FDA, have
had to furlough critical FDA employees and stop critical activities. If a prolonged government shutdown occurs, it could significantly
impact the ability of the FDA to timely review and process our regulatory submissions, which could have a material adverse effect on our
business. If the timing of FDA’s review and approval of new products is delayed, the estimated timing of our drug development program
may be delayed which would materially increase costs of drug development and harm our operations or business.
Risks Related to Our Intellectual Property
We may be forced to litigate to enforce
or defend our intellectual property rights, or the intellectual property rights of our licensors.
We may be forced to litigate
to enforce or defend our intellectual property rights against infringement and unauthorized use by competitors. In so doing, we may place
our intellectual property at risk of being invalidated, held unenforceable, or narrowed in scope. Further, an adverse result in any litigation
or defense proceedings may place pending applications at risk of non-issuance. In addition, if any licensor fails to enforce or defend
its intellectual property rights, this may adversely affect our ability to develop and commercialize AL001 or AL002 as well as our ability
to prevent competitors from making, using, and selling competing products. Any such litigation could be very costly and could distract
our management from focusing on operating our business. The existence or outcome of any such litigation could harm our business, results
of operations and financial condition.
Furthermore, because of the
substantial amount of discovery required in connection with intellectual property litigation, there is a risk that some of our confidential
and proprietary information could be compromised by disclosure during this type of litigation. In addition, there could be public announcements
of the results of hearings, motions or other interim proceedings or developments. If securities analysts or investors perceive these results
to be negative, it could have a material adverse effect on the price of our common stock.
We may be unable to adequately prevent disclosure
of trade secrets and other proprietary information.
We rely on trade secrets to
protect our proprietary know-how and technological advances, especially where we do not believe patent protection is appropriate or obtainable.
However, trade secrets are difficult to protect. We rely in part on confidentiality agreements with our employees, consultants, outside
scientific collaborators, sponsored researchers and other advisors to protect our trade secrets and other proprietary information. These
agreements may not effectively prevent disclosure of confidential information and may not provide an adequate remedy in the event of unauthorized
disclosure of confidential information. In addition, others may independently discover our trade secrets and proprietary information.
Costly and time-consuming litigation could be necessary to enforce and determine the scope of our proprietary rights. Failure to obtain
or maintain trade secret protection or failure to adequately protect our intellectual property could enable competitors to develop generic
products or use our proprietary information to develop other products that compete with our products or cause additional, material adverse
effects upon our business, results of operations and financial condition.
The transfer of technology
and knowledge to contract manufacturers pursuant to the production of our products also creates a risk of uncontrolled distribution and
copying of concepts, methods and processes relating to our products. Such uncontrolled distribution and copying could have a material
adverse effect on the value of our products if used for the production of competing drugs or otherwise used commercially without our obtaining
financial compensation.
We may become subject to third parties’
claims alleging infringement of patents and proprietary rights or seeking to invalidate our patents or proprietary rights, which would
be costly, time-consuming and, if successfully asserted against us, delay or prevent the development and commercialization of AL001 or
AL002.
There has been substantial
litigation and other proceedings regarding patent and other intellectual property rights in the pharmaceutical industry, as well as patent
challenge proceedings, including interference and administrative law proceedings before the USPTO and the European Patent Office (“EPO”),
and oppositions and other comparable proceedings in other jurisdictions. Recently, under U.S. patent reform laws, new procedures including
inter partes review and post grant review have been implemented. As stated below, the novel implementation of such laws presents uncertainty
regarding the outcome of challenges to our patents in the future.
We cannot assure you that
AL001, AL002 or any of our future product candidates will not infringe existing or future patents. We may be unaware of patents that have
already issued that a third party might assert are infringed by AL001, AL002 or one of our future product candidates. Because patent applications
can take many years to issue and may be confidential for 18 months or more after filing, there may be applications now pending
of which we are unaware of and which may later result in issued patents that we may infringe by commercializing AL001, AL002 or any of
our future product candidates. In addition, third parties may obtain patents in the future and claim that use of our technologies infringes
upon these patents. Moreover, we may face claims from non-practicing entities (commonly referred to as patent trolls), which have no relevant
product revenue and against whom our own patent portfolio may thus have no deterrent effect.
We may be subject to third-party
claims in the future against us or our collaborators that would cause us to incur substantial expenses and, if successful against us,
could cause us to pay substantial damages, including treble damages and attorney’s fees if we are found to be willfully infringing
a third party’s patents. If a patent infringement suit were brought against us or our collaborators, we or our collaborators could
be forced to stop or delay research, development, manufacturing or sales of AL001 or AL002. As a result of patent infringement claims,
or in order to avoid potential claims, we or our collaborators may choose to seek, or be required to seek, a license from the third party
and would most likely be required to pay license fees or royalties or both. These licenses may not be available on acceptable terms, or
at all. Even if we or our collaborators were able to obtain a license, the rights may be nonexclusive, which would give our competitors
access to the same intellectual property. Ultimately, we could be prevented from commercializing a product, or forced to redesign it,
or to cease some aspect of our business operations if, as a result of actual or threatened patent infringement claims, we or our collaborators
are unable to enter into licenses on acceptable terms. Even if we are successful in defending such claims, infringement and other intellectual
property litigation can be expensive and time-consuming to litigate and divert management’s attention from our core business. Any
of these events could harm our business significantly.
In addition to infringement
claims against us, if third parties have prepared and filed patent applications in the U.S. that also claim technology to which we have
rights, we may have to participate in interference proceedings in the USPTO to determine the priority of invention. Third parties may
also attempt to initiate reexamination, post grant review or inter partes review of our patents in the USPTO. We may also become involved
in similar opposition proceedings in the EPO or comparable offices in other jurisdictions regarding our intellectual property rights with
respect to our products and technology. Any of these claims could have a material adverse effect on our business, results of operations
and financial condition.
If our efforts to protect the proprietary
nature of the intellectual property related to AL001, AL002 or any of our potential future product candidates are not adequate, we may
not be able to compete effectively in our market.
We expect to rely upon a combination
of patents, trade secret protection as well as confidentiality and license agreements to protect the intellectual property related to
our product and our current product candidates and our development programs.
Composition-of-matter patents
on an active pharmaceutical ingredient are generally considered to be the strongest form of intellectual property protection for pharmaceutical
products, as such patents provide protection without regard to any particular method of use or manufacture. We cannot be certain that
the claims in any patent application that we may submit covering composition-of-matter of AL001, AL002 and any potential future product
candidates will be considered patentable by the USPTO and courts in the U.S., or by the patent offices and courts in foreign countries.
Method-of-use patents protect the use of a product for the specified method. This type of patent does not prevent a competitor from making
and marketing a product that is identical to our product for an indication that is outside the scope of the patented method.
The strength of patents involves
complex legal and scientific questions and can be uncertain. The patent applications that we may in the future own or license may fail
to result in issued patents in the United States or in other foreign countries. Even if the patents do successfully issue, third parties
may challenge the validity, enforceability or scope thereof, which may result in such patents being narrowed, invalidated or held unenforceable.
Furthermore, even if they are unchallenged, any of our future patents and patent applications may not adequately protect our intellectual
property or prevent others from designing around our claims. If the breadth or strength of protection provided by the patent applications
we may own, license or pursue with respect to AL001, AL002 or any future product candidates is threatened, it could threaten our ability
to commercialize AL001, AL002 or any future product candidates. Further, if we encounter delays in our development efforts, the period
of time during which we could market AL001, AL002 or any future product candidates under patent protection would be reduced. Since patent
applications in the U.S. and most other countries are confidential for a period of time after filing, we cannot be certain that we were
the first to file any patent application related to AL001, AL002 or any future product candidates.
Even where laws provide protection,
costly and time-consuming litigation could be necessary to enforce and determine the scope of our proprietary rights, and the outcome
of such litigation would be uncertain. Moreover, any actions we may bring to enforce our intellectual property against our competitors
could provoke them to bring counterclaims against us, and some of our competitors have substantially greater intellectual property portfolios
than we have.
We will also rely on trade
secret protection and confidentiality agreements to protect proprietary know-how that is not patentable, processes for which patents are
difficult to enforce and any other elements of our product development processes that involve proprietary know-how, information or technology
that is not covered by patents. Although we endeavor to execute confidentiality agreements with all of our employees, consultants, advisors
and any third parties who have access to our proprietary know-how, information or technology, we cannot be certain that we have executed
such agreements with all parties who may have helped to develop our intellectual property or had access to our proprietary information,
nor that our agreements will not be breached. We cannot guarantee that our trade secrets and other confidential proprietary information
will not be disclosed or that competitors will not otherwise gain access to our trade secrets or independently develop substantially equivalent
information and techniques. Further, the laws of some foreign countries do not protect proprietary rights to the same extent or in the
same manner as the laws of the United States or the European Union. As a result, we may encounter significant problems in protecting and
defending our intellectual property not only in the United States and the European Union, but elsewhere as well. If we are unable to prevent
material disclosure of the intellectual property related to our technologies to third parties, we will not be able to establish or maintain
a competitive advantage in our market, which could materially and adversely affect our business, results of operations and financial condition
and any disclosure to or misappropriation by third parties of our confidential proprietary information could enable competitors to quickly
duplicate or surpass our technological achievements, thus eroding our competitive position in our market.
Changes in patent law could diminish the
value of patents in general, thereby impairing our ability to protect AL001 and AL002.
As is the case with other
biopharmaceutical companies, our success will be heavily dependent on intellectual property, particularly patents. Obtaining and enforcing
patents in the biopharmaceutical industry involves both technological and legal complexity. Therefore, obtaining and enforcing biopharmaceutical
patents is costly, time-consuming and inherently uncertain. In addition, the U.S. has recently enacted and is currently implementing wide-ranging
patent reform legislation. The U.S. Supreme Court has ruled on several patent cases in recent years, either narrowing the scope of
patent protection available in certain circumstances or weakening the rights of patent owners in other situations. In addition to increasing
uncertainty with regard to our ability to obtain patents in the future, this combination of events has created uncertainty with respect
to the value of patents, once obtained. Depending on decisions by the U.S. Congress, the federal courts, and the USPTO, the laws and regulations
governing patents could change in ways that would weaken our ability to obtain patents and to enforce patents that we might obtain in
the future. Similarly, changes in EU patent law and elsewhere could negatively affect the value of our patents registered outside of the
U.S.
Obtaining and maintaining our patent protection
depends on compliance with various procedural, document submission, fee payment and other requirements imposed by governmental patent
agencies, and our patent protection could be reduced or eliminated for non-compliance with any of these requirements.
The USPTO and various foreign
governmental patent agencies require compliance with a number of procedural, documentary, fee payment and other provisions during the
patent process. There are situations in which noncompliance can result in abandonment or lapse of a patent or patent application, resulting
in partial or complete loss of patent rights in the relevant jurisdiction. In such an event, competitors might be able to enter the market
earlier than would otherwise have been the case, which could have a material adverse effect on our business, results of operations and
financial condition.
We may not be able to protect our intellectual
property rights throughout the world.
Filing, prosecuting and defending
patents on AL001, AL002 and any future product candidates throughout the world is prohibitively expensive. Competitors may use our technologies
in jurisdictions where we have not obtained patent protection to develop their own products and, further, may export otherwise infringing
products to territories where we have patent protection, but where enforcement is not as strong as that in the U.S. These products may
compete with our products in jurisdictions where we do not have any issued or licensed patents and our patent claims or other intellectual
property rights may not be effective or sufficient to prevent them from so competing.
Many companies have encountered
significant problems in protecting and defending intellectual property rights in foreign jurisdictions. The legal systems of certain countries,
particularly certain developing countries, do not favor the enforcement of patents and other intellectual property protection, particularly
those relating to biopharmaceuticals, which could make it difficult for us to stop the infringement of our patents or marketing of competing
products in violation of our proprietary rights generally. Proceedings to enforce our patent rights in foreign jurisdictions could result
in substantial cost and divert our efforts and attention from other aspects of our business.
Risks Relating to Legal Matters
We received a subpoena from the SEC in
the investigation known as “In the Matter of DPW Holdings, Inc.,” the consequences of which are unknown.
In November 2019, we
received a subpoena from the SEC that stated that the staff of the SEC is conducting an investigation known as “In the Matter of
DPW Holdings, Inc.,” and that the subpoena was issued as part of an investigation as to whether BitNile Holdings, Inc., formerly
known as DPW Holdings, Inc. (“BitNile”), and certain of its officers, directors, employees, partners, subsidiaries and/or
affiliates, and/or other persons or entities, directly or indirectly, violated certain provisions of the Securities Act and the Exchange
Act, in connection with the offer and sale of its securities. Although the order states that the SEC may have information relating to
such alleged violations, the subpoena expressly provides that the inquiry is not to be construed as an indication by the SEC or its staff
that any violations of the federal securities laws have occurred. We have produced documents in response to the subpoena. The SEC may
in the future require us to produce additional documents, information or seek testimony from other members of our management team.
We are unaware of the scope
or timing of the SEC’s investigation. As a result, we do not know how the SEC’s investigation is proceeding or when the investigation
will be concluded. We also are unable to predict what action, if any, might be taken in the future by the SEC or its staff as a result
of the matters that are the subject to its investigation or what impact, if any, the cost of continuing to respond to subpoenas might
have on our financial position, results of operations, or cash flows. We have not established any provision for losses in respect of this
matter. In addition, complying with any such future requests by the SEC for documents or testimony could distract the time and attention
of our officers and directors or divert our resources away from ongoing business matters. This investigation could result in significant
legal expenses, the diversion of management’s attention from our business, damage to our business and reputation, and could subject
us to a wide range of remedies, including an enforcement action by the SEC. Two members of our current Board of Directors, Messrs. Horne
and Nisser, are directors of BitNile. There can be no assurance that any final resolution of this and any similar matters will not have
a material adverse effect on our business, financial condition or results of operations.
If product liability lawsuits are brought
against us, we will incur substantial liabilities and may be required to limit the commercialization of AL001 or AL002.
We and our partners face potential
product liability exposure related to the testing of AL001 or AL002 in clinical trials. We will face exposure to claims by an even greater
number of persons if we begin to market and distribute our products commercially in the U.S. and elsewhere, including those relating to
misuse of AL001 or AL002. Now, and in the future, an individual may bring a liability claim against us alleging that AL001 or AL002 caused
an injury. While we intend to take what we believe to be appropriate precautions, we may be unable to avoid significant liability if any
product liability lawsuit is brought against us. If we cannot successfully defend ourselves against product liability claims, we will
incur substantial liabilities. Even if we successfully defend any such action, the costs associated with such defense could prove exorbitant.
Regardless of merit or eventual outcome, liability claims may result in:
| • | decreased demand for AL001 or AL002 (if such product candidate had been approved and gone to market); |
| • | injury to our reputation; |
| • | withdrawal of clinical trial participants; |
| • | costs of related litigation; |
| • | substantial monetary awards to patients and others; |
| • | increased cost of liability insurance; |
| • | our inability to successfully commercialize our products. |
Further, in the future there
may be a need to expand the scope of our insurance coverage, which could result in significantly increased costs or the inability to obtain
sufficient insurance coverage. Any of these occurrences could have a material adverse effect on our business, results of operations and
financial condition.
Risks Related to Our Affiliates’ Control
and Relationships
Insiders currently have substantial influence
over us, which could limit your ability to affect the outcome of key transactions, including a change of control.
In the aggregate, beneficial
ownership of the shares of our common stock by our directors and executive officers and their respective affiliated parties represents
approximately 48.2% of the outstanding shares of our common stock. As a result, these stockholders, if they act together, will be able
to influence our management and affairs and all matters requiring stockholder approval, including the election of directors and approval
of significant corporate transactions. This concentration of ownership may have the effect of delaying or preventing a change in control
of our company and might affect the market price of our common stock.
Members of the Board of Directors and executive
officers of our company and BitNile, contain some of the same individuals, which may present potential conflicts of interest.
Our company is controlled by Milton C. (Todd)
Ault III, our Founder, Chairman Emeritus and consultant, directly and indirectly through his controlling equity interest in Ault &
Company, Inc. the parent of Ault Life Sciences, Inc. and Ault Life Sciences Fund, LLC. Mr. Ault is also the Executive Chairman and
single largest stockholder (through his control of Ault Alpha, LP) of BitNile, a publicly-traded diversified holding company focused primarily
on the digital mining, investment, defense/aerospace, industrial and telecommunications industries. The Board of Directors and executive
officers of our company and the board of directors and executive officers of BitNile contain some of the same individuals, all of whom
devote a portion of their business and professional time and efforts to the respective businesses of our company as well as BitNile. William
B. Horne, the Chairman of the Board of our company, is the Chief Executive Officer and a director of BitNile, Henry C.W. Nisser, our Executive
Vice President, General Counsel and a director of our company, is the President, General Counsel and a director of BitNile, and Kenneth
S. Cragun, our Senior Vice President of Finance is the Chief Financial Officer of BitNile. Additionally, Mr. Ault is the Chairman
of Avalanche International, Corp. (“Avalanche”), a company currently engaged in developing advanced materials and processing
technology for textile applications. Mr. Horne is a director of Avalanche and its Chief Financial Officer and Mr. Nisser is
its Executive Vice President and General Counsel.
While we believe that our business and technologies
are distinguishable from those of BitNile and that we do not compete in the markets in which BitNile compete, Mr. Ault and the other
named individuals may have potential conflicts of interest with respect to, among other things, potential corporate opportunities, business
combinations, joint ventures and/or other business opportunities that may become available to them, our company or BitNile. Moreover,
while Mr. Ault and the other named individuals have agreed to devote a portion of their business and professional time and efforts
to our company, potential conflicts of interest also include the amount of time and effort devoted by each of them to the affairs of BitNile.
We may be materially adversely affected if Mr. Ault and/or the other named individuals choose to place the interests of BitNile before
those of our company. Each of Mr. Ault and the other named individuals has agreed that, to the extent such opportunities arise, he
will carefully consider a number of factors, including whether such opportunities were presented to him in his capacity as an officer
or director of our company, whether such opportunities are within our company’s line of business or consistent with our strategic
objectives and whether our company will be able to undertake or benefit from such opportunities. In addition, our Board of Directors has
adopted a policy whereby any future transactions between us and any of our subsidiaries, affiliates, officers, directors, principal stockholders
or any affiliates of the foregoing will be on terms no less favorable to our company than could reasonably be obtained in “arm’s
length” transactions with independent third parties, and any such transactions will also be approved by a majority of our disinterested
independent directors. The named individuals, other than Mr. Ault, owe fiduciary duties of care and loyalty to our company under Delaware
law. However, the failure of our management to resolve any conflicts of interest in favor of our company could materially adversely affect
our business, financial condition and results of operations.
Certain provisions of our certificate of
incorporation allow concentration of voting power, which may, among other things, delay or frustrate the removal of incumbent directors
or a takeover attempt, even if such events may be beneficial to our stockholders.
Provisions of our certificate
of incorporation may delay or frustrate the removal of incumbent directors and may prevent or delay a merger, tender offer or proxy contest
involving our company that is not approved by our Board of Directors, even if those events may be perceived to be in the best interests
of our stockholders. Further, we may designate and issue separate classes of preferred stock that may entitle their holder(s) to exercise
significant control over us. Consequently, anyone to whom or which these shares are or were issued could have sufficient voting power
to significantly influence if not control the outcome of all corporate matters submitted to the vote of our common stockholders. Those
matters could include the election of directors, changes in the size and composition of our Board, and mergers and other business combinations
involving us. In addition, through any such person’s control of our Board and voting power, the affiliate may be able to control
certain decisions, including decisions regarding the qualification and appointment of officers, dividend policy, access to capital (including
borrowing from third-party lenders and the issuance of additional debt or equity securities), and the acquisition or disposition of assets
by us. In addition, the concentration of voting power in the hands of an affiliate could have the effect of delaying or preventing a change
in control of our company, even if the change in control could benefit our stockholders and may adversely affect the future market price
of our common stock should a trading market therefor develop.
Risks Relating to Ownership of Our Common Stock
If we do not continue
to satisfy the Nasdaq Capital Market continued listing requirements, our common stock could be delisted from the Nasdaq Capital Market.
The
listing of our common stock on the Nasdaq Capital Market is contingent on our compliance with the Nasdaq Capital Market’s conditions
for continued listing. We are currently not in compliance with Nasdaq listing requirements, specifically the minimum bid price requirement,
and must regain compliance on or prior to December 19, 2022. If we are unable to regain such compliance, we will cease to be eligible
to trade on Nasdaq.
If
we were to fail to meet a Nasdaq Capital Market listing requirement, we may be subject to delisting by the Nasdaq Capital Market. In the
event our common stock is no longer listed for trading on the Nasdaq Capital Market, our trading volume and share price may decrease and
we may experience further difficulties in raising capital which could materially affect our operations and financial results. Further,
delisting from the Nasdaq Capital Market could also have other negative effects, including potential loss of confidence by partners, lenders,
suppliers and employees and could also trigger various defaults under our lending agreements and other outstanding agreements. Finally,
delisting could make it harder for us to raise capital and sell securities. You may experience future dilution as a result of future equity
offerings. In order to raise additional capital, we may in the future offer additional shares of our common stock or other securities
convertible into or exchangeable for our common stock.
We do not know whether an active market
will be sustained; as a result, it may be difficult for you to sell your shares of our common stock.
If an active market for our
common stock is not sustained, it may be difficult for you to sell your shares of common stock at an attractive price or at all. We cannot
predict the prices at which our common stock will trade. It is possible that in one or more future periods our results of operations and
progression of our product pipeline may not meet the expectations of public market analysts and investors and, as a result of these and
other factors, the price of our common stock may fall.
The market price of our common stock is
volatile, which could result in substantial losses for investors.
Our common stock is listed
on the Nasdaq Capital Market. Since our initial public offering last year, our trading price has fluctuated widely, depending on many
factors that may have little to do with our operations or business prospects. During the past 52-week period (through April 30, 2022),
our stock closed at prices between $0.88 per share and $13.50 per share, as reported on Nasdaq.com.
Stock markets, in general,
have experienced, and continue to experience, significant price and volume volatility, and the market price of our common stock may continue
to be subject to similar market fluctuations unrelated to our operating performance or prospects. This increased volatility, coupled with
depressed economic conditions, could continue to have a depressive effect on the market price of our common stock. The following factors,
many of which are beyond our control, may influence our stock price:
| • | announcements of the failure to obtain regulatory approvals or receipt of a “complete response letter”
from the FDA; |
| • | announcements of restricted label indications or patient populations, or changes or delays in regulatory
review processes; |
| • | announcements of therapeutic innovations or new products by us or our competitors; |
| • | adverse actions taken by regulatory agencies with respect to our clinical trials, manufacturing supply
chain or sales and marketing activities; |
| • | changes or developments in laws or regulations applicable to our product candidates; |
| • | any failure of our testing and clinical trials; |
| • | the impact of the ongoing COVID-19 pandemic on our business; |
| • | product liability claims, other litigation or public concern about the safety of our product candidates
or future products; |
| • | any adverse changes to our relationship with licensors, manufacturers or suppliers; |
| • | the loss of any of our key scientific or management personnel; |
| • | any major changes to our Board of Directors or management; |
| • | the failure to obtain new commercial partners; |
| • | announcements concerning our competitors or the pharmaceutical industry in general; |
| • | the failure to achieve expected product sales and profitability; |
| • | the failure to obtain reimbursements for our product candidates as part of any healthcare insurance plan,
or reductions in such reimbursements; |
| • | actual or anticipated fluctuations in our cash position or operating results; |
| • | manufacturing, supply or distribution shortages related to our current or future product candidates for
our development programs and commercialization; |
| • | changes in financial estimates or recommendations by securities analysts; |
| • | the termination of any of our existing license agreements; |
| • | announcements relating to future licensing or development agreements; |
| • | the trading volume of shares on The Nasdaq Capital Market; |
| • | sales of our shares by us, our executive officers or directors or our shareholders; |
| • | fluctuations in the U.S. equity markets; |
| • | changes in accounting principles; |
| • | market conditions in the healthcare sector; and |
| • | general economic conditions in the United States and elsewhere. |
In recent years, each
of the stock market in general, and the market for pharmaceutical and biotechnology companies in particular, has experienced significant
price and volume fluctuations that have often been unrelated or disproportionate to changes in the operating performance of the companies
whose stock is experiencing those price and volume fluctuations. Broad market and industry factors may seriously affect the market price
of our common stock, regardless of our actual operating performance. Following periods of such volatility in the market price of a company’s
securities, securities class action litigation has often been brought against that company. Because of the potential volatility of our
stock price, we may become the target of securities litigation in the future. Securities litigation could result in substantial costs
and divert management’s attention and resources from our business.
If there are substantial sales of shares
of our common stock, the price of our common stock could decline.
The price of our
common stock could decline if there are substantial sales of our common stock, particularly sales by our directors, executive officers
and significant stockholders, or if there is a large number of shares of our common stock available for sale and the market perceives
that sales will occur. As of July 19, 2022, we had 95,481,790 shares of our common stock outstanding. Shares held by directors, executive
officers and other affiliates will be subject to volume limitations under Rule 144 under the Securities Act and various vesting agreements.
We have registered shares of common stock that we have issued and may issue under our employee equity incentive plans, which shares may
be sold freely in the public market upon issuance. Sales of our common stock by current stockholders may make it more difficult for us
to sell equity or equity-related securities in the future at a time and price that we deem reasonable or appropriate, and make it more
difficult for other stockholders to sell shares of our common stock.
The
market price of the shares of our common stock could decline as a result of the sale of a substantial number of our shares of common stock
in the public market or the perception in the market that the holders of a large number of shares intend to sell their shares. We are
unable to predict the effect that sales may have on the prevailing market price of our common stock.
The concentration
of our stock ownership will limit your ability to influence corporate matters, including the ability to influence the outcome of director
elections and other matters requiring stockholder approval.
Our
executive officers, directors and the holders of more than 5% of our outstanding common stock, in the aggregate, beneficially own a significant
percentage of our common stock. As a result, these stockholders, acting together, will have significant influence over all matters that
require approval by our stockholders, including the election of directors and approval of significant corporate transactions. Corporate
actions might be taken even if other stockholders oppose them. This concentration of ownership might also have the effect of delaying
or preventing a change of control of our company that other stockholders may view as beneficial.
Our bylaws provide that the Court of Chancery
of the State of Delaware and the federal district courts of the United States are the exclusive forums for substantially all disputes
between us and our stockholders, which could limit our stockholders’ ability to obtain a favorable judicial forum for disputes with
us or our directors, officers or employees.
Our bylaws provides that the
Court of Chancery of the State of Delaware will be the exclusive forum for any derivative action or proceeding brought on our behalf;
any action asserting a breach of fiduciary duty; any action asserting a claim against us arising under the Delaware General Corporation
Law, our certificate of incorporation or our bylaws; any action to interpret, apply, enforce or determine the validity of our certificate
of incorporation or our bylaws; and any action asserting a claim against us that is governed by the internal affairs doctrine. This provision
would not apply to suits brought to enforce a duty or liability created by the Exchange Act or any other claim for which the U.S. federal
courts have exclusive jurisdiction.
Our bylaws further provide
that the federal district courts of the United States will be the exclusive forum for resolving any complaint asserting a cause of action
arising under the Securities Act. The enforceability of similar exclusive federal forum provisions in other companies’ organizational
documents has been challenged in legal proceedings, and while the Delaware Supreme Court has ruled that this type of exclusive federal
forum provision is facially valid under Delaware law, there is uncertainty as to whether other courts would enforce such provisions and
that investors cannot waive compliance with the federal securities laws and the rules and regulations thereunder.
These exclusive forum provisions
may limit a stockholder’s ability to bring a claim in a judicial forum that it finds favorable for disputes with us or our directors,
officers or other employees, which may discourage such lawsuits against us and our directors, officers and other employees. Alternatively,
if a court were to find either exclusive forum provision in our bylaws to be inapplicable or unenforceable in an action, we may incur
further significant additional costs associated with resolving such action in other jurisdictions, all of which could have a material
adverse effect on our business, financial condition, and results of operations.
Because we do not intend to pay dividends
on our common stock, you must rely on stock appreciation for any return on your investment.
We presently intend to retain
any future earnings and do not expect to pay any dividends in the foreseeable future. As a result, you must rely on stock appreciation
and a liquid trading market for any return on your investment. If an active and liquid trading market does not develop, you may be unable
to sell your shares of common stock at or above the initial public offering price or at the time you would like to sell.
We have identified a material weakness in
our internal control over financial reporting. If our remediation of this material weakness is not effective, or if we experience additional
material weaknesses in the future or otherwise fail to maintain an effective system of internal controls in the future, we may not be
able to accurately or timely report our financial condition or results of operations, which may adversely affect investor confidence in
us and, as a result, the value of our common stock.
We have limited accounting personnel to
adequately execute our accounting processes and other supervisory resources with which to address our internal control over financial
reporting. In connection with the audit of our financial statements for the year ended April 30, 2022, we identified material
weaknesses in our internal control over financial reporting. A material weakness is a deficiency, or combination of deficiencies,
in internal control over financial reporting such that there is a reasonable possibility that a material misstatement of our financial
statements will not be prevented or detected on a timely basis. The material weaknesses related to a lack of sufficient number of qualified
personnel within our accounting function to adequately segregate duties, to perform sufficient reviews and approval of manual journal
entries posted to the general ledger and to consistently execute review procedures over general ledger account reconciliations, financial
statement preparation and accounting for non-routine transactions and, we have not designed and implemented effective Information Technology
General Controls (“ITGC”) related to access controls to payment and financial accounting systems.
We are implementing measures
designed to improve our internal control over financial reporting to remediate this material weakness, including the following:
| • | We are formalizing our internal control documentation and strengthening supervisory reviews by our management; |
| • | We are in the process of adding additional accounting personnel and segregating duties amongst accounting
personnel; and |
| • | We are in the process of strengthening ITGC access controls related to our payment and financial accounting
systems. |
We cannot assure you that
the measures we have taken to date, and are continuing to implement, will be sufficient to remediate the material weakness we have identified
or avoid potential future material weaknesses. If the steps we take do not correct the material weakness in a timely manner, we will be
unable to conclude that we maintain effective internal control over financial reporting. Accordingly, there could continue to be a reasonable
possibility that a material misstatement of our financial statements would not be prevented or detected on a timely basis.
As a public company, we are
required to maintain internal control over financial reporting and to report any material weaknesses in such internal controls. We must
perform system and process evaluation and testing of our internal controls over financial reporting to allow management to report on the
effectiveness of our internal controls over financial reporting, as required by Section 404 of the Sarbanes-Oxley Act. The Sarbanes-Oxley
Act also requires that our management report on internal control over financial reporting be attested to by our independent registered
public accounting firm, to the extent we are no longer an “emerging growth company,” as defined in the Jumpstart Our Business
Startups Act of 2012 (JOBS Act). We do not expect our independent registered public accounting firm to attest to our management report
on internal control over financial reporting for so long as we are an emerging growth company.
We are in the process of enhancing our internal
control over financial reporting required to comply with this obligation, which process will be time consuming, costly and complicated.
If we identify any additional material weaknesses in our internal control over financial reporting, if we are unable to comply with the
requirements of Section 404 in a timely manner, if we are unable to assert that our internal control over financial reporting is
effective, or when required in the future, if our independent registered public accounting firm is unable to express an opinion as to
the effectiveness of our internal control over financial reporting, investors may lose confidence in the accuracy and completeness of
our financial reports and the market price of our common stock could be adversely affected, and we could become subject to investigations
by the Nasdaq Stock Market, the SEC, or other regulatory authorities, which could require additional financial and management resources.
General Risk Factors
We must effectively manage the growth of
our operations, or our company will suffer.
Our initiation of operations
has resulted in significantly higher operating expenses. Expansion of our operations, to include the development of AL001 and AL002, may
also cause a significant demand on our management, finances and other resources. Our ability to manage the anticipated future growth,
should it occur, will depend upon a significant expansion of our accounting and other internal management systems and the implementation
and subsequent improvement of a variety of systems, procedures and controls. In addition, we intend to expand our scientific advisory
board. There can be no assurance that significant problems in these areas will not occur. Any failure to expand these areas and implement
and improve AL001 or AL002 or our procedures and controls in an efficient manner at a pace consistent with our business could have a material
adverse effect on our business, financial condition and results of operations. There can be no assurance that our attempts to expand our
marketing, sales, manufacturing and customer support efforts will be successful or will result in additional sales or profitability in
any future period.
We may not be successful in our efforts
to expand our pipeline of product candidates.
One element of our strategy
is to expand our pipeline of pharmaceuticals based on our technology and advance these product candidates through clinical development
for the treatment of a variety of indications. Although our research and development efforts to date have resulted in a number of development
programs based on our technology, we may not ultimately be able to develop product candidates that are safe and effective. Even if we
are successful in continuing to expand our pipeline, the potential product candidates that we identify may not be suitable for clinical
development, including as a result of being shown to have harmful side effects or other characteristics that indicate that they are unlikely
to receive marketing approval and achieve market acceptance. In addition, if we attempt to apply our technology to develop product candidates
for indications outside of Alzheimer’s, we will need to evaluate the preclinical data and determine if additional data are needed
to support the new indications. If we do not successfully develop and commercialize product candidates based upon our technological approach,
we will not be able to obtain product revenue in future periods, which would make it unlikely that we would ever achieve profitability.
We may experience product recalls or inventory
losses caused by unforeseen events, cold chain interruption and testing difficulties.
AL001 and AL002, individually,
will be manufactured and distributed, if ever, using technically complex processes requiring specialized facilities, highly specific raw
materials and other production constraints. The complexity of these processes, as well as the strict company and government standards
for the manufacture of our products, will subject us to production risks. While product batches released for use in clinical trials or
for commercialization undergo sample testing, some defects may only be identified following product release. In addition, process deviations
or unanticipated effects of approved process changes may result in these intermediate products not complying with stability requirements
or specifications. Most of our products must be stored and transported at temperatures within a certain range, which is known as “strict
cold chain” storage and transportation. If these environmental conditions deviate from the norm, our products’ remaining shelf
lives could be impaired or their quality could become adversely affected, making them no longer suitable for use. The occurrence or suspected
occurrence of production and distribution difficulties can lead to lost inventories, and in some cases product recalls, with consequential
reputational damage and the risk of product liability. The investigation and remediation of any identified problems can cause production
delays, substantial expense, lost sales and delays of new product launches, any of which could have a material adverse effect on our business,
results of operations and financial condition.
We may have trouble hiring additional qualified
personnel.
As we expand our development
and commercial activities, we will need to hire additional personnel and could experience difficulties attracting and retaining qualified
employees. Competition for qualified personnel in the biopharmaceutical field is intense due to the limited number of individuals who
possess the skills and experience required by that industry. We may not be able to attract and retain quality personnel on favorable terms,
or at all. In addition, to the extent we hire personnel from competitors, we may be subject to allegations that such personnel have been
improperly solicited or that they have divulged proprietary or other confidential information, or that their former employers own their
research output. Any of these difficulties could have a material adverse effect on our business, results of operations and financial condition.
Failure of our information technology systems
could significantly disrupt the operation of our business.
Our ability to execute our
business plan and to comply with regulatory requirements with respect to data control and data integrity depends, in part, on the continued
and uninterrupted performance of our information technology systems, or IT systems. These systems are vulnerable to damage from a variety
of sources, including telecommunications or network failures, malicious human acts and natural disasters. Moreover, despite network security
and back-up measures, some of our servers are potentially vulnerable to physical or electronic break-ins, computer viruses and similar
disruptive problems. Despite the precautionary measures we have taken to prevent unanticipated problems that could affect our IT systems,
there are no assurances that electronic break-ins, computer viruses and similar disruptive problems, and/or sustained or repeated system
failures or problems arising during the upgrade of any of our IT systems that interrupt our ability to generate and maintain data will
not occur. The occurrence of any of the foregoing with respect to our IT systems could have a material adverse effect on our business,
results of operations or financial condition.
We are subject to various claims and legal
actions arising in the ordinary course of our business.
We are subject to various
claims and legal actions arising in the ordinary course of our business. Any such litigation could be very costly and could distract our
management from focusing on operating our business. The existence of any such litigation could harm our business, results of operations
and financial condition. Results of actual and potential litigation are inherently uncertain. An unfavorable result in a legal proceeding
could adversely affect our reputation, financial condition and operating results.
We will be subject to the U.S. Foreign Corrupt
Practices Act and other anti-corruption laws, as well as export control laws, customs laws, sanctions laws and other laws governing our
anticipated operations. If we fail to comply with these laws, we could be subject to civil or criminal penalties, other remedial measures,
and legal expenses, which could adversely affect our business, results of operations and financial condition.
Our operations, if initiated,
will be subject to certain anti-corruption laws, including the U.S. Foreign Corrupt Practices Act (“FCPA”), and other anti-corruption
laws that apply in countries where we do business. The FCPA and other anti-corruption laws generally prohibit us and our employees and
intermediaries from bribing, being bribed or making other prohibited payments to government officials or other persons to obtain or retain
business or gain some other business advantage. We and any future commercial partners may operate in a number of jurisdictions that pose
a high risk of potential FCPA violations and we may participate in collaborations and relationships with third parties whose actions could
potentially subject us to liability under the FCPA or local anti-corruption laws. In addition, we cannot predict the nature, scope or
effect of future regulatory requirements to which our international operations might be subject or the manner in which existing laws might
be administered or interpreted.
We also anticipate becoming
subject to other laws and regulations governing our international operations, including regulations administered in the U.S. and in the
EU, including applicable export control regulations, economic sanctions on countries and persons, customs requirements and currency exchange
regulations (collectively, “Trade Control Laws”).
There can be no assurance
that we will be completely effective in ensuring our compliance with all applicable anticorruption laws, including the FCPA or other legal
requirements, such as Trade Control Laws. Any investigation of potential violations of the FCPA, other anti-corruption laws or Trade Control
Laws by the United States, the European Union or other authorities could have an adverse impact on our reputation, our business, results
of operations and financial condition. Furthermore, should we be found not to be in compliance with the FCPA, other anti-corruption laws
or Trade Control Laws, we may be subject to criminal and civil penalties, disgorgement and other sanctions and remedial measures, as well
as the accompanying legal expenses, any of which could have a material adverse effect on our reputation and liquidity, as well as on our
business, results of operations and financial condition.
Certain provisions of our certificate of
incorporation, bylaws and Delaware law make it more difficult for a third party to acquire us and make a takeover more difficult to complete,
even if such a transaction were in the stockholders’ interest.
Our certificate of incorporation,
bylaws and certain provisions of Delaware law could have the effect of making it more difficult or more expensive for a third party to
acquire, or discouraging a third party from attempting to acquire, control of our company, even when these attempts may be in the best
interests of our stockholders. For example, we are governed by Section 203 of the Delaware General Corporation Law. In general, Section 203
prohibits a public Delaware corporation from engaging in a “business combination” with an “interested stockholder”
for a period of three years after the date of the transaction in which the person became an interested stockholder, unless the business
combination is approved in a prescribed manner. A “business combination” includes mergers, asset sales or other transactions
resulting in a financial benefit to the stockholder. An “interested stockholder” is a person who, together with affiliates
and associates, owns, or within three years did own, 15% or more of the corporation’s outstanding voting stock. These provisions
may have the effect of delaying, deferring or preventing a change in control of our company.
Failure to build our finance infrastructure
and improve our accounting systems and controls could impair our ability to comply with the financial reporting and internal controls
requirements for publicly traded companies.
As a public company, we operate
in an increasingly demanding regulatory environment, which requires us to comply with the Sarbanes-Oxley Act of 2002, or the Sarbanes-Oxley
Act, the regulations of The Nasdaq Capital Market, the rules and regulations of the SEC, expanded disclosure
requirements, accelerated reporting requirements and more complex accounting rules. Company responsibilities required by the Sarbanes-Oxley
Act include establishing corporate oversight and adequate internal control over financial reporting and disclosure controls and procedures.
Effective internal controls are necessary for us to produce reliable financial reports and are important to help prevent financial fraud.
We must perform system and process evaluation and testing of our internal controls over financial reporting to allow management to report
on the effectiveness of our internal controls over financial reporting, as required by Section 404 of the Sarbanes-Oxley Act.
We anticipate that the process
of building our accounting and financial functions and infrastructure will require significant additional professional fees, internal
costs and management efforts. We expect that we will need to implement a new internal system to combine and streamline the management
of our financial, accounting, human resources and other functions. However, such a system would likely require us to complete many processes
and procedures for the effective use of the system or to run our business using the system, which may result in substantial costs. Any
disruptions or difficulties in implementing or using such a system could adversely affect our controls and harm our business. Moreover,
such disruption or difficulties could result in unanticipated costs and diversion of management attention. In addition, we may discover
weaknesses in our system of internal financial and accounting controls and procedures that could result in a material misstatement of
our financial statements. Our internal control over financial reporting will not prevent or detect all errors and all fraud. A control
system, no matter how well designed and operated, can provide only reasonable, not absolute, assurance that the control system’s
objectives will be met. Because of the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance
that misstatements due to error or fraud will not occur or that all control issues and instances of fraud will be detected.
If we are not able to comply
with the requirements of Section 404 of the Sarbanes-Oxley Act in a timely manner, or if we are unable to maintain proper and effective
internal controls, we may not be able to produce timely and accurate financial statements. If we cannot provide reliable financial reports
or prevent fraud, our business and results of operations could be harmed, investors could lose confidence in our reported financial information
and we could be subject to sanctions or investigations by The Nasdaq Capital Market, the SEC or other regulatory authorities.
If securities analysts do not publish research
or reports about our business or if they publish negative evaluations of our stock, the price of our common stock could decline.
The trading market for our
common stock will rely in part on the research and reports that industry or financial analysts publish about us or our business. We do
not currently have and may never obtain research coverage by industry or financial analysts. If no or few analysts commence coverage of
us, the trading price of our common stock could decrease. Even if we do obtain analyst coverage, if one or more of the analysts covering
our business downgrade their evaluations of our stock, the price of our common stock could decline. If one or more of these analysts cease
to cover our stock, we could lose visibility in the market for our common stock, which in turn could cause our stock price to decline.
We are an “emerging growth company,”
and the reduced disclosure requirements applicable to emerging growth companies may make our common stock less attractive to investors.
We are an “emerging
growth company,” as defined in the Jumpstart Our Business Startups Act of 2012, or the JOBS Act. For so long as we remain an emerging
growth company, we are permitted and plan to rely on exemptions from certain disclosure requirements that are applicable to other public
companies that are not emerging growth companies. These exemptions include not being required to comply with the auditor attestation requirements
of SOX Section 404, not being required to comply with any requirement that may be adopted by the Public Company Accounting Oversight
Board regarding mandatory audit firm rotation or a supplement to the auditor’s report providing additional information about the
audit and the financial statements, reduced disclosure obligations regarding executive compensation, and exemptions from the requirements
of holding a nonbinding advisory vote on executive compensation and stockholder approval of any golden parachute payments not previously
approved. As a result, the information we provide stockholders will be different than the information that is available with respect to
other public companies. In this Annual Report, we have not included all of the executive compensation-related information that would be
required if we were not an emerging growth company. We cannot predict whether investors will find our common stock less attractive if
we rely on these exemptions. If some investors find our common stock less attractive as a result, there may be a less active trading market
for our common stock, and our stock price may be more volatile.
We will incur increased costs as a result
of operating as a public company, and our management will be required to devote substantial time to new compliance initiatives and corporate
governance practices.
As a public company, and particularly
after we are no longer an emerging growth company (or, to a lesser extent, a smaller reporting company), we will incur significant legal,
accounting, and other expenses that we did not incur as a private company. Sarbanes-Oxley Act of 2002, the Dodd-Frank Wall Street Reform
and Consumer Protection Act, the listing requirements of The Nasdaq Capital Market, and other applicable securities rules and regulations
impose various requirements on public companies, including establishment and maintenance of effective disclosure and financial controls
and corporate governance practices. We expect that we will need to hire additional accounting, finance, and other personnel in connection
with our becoming, and our efforts to comply with the requirements of being, a public company, and our management and other personnel
will need to devote a substantial amount of time towards maintaining compliance with these requirements. These requirements will increase
our legal and financial compliance costs and will make some activities more time-consuming and costly. For example, we expect that the
rules and regulations applicable to us as a public company may make it more difficult and more expensive for us to obtain director and
officer liability insurance, which could make it more difficult for us to attract and retain qualified members of our Board of Directors.
We are currently evaluating these rules and regulations and cannot predict or estimate the amount of additional costs we may incur or
the timing of such costs. These rules and regulations are often subject to varying interpretations, in many cases due to their lack of
specificity, and, as a result, their application in practice may evolve over time as new guidance is provided by regulatory and governing
bodies. This could result in continuing uncertainty regarding compliance matters and higher costs necessitated by ongoing revisions to
disclosure and governance practices.
Our charter provides for limitations of
director liability and indemnification of directors and officers and employees.
Our certificate of incorporation
limits the liability of directors to the maximum extent permitted by Delaware law. Delaware law provides that directors of a corporation
will not be personally liable for monetary damages for breach of their fiduciary duties as directors, except for liability for any:
| • | breach of their duty of loyalty to us or our stockholders; |
| • | act or omission not in good faith or that involves intentional misconduct or a knowing violation of law; |
| • | unlawful payments of dividends or unlawful stock repurchases or redemptions as provided in Section 174
of the Delaware General Corporation Law; or |
| • | transaction from which the directors derived an improper personal benefit. |
These limitations of liability
do not apply to liabilities arising under the federal or state securities laws and do not affect the availability of equitable remedies
such as injunctive relief or rescission.
Our bylaws provide that we
will indemnify our directors, officers and employees to the fullest extent permitted by law. Our bylaws also provide that we are obligated
to advance expenses incurred by a director or officer in advance of the final disposition of any action or proceeding. We believe that
these provisions are necessary to attract and retain qualified persons as directors and officers.
The limitation of liability
in our certificate of incorporation and bylaws may discourage stockholders from bringing a lawsuit against directors for breach of their
fiduciary duties. They may also reduce the likelihood of derivative litigation against directors and officers, even though an action,
if successful, might provide a benefit to us and our stockholders. Our results of operations and financial condition may be harmed to
the extent we pay the costs of settlement and damage awards against directors and officers pursuant to these indemnification provisions.
We could be subject
to securities class action litigation.
In
the past, securities class action litigation has often been brought against a company following a decline in the market price of its securities.
This risk is especially relevant for us because biopharmaceutical companies have experienced significant stock price volatility in recent
years. If we face such litigation, it could result in substantial costs and a diversion of management’s attention and resources,
which could harm our business.