Form 10-Q - Quarterly report [Sections 13 or 15(d)]

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

(Mark One)


	☒	QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended September 30, 2023

	☐	TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

		For the transition period from __________________ to __________________

Commission file number 000-50626

CYCLACEL PHARMACEUTICALS, INC.

(Exact name of registrant as specified in its charter)


Delaware		91-1707622
(State or Other Jurisdiction of Incorporation or Organization)		(I.R.S. Employer Identification No.)

200 Connell Drive, Suite 1500 Berkeley Heights, New Jersey		07922
(Address of principal executive offices)		(Zip Code)

Registrant’s telephone number, including area code: (908) 517-7330

Securities registered pursuant to Section 12(b) of the Act:


Title of each class	Trading Symbol(s)	Name of each exchange on which registered
Common Stock, par value $0.001 per share	CYCC	The Nasdaq Stock Market LLC
Preferred Stock, $0.001 par value	CYCCP	The Nasdaq Stock Market LLC

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See definitions of “large accelerated filer,” “accelerated filer”, “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act.



Large accelerated filer ☐		Accelerated filer ☐
Non-accelerated filer ☒		Smaller reporting filer ☒
		Emerging growth company ☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ◻

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒

As of November 9, 2023 there were 12,642,822 shares of the registrant’s common stock outstanding.

Table of Contents

CYCLACEL PHARMACEUTICALS, INC.

INDEX

		Page
Part I. Financial Information
Item 1.	Financial Statements (Unaudited)	3
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	25
Item 3.	Quantitative and Qualitative Disclosures About Market Risk	31
Item 4.	Controls and Procedures	32
Part II. Other Information
Item 1.	Legal Proceedings	34
Item 1A.	Risk Factors	34
Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	34
Item 3.	Defaults Upon Senior Securities	34
Item 4.	Mine Safety Disclosures	34
Item 5.	Other Information	34
Item 6.	Exhibits	34

SIGNATURE PAGE		35

Table of Contents

PART I. FINANCIAL INFORMATION

Item 1. Financial Statements

CYCLACEL PHARMACEUTICALS, INC.

CONSOLIDATED BALANCE SHEETS

(In $000s, except share, per share, and liquidation preference amounts)

(Unaudited)


	September 30,		December 31,
	2023		2022
ASSETS
Current assets:
Cash and cash equivalents	$	5,944	$	18,345
Prepaid expenses and other current assets		5,169		6,066
Total current assets		11,113		24,411
Property and equipment, net		16		32
Right-of-use lease asset		109		142
Non-current deposits		1,259		3,465
Total assets	$	12,497	$	28,050
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Accounts payable	$	1,571	$	2,561
Accrued and other current liabilities		6,577		4,950
Total current liabilities		8,148		7,511
Lease liability		52		106
Total liabilities		8,200		7,617
Redeemable common stock, $0.001 par value;
0 shares issued and outstanding at September 30, 2023 and 3,117,100 shares issued and outstanding at December 31, 2022 (Note 11)		—		4,494

Stockholders’ equity:
Preferred stock, $0.001 par value; 5,000,000 shares authorized at September 30, 2023 and December 31, 2022;		—		—
6% Convertible Exchangeable preferred stock; 335,273 shares issued and outstanding at September 30, 2023 and December 31, 2022. Aggregate preference in liquidation of $4,006,512 as of September 30, 2023 and December 31, 2022		—		—
Series A convertible preferred stock, $0.001 par value; 264 shares issued and outstanding at September 30, 2023 and December 31, 2022		—		—
Series B convertible preferred stock, $0.001 par value; 237,745 shares issued and outstanding at September 30, 2023 and December 31, 2022		—		—
Common stock, $0.001 par value; 100,000,000 shares authorized at September 30, 2023 and December 31, 2022; 12,642,822 shares issued and outstanding at September 30, 2023 and 9,422,089 shares issued and outstanding at December 31, 2022		12		9
Additional paid-in capital		428,464		422,973
Accumulated other comprehensive loss		(1,168)		(1,316)
Accumulated deficit		(423,011)		(405,727)
Total stockholders’ equity		4,297		15,939
Total liabilities and stockholders’ equity	$	12,497	$	28,050

The accompanying notes are an integral part of these consolidated financial statements.

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CYCLACEL PHARMACEUTICALS, INC.

CONSOLIDATED STATEMENTS OF OPERATIONS

(In $000s, except share and per share amounts)

(Unaudited)


	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2023		2022		2023		2022
Revenues:
Clinical trial supply	$	16	$	—	$	389	$	—
Revenues		16	$	—		389		—

Operating expenses:
Research and development		5,236		4,413		15,637		13,572
General and administrative		1,625		2,054		4,845		5,239
Total operating expenses		6,861		6,467		20,482		18,811
Operating loss		(6,845)		(6,467)		(20,093)		(18,811)
Other income (expense):
Foreign exchange gains (losses)		104		276		(58)		514
Interest income		50		67		243		88
Other income (expense), net		(9)		14		50		1,294
Total other income (expense), net		145		357		235		1,896
Loss before taxes		(6,700)		(6,110)		(19,858)		(16,915)
Income tax benefit		668		1,014		2,574		3,136
Net loss		(6,032)		(5,096)		(17,284)		(13,779)
Dividend on convertible exchangeable preferred shares		(50)		(50)		(151)		(151)
Net loss applicable to common shareholders	$	(6,082)	$	(5,146)	$	(17,435)	$	(13,930)
Basic and diluted earnings per common share:
Net loss per share – basic and diluted (common shareholders)	$	(0.48)	$	(0.43)	$	(1.39)	$	(1.30)
Net loss per share – basic and diluted (redeemable common shareholders)	$	(0.48)	$	(0.38)	$	(1.39)	$	(1.10)

The accompanying notes are an integral part of these consolidated financial statements.

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CYCLACEL PHARMACEUTICALS, INC.

CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS

(In $000s)

(Unaudited)


	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2023		2022		2023		2022
Net loss	$	(6,032)	$	(5,096)	$	(17,284)	$	(13,779)
Translation adjustment		8,571		17,874		(2,050)		39,392
Unrealized foreign exchange gain (loss) on intercompany loans		(8,642)		(18,344)		2,198		(40,390)
Comprehensive loss	$	(6,103)	$	(5,566)	$	(17,136)	$	(14,777)

The accompanying notes are an integral part of these consolidated financial statements.

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CYCLACEL PHARMACEUTICALS, INC.

CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY

(In $000s, except share amounts)

(Unaudited)


									Accumulated
							Additional		Other				Total
	Preferred Stock			Common Stock			Paid-in		Comprehensive		Accumulated		Stockholders’
	Shares	Amount		Shares	Amount		Capital		Loss		Deficit		Equity
Balances at December 31, 2021	573,282		—	9,993,135		10		422,960		(748)		(384,529)		37,693

Stock-based compensation	—		—	—		—		380		—		—		380
Preferred stock dividends	—		—	—		—		(50)		—		—		(50)
Unrealized foreign exchange on intercompany loans	—		—	—		—		—		(5,878)		—		(5,878)
Translation adjustment	—		—	—		—				5,803				5,803
Loss for the period	—		—	—		—		—		—		(4,108)		(4,108)
Balances at March 31, 2022	573,282	$	—	9,993,135	$	10	$	423,290	$	(823)	$	(388,637)	$	33,840

Issue of common stock on At Market issuance sales agreement, net of expenses	—		—	541,542		—		453		—		—		453
Accretion on redeemable common stock	—		—	—		—		(33)		—		—		(33)
Stock-based compensation	—		—	17,412		—		350		—		—		350
Preferred stock dividends	—		—	—		—		(50)		—		—		(50)
Unrealized foreign exchange on intercompany loans	—		—	—		—				(16,168)				(16,168)
Translation adjustment	—		—	—		—		—		15,715		—		15,715
Loss for the period	—		—	—		—		—		—		(4,575)		(4,575)
Balances at June 30, 2022	573,282	$	—	10,552,089	$	10	$	424,010	$	(1,276)	$	(393,212)	$	29,532
Reclassification of redeemable common stock	—		—	(1,130,000)		(1)		(1,704)		—		—		(1,705)
Accretion on redeemable common stock	—		—	—		—		(102)		—		—		(102)
Stock-based compensation	—		—	—		—		388		—		—		388
Preferred stock dividends	—		—	—		—		(50)		—		—		(50)
Unrealized foreign exchange on intercompany loans	—		—	—		—		—		(18,344)		—		(18,344)
Translation adjustment	—		—	—		—				17,874				17,874
Loss for the period	—		—	—		—		—		—		(5,096)		(5,096)
Balances at September 30, 2022	573,282	$	—	9,422,089	$	9	$	422,542	$	(1,746)	$	(398,308)	$	22,497



Balances at December 31, 2022	573,282		—	9,422,089		9		422,973		(1,316)		(405,727)		15,939
Stock-based compensation	—		—	—		—		401		—		—		401
Preferred stock dividends	—		—	—		—		(50)		—		—		(50)
Unrealized foreign exchange on intercompany loans	—		—	—		—		—		5,263		—		5,263
Translation adjustment	—		—	—		—				(5,171)				(5,171)
Loss for the period	—		—	—		—		—		—		(5,804)		(5,804)
Balances at March 31, 2023 (restated)	573,282	$	—	9,422,089	$	9	$	423,324	$	(1,224)	$	(411,531)	$	10,578

Reclassification of redeemable common stock	—		—	798,200		1		1,104		—		—		1,105
Stock-based compensation	—		—	—		—		359		—		—		359
Preferred stock dividends	—		—	—		—		(50)		—		—		(50)
Unrealized foreign exchange on intercompany loans	—		—	—		—		—		5,577		—		5,577
Translation adjustment	—		—	—		—				(5,450)				(5,450)
Loss for the period	—		—	—		—		—		—		(5,448)		(5,448)
Balances at June 30, 2023 (restated)	573,282	$	—	10,220,289	$	10	$	424,737	$	(1,097)	$	(416,979)	$	6,671

Reclassification of redeemable common stock	—		—	2,318,900		2		3,387		—		—		3,389
Stock-based compensation	—		—	103,633		—		390		—		—		390
Preferred stock dividends	—		—	—		—		(50)		—		—		(50)
Unrealized foreign exchange on intercompany loans	—		—	—		—		—		(8,642)		—		(8,642)
Translation adjustment	—		—	—		—				8,571				8,571
Loss for the period	—		—	—		—		—		—		(6,032)		(6,032)
Balances at September 30, 2023	573,282	$	—	12,642,822	$	12	$	428,464	$	(1,168)	$	(423,011)	$	4,297

The accompanying notes are an integral part of these consolidated financial statements.

Table of Contents

CYCLACEL PHARMACEUTICALS, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(In $000s)

(Unaudited)


	Nine Months Ended
	September 30,
	2023		2022
Operating activities:
Net loss	$	(17,284)	$	(13,779)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation		23		24
Stock-based compensation		1,151		1,119
Changes in lease liability		(55)		29
Changes in operating assets and liabilities:
Prepaid expenses and other assets		3,364		(2,816)
Accounts payable, accrued and other current liabilities		599		(235)
Net cash used in operating activities		(12,202)		(15,658)
Investing activities:
Purchase of property, plant and equipment		(6)		(7)
Net cash used in investing activities		(6)		(7)
Financing activities:
Proceeds, net of issuance costs, from issuing common stock and warrants		—		3,107
Payment of preferred stock dividend		(151)		(151)
Net cash (used in) provided by financing activities		(151)		2,956

Effect of exchange rate changes on cash and cash equivalents		(42)		(144)
Net (decrease) in cash and cash equivalents		(12,401)		(12,853)
Cash and cash equivalents, beginning of period		18,345		36,559
Cash and cash equivalents, end of period	$	5,944	$	23,706
Supplemental cash flow information:
Cash received during the period for:
Interest	$	243	$	89
Research & Development Tax Credits	$	4,846	$	3,050

Cash paid during the period for:
Taxes	$	2	$	2

Non cash financing activities:
Accrual of preferred stock dividends	$	50	$	50
Accretion on redeemable common stock	$	—	$	135

The accompanying notes are an integral part of these consolidated financial statements.

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CYCLACEL PHARMACEUTICALS, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

1. Restatement of Prior Financial Information.

As previously summarized in our Current Report on Form 8-K filed with the SEC on November 15, 2023, during recent contract renegotiations with a contract counterparty related to the Company’s 065-102 study and the related return to the Company of the original contract deposit of $1.0 million and the subsequent preparation of the Company’s financial statements for the period ended September 30, 2023, the Company identified an error in the accounting treatment of contract deposit-related invoices during the period September 2021 to November 2021. Vendor invoices totaling $549,295 related to contractually required deposits received during September 2021 and November 2021 were incorrectly expensed to the income statement instead of being capitalized on the balance sheet as non-current deposits. The amounts were contractually required to remain on deposit until the end of the related contract. This resulted in an overstatement of operating loss of $293,845 for the quarter ended September 30, 2021 and $255,450 for the quarter ended December 31, 2021 and a corresponding understatement of non-current deposits in the same periods. In addition, the Company’s UK research and development tax credits were consequentially overstated by $64,000 for the quarter ended September 30, 2021 and $55,000 for the quarter ended December 31, 2021.

On August 12, 2022, we became aware that our shelf registration statement on Form S-3 had expired on June 21, 2022. Prior to becoming aware of the expiration, but following the expiration, we sold an aggregate of 1,987,100 shares of our common stock at market prices for aggregate proceeds of approximately $2,721,187. The sale of these shares were subject to potential rescission rights by certain stockholders. As a result of these rescission rights, we classified 3,117,100 shares (including 1,130,000 previously issued and outstanding shares sold for which the Company did not receive proceeds and which were reclassified to temporary equity as of September 30, 2022), with an aggregate redemption value of $4,494,496 of our common stock as stock outside stockholders equity. In connection with the third quarter financial statement close process, the Company determined that it should have recorded 798,200 shares subject to potential rescission rights as temporary equity as of June 30, 2022 and these should have been reclassified out of temporary equity as of June 30, 2023 upon expiration of the rescission rights. The Company had recorded reclassification of these 798,200 shares sold in the second quarter of 2022, which had a redemption value of $1,105,507 to temporary equity as of September 30, 2022. Moreover, the Company has determined that it did not properly account for the $135,000 of aggregate fees paid in connection with the sale of those shares as a dividend to those stockholders. The $135,000 of fees should be accounted for as accretion to the maximum redemption amount of the shares subject to potential rescission in the computation of loss per share as of June 30, 2022 and September 30, 2022 and the year ended December 31, 2022, as well as of March 31, 2023 and June 30, 2023, as is required by ASC 480-10-S99-3A(20).

The effect of the error corrections affecting the unaudited consolidated financial statements included in the Company’s Quarterly Reports on Form 10-Q for the quarters ended March 31, 2023 and June 30, 2023

are as follows (in thousands, except per share amounts):


				(Unaudited)
	March 31, 2023				March 31, 2023
CONSOLIDATED BALANCE SHEETS	As previously reported		Adjustments		As Restated

ASSETS
Non-current deposits	$	2,916	$	549	$	3,465
Total assets	$	22,060	$	549	$	22,609
LIABILITIES AND STOCKHOLDERS’ EQUITY
Accrued and other current liabilities	$	4,829	$	119	$	4,948
Total current liabilities		7,338		119		7,457
Total liabilities		7,418		119		7,537
Accumulated deficit		(411,961)		430		(411,531)
Total stockholders’ equity	$	10,148	$	430	$	10,578
Total liabilities and stockholders’ equity	$	22,060	$	549	$	22,609

Table of Contents


				(Unaudited)
	Three Months Ended March 31,
	2023				2023
CONSOLIDATED STATEMENTS OF INCOME	As previously reported		Adjustments		As Restated

Net loss applicable to common shareholders	$	(5,854)	$	—	$	(5,854)
Basic and diluted earnings per common share:
Net Loss per share - basic and diluted (common shareholders)	$	(0.47)	$	—	$	(0.47)
Net Loss per share - basic and diluted (redeemable common shareholders)	$	—	$	(0.47)	$	(0.47)


				(Unaudited)
	March 31, 2023				March 31, 2023
CONSOLIDATED STATEMENTS OF STOCKHOLDERS EQUITY	As previously reported		Adjustments		As Restated

Accumulated Deficit (Balances at December 31, 2022)	$	(406,157)	$	430	$	(405,727)
Accumulated Deficit (Balances at March 31, 2023)	$	(411,961)	$	430	$	(411,531)
Total Stockholders' Equity (Balances at March 31, 2023)	$	10,148	$	430	$	10,578


			(Unaudited)
	June 30, 2023				June 30, 2023
	As previously
CONSOLIDATED BALANCE SHEETS	reported		Adjustments		As Restated

ASSETS
Non-current deposits	$	1,000	$	549	$	1,549
Total assets	$	16,442	$	549	$	16,991
LIABILITIES AND STOCKHOLDERS’ EQUITY
Accrued and other current liabilities	$	4,577	$	119	$	4,696
Total current liabilities		6,746		119		6,865
Total liabilities		6,812		119		6,931

Temporary equity	$	4,494	$	(1,105)	$	3,389
Common Stock		9		1		10
Additional Paid-In Capital		423,633		1,104		424,737
Accumulated deficit		(417,409)		430		(416,979)

Total stockholders’ equity		5,136		1,535		6,671
Total liabilities and stockholders’ equity	$	16,442	$	549	$	16,991


						(Unaudited)
	Three Months Ended June 30,							Six Months Ended June 30,
	2023				2023			2023				2023
CONSOLIDATED STATEMENTS OF INCOME	As previously reported		Adjustments		As Restated			As previously reported		Adjustments		As Restated

Net loss applicable to common shareholders	$	(5,498)	$	—	$	(5,498)	$	(11,353)	$	—	$	(11,353)
Basic and diluted earnings per common share:
Net Loss per share - basic and diluted (common shareholders)	$	(0.44)	$	—	$	(0.44)	$	(0.91)	$	—	$	(0.90)
Net Loss per share - basic and diluted (redeemable common shareholders)	$	—	$	(0.44)	$	(0.44)	$	—	$	(0.90)	$	(0.90)

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			(Unaudited)
	June 30, 2023				June 30, 2023
CONSOLIDATED STATEMENTS OF STOCKHOLDERS EQUITY	As previously reported		Adjustments		As Restated
Accumulated Deficit (Balances at December 31, 2022)	$	(406,157)	$	430	$	(405,727)
Accumulated Deficit (Balances at March 31, 2023)	$	(411,961)	$	430	$	(411,531)
Total Stockholders' Equity (Balances at March 31, 2023)	$	10,148	$	430	$	10,578
Common Stock - Issue of common stock on At Market, net of expenses	$	—	$	1	$	1
Common Stock (Balances at June 30, 2023)	$	9	$	1	$	10
Additional Paid-In Capital - Issue of common stock on At Market, net of expenses	$	—	$	1,104	$	1,104
Additional Paid-In Capital (Balances at June 30, 2023)	$	423,633	$	1,104	$	424,737
Accumulated Deficit (Balances at June 30, 2023)	$	(417,409)	$	430	$	(416,979)
Total Stockholders' Equity (Balances at June 30, 2023)	$	5,136	$	1,535	$	6,671

Common Stock No. Shares (Reclassification of redeemable common stock)		—		798,200		798,200
Common Stock No. Shares (Balance at June 30, 2023)		9,422,089		798,200		10,220,289

The correction of the errors did not change the reported net loss in 2023 or the 2022 comparative periods.

2. Company Overview

Nature of Operations

Cyclacel Pharmaceuticals, Inc. (“Cyclacel” or the “Company”) is a clinical-stage biopharmaceutical company developing innovative cancer medicines based on cell cycle, transcriptional regulation, epigenetics and mitosis control biology. Cyclacel is a pioneer company in the field of cancer cell cycle biology with a vision to improve patient healthcare by translating insights in cancer biology into medicines that can overcome resistance and ultimately increase a patient’s overall survival.

Through September 30, 2023, substantially all efforts of the Company to date have been devoted to performing research and development, conducting clinical trials, developing and acquiring intellectual property, raising capital and recruiting and training personnel.

3. Summary of Significant Accounting Policies

Basis of Presentation

The consolidated balance sheet as of September 30, 2023, the consolidated statements of operations, comprehensive loss, and stockholders’ equity for the three and nine months ended September 30, 2023 and 2022 and the consolidated statements of cash flows for the nine months ended September 30, 2023 and 2022, and all related disclosures contained in the accompanying notes, are unaudited. The consolidated balance sheet as of December 31, 2022 is derived from the audited consolidated financial statements included in the Annual Report on Form 10-K for the fiscal year ended December 31, 2022 filed with the Securities and Exchange Commission (the “SEC”) on March 8, 2023. The consolidated financial statements are presented on the basis of accounting principles that are generally accepted in the United States (“GAAP”) for interim financial information and in accordance with the rules and regulations of the SEC. Accordingly, they do not include all the information and footnotes required by GAAP for a complete set of financial statements. In the opinion of management, all adjustments, which include only normal recurring adjustments necessary to present fairly the consolidated balance sheet as of September 30, 2023, and the results of operations and, comprehensive loss for the three and nine months ended September 30, 2023, and cash flows for the nine months ended September 30, 2023, have been made. The interim results for the three and nine months ended September 30, 2023 are not necessarily indicative of the results to be expected for the year ending December 31, 2023 or for any other reporting period. The consolidated financial statements should be read in conjunction with the audited consolidated financial statements and the accompanying notes for the year ended December 31, 2022 that are included in the Company’s Annual Report on Form 10-K filed with the SEC on March 8, 2023.

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Going Concern

Pursuant to the requirements of Accounting Standard Codification (“ASC”) 205-40, Presentation of Financial Statements-Going Concern, management is required at each reporting period to evaluate whether there are conditions or events, considered in the aggregate, that raise substantial doubt about an entity’s ability to continue as a going concern within one year after the date that the financial statements are issued. This evaluation initially does not take into consideration the potential mitigating effect of management’s plans that have not been fully implemented as of the date the financial statements are issued. When substantial doubt exists under this methodology, management evaluates whether the mitigating effects of its plans sufficiently alleviate the substantial doubt about the Company’s ability to continue as a going concern. The mitigating effect of management’s plans, however, is only considered if both (1) it is probable that the plans will be effectively implemented within one year after the date that the financial statements are issued, and (2) it is probable that the plans, when implemented, will mitigate the relevant conditions or events that raise substantial doubt about the entity’s ability to continue as a going concern for one year after the date that these financial statements are issued. In performing its analysis, management excluded certain elements of its operating plan that cannot be considered probable. Under ASC 205-40, the future receipts of potential funding from future equity or debt issuances or by entering into partnership agreements cannot be considered probable at this time because these plans are not entirely within the Company’s control nor have they been approved by the Board of Directors as of the date of these consolidated financial statements.

Based on the Company’s current operating plan, it is anticipated that cash and cash equivalents of $5.9 million as of September 30, 2023, will allow it to meet liquidity requirements through the end of 2023. However, the current operating plan includes discretionary expenditures, which if not incurred and taken together with the anticipated receipt of research & development tax credits of approximately $3.1 million in the first quarter of 2024 could extend liquidity requirements into the second quarter of 2024. The Company’s history of losses, negative cash flows from operations, liquidity resources currently on hand, and its dependence on the ability to obtain additional financing to fund its operations after the current resources are exhausted, about which there can be no certainty, have resulted in the assessment that there is substantial doubt about the Company’s ability to continue as a going concern for a period of at least twelve months from the issuance date of these financial statements. While the Company has plans in place to mitigate this risk, which primarily consist of raising additional capital through a combination of public or private equity or debt financings or by entering into partnership agreements for further development of our drug candidates, there is no guarantee that it will be successful in these mitigation efforts. The accompanying consolidated financial statements have been prepared on a going concern basis, which contemplates realization of assets and the satisfaction of liabilities in the normal course of business.

Accounting Standards Adopted in the Period

In November 2021, the Financial Accounting Standards Board (“FASB”) issued ASU No. 2021-10, Government Assistance (Topic 832): Disclosures by Business Entities about Government Assistance. This Accounting Standards Update (“ASU”) requires business entities to make annual disclosures about transactions with a government they account for by analogizing to a grant or contribution accounting model under ASC 958-605 or based on International Accounting Standard No. 20. ASU 2021-10 became effective on January 1, 2022. The adoption of this guidance had no material effect on the Company’s Consolidated Financial Statements.

In May 2021, the FASB issued ASU 2021-04, Earnings Per Share (Topic 260), Debt-Modifications and Extinguishments (Subtopic 470-50), Compensation-Stock Compensation (Topic 718), and Derivatives and Hedging-Contracts in Entity’s Own Equity (Subtopic 815-40). The new ASU addresses issuer’s accounting for certain modifications or exchanges of freestanding equity-classified written call options. This amendment became effective on January 1, 2022. The adoption of this new guidance did not have a material impact on our financial statements for any past transactions, but it could change the way that the Company accounts for subsequent amendments to its outstanding warrants, if any.

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Recently Issued Accounting Pronouncements

The FASB has issued ASU 2020-04, “Reference Rate Reform (Topic 848)”. This standard provides optional expedients and exceptions for applying GAAP to contracts, hedging relationships, and other transactions affected by reference rate reform initiatives that would replace interbank offered rates, including the London Interbank Offered Rate (“LIBOR”). For example, modifications of lease contracts within the scope of ASC 842 solely for changes in reference rates would be accounted for as a continuation of the existing contracts with no reassessments of the lease classification and the discount rate. Following the issuance of ASU 2022-06, “Reference Rate Reform (Topic 848): Deferral of the Sunset Date of Topic 848”, the relief remains effective for all entities as of March 12, 2020 through December 31, 2024. The Company does not currently have any contracts affected by this guidance.

Fair Value of Financial Instruments

Financial instruments consist of cash equivalents, accounts payable and accrued liabilities. The carrying amounts of cash equivalents, accounts payable and accrued liabilities approximate their respective fair values due to the nature of the accounts, notably their short maturities.

Comprehensive Income (Loss)

All components of comprehensive income (loss), including net income (loss), are reported in the financial statements in the period in which they are recognized. Comprehensive income (loss) is defined as the change in equity during a period from transactions and other events and circumstances from non-owner sources. Net income (loss) and other comprehensive income (loss), including foreign currency translation adjustments, are reported, net of any related tax effect, to arrive at comprehensive income (loss). No taxes were recorded on items of other comprehensive income (loss). There were no reclassifications out of other comprehensive income (loss) during the nine months ended September 30, 2023 and 2022.

Revenue Recognition

When the Company enters into contracts with customers, the Company recognizes revenue using the five step-model provided in ASC 606, Revenue from Contracts with Customers (“ASC 606”):

(1)

identify the contract with a customer;

(2)

identify the performance obligations in the contract;

(3)

determine the transaction price;

(4)

allocate the transaction price to the performance obligations in the contract; and

(5)

recognize revenue when, or as, the Company satisfies a performance obligation.

The transaction price includes fixed payments and an estimate of variable consideration, including milestone payments. The Company determines the variable consideration to be included in the transaction price by estimating the most likely amount that will be received and then applies a constraint to reduce the consideration to the amount which is probable of being received. When applying the constraint, the Company considers:

●

Whether achievement of a development milestone is highly susceptible to factors outside the entity’s influence, such as milestones involving the judgment or actions of third parties, including regulatory bodies;

●

Whether the uncertainty about the achievement of the milestone is not expected to be resolved for a long period of time;

●

Whether the Company can reasonably predict that a milestone will be achieved based on previous experience; and

●

The complexity and inherent uncertainty underlying the achievement of the milestone.

The transaction price is allocated to each performance obligation based on the relative selling price of each performance obligation. The best estimate of the selling price is determined after considering all reasonably available

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information, including market data and conditions, entity-specific factors such as the cost structure of the deliverable and internal profit and pricing objectives.

The revenue allocated to each performance obligation is recognized as or when the Company satisfies the performance obligation.

The Company recognizes a contract asset, when the value of satisfied (or partially satisfied) performance obligations is in excess of the payment due to the Company, and deferred revenue when the amount of unconditional consideration is in excess of the value of satisfied (or partially satisfied) performance obligations. Once a right to receive consideration is unconditional, that amount is presented as a receivable.

Grant revenue received from organizations that are not the Company’s customers, such as charitable foundations or government agencies, is presented as a reduction against the related research and development expenses.

Leases

The Company accounts for lease contracts in accordance with ASC 842. As of September 30, 2023, the Company’s outstanding leases are classified as operating leases.

The Company recognizes an asset for the right to use an underlying leased asset for the lease term and records lease liabilities based on the present value of the Company’s obligation to make lease payments under the lease. As the Company’s leases do not indicate an implicit rate, the Company uses a best estimate of its incremental borrowing rate to discount the future lease payments. The Company estimates its incremental borrowing rate based on observable information about risk-free interest rates that are the same tenure as the lease term, adjusted for various factors, including the effects of assumed collateral, the nature of how the loan is repaid (e.g., amortizing versus bullet), and the Company’s credit risk.

The Company evaluates options included in its lease agreements to extend or terminate the lease. The Company will reflect the effects of exercising those options in the lease term when it is reasonably certain that the Company will exercise that option. In assessing whether it is reasonably certain that the Company will exercise an option, the Company considers factors such as:

●

The lease payments due in any optional period;

●

Penalties for failure to exercise (or not exercise) the option;

●

Market factors, such as the availability of similar assets and current rental rates for such assets;

●

The nature of the underlying leased asset and its importance to the Company’s operations; and

●

The remaining useful lives of any related leasehold improvements.

Lease expense for operating leases is recognized on a straight-line basis over the lease term. Variable lease payments, if any, are recognized in the period when the obligation to make those payments is incurred. Lease incentives received prior to lease commencement are recorded as a reduction in the right-of-use asset. Fixed lease incentives received after lease commencement reduce both the lease liability and the right-of-use asset.

The Company has elected an accounting policy to account for the lease and non-lease components as a single lease component.

4. Revenue

The Company recognized $16,000 of revenue for the three months ended September 30, 2023, and $389,000 of revenue for the nine months ended September 30, 2023. This revenue relates to recovery of clinical manufacturing costs associated with an investigator sponsored study managed by Cedars-Sinai Medical Center. There were no revenues recognized for the comparative periods in 2022.

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5. Net Loss per Common Share

The Company calculates net loss per common share in accordance with ASC 260 “Earnings Per Share” (“ASC 260”). Basic and diluted net loss per common share was determined by dividing net loss applicable to common stockholders by the weighted average number of shares of common stock outstanding during the period. During 2022 and 2023, the Company calculated loss per share using the two-class method. The two-class method is an allocation formula that determines loss per share for each share of common stock and redeemable common stock (see note 11), a participating security, according to dividends declared and participation rights in undistributed earnings.


	Three Months Ended
	March 31, 2023
		As restated (see Note 1)
Numerator:
Net loss	$	(5,804)
Dividend on convertible exchangeable preferred shares		(50)
Net loss attributable to common shareholders	$	(5,854)
Deemed dividend on accretion of redeemable common stock		—
Remaining undistributed loss		(5,854)

	Three Months Ended March 31, 2023
	Common Shareholders		Redeemable Common Shareholders
Allocation of undistributed loss	$	(4,399)	$	(1,455)
Deemed dividend on accretion of redeemable common stock				—
Net loss attributable to common shareholders		(4,399)		(1,455)

Denominator:
Weighted-average number of common shares used in loss per share – basic and diluted		9,422,089		3,117,100
Loss per share - basic and diluted	$	(0.47)	$	(0.47)
Distributed earnings		—		—
Undistributed loss		(0.47)		(0.47)
Net loss per share	$	(0.47)	$	(0.47)

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	Three And Six Months Ended June 30, 2023
	Three Months		Six Months
		As restated (see Note 1)		As restated (see Note 1)
Numerator:
Net loss	$	(5,448)	$	(11,252)
Dividend on convertible exchangeable preferred shares		(50)		(101)
Net loss attributable to common shareholders	$	(5,498)	$	(11,353)
Deemed dividend on accretion of redeemable common stock		—		—
Remaining undistributed loss		(5,498)		(11,353)

	Three Months Ended June 30, 2023				Six Months Ended June 30, 2023
	Common Shareholders		Redeemable Common Shareholders		Common Shareholders		Redeemable Common Shareholders
Allocation of undistributed loss	$	(4,144)	$	(1,354)	$	(8,544)	$	(2,809)
Deemed dividend on accretion of redeemable common stock				—				—
Net loss attributable to common shareholders		(4,144)		(1,354)		(8,544)		(2,809)

Denominator:
Weighted-average number of common shares used in loss per share – basic and diluted		9,461,317		3,090,477		9,441,811		3,107,715
Loss per share - basic and diluted	$	(0.44)	$	(0.44)	$	(0.90)	$	(0.90)
Distributed earnings		—		—		—		—
Undistributed loss		(0.44)		(0.44)		(0.90)		(0.90)
Net loss per share	$	(0.44)	$	(0.44)	$	(0.90)	$	(0.90)

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	Three And Nine Months Ended September 30, 2023
	Three Months		Nine Months

Numerator:
Net loss	$	(6,032)	$	(17,284)
Dividend on convertible exchangeable preferred shares		(50)		(151)
Net loss attributable to common shareholders	$	(6,082)	$	(17,435)
Deemed dividend on accretion of redeemable common stock		—		—
Remaining undistributed loss		(6,082)		(17,435)

	Three Months Ended September 30, 2023				Nine Months Ended September 30, 2023
	Common Shareholders		Redeemable Common Shareholders		Common Shareholders		Redeemable Common Shareholders
Allocation of undistributed loss	$	(5,726)	$	(356)	$	(14,237)	$	(3,198)
Deemed dividend on accretion of redeemable common stock				—				—
Net loss attributable to common shareholders		(5,726)		(356)		(14,237)		(3,198)

Denominator:
Weighted-average number of common shares used in loss per share – basic and diluted		11,902,443		740,379		10,271,036		2,307,279
Loss per share - basic and diluted	$	(0.48)	$	(0.48)	$	(1.39)	$	(1.39)
Distributed earnings		—		—		—		—
Undistributed loss		(0.48)		(0.48)		(1.39)		(1.39)
Net loss per share	$	(0.48)	$	(0.48)	$	(1.39)	$	(1.39)

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	Three And Nine Months Ended September 30, 2022
	Three Months		Nine Months

Numerator:
Net loss	$	(5,096)	$	(13,779)
Dividend on convertible exchangeable preferred shares		(50)		(151)
Net loss attributable to common shareholders	$	(5,146)	$	(13,930)
Deemed dividend on accretion of redeemable common stock		(102)		(135)
Remaining undistributed loss		(5,248)		(14,065)

	Three Months Ended September 30, 2022				Nine Months Ended September 30, 2022
	Common Shareholders		Redeemable Common Shareholders		Common Shareholders		Redeemable Common Shareholders
Allocation of undistributed loss	$	(4,235)	$	(1,013)	$	(13,040)	$	(1,025)
Deemed dividend on accretion of redeemable common stock				102		—		135
Net loss attributable to common shareholders		(4,235)		(911)		(13,040)		(890)

Denominator:
Weighted-average number of common shares used in loss per share – basic and diluted		9,937,958		2,376,721		10,013,317		809,821
Loss per share - basic and diluted	$	(0.43)	$	(0.38)	$	(1.30)	$	(1.10)
Distributed earnings		—		0.04		—		0.17
Undistributed loss		(0.43)		(0.42)		(1.30)		(1.27)
Net loss per share	$	(0.43)	$	(0.38)	$	(1.30)	$	(1.10)

The following potentially dilutive securities have not been included in the computation of diluted net loss per share for the three months ended September 30, 2023 and 2022, as the result would be anti-dilutive:


	September 30,	September 30,
	2023	2022
Stock options	2,181,689	1,618,089
Restricted Stock Units	521,971	137,657
6% convertible exchangeable preferred stock	85	85
Series A preferred stock	6,600	6,600
Series B preferred stock	1,188,725	1,188,725
Common stock warrants	3,234,379	3,234,379
Total shares excluded from calculation	7,133,449	6,185,535

6. Prepaid Expenses and Other Current Assets

Prepaid expenses and other current assets consisted of the following (in $000s):


	September 30,		December 31,
	2023		2022
Research and development tax credit receivable	$	2,527	$	4,664
Prepayments and VAT receivable		692		976
Other current assets		1,950		426
	$	5,169	$	6,066

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Other current assets as of September 30, 2023 include reclassification of approximately $1.6 million of clinical trial deposits previously recognized as long term but now expected to be consumed within one year as of September 30, 2023.

7. Non-Current Assets

As of September 30, 2023, the Company had non-current assets of $1.3 million, which is primarily comprised of clinical trial deposits held by a contract research organization in relation to the Company’s Phase 1/2 clinical trials.

8. Accrued and Other Liabilities

Accrued and other current liabilities consisted of the following (in $000s):


	September 30,		December 31,
	2023		2022
Accrued research and development	$	5,866	$	3,611
Accrued legal and professional fees		355		333
Other current liabilities		356		1,006
	$	6,577	$	4,950

Other current liabilities for the year ended December 31, 2022 were largely attributed to accrued payroll costs.

9. Leases

The Company currently has an operating lease liability relating to its facilities in Berkeley Heights, New Jersey.

For the nine months ended September 30, 2023 and 2022, the Company recognized operating lease expenses of $55,982 and $46,699 respectively, including $7,902 in 2023 relating to a short term lease for offices in Dundee, Scotland. Cash payments made during the nine months ended September 30, 2023 and 2022 totaled $55,245 and $46,489, respectively, and were presented within cash outflows from operating activities. The remaining lease term as of September 30, 2023 is approximately 1.8 years for the Berkeley Heights facility. The discount rate used by the Company in determining the lease liability was 12%.

Remaining lease payments for both facilities are as follows (in $000s):


2023	$	19
2024		66
2025		38
Thereafter		—
	$	123

10. Stock Based Compensation

ASC 718 requires compensation expense associated with share-based awards to be recognized over the requisite service period which, for the Company, is the period between the grant date and the date the award vests or becomes exercisable. The Company recognizes all share-based awards under the straight-line attribution method, assuming that all granted awards will vest. Forfeitures are recognized in the periods when they occur.

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Stock based compensation has been reported within expense line items on the consolidated statement of operations for the three and nine months ended September 30, 2023 and 2022 as shown in the following table (in $000s):


	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2023		2022		2023		2022
General and administrative	$	279	$	255	$	801	$	724
Research and development		111	$	134	$	350	$	396
Stock-based compensation costs before income taxes	$	390	$	389	$	1,151	$	1,119

2018 Plan

In May 2018, the Company’s stockholders approved the 2018 Equity Incentive Plan (the “2018 Plan”), under which Cyclacel may make equity incentive grants to its officers, employees, directors and consultants. The 2018 Plan replaced the 2015 Equity Incentive Plan (the “2015 Plan”).

The 2018 Plan allows for various types of award grants, including stock options and restricted stock units.

On June 14, 2022, the Company’s stockholders approved an amendment to the 2018 Plan to increase the number of shares of common stock available for grant under the 2018 Plan by 500,000 shares. On June 13, 2023, the Company’s stockholders approved an amendment to the 2018 Plan to increase the number of shares of common stock available for grant under the 2018 Plan by an additional 900,000 shares. As of September 30, 2023, the Company has reserved 336,984 shares of the Company’s common stock under the 2018 Plan for future issuances. Stock option awards granted under the Company’s equity incentive plans have a maximum life of 10 years and generally vest over a one to four-year period from the date of grant.

2020 Inducement Equity Incentive Plan

In October 2020, the Inducement Equity Incentive Plan (the “Inducement Plan”), became effective. Under the Inducement Plan, Cyclacel may make equity incentive grants to new senior level employees (persons to whom the Company may issue securities without stockholder approval). The Inducement Plan allows for the issuance of up to 200,000 shares of the Company’s common stock (or the equivalent of such number). As of September 30, 2023, 120,000 shares under the Inducement Plan have been issued, leaving 80,000 shares in reserve.

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Option Grants and Exercises

There were 650,128 options granted during the nine months ended September 30, 2023. These options had a grant date fair value ranging between $0.42-$0.73 per option. There were 522,337 options granted during the nine months ended September 30, 2022. These options had a grant date fair value ranging between $0.83-$2.90 per option.

Of the options granted during the nine months ended September 30, 2023, 384,500 shall vest on the third anniversary of their date of grant, or earlier if either of the certain performance conditions are met relating to enrollment goals for various clinical studies. For purposes of the below calculations, the Company has assumed that these awards will vest after three years as satisfaction of the performance conditions is not probable at this time.

The fair value of the stock options granted is calculated using the Black-Scholes option-pricing model as prescribed by ASC 718 using the following assumptions:



	Nine months ended	Nine months ended
	September 30, 2023	September 30, 2022
Expected term (years)	5-6	5-6
Risk free interest rate	3.660% – 4.050%	1.370% – 3.605%
Volatility	89% – 92%	86% – 93%
Expected dividend yield over expected term	0.00%	0.00%

There were no stock options exercised during each of the nine months ended September 30, 2023 and 2022, respectively. The Company does not expect to be able to benefit from the deduction for stock option exercises that may occur because the company has tax loss carryforwards from prior periods that would be expected to offset any potential taxable income.

Outstanding Options

A summary of the share option activity and related information is as follows:


				Weighted
		Weighted		Average
	Number of	Average		Remaining	Aggregate
	Options	Exercise		Contractual	Intrinsic
	Outstanding	Price Per Share		Term (Years)	Value ($000)
Options outstanding at December 31, 2022	1,610,590	$	5.85	8.34	$	—
Granted	650,128	$	0.59	—		—
Cancelled/forfeited	(79,030)	$	15.47	—		—
Options outstanding at September 30, 2023	2,181,688	$	3.93	8.21	$	—
Unvested at September 30, 2023	994,421	$	1.59	9.20	$	—
Vested and exercisable at September 30, 2023	1,187,267	$	5.89	7.38	$	—

Restricted Stock Units

The Company issued 384,314 restricted stock units during the nine months ended September 30, 2023.

The 127,314 restricted stock units issued in June 2023 vest on the first anniversary of the date of grant. Each of these restricted stock units were valued at $0.59 at the date of grant, which was equivalent to the market price of a share of the Company’s common stock on that date.

The 257,000 restricted stock units issued in January 2023 vest on the third anniversary of their date of grant, or earlier if certain defined clinical trial related performance targets are met. A three-year vesting assumption was applied to these restricted stock units as satisfaction of the performance conditions is not probable at this time. Each restricted stock unit was valued at $0.90 at the date of grant, which was equivalent to the market price of a share of the Company’s common stock on that date.

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The Company issued 118,665 restricted stock units during the year ended December 31, 2022. These restricted stock units vest over a period of one year for awards granted to directors and three years for grants to employees. Each restricted stock unit was valued at $1.11 based on their fair value at the date of grant, which is equivalent to the market price of a share of the Company’s common stock.

Summarized information for restricted stock units as of September 30, 2023 is as follows:


		Weighted		Weighted
		Average		Average
	Restricted	Grant Date		Remaining
	Stock Units	Value Per Share		Term
Restricted Stock Units outstanding at September 30, 2023	521,971	$	1.08	9.21 years
Unvested at September 30, 2023	400,927	$	0.82	9.45 years
Vested and exercisable at September 30, 2023	121,044	$	1.95	8.42 years

11. Stockholders Equity

August 2021 Controlled Equity Offering Sales Agreement

On August 12, 2021, the Company entered into a Controlled Equity Offering Sales Agreement (the “Sales Agreement”) with Cantor Fitzgerald & Co. ("Cantor"), pursuant to which the Company could issue and sell, from time to time, shares of its common stock having an aggregate offering price of up to $10.0 million through Cantor as the sales agent. Cantor could sell the Company’s common stock by any method permitted by law deemed to be an “at the market offering” as defined in Rule 415(a)(4) of the Securities Act.

On August 12, 2022, the Company became aware that the shelf registration statement on Form S-3 (file number 333-231923) (the “Registration Statement”) associated with this Sales Agreement had expired on June 21, 2022. Prior to becoming aware of the expiration, the Company sold an aggregate of 1,987,100 shares of its common stock at the market price, following the expiration of the Registration Statement and through August 12, 2022, for aggregate proceeds of approximately $2,721,187. There was no sale of shares after August 12, 2022. The sale of these shares may have been subject to potential rescission rights by certain stockholders. As a result of these potential rescission rights, the Company reclassified 3,117,100 shares (including 1,130,000 shares sold for which the Company did not receive any proceeds) with an aggregate redemption value of $4,494,496, of its common stock as outside stockholders’ equity. These shares have been treated as issued and outstanding for financial reporting purposes. The reclassification period for these shares has now lapsed and the shares have been reclassified back to permanent equity. As of September 30, 2023, there have been no claims or demands to exercise such rights.

On August 15, 2022, due to expiry of the Registration Statement, the Sales Agreement was mutually terminated. Since the start of the agreement on August 12, 2021, a total of 3,281,067 shares, for gross proceeds of approximately $7.6 million, had been sold pursuant to the Sales Agreement.

Warrants

December 2020 Warrants

As of September 30, 2023, warrants to purchase 669,854 shares of common stock issued pursuant to a securities purchase agreement in a December 2020 financing transaction remained outstanding. Each warrant shall be exercisable beginning on the 12-month anniversary of the date of issuance for a period of five years after the date of issuance, at an exercise price of $4.13 per warrant share. The exercise price of the warrants will be subject to adjustment in the event of any stock dividends and splits, reverse stock split, recapitalization, reorganization or similar transaction, as described in the warrants. The warrants may be exercised on a “cashless” basis.

There were no exercises of these warrants during the nine months ended September 30, 2023 or September 30, 2022.

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April 2020 Warrants

As of September 30, 2023, 2,190,000 warrants issued pursuant to a securities purchase agreement in connection with an April 2020 equity financing remained outstanding, each with an exercise price of $5.00. The common warrants are immediately exercisable and will expire on the fifth anniversary of the original issuance date. The exercise price and number of shares of common stock issuable upon exercise is subject to appropriate adjustment in the event of stock dividends, stock splits, reorganizations or similar events affecting the Company’s common stock. The common warrants were issued separately from the common stock and were eligible for transfer immediately after issuance. A common warrant to purchase one share of common stock was issued for every share of common stock purchased in this offering.

The common warrants are exercisable, at the option of each holder, in whole or in part, by delivering to the Company a duly executed exercise notice accompanied by payment in full for the number of shares of the Company’s common stock purchased upon such exercise (except in the case of a cashless exercise). A holder (together with its affiliates) may not exercise any portion of the common warrant to the extent that the holder would own more than 4.99% of the outstanding common stock immediately after exercise, except that upon at least 61 days prior notice from the holder to the Company, the holder may increase the amount of ownership of outstanding stock after exercising the holder’s common warrants up to 9.99% of the number of shares of the Company’s common stock outstanding immediately after giving effect to the exercise, as such percentage ownership is determined in accordance with the terms of the common warrants. No fractional shares of common stock will be issued in connection with the exercise of a common warrant. In lieu of fractional shares, the Company will round down to the next whole share.

There were no exercises of these warrants during the nine months ended September 30, 2023 or September 30, 2022.

July 2017 Warrants

As of September 30, 2023, 374,525 warrants issued in connection with the July 2017 underwritten public offering remained outstanding, each with an exercise price of $40.00. All such warrants were issued in connection with the July 2017 underwritten public offering and are immediately exercisable. The warrants expire in 2024. Subject to limited exceptions, a holder of warrants will not have the right to exercise any portion of its warrants if the holder (together with such holder’s affiliates, and any persons acting as a group together with such holder or any of such holder’s affiliates) would beneficially own a number of shares of common stock in excess of 4.99% (or, at the election of the purchaser, 9.99%) of the shares of our Common Stock then outstanding after giving effect to such exercise.

The exercise price and the number of shares issuable upon exercise of the warrants is subject to appropriate adjustment in the event of recapitalization events, stock dividends, stock splits, stock combinations, reclassifications, reorganizations or similar events affecting the Company’s common stock. The warrant holders must pay the exercise price in cash upon exercise of the warrants, unless such warrant holders are utilizing the cashless exercise provision of the warrants. On the expiration date, unexercised warrants will automatically be exercised via the “cashless” exercise provision.

Prior to the exercise of any warrants to purchase common stock, holders of the warrants will not have any of the rights of holders of the common stock purchasable upon exercise, including the right to vote, except as set forth therein.

There were no exercises of these warrants during the nine months ended September 30, 2023 or September 30, 2022.

Series B Preferred Stock

237,745 shares of the Company’s Series B Preferred Stock were issued in a December 2020 Securities Purchase Agreement. Each share of Series B Preferred Stock shall initially be convertible into five shares of Common Stock,

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subject to adjustment in accordance with the Certificate of Designation. As of September 30, 2023, 237,745 shares of the Series B Preferred Stock remained issued and outstanding.

Holders of Series B Preferred Stock are entitled to receive dividends on shares of Series B Preferred Stock equal, on an as-if-converted-to-common-stock basis, and in the same form as dividends actually paid on shares of the Company’s common stock. Except as otherwise required by law, the Series B Preferred Stock does not have voting rights. However, as long as any shares of Series B Preferred Stock are outstanding, the Company will not, without the affirmative vote of the holders of a majority of the then outstanding shares of the Series B Preferred Stock, (a) alter or change adversely the powers, preferences or rights given to the Series B Preferred Stock, (b) alter or amend the Certificate of Designation, (c) amend its certificate of incorporation or other charter documents in any manner that adversely affects any rights of the holders of Series B Preferred Stock, (d) increase the number of authorized shares of Series B Preferred Stock, (e) pay certain dividends or (f) enter into any agreement with respect to any of the foregoing. The Series B Preferred Stock does not have a preference upon any liquidation, dissolution or winding-up of the Company. The Series B Preferred Stock may be converted into shares of common stock if and solely to the extent that such conversion would not result in the holder beneficially owning in excess of 9.99% of then-outstanding common stock or aggregate voting power of the Company and any portion in excess of such limitation will remain outstanding as Series B Preferred Stock.

Series A Preferred Stock

8,872 shares of the Company’s Series A Preferred Stock were issued in the July 2017 underwritten public offering. During the year ended December 31, 2017, 8,608 shares of the Series A Preferred Stock were converted into 215,200 shares of common stock. As of September 30, 2023, 264 shares of the Series A Preferred Stock remained issued and outstanding.

Each share of Series A Preferred Stock is convertible at any time at the option of the holder thereof, into a number of shares of common stock determined by dividing $1,000 by the initial conversion price of $40.00 per share, subject to a 4.99% blocker provision, or, upon election by a holder prior to the issuance of shares of Series A Preferred Stock, 9.99%, and is subject to adjustment for stock splits, stock dividends, distributions, subdivisions and combinations. The 264 shares of Series A Preferred Stock issued and outstanding at September 30, 2023 are convertible into 6,600 shares of common stock.

In the event of a liquidation, the holders of shares of the Series A Preferred Stock shall be permitted to participate on an as-converted-to-common-stock basis in any distribution of assets of the Company. The Company shall not pay any dividends on shares of common stock (other than dividends in the form of common stock) unless and until such time as dividends on each share of Series A Preferred Stock are paid on an as-converted basis. There is no restriction on the Company’s ability to repurchase shares of Series A Preferred Stock while there is any arrearage in the payment of dividends on such shares, and there are no sinking fund provisions applicable to the Series A Preferred Stock.

Subject to certain conditions, at any time following the issuance of the Series A Preferred Stock, the Company has the right to cause each holder of the Series A Preferred Stock to convert all or part of such holder’s Series A Preferred Stock in the event that (i) the volume weighted average price of our common stock for 30 consecutive trading days (the “Measurement Period”) exceeds 300% of the initial conversion price of the Series A Preferred Stock (subject to adjustment for forward and reverse stock splits, recapitalizations, stock dividends and similar transactions), (ii) the daily trading volume on each Trading Day during such Measurement Period exceeds $500,000 per trading day and (iii) the holder is not in possession of any information that constitutes or might constitute, material non-public information which was provided by the Company. The right to cause each holder of the Series A Preferred Stock to convert all or part of such holder’s Series A Preferred Stock shall be exercised ratably among the holders of the then outstanding preferred stock.

The Series A Preferred Stock has no maturity date, will carry the same dividend rights as the common stock, and with certain exceptions, contains no voting rights. In the event of any liquidation or dissolution of the Company, the

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Series A Preferred Stock ranks senior to the common stock in the distribution of assets, to the extent legally available for distribution.

6% Convertible Exchangeable Preferred Stock

As of September 30, 2023, there were 335,273 shares of the Company’s 6% Convertible Exchangeable Preferred Stock (the “6% Preferred Stock”) issued and outstanding at an issue price of $10.00 per share. Dividends on the 6% Preferred Stock are cumulative from the date of original issuance at the annual rate of 6% of the liquidation preference of the 6% Preferred Stock, payable quarterly on the first day of February, May, August and November, commencing February 1, 2005. Any dividends must be declared by the Company’s board of directors and must come from funds that are legally available for dividend payments. The 6% Preferred Stock has a liquidation preference of $10.00 per share, plus accrued and unpaid dividends. As of September 30, 2023, accrued and unpaid dividends amounted to $50,291.

The Company may automatically convert the 6% Preferred Stock into common stock if the per share closing price of the Company’s common stock has exceeded $59,220, which is 150% of the conversion price of the 6% Preferred Stock, for at least 20 trading days during any 30 day trading period, ending within five trading days prior to notice of automatic conversion.

The 6% Preferred Stock has no maturity date and no voting rights prior to conversion into common stock, except under limited circumstances.

The Company may, at its option, redeem the 6% Preferred Stock in whole or in part, out of funds legally available at the redemption price of $10.00 per share.

The 6% Preferred Stock is exchangeable, in whole but not in part, at the option of the Company on any dividend payment date beginning on November 1, 2005 (the “Exchange Date”) for the Company’s 6% Convertible Subordinated Debentures (the “Debentures”) at the rate of $10.00 principal amount of Debentures for each share of 6% Preferred Stock. The Debentures, if issued, will mature 25 years after the Exchange Date and have substantially similar terms to those of the 6% Preferred Stock. No such exchanges have taken place to date.

12. Subsequent Events

Dividends on 6% Preferred Stock

On September 6, 2023, the board of directors declared a quarterly cash dividend in the amount of $0.15 per share on the Company’s 6% Preferred Stock. The cash dividend was paid on November 1, 2023 to the holders of record of the 6% Preferred Stock as of the close of business on October 20, 2023.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

CAUTIONARY STATEMENT REGARDING FORWARD-LOOKING STATEMENTS

This Quarterly Report on Form 10-Q, including, without limitation, Management’s Discussion and Analysis of Financial Condition and Results of Operations, contains “forward-looking statements” within the meaning of Section 27A of the Securities Exchange Act of 1933 as amended and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). We intend that the forward-looking statements be covered by the safe harbor for forward-looking statements in the Exchange Act. The forward-looking information is based on various factors and was derived using numerous assumptions. All statements, other than statements of historical fact, that address activities, events or developments that we intend, expect, project, believe or anticipate will or may occur in the future are forward-looking statements. Such statements are based upon certain assumptions and assessments made by our management in light of their experience and their perception of historical trends, current conditions, expected future developments and other factors they believe to be appropriate. These forward-looking statements are usually accompanied by words such as “believe,” “anticipate,” “plan,” “seek,” “expect,” “intend” and similar expressions.

Forward-looking statements necessarily involve risks and uncertainties, and our actual results could differ materially from those anticipated in the forward looking statements due to a number of factors, including those set forth in Part I, Item 1A, entitled “Risk Factors,” of our Annual Report on Form 10-K for the year ended December 31, 2022, as updated and supplemented by Part II, Item 1A, entitled “Risk Factors,” of our Quarterly Reports on Form 10-Q, and elsewhere in this report. These factors as well as other cautionary statements made in this Quarterly Report on Form 10-Q, should be read and understood as being applicable to all related forward-looking statements wherever they appear herein. The forward-looking statements contained in this Quarterly Report on Form 10-Q represent our judgment as of the date hereof. We encourage you to read those descriptions carefully. We caution you not to place undue reliance on the forward-looking statements contained in this report. These statements, like all statements in this report, speak only as of the date of this report (unless an earlier date is indicated) and we undertake no obligation to update or revise the statements except as required by law. Such forward-looking statements are not guarantees of future performance and actual results will likely differ, perhaps materially, from those suggested by such forward-looking statements. In this report, “Cyclacel,” the “Company,” “we,” “us,” and “our” refer to Cyclacel Pharmaceuticals, Inc.

Overview

We are a clinical-stage biopharmaceutical company developing innovative cancer medicines based on cell cycle, transcriptional regulation and mitosis control biology. We are a pioneer company in the field of cancer cell cycle biology with a vision to improve patient healthcare by translating insights in cancer biology into medicines that can overcome resistance and ultimately increase a patient’s overall survival. Our primary focus has been on our transcriptional regulation program, which is evaluating fadraciclib, a CDK2/9 inhibitor, in solid tumors and lymphoma. Separately, our epigenetic/anti-mitotic program is evaluating plogosertib, a PLK1 inhibitor, in solid tumors and lymphoma.

We are evaluating oral fadraciclib and plogosertib in our Phase 1/2 streamlined studies, the aim of which is to assess safety and identify signals of clinical activity which may lead to registration-enabling outcomes.

Fadraciclib Phase 1/2 Study in Advanced Solid Tumors and Lymphoma (065-101; NCT#04983810)

In this ongoing study, twenty-six evaluable patients have been treated in six dose escalation levels so far. The proof-of-concept stage includes seven histologically defined cohorts thought to be sensitive to the drug’s mechanism: breast, colorectal (including KRAS mutant), endometrial/uterine, hepatobiliary, ovarian cancers and lymphomas. An additional basket cohort will enroll patients regardless of histology with biomarkers relevant to the drug’s mechanism, including MCL1, MYC and/or cyclin E amplified.

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Plogosertib Phase 1/2 Study in Advanced Solid Tumors and Lymphoma (140-101; NCT#05358379)

In this ongoing study, fourteen evaluable patients have been treated at five dose escalation levels with no dose limiting toxicities observed. The proof-of-concept stage includes seven mechanistically relevant cohorts including patients with bladder, breast, colorectal (including KRAS mutant), hepatocellular and biliary tract, and lung cancers (both small cell and non-small cell), as well as lymphomas. An additional basket cohort will enroll patients with biomarkers relevant to the drug’s mechanism, including MYC amplified tumors. The protocol allows for expansion of individual cohorts based on response which may allow acceleration of the clinical development and registration plan for plogosertib.

We currently retain all marketing rights worldwide to the compounds associated with our drug programs.

Going Concern

For the three months ended September 30, 2023, we used net cash of $4.2 million to fund our operating activities. We have cash and cash equivalents of $5.9 million as of September 30, 2023, which will allow us to meet our liquidity requirements through the remainder of 2023. However, the current operating plan includes discretionary expenditures, which if not incurred and taken together with the anticipated receipt of research & development tax credits of approximately $3.1 million in the first quarter of 2024 could extend liquidity requirements into the second quarter of 2024. Nonetheless, these factors raise substantial doubt about our ability to continue as a going concern. We are currently investigating ways to raise additional capital through a combination of public or private equity, debt financing or by entering into partnership agreements for further development of our drug candidates. Please refer to the following Liquidity and Capital Resources section for additional information.

Liquidity and Capital Resources

The following is a summary of our key liquidity measures as of September 30, 2023 and 2022 (in $000s):



	September 30,
	2023		2022
Cash and cash equivalents	$	5,944	$	23,706
Working capital:
Current assets	$	11,113	$	27,915
Current liabilities		(8,148)		(4,472)
Total working capital	$	2,965	$	23,443

Since our inception, we have relied primarily on the proceeds from sales of common and preferred equity securities to finance our operations and internal growth. Additional funding has come through research and development tax credits, government grants, the sale of product rights, interest on investments and a limited amount of revenue. We have incurred significant losses since our inception. As of September 30, 2023, we had an accumulated deficit of $423.0 million.

Cash Flows

Cash from operating, investing and financing activities for the nine months ended September 30, 2023 and 2022 is summarized as follows (in $000s):


	Nine Months Ended September 30,
	2023		2022
Net cash used in operating activities	$	(12,202)	$	(15,658)
Net cash used in investing activities		(6)		(7)
Net cash (used in) provided by financing activities		(151)		2,956

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Operating activities

Net cash used in operating activities decreased by $3.5 million, from $15.7 million for the nine months ended September 30, 2022 to $12.2 million for the nine months ended September 30, 2023. The decrease in cash used by operating activities was primarily the result of a change in working capital of $7.1 million, offset by an increase in net loss of $3.6 million. The $7.1 million change in working capital was due to increased balances in clinical trial deposits and receivables for research and development tax credits. A cash receipt of approximately $4.8 million in research and development tax credit was received during the nine months ended September 30, 2023.

Investing activities

Net cash used by investing activities decreased by $1,000 for the nine months ended September 30, 2023 due to slightly higher capital expenditures on information technology (“IT”) during the respective comparative period.

Financing activities

Net cash used in financing activities was $0.2 million for the nine months ended September 30, 2023 as a result of dividend payments of approximately $0.2 million to the holders of our 6% Preferred Stock.

Net cash provided by financing activities was $2.9 million for the nine months ended September 30, 2022 as a direct result of receiving approximately $3.1 million, net of expenses, from the issuance of common stock under the Sales Agreement, offset by dividend payments of approximately $0.2 million to the holders of our 6% Preferred Stock.

Funding Requirements and Going Concern

As of September 30, 2023, we had cash and cash equivalents of $5.9 million. We have incurred losses since our inception and as of September 30, 2023, we had an accumulated deficit of $423.0 million. We expect to continue to incur substantial operating losses in the future.

We do not currently have sufficient funds to complete development and commercialization of any of our drug candidates. Current business and capital market risks could have a detrimental effect on the availability of sources of funding and our ability to access them in the future, which may delay or impede our progress of advancing our drugs currently in the clinical pipeline to approval by the FDA or EMA for commercialization. Additionally, we plan to continue to evaluate in-licensing and acquisition opportunities to gain access to new drugs or drug targets that would fit with our strategy. Any such transaction would likely increase our funding needs in the future.Our future funding requirements will depend on many factors, including but not limited to:

●

the rate of progress and cost of our clinical trials, preclinical studies and other discovery and research and development activities;

●

the costs associated with establishing manufacturing and commercialization capabilities;

●

the costs of acquiring or investing in businesses, product candidates and technologies;

●

the costs of filing, prosecuting, defending and enforcing any patent claims and other intellectual property rights;

●

the costs and timing of seeking and obtaining FDA and EMA approvals;

●

the effect of competing technological and market developments; and

●

the economic and other terms and timing of any collaboration, licensing or other arrangements into which we may enter.

Until we can generate a sufficient amount of product revenue to finance our cash requirements, which we may never do, we expect to finance future cash needs primarily through public or private equity offerings, debt financings or

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strategic collaborations. Although we are not reliant on institutional credit finance and therefore not subject to debt covenant compliance requirements or potential withdrawal of credit by banks, we are reliant on the availability of funds and activity in equity markets. We do not know whether additional funding will be available on acceptable terms, or at all. If we are not able to secure additional funding when needed, we may have to delay, reduce the scope of or eliminate one or more of our clinical trials or research and development programs or make changes to our operating plan. In addition, we may have to partner one or more of our product candidate programs at an earlier stage of development, which would lower the economic value of those programs to us.

Since our inception, we have relied primarily on the proceeds from sales of common and preferred equity securities to finance our operations and internal growth. Additional funding has come through research and development tax credits, government grants, the sale of product rights, interest on investments, licensing revenue, royalty income, and a limited amount of product revenue from operations discontinued in September 2012.

As discussed in Note 3 of the Notes to the Consolidated Financial Statements accompanying this Quarterly Report on Form 10-Q, under ASC Topic 205-40, Presentation of Financial Statements - Going Concern, management is required at each reporting period to evaluate whether there are conditions and events, considered in the aggregate, that raise substantial doubt about an entity’s ability to continue as a going concern within one year after the date that the financial statements are issued. This evaluation initially does not take into consideration the potential mitigating effect of management’s plans that have not been fully implemented as of the date the financial statements are issued.

Based on our current operating plan, we anticipate that our cash and cash equivalents of $5.9 million as of September 30, 2023 will allow us to meet our liquidity requirements through the end of 2023. However, the current operating plan includes discretionary expenditures, which if not incurred and taken together with the anticipated receipt of research & development tax credits of approximately $3.1 million in the first quarter of 2024 could extend liquidity requirements into the second quarter of 2024. Our history of losses, our negative cash flows from operations, our liquidity resources currently on hand, and our dependence on the ability to obtain additional financing to fund our operations after the current resources are exhausted, about which there can be no certainty, have resulted in our assessment that there is substantial doubt about our ability to continue as a going concern for a period of at least twelve months from the issuance date of this Quarterly Report on Form 10-Q. While we have plans in place to mitigate this risk, which primarily consist of raising additional capital through a combination of public or private equity or debt financings or by entering into partnership agreements for further development of our drug candidates, there is no guarantee that we will be successful in these mitigation efforts.

Results of Operations

Three and Nine Months Ended September 30, 2023 and 2022

Revenues

We recognized $16,000 and $389,000 of revenue for the three and nine months ended September 30, 2023. This related to recovery of clinical manufacturing costs associated with an investigator sponsored study managed by Cedars-Sinai Medical Center. There were no revenues recognized for the comparative periods in 2022.

The future

We expect to completely fulfill our obligations under this agreement by the fourth quarter of 2023. The associated clinical manufacturing costs are presented as a component of research & development.

Research and Development Expenses

From our inception, we have focused on drug discovery and development programs, with a particular emphasis on orally available anticancer agents, and our research and development expenses have represented costs incurred to discover and develop novel small molecule therapeutics, including clinical trial costs for fadraciclib and plogosertib. We have also incurred costs in the advancement of product candidates toward clinical and preclinical trials and the

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development of in-house research to advance our biomarker program and technology platforms. We expense all research and development costs as they are incurred. Research and development expenses primarily include:

●

Clinical trial and regulatory-related costs;

●

Payroll and personnel-related expenses, including consultants and contract research organizations;

●

Preclinical studies, supplies and materials;

●

Technology license costs;

●

Stock-based compensation; and

●

Rent and facility expenses for our offices.

The following table provides information with respect to our research and development expenditures for the three and nine months ended September 30, 2023 and 2022 (in $000s except percentages):


	Three Months Ended							Nine Months Ended
	September 30,				Difference			September 30,				Difference
	2023		2022		$		%	2023		2022		$		%
Transcriptional Regulation (fadraciclib)	$	3,554	$	2,512	$	1,042	41	$	10,683	$	8,740	$	1,943	22
Epigenetic/anti-mitotic (plogosertib)		1,540		1,707		(167)	(10)		4,249		4,289		(40)	(1)
Other research and development expenses		142		194		(52)	(27)		705		543		162	30
Total research and development expenses	$	5,236	$	4,413	$	823	19	$	15,637	$	13,572	$	2,065	15

Total research and development expenses represented 76% and 76% of our operating expenses for the three and nine months ended September 30, 2023 respectively.

Research and development expenses increased by approximately $2.0 million from $13.6 million for the nine months ended September 30, 2022 to $15.6 million for the nine months ended September 30, 2023. Expenditure for the transcriptional regulation program increased by $1.9 million for the nine months ended September 30, 2023, relative to the respective comparative period. This was due to an increase in non-clinical expenditure of $3.0 million, offset by reduction in clinical trial costs of $1.1 million associated with the progression of clinical trials for the evaluation of fadraciclib in Phase 1/2 studies. Research and development expenses relating to plogosertib remained flat for each of the nine months ended September 30, 2023 and 2022.

The future

We continue to anticipate that overall research and development expenses for the year ended December 31, 2023 will decrease compared to the year ended December 31, 2022 as we temporarily halt our Phase 1/2 study in hematological malignancies and progress clinical development of our Phase 1/2 studies in advanced solid tumors and lymphomas.

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General and Administrative Expenses

General and administrative expenses include costs for administrative personnel, legal and other professional expenses and general corporate expenses. The following table summarizes the general and administrative expenses for the three and nine months ended September 30, 2023 and 2022 (in $000s except percentages):


	Three Months Ended							Nine Months Ended
	September 30,				Difference			September 30,				Difference
	2023		2022		$		%	2023		2022		$		%
Total general and administrative expenses	$	1,625	$	2,054	$	(429)	(21)	$	4,845	$	5,239	$	(394)	(8)

Total general and administrative expenses represented 24% and 24% of our operating expenses for the three and nine months ended September 30, 2023 respectively.

General and administrative expenses decreased by approximately $0.4 million for both the three and nine months ended September 30, 2023 due to a non-recurring $0.4 million cost associated with the Controlled Equity Offering Sales Agreement with Cantor Fitzgerald & Co. (the “Sales Agreement”) in the comparative prior periods.

The future

We expect general and administrative expenditures for the year ended December 31, 2023 to be lower than our expenditures for the year ended December 31, 2022, due to management efforts to lower professional costs.

Other income (expense), net

The following table summarizes other income for the three and nine months ended September 30, 2023 and 2022 (in $000 except percentages):


	Three Months Ended							Nine Months Ended
	September 30,				Difference			September 30,				Difference
	2023		2022		$		%	2023		2022		$		%
Foreign exchange gains (losses)	$	104	$	276	$	(172)	(62)	$	(58)	$	514	$	(572)	(111)
Interest income		50		67		(17)	(25)		243		88		155	176
Other income (expense), net		(9)		14		(23)	(164)		50		1,294		(1,244)	(96)
Total other income (expense), net	$	145		357	$	(212)	(59)	$	235		1,896	$	(1,661)	(88)

Total other income decreased by approximately $1.7 million from $1.9 million for the nine months ended September 30, 2022 to $0.2 million for the nine months ended September 30, 2023. Other income for the nine months ended September 30, 2022 relates largely to royalties receivable under a December 2005 Asset Purchase Agreement (“APA”) whereby Xcyte Therapies, Inc., or Xcyte (a business acquired by us in March 2006) sold certain assets and intellectual property to ThermoFisher Scientific Company, or TSC (formerly Invitrogen Corporation) through the APA and other related agreements. The assets and technology were not part of our product development plan following the transaction between Xcyte and Cyclacel in March 2006. Accordingly, we presented $0.1 million and $1.3 million as other income arising from sales related to this transaction during the nine months ended September 30, 2023 and 2022 respectively.

Foreign exchange gains (losses)

Foreign exchange gains decreased by $0.6 million, from a gain of $0.5 million for the nine months ended September 30, 2022, to a loss of $0.1 million for the nine months ended September 30, 2023.

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The future

Other income (expense), net for the year ended December 31, 2023, will continue to be impacted by changes in foreign exchange rates and the receipt of income under the APA. As we are not in control of sales made by TSC, we are unable to estimate the level and timing of income under the APA, if any.

Because the nature of funding advanced through intercompany loans is that of a long-term investment, unrealized foreign exchange gains and losses on such funding will be recognized in other comprehensive income until repayment of any intercompany loan becomes foreseeable.

Income Tax Benefit

Credit is taken for research and development tax credits, which are claimed from the United Kingdom’s revenue and customs authority, or HMRC, in respect of qualifying research and development costs incurred.

The following table summarizes total income tax benefit for the three and nine months ended September 30, 2023 and 2022 (in $000s except percentages):


	Three Months Ended							Nine Months Ended
	September 30,				Difference			September 30,				Difference
	2023		2022		$		%	2023		2022		$		%
Total income tax benefit	$	668	$	1,014	$	(346)	(34)	$	2,574	$	3,136	$	(562)	(18)

The total income tax benefit, which comprised of research and development tax credits recoverable, decreased by approximately $0.6 million from $3.1 million for the nine months ended September 30, 2022 to $2.5 million for the nine months ended September 30, 2023 due to legislative changes that took effect in April 2023. The level of tax credits recoverable is linked directly to qualifying research and development expenditure incurred in any one year and the availability of trading losses.

The future

We expect to continue to be eligible to receive United Kingdom research and development tax credits for the year ended December 31, 2023 and will continue to elect to receive payment of the tax credit. The amount of tax credits we will receive is entirely dependent on the amount of eligible expenses we incur and could be restricted by any future cap introduced by HMRC. Beyond 2023, we cannot be certain of our eligibility to receive this tax credit or if eligible, the amount that may be received, due to proposed changes by HMRC to the eligibility criteria.

Critical Accounting Policies and Estimates

Our critical accounting policies are those policies which require the most significant judgments and estimates in the preparation of our consolidated financial statements. We evaluate our estimates, judgments, and assumptions on an ongoing basis. Actual results may differ from these estimates under different assumptions or conditions. A summary of our critical accounting policies is presented in Part II, Item 7, of our Annual Report on Form 10-K for the year ended December 31, 2022 and Note 3 to our unaudited consolidated financial statements included elsewhere in this Quarterly Report on Form 10-Q. There have been no material changes to our critical accounting policies during the three months ended September 30, 2023.

Item 3. Quantitative and Qualitative Disclosures about Market Risk

As a smaller reporting company, we are not required to provide information in response to this item.

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Item 4. Controls and Procedures

Under the supervision and with the participation of our management, including our chief executive officer and principal financial and accounting officer, we conducted an evaluation of the effectiveness, as of September 30, 2023, of our disclosure controls and procedures, as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended, or the Exchange Act. Based upon such evaluation, our chief executive officer and principal financial and accounting officer have concluded that our disclosure controls and procedures to ensure that information required to be disclosed by us in reports we file or submit under the Exchange Act is (i) recorded, processed, summarized, evaluated and reported, as applicable, within the time periods specified in the SEC’s rules and forms and (ii) accumulated and communicated to our management, including our Chief Executive Officer and Chief Financial Officer, as appropriate to allow timely decisions regarding required disclosures were not effective at the reasonable assurance level due to the material weakness in internal control over financial reporting.

Material Weakness in 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 a company’s annual and interim financial statements will not be detected or prevented on a timely basis. Management has identified material weaknesses in our internal control over financial reporting associated with the design of our controls over the accounting treatment of contractually required deposits and the accounting treatment for complex non-routine equity transactions. Specifically, the Company did not effectively design controls to properly account for contractually required deposits and complex non-routine equity transactions. This control deficiency resulted in, among other things, errors to the following as of and for the years ended December 31, 2022 and 2021 and for the quarters ended March 31, 2023 and June 30, 2023.

●

An overstatement of operating loss of $549,000 for the year ended December 31, 2021

●

An overstatement of research and development tax credits of $119,000 for the year ended December 31, 2021

●

An understatement of non-current deposits of $549,000 for the years ended December 31, 2021 and 2022 and for the quarters ended March 31, 2023 and June 30, 2023

●

An overstatement of research and development tax receivable of $119,000 for the years ended December 31, 2021 and 2022 and for the quarters ended March 31, 2023 and June 30, 2023

●

An understatement of 798,200 shares subject to potential rescission rights with a redemption value of 1,105,507 in the second quarter of 2022.

●

The non recognition within earnings per share calculations of $135,000 fees paid in connection with shares subject to rescission rights which should have been accounted for as accretion.

In connection with the disclosure above relating to prior period adjustments as set forth in Note 1 to our consolidated financial statements, the Company has concluded that such earlier reporting reflected a material weakness. After discovery of the errors, the Company has re-evaluated its controls and is in the process of implementing additional financial and accounting controls and review procedures to prevent a recurrence of such errors.

Remediation Plan

Our ongoing remediation efforts related to the above include the following actions:

●

we have expanded available resources of experienced operational personnel providing qualitative review procedures of third party vendor invoices;

●

we are designing and implementing additional monitoring controls necessary to detect incorrect billing and allocation of invoices received from third parties;

●

we have implemented more frequent meetings with key vendors specifically for financial and accounting matters;

●

we are engaging third parties to support the Company in the evaluation and treatment of technically complex non-routine equity transactions;

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●

we are performing a regular review with the Company’s legal counsel to ensure all registration statements are current to prevent the sale of unregistered shares.

This remediation process is currently ongoing and cannot be considered complete at this time. There can be no assurance that we will be successful in remediating the material weaknesses. We plan to continue to assess internal controls and procedures and intend to take further action as necessary or appropriate to address any other matters as they are identified. Notwithstanding the identified material weaknesses, we have concluded that the restated consolidated financial statements in this Annual Report on Form 10 K fairly present, in all material respects, our financial position, results of operations and cash flows as of the dates, and for the periods, presented, in conformity with GAAP.

Changes in Internal Control over Financial Reporting

Except for actions related to the Remediation Plan described above in this Part I, Item 4, there has been no change in internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) during the most recent fiscal quarter that has materially affected or is reasonably likely to materially affect, our internal control over financial reporting.

Inherent Limitation on the Effectiveness of Internal Controls

The effectiveness of any system of internal control over financial reporting, including ours, is subject to inherent limitations, including the exercise of judgment in designing, implementing, operating, and evaluating the controls and procedures, and the inability to eliminate misconduct completely. Accordingly, any system of internal control over financial reporting, including ours, no matter how well designed and operated, can only provide reasonable, not absolute, assurances. In addition, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate. We intend to continue to monitor and upgrade our internal controls as necessary or appropriate for our business but cannot ensure that such improvements will be sufficient to provide us with effective internal control over financial reporting.

Table of Contents

PART II. Other Information

Item 1. Legal Proceedings

None.

Item 1A. Risk Factors

There have been no material changes to our risk factors contained in our Annual Report on Form 10-K/A for the year ended December 31, 2022. For a further discussion of our Risk Factors, refer to Part I, Item 1A, “Risk Factors,” of our Annual Report on Form 10-K/A for the year ended December 31, 2022, filed with the SEC on November 20, 2023.

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

None.

Item 3. Defaults upon Senior Securities

None.

Item 4. Mine Safety Disclosures

Not Applicable.

Item 5. Other Information

None.

Item 6. Exhibits

Exhibit Number		Description

31.1*		Certification of Principal Executive Officer Pursuant to Securities Exchange Act Rule 13a-14(a) As Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

31.2*		Certification of Principal Financial Officer Pursuant to Securities Exchange Act Rule 13a-14(a) As Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

32.1*		Certification of Principal Executive Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

32.2*		Certification of Principal Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

101		The following materials from Cyclacel Pharmaceuticals, Inc.’s Quarterly Report on Form 10-Q for the period ended September 30, 2023, formatted in iXBRL (Inline eXtensible Business Reporting Language): (i) the Consolidated Statements of Income, (ii) the Consolidated Balance Sheets, (iii) the Consolidated Statements of Cash Flows, and (iv) Notes to Consolidated Financial Statements.

104		The cover page from the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2023, formatted in Inline eXtensible Business Reporting Language (included with Exhibit 101).

	*	Filed herewith.

Table of Contents

SIGNATURES

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned.


	CYCLACEL PHARMACEUTICALS, INC.

Date: November 28, 2023	By:	/s/ Paul McBarron
		Paul McBarron
		Chief Operating Officer, Chief Financial Officer and Executive Vice President, Finance

EXHIBIT 31.1

Certification of Principal Executive Officer

Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002

I, Spiro Rombotis, certify that:

1.	I have reviewed this Quarterly Report on Form 10-Q for the three months ended September 30, 2023 of Cyclacel Pharmaceuticals, Inc.;

2.	Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3.	Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting: and

5.	The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.


Date: November 28, 2023

/s/ Spiro Rombotis
Spiro Rombotis
President & Chief Executive Officer
(Principal Executive Officer)

EXHIBIT 31.2

Certification of Principal Financial Officer

Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002

I, Paul McBarron, certify that:

1.	I have reviewed this Quarterly Report on Form 10-Q for the three months ended September 30, 2023 of Cyclacel Pharmaceuticals, Inc.;

2.	Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3.	Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

5.	The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.


Date: November 28, 2023

/s/ Paul McBarron
Paul McBarron
Chief Operating Officer, Chief Financial Officer
and Executive Vice President, Finance
(Principal Financial Officer)

EXHIBIT 32.1

Certification of Principal Executive Officer

Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

Pursuant to 18 U.S.C. s 1350, as created by Section 906 of the Sarbanes-Oxley Act of 2002, the undersigned officer of Cyclacel Pharmaceuticals, Inc. ( the “Company”) hereby certifies, to such officer’s knowledge, that:

(i)

the Quarterly Report on Form10-Q of the Company for the three months ended September 30, 2023 (the “Report”) fully complies with the requirements of Section 13(a) or Section 15(d), as applicable, of the Securities Exchange Act of 1934, as amended; and

(ii)

the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.


Date: November 28, 2023	/s/ Spiro Rombotis
	Spiro Rombotis
	President & Chief Executive Officer

EXHIBIT 32.2

Certification of Principal Financial Officer

Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

(i)

(ii)

the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.


Date: November 28, 2023	/s/ Paul McBarron
	Paul McBarron
	Chief Operating Officer, Chief Financial Officer and Executive Vice President, Finance

Document and Entity Information - shares	9 Months Ended
Document and Entity Information - shares	Sep. 30, 2023	Nov. 09, 2023
Document Type	10-Q
Document Period End Date	Sep. 30, 2023
Document Quarterly Report	true
Document Transition Report	false
Entity File Number	000-50626
Entity Registrant Name	Cyclacel Pharmaceuticals, Inc.
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	91-1707622
Entity Address, Address Line One	200 Connell Drive
Entity Address, Address Line Two	Suite 1500
Entity Address, City or Town	Berkeley Heights
Entity Address, State or Province	NJ
Entity Address, Postal Zip Code	07922
City Area Code	908
Local Phone Number	517-7330
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Non-accelerated Filer
Entity Small Business	true
Entity Emerging Growth Company	false
Entity Shell Company	false
Current Fiscal Year End Date	--12-31
Document Fiscal Year Focus	2023
Document Fiscal Period Focus	Q3
Entity Central Index Key	0001130166
Amendment Flag	false
Entity Common Stock, Shares Outstanding		12,642,822
Common Stock
Title of 12(b) Security	Common Stock, par value $0.001 per share
Trading Symbol	CYCC
Security Exchange Name	NASDAQ
Preferred Stock
Title of 12(b) Security	Preferred Stock, $0.001 par value
Trading Symbol	CYCCP
Security Exchange Name	NASDAQ

CONSOLIDATED BALANCE SHEETS - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022
Current assets:
Cash and cash equivalents	$ 5,944	$ 18,345
Prepaid expenses and other current assets	5,169	6,066
Total current assets	11,113	24,411
Property and equipment, net	16	32
Right-of-use lease asset	109	142
Non-current deposits	1,259	3,465
Total assets	12,497	28,050
Current liabilities:
Accounts payable	1,571	2,561
Accrued and other current liabilities	6,577	4,950
Total current liabilities	8,148	7,511
Lease liability	52	106
Total liabilities	8,200	7,617
Redeemable common stock, $0.001 par value; 0 shares issued and outstanding at September 30, 2023 and 3,117,100 shares issued and outstanding at December 31, 2022 (Note 10)	0	4,494
Stockholders' equity:
Preferred stock, value	0	0
Common stock, $0.001 par value; 100,000,000 shares authorized at September 30, 2023 and December 31, 2022; 12,642,822 shares issued and outstanding at September 30, 2023 and 12,539,189 shares issued and outstanding at December 31, 2022	12	9
Additional paid-in capital	428,464	422,973
Accumulated other comprehensive loss	(1,168)	(1,316)
Accumulated deficit	(423,011)	(405,727)
Total stockholders' equity	4,297	15,939
Total liabilities and stockholders' equity	12,497	28,050
6% convertible exchangeable preferred stock
Stockholders' equity:
Preferred stock, value	0	0
Series A Convertible Preferred Stock
Stockholders' equity:
Preferred stock, value	0	0
Series B Convertible Preferred Stock
Stockholders' equity:
Preferred stock, value	$ 0	$ 0

CONSOLIDATED BALANCE SHEETS (Parentheticals) - USD ($) $ in Thousands	9 Months Ended	12 Months Ended
	Sep. 30, 2023	Dec. 31, 2022
Redeemable common stock, par value (in dollars per share)	$ 0.001	$ 0.001
Redeemable common stock, shares issued	0	3,117,100
Redeemable common stock, shares outstanding	3,117,100
Preferred stock, par value (in dollars per share)	$ 0.001	$ 0.001
Preferred stock, shares authorized	5,000,000	5,000,000
Common stock, par value (in dollars per share)	$ 0.001	$ 0.001
Common stock, shares authorized	100,000,000	100,000,000
Common stock, shares issued	12,642,822	9,422,089
Common stock, shares outstanding	12,642,822	9,422,089
6% convertible exchangeable preferred stock
Preferred stock, shares issued	335,273	335,273
Preferred stock, shares outstanding	335,273	335,273
Dividend rate on convertible exchangeable preferred stock (in percent)	6.00%	6.00%
Preferred stock, liquidation preference value (in dollars)	$ 4,006,512	$ 4,006,512
Series A Convertible Preferred Stock
Preferred stock, par value (in dollars per share)	$ 0.001	$ 0.001
Preferred stock, shares issued	264	264
Preferred stock, shares outstanding	264	264
Series B Convertible Preferred Stock
Preferred stock, par value (in dollars per share)	$ 0.001	$ 0.001
Preferred stock, shares issued	237,745	237,745
Preferred stock, shares outstanding	237,745	237,745

CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($)	3 Months Ended		9 Months Ended
CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($)	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Revenues:
Revenues	$ 16,000	$ 0	$ 389,000	$ 0
Operating expenses:
Research and development	5,236,000	4,413,000	15,637,000	13,572,000
General and administrative	1,625,000	2,054,000	4,845,000	5,239,000
Total operating expenses	6,861,000	6,467,000	20,482,000	18,811,000
Operating loss	(6,845,000)	(6,467,000)	(20,093,000)	(18,811,000)
Other income (expense):
Foreign exchange gains (losses)	104,000	276,000	(58,000)	514,000
Interest income	50,000	67,000	243,000	88,000
Other income (expense), net	(9,000)	14,000	50,000	1,294,000
Total other income (expense), net	145,000	357,000	235,000	1,896,000
Loss before taxes	(6,700,000)	(6,110,000)	(19,858,000)	(16,915,000)
Income tax benefit	668,000	1,014,000	2,574,000	3,136,000
Net loss	(6,032,000)	(5,096,000)	(17,284,000)	(13,779,000)
Dividend on convertible exchangeable preferred shares	(50,000)	(50,000)	(151,000)	(151,000)
Net loss applicable to common shareholders	$ (6,082,000)	$ (5,146,000)	$ (17,435,000)	$ (13,930,000)
Redeemable common shareholders
Basic and diluted earnings per common share:
Net loss per share - basic	$ (0.48)	$ (0.38)	$ (1.39)	$ (1.10)
Net loss per share - diluted	$ (0.48)	$ (0.38)	$ (1.39)	$ (1.10)
Weighted average common shares outstanding basic	740,379	2,376,721	2,307,279	809,821
Weighted average common shares outstanding diluted	740,379	10,013,317	2,307,279	809,821
Common Stock
Basic and diluted earnings per common share:
Net loss per share - basic	$ (0.48)	$ (0.43)	$ (1.39)	$ (1.30)
Net loss per share - diluted	$ (0.48)	$ (0.43)	$ (1.39)	$ (1.30)
Weighted average common shares outstanding basic	11,902,443	9,937,958	10,271,036	10,013,317
Weighted average common shares outstanding diluted	11,902,443	9,937,958	10,271,036	2,376,721
Clinical trial supply
Revenues:
Revenues	$ 16,000		$ 389,000

CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS
Net loss	$ (6,032)	$ (5,096)	$ (17,284)	$ (13,779)
Translation adjustment	8,571	17,874	(2,050)	39,392
Unrealized foreign exchange gain (loss) on intercompany loans	(8,642)	(18,344)	2,198	(40,390)
Comprehensive loss	$ (6,103)	$ (5,566)	$ (17,136)	$ (14,777)

CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY - USD ($) $ in Thousands	Preferred Stock	Common Stock As previously reported	Common Stock Adjustments	Common Stock	Additional Paid-in Capital As previously reported	Additional Paid-in Capital Adjustments	Additional Paid-in Capital	Accumulated Other Comprehensive Loss	Accumulated Deficit As previously reported	Accumulated Deficit Adjustments	Accumulated Deficit	As previously reported	Adjustments	Total
Balance at Dec. 31, 2021				$ 10			$ 422,960	$ (748)			$ (384,529)			$ 37,693
Balance (in shares) at Dec. 31, 2021	573,282			9,993,135
Stock-based compensation							380							380
Preferred stock dividends							(50)							(50)
Unrealized foreign exchange on intercompany loans								(5,878)						(5,878)
Translation adjustment								5,803						5,803
Loss for the period											(4,108)			(4,108)
Balance at Mar. 31, 2022				$ 10			423,290	(823)			(388,637)			33,840
Balance (in shares) at Mar. 31, 2022	573,282			9,993,135
Balance at Dec. 31, 2021				$ 10			422,960	(748)			(384,529)			37,693
Balance (in shares) at Dec. 31, 2021	573,282			9,993,135
Unrealized foreign exchange on intercompany loans														(40,390)
Translation adjustment														39,392
Loss for the period														(13,779)
Balance at Sep. 30, 2022				$ 9			422,542	(1,746)			(398,308)			22,497
Balance (in shares) at Sep. 30, 2022	573,282			9,422,089
Balance at Mar. 31, 2022				$ 10			423,290	(823)			(388,637)			33,840
Balance (in shares) at Mar. 31, 2022	573,282			9,993,135
Issue of common stock on At Market Issuance sales agreement, net of expenses							453							453
Issue of common stock on At Market Issuance sales agreement, net of expenses (in shares)				541,542
Deemed dividend on redeemable common stock							(33)							(33)
Stock-based compensation							350							350
Stock-based compensation (in shares)				17,412
Preferred stock dividends							(50)							(50)
Unrealized foreign exchange on intercompany loans								(16,168)						(16,168)
Translation adjustment								15,715						15,715
Loss for the period											(4,575)			(4,575)
Balance at Jun. 30, 2022				$ 10	$ 423,633		424,010	(1,276)	$ (417,409)		(393,212)			29,532
Balance (in shares) at Jun. 30, 2022	573,282			10,552,089
Reclassification of redeemable common stock				$ (1)			(1,704)							(1,705)
Reclassification of redeemable common stock (in shares)				(1,130,000)
Deemed dividend on redeemable common stock							(102)							(102)
Stock-based compensation							388							388
Preferred stock dividends							(50)							(50)
Unrealized foreign exchange on intercompany loans								(18,344)						(18,344)
Translation adjustment								17,874						17,874
Loss for the period											(5,096)			(5,096)
Balance at Sep. 30, 2022				$ 9			422,542	(1,746)			(398,308)			22,497
Balance (in shares) at Sep. 30, 2022	573,282			9,422,089
Balance at Dec. 31, 2022				$ 9			422,973	(1,316)	(406,157)	$ 430	(405,727)			15,939
Balance (in shares) at Dec. 31, 2022	573,282			9,422,089
Stock-based compensation							401							401
Preferred stock dividends							(50)							(50)
Unrealized foreign exchange on intercompany loans								5,263						5,263
Translation adjustment								(5,171)						(5,171)
Loss for the period											(5,804)			(5,804)
Balance at Mar. 31, 2023				$ 9			423,324	(1,224)	(411,961)	430	(411,531)	$ 10,148	$ 430	10,578
Balance (in shares) at Mar. 31, 2023	573,282			9,422,089
Balance at Dec. 31, 2022				$ 9			422,973	(1,316)	(406,157)	430	(405,727)			15,939
Balance (in shares) at Dec. 31, 2022	573,282			9,422,089
Loss for the period														(11,252)
Balance at Jun. 30, 2023		$ 9	$ 1	$ 10		$ 1,104	424,737	(1,097)		430	(416,979)	5,136	1,535	6,671
Balance (in shares) at Jun. 30, 2023	573,282			10,220,289
Balance at Dec. 31, 2022				$ 9			422,973	(1,316)	(406,157)	430	(405,727)			15,939
Balance (in shares) at Dec. 31, 2022	573,282			9,422,089
Unrealized foreign exchange on intercompany loans														2,198
Translation adjustment														(2,050)
Loss for the period														(17,284)
Balance at Sep. 30, 2023				$ 12			428,464	(1,168)			(423,011)			4,297
Balance (in shares) at Sep. 30, 2023	573,282			12,642,822
Balance at Mar. 31, 2023				$ 9			423,324	(1,224)	$ (411,961)	430	(411,531)	10,148	430	10,578
Balance (in shares) at Mar. 31, 2023	573,282			9,422,089
Issue of common stock on At Market Issuance sales agreement, net of expenses			1	$ 1		1,104	1,104
Reclassification of redeemable common stock				$ 1			1,104							1,105
Reclassification of redeemable common stock (in shares)				798,200
Stock-based compensation							359							359
Preferred stock dividends							(50)							(50)
Unrealized foreign exchange on intercompany loans								5,577						5,577
Translation adjustment								(5,450)						(5,450)
Loss for the period											(5,448)			(5,448)
Balance at Jun. 30, 2023		$ 9	$ 1	$ 10		$ 1,104	424,737	(1,097)		$ 430	(416,979)	$ 5,136	$ 1,535	6,671
Balance (in shares) at Jun. 30, 2023	573,282			10,220,289
Reclassification of redeemable common stock				$ 2			3,387							3,389
Reclassification of redeemable common stock (in shares)				2,318,900
Stock-based compensation							390							390
Stock-based compensation (in shares)				103,633
Preferred stock dividends							(50)							(50)
Unrealized foreign exchange on intercompany loans								(8,642)						(8,642)
Translation adjustment								8,571						8,571
Loss for the period											(6,032)			(6,032)
Balance at Sep. 30, 2023				$ 12			$ 428,464	$ (1,168)			$ (423,011)			$ 4,297
Balance (in shares) at Sep. 30, 2023	573,282			12,642,822

CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022
Operating activities:
Net loss	$ (17,284)	$ (13,779)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation	23	24
Stock-based compensation	1,151	1,119
Changes in lease liability	(55)	29
Changes in operating assets and liabilities:
Prepaid expenses and other assets	3,364	(2,816)
Accounts payable, accrued and other current liabilities	599	(235)
Net cash used in operating activities	(12,202)	(15,658)
Investing activities:
Purchase of property, plant and equipment	(6)	(7)
Net cash used in investing activities	(6)	(7)
Financing activities:
Proceeds, net of issuance costs, from issuing common stock and warrants	0	3,107
Payment of preferred stock dividend	(151)	(151)
Net cash (used in) provided by financing activities	(151)	2,956
Effect of exchange rate changes on cash and cash equivalents	(42)	(144)
Net (decrease) increase in cash and cash equivalents	(12,401)	(12,853)
Cash and cash equivalents, beginning of period	18,345	36,559
Cash and cash equivalents, end of period	5,944	23,706
Cash received during the period for:
Interest	243	89
Research & Development Tax Credits	4,846	3,050
Cash paid during the period for:
Taxes	2	2
Non cash financing activities:
Accrual of preferred stock dividends	50	50
Deemed Dividend On Redeemable Common Stock	$ 0	$ 135

Restatement of Prior Financial Information

9 Months Ended

Sep. 30, 2023

Restatement of Prior Financial Information

Restatement of Prior Financial Information

CYCLACEL PHARMACEUTICALS, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

1. Restatement of Prior Financial Information.

are as follows (in thousands, except per share amounts):


				(Unaudited)
	March 31, 2023				March 31, 2023
CONSOLIDATED BALANCE SHEETS	As previously reported		Adjustments		As Restated

ASSETS
Non-current deposits	$	2,916	$	549	$	3,465
Total assets	$	22,060	$	549	$	22,609
LIABILITIES AND STOCKHOLDERS’ EQUITY
Accrued and other current liabilities	$	4,829	$	119	$	4,948
Total current liabilities		7,338		119		7,457
Total liabilities		7,418		119		7,537
Accumulated deficit		(411,961)		430		(411,531)
Total stockholders’ equity	$	10,148	$	430	$	10,578
Total liabilities and stockholders’ equity	$	22,060	$	549	$	22,609


				(Unaudited)
	Three Months Ended March 31,
	2023				2023
CONSOLIDATED STATEMENTS OF INCOME	As previously reported		Adjustments		As Restated

Net loss applicable to common shareholders	$	(5,854)	$	—	$	(5,854)
Basic and diluted earnings per common share:
Net Loss per share - basic and diluted (common shareholders)	$	(0.47)	$	—	$	(0.47)
Net Loss per share - basic and diluted (redeemable common shareholders)	$	—	$	(0.47)	$	(0.47)


				(Unaudited)
	March 31, 2023				March 31, 2023
CONSOLIDATED STATEMENTS OF STOCKHOLDERS EQUITY	As previously reported		Adjustments		As Restated

Accumulated Deficit (Balances at December 31, 2022)	$	(406,157)	$	430	$	(405,727)
Accumulated Deficit (Balances at March 31, 2023)	$	(411,961)	$	430	$	(411,531)
Total Stockholders' Equity (Balances at March 31, 2023)	$	10,148	$	430	$	10,578


			(Unaudited)
	June 30, 2023				June 30, 2023
	As previously
CONSOLIDATED BALANCE SHEETS	reported		Adjustments		As Restated

ASSETS
Non-current deposits	$	1,000	$	549	$	1,549
Total assets	$	16,442	$	549	$	16,991
LIABILITIES AND STOCKHOLDERS’ EQUITY
Accrued and other current liabilities	$	4,577	$	119	$	4,696
Total current liabilities		6,746		119		6,865
Total liabilities		6,812		119		6,931

Temporary equity	$	4,494	$	(1,105)	$	3,389
Common Stock		9		1		10
Additional Paid-In Capital		423,633		1,104		424,737
Accumulated deficit		(417,409)		430		(416,979)

Total stockholders’ equity		5,136		1,535		6,671
Total liabilities and stockholders’ equity	$	16,442	$	549	$	16,991


						(Unaudited)
	Three Months Ended June 30,							Six Months Ended June 30,
	2023				2023			2023				2023
CONSOLIDATED STATEMENTS OF INCOME	As previously reported		Adjustments		As Restated			As previously reported		Adjustments		As Restated

Net loss applicable to common shareholders	$	(5,498)	$	—	$	(5,498)	$	(11,353)	$	—	$	(11,353)
Basic and diluted earnings per common share:
Net Loss per share - basic and diluted (common shareholders)	$	(0.44)	$	—	$	(0.44)	$	(0.91)	$	—	$	(0.90)
Net Loss per share - basic and diluted (redeemable common shareholders)	$	—	$	(0.44)	$	(0.44)	$	—	$	(0.90)	$	(0.90)


			(Unaudited)
	June 30, 2023				June 30, 2023
CONSOLIDATED STATEMENTS OF STOCKHOLDERS EQUITY	As previously reported		Adjustments		As Restated
Accumulated Deficit (Balances at December 31, 2022)	$	(406,157)	$	430	$	(405,727)
Accumulated Deficit (Balances at March 31, 2023)	$	(411,961)	$	430	$	(411,531)
Total Stockholders' Equity (Balances at March 31, 2023)	$	10,148	$	430	$	10,578
Common Stock - Issue of common stock on At Market, net of expenses	$	—	$	1	$	1
Common Stock (Balances at June 30, 2023)	$	9	$	1	$	10
Additional Paid-In Capital - Issue of common stock on At Market, net of expenses	$	—	$	1,104	$	1,104
Additional Paid-In Capital (Balances at June 30, 2023)	$	423,633	$	1,104	$	424,737
Accumulated Deficit (Balances at June 30, 2023)	$	(417,409)	$	430	$	(416,979)
Total Stockholders' Equity (Balances at June 30, 2023)	$	5,136	$	1,535	$	6,671

Common Stock No. Shares (Reclassification of redeemable common stock)		—		798,200		798,200
Common Stock No. Shares (Balance at June 30, 2023)		9,422,089		798,200		10,220,289

The correction of the errors did not change the reported net loss in 2023 or the 2022 comparative periods.

Company Overview

9 Months Ended

Sep. 30, 2023

Company Overview

Company Overview

2. Company Overview

Nature of Operations

Summary of Significant Accounting Policies

9 Months Ended

Sep. 30, 2023

Summary of Significant Accounting Policies [Abstract]

Summary of Significant Accounting Policies

3. Summary of Significant Accounting Policies

Basis of Presentation

Going Concern

Accounting Standards Adopted in the Period

Recently Issued Accounting Pronouncements

Fair Value of Financial Instruments

Comprehensive Income (Loss)

Revenue Recognition

When the Company enters into contracts with customers, the Company recognizes revenue using the five step-model provided in ASC 606, Revenue from Contracts with Customers (“ASC 606”):

(1)

identify the contract with a customer;

(2)

identify the performance obligations in the contract;

(3)

determine the transaction price;

(4)

allocate the transaction price to the performance obligations in the contract; and

(5)

recognize revenue when, or as, the Company satisfies a performance obligation.

●

Whether the uncertainty about the achievement of the milestone is not expected to be resolved for a long period of time;

●

Whether the Company can reasonably predict that a milestone will be achieved based on previous experience; and

●

The complexity and inherent uncertainty underlying the achievement of the milestone.

information, including market data and conditions, entity-specific factors such as the cost structure of the deliverable and internal profit and pricing objectives.

The revenue allocated to each performance obligation is recognized as or when the Company satisfies the performance obligation.

Leases

The Company accounts for lease contracts in accordance with ASC 842. As of September 30, 2023, the Company’s outstanding leases are classified as operating leases.

●

The lease payments due in any optional period;

●

Penalties for failure to exercise (or not exercise) the option;

●

Market factors, such as the availability of similar assets and current rental rates for such assets;

●

The nature of the underlying leased asset and its importance to the Company’s operations; and

●

The remaining useful lives of any related leasehold improvements.

The Company has elected an accounting policy to account for the lease and non-lease components as a single lease component.

Revenue

9 Months Ended

Sep. 30, 2023

Revenue [Abstract]

Revenue

4. Revenue

Net Loss per Common Share

9 Months Ended

Sep. 30, 2023

Net Loss per Common Share

Net Loss Per Share

5. Net Loss per Common Share


	Three Months Ended
	March 31, 2023
		As restated (see Note 1)
Numerator:
Net loss	$	(5,804)
Dividend on convertible exchangeable preferred shares		(50)
Net loss attributable to common shareholders	$	(5,854)
Deemed dividend on accretion of redeemable common stock		—
Remaining undistributed loss		(5,854)

	Three Months Ended March 31, 2023
	Common Shareholders		Redeemable Common Shareholders
Allocation of undistributed loss	$	(4,399)	$	(1,455)
Deemed dividend on accretion of redeemable common stock				—
Net loss attributable to common shareholders		(4,399)		(1,455)

Denominator:
Weighted-average number of common shares used in loss per share – basic and diluted		9,422,089		3,117,100
Loss per share - basic and diluted	$	(0.47)	$	(0.47)
Distributed earnings		—		—
Undistributed loss		(0.47)		(0.47)
Net loss per share	$	(0.47)	$	(0.47)


	Three And Six Months Ended June 30, 2023
	Three Months		Six Months
		As restated (see Note 1)		As restated (see Note 1)
Numerator:
Net loss	$	(5,448)	$	(11,252)
Dividend on convertible exchangeable preferred shares		(50)		(101)
Net loss attributable to common shareholders	$	(5,498)	$	(11,353)
Deemed dividend on accretion of redeemable common stock		—		—
Remaining undistributed loss		(5,498)		(11,353)

	Three Months Ended June 30, 2023				Six Months Ended June 30, 2023
	Common Shareholders		Redeemable Common Shareholders		Common Shareholders		Redeemable Common Shareholders
Allocation of undistributed loss	$	(4,144)	$	(1,354)	$	(8,544)	$	(2,809)
Deemed dividend on accretion of redeemable common stock				—				—
Net loss attributable to common shareholders		(4,144)		(1,354)		(8,544)		(2,809)

Denominator:
Weighted-average number of common shares used in loss per share – basic and diluted		9,461,317		3,090,477		9,441,811		3,107,715
Loss per share - basic and diluted	$	(0.44)	$	(0.44)	$	(0.90)	$	(0.90)
Distributed earnings		—		—		—		—
Undistributed loss		(0.44)		(0.44)		(0.90)		(0.90)
Net loss per share	$	(0.44)	$	(0.44)	$	(0.90)	$	(0.90)


	Three And Nine Months Ended September 30, 2023
	Three Months		Nine Months

Numerator:
Net loss	$	(6,032)	$	(17,284)
Dividend on convertible exchangeable preferred shares		(50)		(151)
Net loss attributable to common shareholders	$	(6,082)	$	(17,435)
Deemed dividend on accretion of redeemable common stock		—		—
Remaining undistributed loss		(6,082)		(17,435)

	Three Months Ended September 30, 2023				Nine Months Ended September 30, 2023
	Common Shareholders		Redeemable Common Shareholders		Common Shareholders		Redeemable Common Shareholders
Allocation of undistributed loss	$	(5,726)	$	(356)	$	(14,237)	$	(3,198)
Deemed dividend on accretion of redeemable common stock				—				—
Net loss attributable to common shareholders		(5,726)		(356)		(14,237)		(3,198)

Denominator:
Weighted-average number of common shares used in loss per share – basic and diluted		11,902,443		740,379		10,271,036		2,307,279
Loss per share - basic and diluted	$	(0.48)	$	(0.48)	$	(1.39)	$	(1.39)
Distributed earnings		—		—		—		—
Undistributed loss		(0.48)		(0.48)		(1.39)		(1.39)
Net loss per share	$	(0.48)	$	(0.48)	$	(1.39)	$	(1.39)


	Three And Nine Months Ended September 30, 2022
	Three Months		Nine Months

Numerator:
Net loss	$	(5,096)	$	(13,779)
Dividend on convertible exchangeable preferred shares		(50)		(151)
Net loss attributable to common shareholders	$	(5,146)	$	(13,930)
Deemed dividend on accretion of redeemable common stock		(102)		(135)
Remaining undistributed loss		(5,248)		(14,065)

	Three Months Ended September 30, 2022				Nine Months Ended September 30, 2022
	Common Shareholders		Redeemable Common Shareholders		Common Shareholders		Redeemable Common Shareholders
Allocation of undistributed loss	$	(4,235)	$	(1,013)	$	(13,040)	$	(1,025)
Deemed dividend on accretion of redeemable common stock				102		—		135
Net loss attributable to common shareholders		(4,235)		(911)		(13,040)		(890)

Denominator:
Weighted-average number of common shares used in loss per share – basic and diluted		9,937,958		2,376,721		10,013,317		809,821
Loss per share - basic and diluted	$	(0.43)	$	(0.38)	$	(1.30)	$	(1.10)
Distributed earnings		—		0.04		—		0.17
Undistributed loss		(0.43)		(0.42)		(1.30)		(1.27)
Net loss per share	$	(0.43)	$	(0.38)	$	(1.30)	$	(1.10)


	September 30,	September 30,
	2023	2022
Stock options	2,181,689	1,618,089
Restricted Stock Units	521,971	137,657
6% convertible exchangeable preferred stock	85	85
Series A preferred stock	6,600	6,600
Series B preferred stock	1,188,725	1,188,725
Common stock warrants	3,234,379	3,234,379
Total shares excluded from calculation	7,133,449	6,185,535

Prepaid Expenses and Other Current Assets

9 Months Ended

Sep. 30, 2023

Prepaid Expenses And Other Current Assets [Abstract]

Prepaid Expenses and Other Current Assets

6. Prepaid Expenses and Other Current Assets

Prepaid expenses and other current assets consisted of the following (in $000s):


	September 30,		December 31,
	2023		2022
Research and development tax credit receivable	$	2,527	$	4,664
Prepayments and VAT receivable		692		976
Other current assets		1,950		426
	$	5,169	$	6,066

Non-Current Assets

9 Months Ended

Sep. 30, 2023

Non-Current Assets [Abstract]

Non-Current Assets

7. Non-Current Assets

Accrued and Other Liabilities

9 Months Ended

Sep. 30, 2023

Accrued and Other Current Liabilities [Abstract]

Accrued and Other Liabilities

8. Accrued and Other Liabilities

Accrued and other current liabilities consisted of the following (in $000s):


	September 30,		December 31,
	2023		2022
Accrued research and development	$	5,866	$	3,611
Accrued legal and professional fees		355		333
Other current liabilities		356		1,006
	$	6,577	$	4,950

Other current liabilities for the year ended December 31, 2022 were largely attributed to accrued payroll costs.

Leases

9 Months Ended

Sep. 30, 2023

Leases [Abstract]

Leases

9. Leases

The Company currently has an operating lease liability relating to its facilities in Berkeley Heights, New Jersey.

Remaining lease payments for both facilities are as follows (in $000s):


2023	$	19
2024		66
2025		38
Thereafter		—
	$	123

Stock-Based Compensation

9 Months Ended

Sep. 30, 2023

Stock Based Compensation [Abstract]

Stock-Based Compensation

10. Stock Based Compensation


	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2023		2022		2023		2022
General and administrative	$	279	$	255	$	801	$	724
Research and development		111	$	134	$	350	$	396
Stock-based compensation costs before income taxes	$	390	$	389	$	1,151	$	1,119

2018 Plan

The 2018 Plan allows for various types of award grants, including stock options and restricted stock units.

2020 Inducement Equity Incentive Plan

Option Grants and Exercises

The fair value of the stock options granted is calculated using the Black-Scholes option-pricing model as prescribed by ASC 718 using the following assumptions:



	Nine months ended	Nine months ended
	September 30, 2023	September 30, 2022
Expected term (years)	5-6	5-6
Risk free interest rate	3.660% – 4.050%	1.370% – 3.605%
Volatility	89% – 92%	86% – 93%
Expected dividend yield over expected term	0.00%	0.00%

Outstanding Options

A summary of the share option activity and related information is as follows:


				Weighted
		Weighted		Average
	Number of	Average		Remaining	Aggregate
	Options	Exercise		Contractual	Intrinsic
	Outstanding	Price Per Share		Term (Years)	Value ($000)
Options outstanding at December 31, 2022	1,610,590	$	5.85	8.34	$	—
Granted	650,128	$	0.59	—		—
Cancelled/forfeited	(79,030)	$	15.47	—		—
Options outstanding at September 30, 2023	2,181,688	$	3.93	8.21	$	—
Unvested at September 30, 2023	994,421	$	1.59	9.20	$	—
Vested and exercisable at September 30, 2023	1,187,267	$	5.89	7.38	$	—

Restricted Stock Units

The Company issued 384,314 restricted stock units during the nine months ended September 30, 2023.

Summarized information for restricted stock units as of September 30, 2023 is as follows:


		Weighted		Weighted
		Average		Average
	Restricted	Grant Date		Remaining
	Stock Units	Value Per Share		Term
Restricted Stock Units outstanding at September 30, 2023	521,971	$	1.08	9.21 years
Unvested at September 30, 2023	400,927	$	0.82	9.45 years
Vested and exercisable at September 30, 2023	121,044	$	1.95	8.42 years

Stockholders Equity

9 Months Ended

Sep. 30, 2023

Stockholders' Equity [Abstract]

Stockholders Equity

11. Stockholders Equity

August 2021 Controlled Equity Offering Sales Agreement

Warrants

December 2020 Warrants

There were no exercises of these warrants during the nine months ended September 30, 2023 or September 30, 2022.

April 2020 Warrants

There were no exercises of these warrants during the nine months ended September 30, 2023 or September 30, 2022.

July 2017 Warrants

There were no exercises of these warrants during the nine months ended September 30, 2023 or September 30, 2022.

Series B Preferred Stock

subject to adjustment in accordance with the Certificate of Designation. As of September 30, 2023, 237,745 shares of the Series B Preferred Stock remained issued and outstanding.

Series A Preferred Stock

Series A Preferred Stock ranks senior to the common stock in the distribution of assets, to the extent legally available for distribution.

6% Convertible Exchangeable Preferred Stock

The 6% Preferred Stock has no maturity date and no voting rights prior to conversion into common stock, except under limited circumstances.

The Company may, at its option, redeem the 6% Preferred Stock in whole or in part, out of funds legally available at the redemption price of $10.00 per share.

Subsequent Events

9 Months Ended

Sep. 30, 2023

Subsequent Events

Subsequent Events

12. Subsequent Events

Dividends on 6% Preferred Stock

Summary of Significant Accounting Policies (Policies)

9 Months Ended

Sep. 30, 2023

Summary of Significant Accounting Policies [Abstract]

Basis of Presentation

Going Concern

Accounting standards adopted in the period

Accounting Standards Adopted in the Period

Recently Issued Accounting Pronouncements

Fair Value of Financial Instruments

Comprehensive Income (Loss)

Revenue recognition

Revenue Recognition

When the Company enters into contracts with customers, the Company recognizes revenue using the five step-model provided in ASC 606, Revenue from Contracts with Customers (“ASC 606”):

(1)

identify the contract with a customer;

(2)

identify the performance obligations in the contract;

(3)

determine the transaction price;

(4)

allocate the transaction price to the performance obligations in the contract; and

(5)

recognize revenue when, or as, the Company satisfies a performance obligation.

●

Whether the uncertainty about the achievement of the milestone is not expected to be resolved for a long period of time;

●

Whether the Company can reasonably predict that a milestone will be achieved based on previous experience; and

●

The complexity and inherent uncertainty underlying the achievement of the milestone.

information, including market data and conditions, entity-specific factors such as the cost structure of the deliverable and internal profit and pricing objectives.

The revenue allocated to each performance obligation is recognized as or when the Company satisfies the performance obligation.

Leases

The Company accounts for lease contracts in accordance with ASC 842. As of September 30, 2023, the Company’s outstanding leases are classified as operating leases.

●

The lease payments due in any optional period;

●

Penalties for failure to exercise (or not exercise) the option;

●

Market factors, such as the availability of similar assets and current rental rates for such assets;

●

The nature of the underlying leased asset and its importance to the Company’s operations; and

●

The remaining useful lives of any related leasehold improvements.

The Company has elected an accounting policy to account for the lease and non-lease components as a single lease component.

Restatement of Prior Financial Information (Tables)

9 Months Ended

Sep. 30, 2023

Restatement of Prior Financial Information

Schedule of error corrections affecting the unaudited consolidated financial statements


				(Unaudited)
	March 31, 2023				March 31, 2023
CONSOLIDATED BALANCE SHEETS	As previously reported		Adjustments		As Restated

ASSETS
Non-current deposits	$	2,916	$	549	$	3,465
Total assets	$	22,060	$	549	$	22,609
LIABILITIES AND STOCKHOLDERS’ EQUITY
Accrued and other current liabilities	$	4,829	$	119	$	4,948
Total current liabilities		7,338		119		7,457
Total liabilities		7,418		119		7,537
Accumulated deficit		(411,961)		430		(411,531)
Total stockholders’ equity	$	10,148	$	430	$	10,578
Total liabilities and stockholders’ equity	$	22,060	$	549	$	22,609


				(Unaudited)
	Three Months Ended March 31,
	2023				2023
CONSOLIDATED STATEMENTS OF INCOME	As previously reported		Adjustments		As Restated

Net loss applicable to common shareholders	$	(5,854)	$	—	$	(5,854)
Basic and diluted earnings per common share:
Net Loss per share - basic and diluted (common shareholders)	$	(0.47)	$	—	$	(0.47)
Net Loss per share - basic and diluted (redeemable common shareholders)	$	—	$	(0.47)	$	(0.47)


				(Unaudited)
	March 31, 2023				March 31, 2023
CONSOLIDATED STATEMENTS OF STOCKHOLDERS EQUITY	As previously reported		Adjustments		As Restated

Accumulated Deficit (Balances at December 31, 2022)	$	(406,157)	$	430	$	(405,727)
Accumulated Deficit (Balances at March 31, 2023)	$	(411,961)	$	430	$	(411,531)
Total Stockholders' Equity (Balances at March 31, 2023)	$	10,148	$	430	$	10,578


			(Unaudited)
	June 30, 2023				June 30, 2023
	As previously
CONSOLIDATED BALANCE SHEETS	reported		Adjustments		As Restated

ASSETS
Non-current deposits	$	1,000	$	549	$	1,549
Total assets	$	16,442	$	549	$	16,991
LIABILITIES AND STOCKHOLDERS’ EQUITY
Accrued and other current liabilities	$	4,577	$	119	$	4,696
Total current liabilities		6,746		119		6,865
Total liabilities		6,812		119		6,931

Temporary equity	$	4,494	$	(1,105)	$	3,389
Common Stock		9		1		10
Additional Paid-In Capital		423,633		1,104		424,737
Accumulated deficit		(417,409)		430		(416,979)

Total stockholders’ equity		5,136		1,535		6,671
Total liabilities and stockholders’ equity	$	16,442	$	549	$	16,991


						(Unaudited)
	Three Months Ended June 30,							Six Months Ended June 30,
	2023				2023			2023				2023
CONSOLIDATED STATEMENTS OF INCOME	As previously reported		Adjustments		As Restated			As previously reported		Adjustments		As Restated

Net loss applicable to common shareholders	$	(5,498)	$	—	$	(5,498)	$	(11,353)	$	—	$	(11,353)
Basic and diluted earnings per common share:
Net Loss per share - basic and diluted (common shareholders)	$	(0.44)	$	—	$	(0.44)	$	(0.91)	$	—	$	(0.90)
Net Loss per share - basic and diluted (redeemable common shareholders)	$	—	$	(0.44)	$	(0.44)	$	—	$	(0.90)	$	(0.90)


			(Unaudited)
	June 30, 2023				June 30, 2023
CONSOLIDATED STATEMENTS OF STOCKHOLDERS EQUITY	As previously reported		Adjustments		As Restated
Accumulated Deficit (Balances at December 31, 2022)	$	(406,157)	$	430	$	(405,727)
Accumulated Deficit (Balances at March 31, 2023)	$	(411,961)	$	430	$	(411,531)
Total Stockholders' Equity (Balances at March 31, 2023)	$	10,148	$	430	$	10,578
Common Stock - Issue of common stock on At Market, net of expenses	$	—	$	1	$	1
Common Stock (Balances at June 30, 2023)	$	9	$	1	$	10
Additional Paid-In Capital - Issue of common stock on At Market, net of expenses	$	—	$	1,104	$	1,104
Additional Paid-In Capital (Balances at June 30, 2023)	$	423,633	$	1,104	$	424,737
Accumulated Deficit (Balances at June 30, 2023)	$	(417,409)	$	430	$	(416,979)
Total Stockholders' Equity (Balances at June 30, 2023)	$	5,136	$	1,535	$	6,671

Common Stock No. Shares (Reclassification of redeemable common stock)		—		798,200		798,200
Common Stock No. Shares (Balance at June 30, 2023)		9,422,089		798,200		10,220,289

Net Loss per Common Share (Tables)

9 Months Ended

Sep. 30, 2023

Net Loss per Common Share

Schedule of Basic and Diluted Net Loss Per Share


	Three Months Ended
	March 31, 2023
		As restated (see Note 1)
Numerator:
Net loss	$	(5,804)
Dividend on convertible exchangeable preferred shares		(50)
Net loss attributable to common shareholders	$	(5,854)
Deemed dividend on accretion of redeemable common stock		—
Remaining undistributed loss		(5,854)

	Three Months Ended March 31, 2023
	Common Shareholders		Redeemable Common Shareholders
Allocation of undistributed loss	$	(4,399)	$	(1,455)
Deemed dividend on accretion of redeemable common stock				—
Net loss attributable to common shareholders		(4,399)		(1,455)

Denominator:
Weighted-average number of common shares used in loss per share – basic and diluted		9,422,089		3,117,100
Loss per share - basic and diluted	$	(0.47)	$	(0.47)
Distributed earnings		—		—
Undistributed loss		(0.47)		(0.47)
Net loss per share	$	(0.47)	$	(0.47)


	Three And Six Months Ended June 30, 2023
	Three Months		Six Months
		As restated (see Note 1)		As restated (see Note 1)
Numerator:
Net loss	$	(5,448)	$	(11,252)
Dividend on convertible exchangeable preferred shares		(50)		(101)
Net loss attributable to common shareholders	$	(5,498)	$	(11,353)
Deemed dividend on accretion of redeemable common stock		—		—
Remaining undistributed loss		(5,498)		(11,353)

	Three Months Ended June 30, 2023				Six Months Ended June 30, 2023
	Common Shareholders		Redeemable Common Shareholders		Common Shareholders		Redeemable Common Shareholders
Allocation of undistributed loss	$	(4,144)	$	(1,354)	$	(8,544)	$	(2,809)
Deemed dividend on accretion of redeemable common stock				—				—
Net loss attributable to common shareholders		(4,144)		(1,354)		(8,544)		(2,809)

Denominator:
Weighted-average number of common shares used in loss per share – basic and diluted		9,461,317		3,090,477		9,441,811		3,107,715
Loss per share - basic and diluted	$	(0.44)	$	(0.44)	$	(0.90)	$	(0.90)
Distributed earnings		—		—		—		—
Undistributed loss		(0.44)		(0.44)		(0.90)		(0.90)
Net loss per share	$	(0.44)	$	(0.44)	$	(0.90)	$	(0.90)


	Three And Nine Months Ended September 30, 2023
	Three Months		Nine Months

Numerator:
Net loss	$	(6,032)	$	(17,284)
Dividend on convertible exchangeable preferred shares		(50)		(151)
Net loss attributable to common shareholders	$	(6,082)	$	(17,435)
Deemed dividend on accretion of redeemable common stock		—		—
Remaining undistributed loss		(6,082)		(17,435)

	Three Months Ended September 30, 2023				Nine Months Ended September 30, 2023
	Common Shareholders		Redeemable Common Shareholders		Common Shareholders		Redeemable Common Shareholders
Allocation of undistributed loss	$	(5,726)	$	(356)	$	(14,237)	$	(3,198)
Deemed dividend on accretion of redeemable common stock				—				—
Net loss attributable to common shareholders		(5,726)		(356)		(14,237)		(3,198)

Denominator:
Weighted-average number of common shares used in loss per share – basic and diluted		11,902,443		740,379		10,271,036		2,307,279
Loss per share - basic and diluted	$	(0.48)	$	(0.48)	$	(1.39)	$	(1.39)
Distributed earnings		—		—		—		—
Undistributed loss		(0.48)		(0.48)		(1.39)		(1.39)
Net loss per share	$	(0.48)	$	(0.48)	$	(1.39)	$	(1.39)

Schedule of antidilutive shares excluded from computation of diluted net loss per share


	September 30,	September 30,
	2023	2022
Stock options	2,181,689	1,618,089
Restricted Stock Units	521,971	137,657
6% convertible exchangeable preferred stock	85	85
Series A preferred stock	6,600	6,600
Series B preferred stock	1,188,725	1,188,725
Common stock warrants	3,234,379	3,234,379
Total shares excluded from calculation	7,133,449	6,185,535

Prepaid Expenses and Other Current Assets (Tables)

9 Months Ended

Sep. 30, 2023

Prepaid Expenses And Other Current Assets [Abstract]

Schedule of prepaid expenses and other current assets

Prepaid expenses and other current assets consisted of the following (in $000s):


	September 30,		December 31,
	2023		2022
Research and development tax credit receivable	$	2,527	$	4,664
Prepayments and VAT receivable		692		976
Other current assets		1,950		426
	$	5,169	$	6,066

Accrued and Other Liabilities (Tables)

9 Months Ended

Sep. 30, 2023

Accrued and Other Current Liabilities [Abstract]

Schedule of Accrued and Other Current Liabilities

Accrued and other current liabilities consisted of the following (in $000s):


	September 30,		December 31,
	2023		2022
Accrued research and development	$	5,866	$	3,611
Accrued legal and professional fees		355		333
Other current liabilities		356		1,006
	$	6,577	$	4,950

Leases (Tables)

9 Months Ended

Sep. 30, 2023

Leases [Abstract]

Schedule of the Company's Contractual Obligations and Commitments Relating to its Facilities Leases

Remaining lease payments for both facilities are as follows (in $000s):


2023	$	19
2024		66
2025		38
Thereafter		—
	$	123

Stock-Based Compensation (Tables)

9 Months Ended

Sep. 30, 2023

Stock Based Compensation [Abstract]

Schedule of Stock Based Compensation Expense


	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2023		2022		2023		2022
General and administrative	$	279	$	255	$	801	$	724
Research and development		111	$	134	$	350	$	396
Stock-based compensation costs before income taxes	$	390	$	389	$	1,151	$	1,119

Schedule of Fair Value of the Stock Options Granted



	Nine months ended	Nine months ended
	September 30, 2023	September 30, 2022
Expected term (years)	5-6	5-6
Risk free interest rate	3.660% – 4.050%	1.370% – 3.605%
Volatility	89% – 92%	86% – 93%
Expected dividend yield over expected term	0.00%	0.00%

Schedule of Share Option Activity

A summary of the share option activity and related information is as follows:


				Weighted
		Weighted		Average
	Number of	Average		Remaining	Aggregate
	Options	Exercise		Contractual	Intrinsic
	Outstanding	Price Per Share		Term (Years)	Value ($000)
Options outstanding at December 31, 2022	1,610,590	$	5.85	8.34	$	—
Granted	650,128	$	0.59	—		—
Cancelled/forfeited	(79,030)	$	15.47	—		—
Options outstanding at September 30, 2023	2,181,688	$	3.93	8.21	$	—
Unvested at September 30, 2023	994,421	$	1.59	9.20	$	—
Vested and exercisable at September 30, 2023	1,187,267	$	5.89	7.38	$	—

Schedule of Restricted Stock Units Activity


		Weighted		Weighted
		Average		Average
	Restricted	Grant Date		Remaining
	Stock Units	Value Per Share		Term
Restricted Stock Units outstanding at September 30, 2023	521,971	$	1.08	9.21 years
Unvested at September 30, 2023	400,927	$	0.82	9.45 years
Vested and exercisable at September 30, 2023	121,044	$	1.95	8.42 years

Restatement of Prior Financial Information - (Details) - USD ($) $ in Thousands	3 Months Ended
	Sep. 30, 2023	Jun. 30, 2023	Sep. 30, 2022
Restatement of Prior Financial Information
Reclassification of redeemable common stock	$ (3,389)	$ (1,105)	$ 1,705

Restatement of Prior Financial Information - CONSOLIDATED BALANCE SHEETS (Details) - USD ($) $ in Thousands	Sep. 30, 2023	Jun. 30, 2023	Mar. 31, 2023	Dec. 31, 2022	Sep. 30, 2022	Jun. 30, 2022	Mar. 31, 2022	Dec. 31, 2021
ASSETS
Non-current deposits	$ 1,259	$ 1,549	$ 3,465	$ 3,465
Total Assets	12,497	16,991	22,609	28,050
LIABILITIES AND STOCKHOLDERS' EQUITY
Accrued and other current liabilities	6,577	4,696	4,948	4,950
Total current liabilities	8,148	6,865	7,457	7,511
Total liabilities	8,200	6,931	7,537	7,617
Additional Paid-In Capital	428,464	424,737		422,973
Accumulated deficit	(423,011)	(416,979)	(411,531)	(405,727)
Temporary equity	0	3,389		4,494
Total stockholders' equity	4,297	6,671	10,578	15,939	$ 22,497	$ 29,532	$ 33,840	$ 37,693
Total liabilities and stockholders' equity	$ 12,497	16,991	22,609	$ 28,050
As previously reported
ASSETS
Non-current deposits		1,000	2,916
Total Assets		16,442	22,060
LIABILITIES AND STOCKHOLDERS' EQUITY
Accrued and other current liabilities		4,577	4,829
Total current liabilities		6,746	7,338
Total liabilities		6,812	7,418
Additional Paid-In Capital		423,633
Accumulated deficit		(417,409)	(411,961)
Temporary equity		4,494
Total stockholders' equity		5,136	10,148
Total liabilities and stockholders' equity		16,442	22,060
Adjustments
ASSETS
Non-current deposits		549	549
Total Assets		549	549
LIABILITIES AND STOCKHOLDERS' EQUITY
Accrued and other current liabilities		119	119
Total current liabilities		119	119
Total liabilities		119	119
Additional Paid-In Capital		1,104
Accumulated deficit		430	430
Temporary equity		(1,105)
Total stockholders' equity		1,535	430
Total liabilities and stockholders' equity		$ 549	$ 549

Restatement of Prior Financial Information - CONSOLIDATED STATEMENTS OF INCOME (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended				6 Months Ended	9 Months Ended
	Sep. 30, 2023	Jun. 30, 2023	Mar. 31, 2023	Sep. 30, 2022	Jun. 30, 2023	Sep. 30, 2023	Sep. 30, 2022
Operating expenses:
Net loss attributable to common shareholders	$ (6,082)	$ (5,498)	$ (5,854)	$ (5,146)	$ (11,353)	$ (17,435)	$ (13,930)
Common Stock
Operating expenses:
Net loss attributable to common shareholders		$ (4,144)	$ (4,399)		$ (8,544)
Net Loss per Common Share
Net loss per share - basic	$ (0.48)	$ (0.44)	$ (0.47)	$ (0.43)	$ (0.90)	$ (1.39)	$ (1.30)
Net loss per share - diluted	(0.48)	$ (0.44)	$ (0.47)	(0.43)	$ (0.90)	(1.39)	(1.30)
Redeemable Common Stock
Operating expenses:
Net loss attributable to common shareholders		$ (1,354)	$ (1,455)		$ (2,809)
Net Loss per Common Share
Net loss per share - basic	(0.48)	$ (0.44)	$ (0.47)	(0.38)	$ (0.90)	(1.39)	(1.10)
Net loss per share - diluted	$ (0.48)	$ (0.44)	$ (0.47)	$ (0.38)	$ (0.90)	$ (1.39)	$ (1.10)
As previously reported
Operating expenses:
Net loss attributable to common shareholders		$ (5,498)	$ (5,854)		$ (11,353)
As previously reported \| Common Stock
Net Loss per Common Share
Net loss per share - basic		$ (0.44)	$ (0.47)		$ (0.91)
Net loss per share - diluted		(0.44)	(0.47)		(0.91)
Adjustments \| Redeemable Common Stock
Net Loss per Common Share
Net loss per share - basic		(0.44)	(0.47)		(0.90)
Net loss per share - diluted		$ (0.44)	$ (0.47)		$ (0.90)

Restatement of Prior Financial Information - CONSOLIDATED STATEMENTS OF STOCKHOLDERS EQUITY (Details) - USD ($) $ in Thousands	3 Months Ended
	Jun. 30, 2023	Jun. 30, 2022	Sep. 30, 2023	Mar. 31, 2023	Dec. 31, 2022	Sep. 30, 2022	Mar. 31, 2022	Dec. 31, 2021
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Issue of common stock on At Market Issuance sales agreement, net of expenses		$ 453
Total stockholders' equity	$ 6,671	29,532	$ 4,297	$ 10,578	$ 15,939	$ 22,497	$ 33,840	$ 37,693
Common Stock
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Issue of common stock on At Market Issuance sales agreement, net of expenses	1
Total stockholders' equity	10	10	12	9	9	9	10	10
Additional Paid-in Capital
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Issue of common stock on At Market Issuance sales agreement, net of expenses	1,104	453
Total stockholders' equity	424,737	424,010	428,464	423,324	422,973	422,542	423,290	422,960
Accumulated Other Comprehensive Loss
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Total stockholders' equity	(1,097)	(1,276)	(1,168)	(1,224)	(1,316)	(1,746)	(823)	(748)
Accumulated Deficit
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Total stockholders' equity	(416,979)	(393,212)	$ (423,011)	(411,531)	(405,727)	$ (398,308)	$ (388,637)	$ (384,529)
As previously reported
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Total stockholders' equity	5,136			10,148
As previously reported \| Common Stock
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Total stockholders' equity	9
As previously reported \| Additional Paid-in Capital
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Total stockholders' equity		423,633
As previously reported \| Accumulated Deficit
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Total stockholders' equity		$ (417,409)		(411,961)	(406,157)
Adjustments
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Total stockholders' equity	1,535			430
Adjustments \| Common Stock
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Issue of common stock on At Market Issuance sales agreement, net of expenses	1
Total stockholders' equity	1
Adjustments \| Additional Paid-in Capital
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Issue of common stock on At Market Issuance sales agreement, net of expenses	1,104
Total stockholders' equity	1,104
Adjustments \| Accumulated Deficit
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Total stockholders' equity	$ 430			$ 430	$ 430

Summary of Significant Accounting Policies - Narrative (Details) - USD ($) $ in Thousands	3 Months Ended	9 Months Ended
	Mar. 31, 2024	Sep. 30, 2023	Sep. 30, 2022	Jun. 30, 2023	Mar. 31, 2023	Dec. 31, 2022
Accounting Policies [Line Items]
Cash and cash equivalents		$ 5,944				$ 18,345
Research and development tax credits	$ 3,100
Tax on other comprehensive income (loss)		0
Reclassifications out of other comprehensive income (loss)		0	$ 0
Total Assets		12,497		$ 16,991	$ 22,609	28,050
Accumulated deficit		$ 423,011		416,979	411,531	$ 405,727
Revision of Prior Period, Error Correction, Adjustment [Member]
Accounting Policies [Line Items]
Total Assets				549	549
Accumulated deficit				$ (430)	$ (430)

Revenue (Narrative) (Details) - USD ($)	3 Months Ended		9 Months Ended
Revenue (Narrative) (Details) - USD ($)	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Revenue [Abstract]
Revenue	$ 16,000	$ 0	$ 389,000	$ 0

Net Loss per Common Share (Basic and Diluted Net Loss Per Share) (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended						6 Months Ended	9 Months Ended
	Sep. 30, 2023	Jun. 30, 2023	Mar. 31, 2023	Sep. 30, 2022	Jun. 30, 2022	Mar. 31, 2022	Jun. 30, 2023	Sep. 30, 2023	Sep. 30, 2022
Numerator:
Net loss	$ (6,032)	$ (5,448)	$ (5,804)	$ (5,096)	$ (4,575)	$ (4,108)	$ (11,252)	$ (17,284)	$ (13,779)
Dividend on convertible exchangeable preferred shares	(50)	(50)	(50)	(50)			(101)	(151)	(151)
Net loss attributable to common shareholders	(6,082)	(5,498)	(5,854)	(5,146)			(11,353)	(17,435)	(13,930)
Remaining undistributed loss	(6,082)	(5,498)	(5,854)	$ (5,248)			(11,353)	(17,435)	$ (14,065)
Redeemable common shareholders
Numerator:
Net loss attributable to common shareholders		(1,354)	(1,455)				(2,809)
Remaining undistributed loss	$ (356)	$ (1,354)	$ (1,455)				$ (2,809)	$ (3,198)
Denominator:
Weighted average common shares outstanding basic	740,379	3,090,477	3,117,100	2,376,721			3,107,715	2,307,279	809,821
Weighted average common shares outstanding diluted	740,379	3,090,477	3,117,100	10,013,317			3,107,715	2,307,279	809,821
Net loss per share - basic	$ (0.48)	$ (0.44)	$ (0.47)	$ (0.38)			$ (0.90)	$ (1.39)	$ (1.10)
Undistributed loss per share - basic	(0.48)	(0.44)	(0.47)	(0.42)			(0.90)	(1.39)	(1.27)
Net loss per share - diluted	(0.48)	(0.44)	(0.47)	(0.38)			(0.90)	(1.39)	(1.10)
Undistributed loss per share - diluted	$ (0.48)	$ (0.44)	$ (0.47)	$ (1.30)			$ (0.90)	$ (1.39)	$ (1.27)
Common Stock
Numerator:
Net loss attributable to common shareholders		$ (4,144)	$ (4,399)				$ (8,544)
Remaining undistributed loss	$ (5,726)	$ (4,144)	$ (4,399)				$ (8,544)	$ (14,237)
Denominator:
Weighted average common shares outstanding basic	11,902,443	9,461,317	9,422,089	9,937,958			9,441,811	10,271,036	10,013,317
Weighted average common shares outstanding diluted	11,902,443	9,461,317	9,422,089	9,937,958			9,441,811	10,271,036	2,376,721
Net loss per share - basic	$ (0.48)	$ (0.44)	$ (0.47)	$ (0.43)			$ (0.90)	$ (1.39)	$ (1.30)
Undistributed loss per share - basic	(0.48)	(0.44)	(0.47)	(0.43)			(0.90)	(1.39)	(1.30)
Net loss per share - diluted	(0.48)	(0.44)	(0.47)	(0.43)			(0.90)	(1.39)	(1.30)
Undistributed loss per share - diluted	$ (0.48)	$ (0.44)	$ (0.47)	$ (0.43)			$ (0.90)	$ (1.39)	$ (0.42)

Net Loss per Common Share - Schedule of Company's Potential Anti Dilutive Securities (Details) - shares	9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Total shares excluded from calculation	7,133,449	6,185,535
Stock options
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Total shares excluded from calculation	2,181,689	1,618,089
Restricted Stock Units (RSUs)
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Total shares excluded from calculation	521,971	137,657
6% convertible exchangeable preferred stock
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Total shares excluded from calculation	85	85
Preferred stock, dividend rate (in percent)	6.00%
Series A Convertible Preferred Stock
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Total shares excluded from calculation	6,600	6,600
Series B Convertible Preferred Stock
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Total shares excluded from calculation	1,188,725	1,188,725
Common Stock Warrants
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Total shares excluded from calculation	3,234,379	3,234,379

Prepaid Expenses and Other Current Assets - Schedule of Prepaid Expenses and Other Current Assets (Details) - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022
Prepaid Expense and Other Assets, Current [Abstract]
Research and development tax credit receivable	$ 2,527	$ 4,664
Prepayments and VAT receivable	692	976
Other current assets	1,950	426
Prepaid expenses and other current assets	5,169	$ 6,066
Clinical trial deposits, current	$ 1,600

Non-Current Assets (Details) $ in Millions	Sep. 30, 2023 USD ($)
Non-Current Assets [Abstract]
Clinical trial deposits held by a contract research organization	$ 1.3

Accrued and Other Liabilities - Schedule of accrued and other current liabilities (Details) - USD ($) $ in Thousands	Sep. 30, 2023	Jun. 30, 2023	Mar. 31, 2023	Dec. 31, 2022
Accrued and Other Current Liabilities [Abstract]
Accrued research and development	$ 5,866			$ 3,611
Accrued legal and professional fees	355			333
Other current liabilities	356			1,006
Accrued and other current liabilities	$ 6,577	$ 4,696	$ 4,948	$ 4,950

Leases - Narrative (Details) - USD ($)	9 Months Ended
Leases - Narrative (Details) - USD ($)	Sep. 30, 2023	Sep. 30, 2022
Operating lease expense	$ 55,982	$ 46,699
Operating lease, payments	$ 55,245	$ 46,489
Discount rate lease liability	12.00%
Berkeley Heights facility
Remaining lease term	1 year 9 months 18 days
Dundee facility
Operating lease expense	$ 7,902

Leases - Future Minimum Lease Payments (Details) $ in Thousands	Sep. 30, 2023 USD ($)
Operating Lease Obligation
2023	$ 19
2024	66
2025	38
Thereafter	0
Lease payments, Total	$ 123

Stock-Based Compensation - Schedule of Stock Based Compensation Expense (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Stock-based compensation costs before income taxes	$ 390	$ 389	$ 1,151	$ 1,119
General and administrative
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Stock-based compensation costs before income taxes	279	255	801	724
Research and development
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Stock-based compensation costs before income taxes	$ 111	$ 134	$ 350	$ 396

Stock Based Compensation - Narrative (Details) - USD ($) $ / shares in Units, $ in Thousands		1 Months Ended		3 Months Ended		9 Months Ended		12 Months Ended
	Jun. 13, 2023	Jun. 30, 2023	Jan. 31, 2023	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022	Jun. 14, 2022	Oct. 31, 2020
Stock-based compensation
Common stock, shares issued				12,642,822		12,642,822		9,422,089
Options exercised (in shares)						0	0
Stock-based compensation costs before income taxes				$ 390	$ 389	$ 1,151	$ 1,119
Stock options
Stock-based compensation
Options granted (in shares)						650,128	522,337
Stock options \| Options Vesting On Third Anniversary Of Grant [Member]
Stock-based compensation
Stock awards vesting period						3 years
Options granted (in shares)						384,500
Stock options \| Minimum
Stock-based compensation
Options granted, grant date fair value						$ 0.42	$ 0.83
Stock options \| Maximum
Stock-based compensation
Options granted, grant date fair value						$ 0.73	$ 2.90
Restricted Stock Units (RSUs)
Stock-based compensation
Stock awards vesting period			3 years
Options granted, grant date fair value		$ 0.59
Restricted Stock Units, Granted		127,314	257,000					118,665
Restricted Stock Units outstanding/unvested				521,971		521,971
Restricted stock units, grant date fair value			$ 0.90	$ 1.08		$ 1.08		$ 1.11
Modified Stock Options And Restricted Stock Units [Member]
Stock-based compensation
Restricted Stock Units, Granted						384,314
2018 Equity Incentive Plan (the "2018 Plan") [Member]
Stock-based compensation
Number of shares reserved for issuance	336,984
Life of stock option awards granted	10 years
Number of authorized shares	900,000								500,000
2018 Equity Incentive Plan (the "2018 Plan") [Member] \| Minimum
Stock-based compensation
Stock awards vesting period	1 year
2018 Equity Incentive Plan (the "2018 Plan") [Member] \| Maximum
Stock-based compensation
Stock awards vesting period	4 years
Inducement Equity Incentive Plan 2020 [Member]
Stock-based compensation
Number of shares reserved for issuance				80,000		80,000
Common stock, shares issued				120,000		120,000
Inducement Equity Incentive Plan 2020 [Member] \| Minimum
Stock-based compensation
Number of authorized shares										200,000

Stock-Based Compensation - Schedule of Fair Value of the Stock Options Granted (Details) - Stock options	9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions and Methodology [Abstract]
Expected dividend yield over expected term	0.00%	0.00%
Minimum
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions and Methodology [Abstract]
Expected term (years)	5 years	5 years
Risk free interest rate	3.66%	1.37%
Volatility	89.00%	86.00%
Maximum
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions and Methodology [Abstract]
Expected term (years)	6 years	6 years
Risk free interest rate	4.05%	3.605%
Volatility	92.00%	93.00%

Stock-Based Compensation - Schedule of Share Option Activity (Details) - $ / shares	9 Months Ended		12 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022
Number of Options Outstanding
Exercised (in shares)	0	0
Stock options
Number of Options Outstanding
Options outstanding	1,610,590
Granted	650,128	522,337
Cancelled/forfeited	(79,030)
Options outstanding	2,181,688		1,610,590
Unvested	994,421
Vested and exercisable	1,187,267
Weighted Average Exercise Price Per Share
Options outstanding	$ 5.85
Granted	0.59
Cancelled/forfeited (in dollars per share)	15.47
Options outstanding	3.93		$ 5.85
Unvested	1.59
Vested and exercisable	$ 5.89
Weighted Average Remaining Contractual Term (Years)
Options outstanding	8 years 2 months 15 days		8 years 4 months 2 days
Unvested	9 years 2 months 12 days
Vested and exercisable	7 years 4 months 17 days

Stock-Based Compensation - Schedule of Restricted Stock Units Activity (Details) - Restricted Stock Units (RSUs) - $ / shares	1 Months Ended		9 Months Ended	12 Months Ended
	Jun. 30, 2023	Jan. 31, 2023	Sep. 30, 2023	Dec. 31, 2022
Number of Options Outstanding
Granted	127,314	257,000		118,665
Restricted Stock Units outstanding/unvested			521,971
Unvested			400,927
Vested and exercisable			121,044
Weighted Average Grant Date Value Per Share
Restricted stock units, grant date fair value		$ 0.90	$ 1.08	$ 1.11
Unvested, Weighted Average Grant Date Value Per Share			0.82
Vested and exercisable			$ 1.95
Weighted Average Remaining Term
Restricted stock units, Weighted average remaining term			9 years 2 months 15 days
Unvested			9 years 5 months 12 days
Vested and exercisable			8 years 5 months 1 day
Stock awards vesting period		3 years
Employees
Weighted Average Remaining Term
Stock awards vesting period				3 years

Stockholders Equity - Narrative (Details) - USD ($)			1 Months Ended		8 Months Ended	9 Months Ended		12 Months Ended		13 Months Ended
Stockholders Equity - Narrative (Details) - USD ($)	Aug. 12, 2022	Aug. 12, 2021	Dec. 31, 2020	Jul. 31, 2017	Aug. 31, 2022	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022	Dec. 31, 2017	Aug. 31, 2022
Class of Stock [Line Items]
Common stock, par value (in dollars per share)						$ 0.001		$ 0.001
Preferred stock, par value (in dollars per share)						$ 0.001		$ 0.001
Common stock, shares issued						12,642,822		9,422,089
July 2017 - Underwritten Public Offering [Member]
Class of Stock [Line Items]
Warrants, exercise price per share						$ 40.00
Percentage Of Outstanding Common Stock						4.99%
Outstanding common stock at election of purchaser						9.99%
Warrants outstanding						374,525
Warrants exercised						0	0
Cantor Fitzgerald & Co. [Member]
Class of Stock [Line Items]
Aggregate offering price		$ 10,000,000.0
Proceeds from issuance of common stock, net of issuance costs	$ 2,721,187				$ 4,494,496					$ 7,600,000
Number of share sold under the sales agreement	3,117,100				1,987,100					3,281,067
Acorn Bioventures, LP [Member]
Class of Stock [Line Items]
Warrants to purchase shares						669,854
Warrant outstanding Term						5 years
Warrants, exercise price per share						$ 4.13
Warrants exercised						0	0
Co-Placement Agents [Member]
Class of Stock [Line Items]
Warrants, exercise price per share						$ 5.00
Number of common shares called by each warrant						1
Warrant Exercises (in shares)						0	0
Warrants outstanding						2,190,000
Fractional shares issued						0
Co-Placement Agents [Member] \| Common Stock Warrants
Class of Stock [Line Items]
Percentage Of Outstanding Common Stock						4.99%
Outstanding common stock at election of purchaser						9.99%
Notice period from the holder to increase the percentage of ownership of outstanding common stock after exercise of warrants						61 days
Series B Convertible Preferred Stock
Class of Stock [Line Items]
Preferred stock, par value (in dollars per share)						$ 0.001		$ 0.001
Preferred stock, shares issued			237,745			237,745		237,745
Preferred stock, shares outstanding						237,745		237,745
Outstanding common stock at election of purchaser						9.99%
Number of shares converted			5
Series A Convertible Preferred Stock
Class of Stock [Line Items]
Measurement period of consecutive trading days used in determining whether specified triggers are met which would allow the entity to require the conversion of all or part of outstanding preferred stock						30 days
Preferred stock, par value (in dollars per share)						$ 0.001		$ 0.001
Number of common shares issued upon conversion				215,200
Effective Conversion price per share				$ 40.00
Preferred stock, shares issued				8,872		264		264
Preferred stock, shares outstanding						264		264
Number of shares converted						6,600			8,608
Price per share used to determine number of shares of common stock				$ 1,000
Percentage of blocker provision				4.99%
Conversion percentage				9.99%
Series A Convertible Preferred Stock \| Minimum
Class of Stock [Line Items]
Percentage by which the weighted average price of common stock during the measurement period exceeds the initial conversion price which triggers the right of the entity to cause all or part of the outstanding preferred stock to be converted						300.00%
Threshold amount of daily trading volume on each trading day during the measurement period which triggers the right of the entity to cause all or part of the outstanding preferred stock to be converted						$ 500,000
6% convertible exchangeable preferred stock
Class of Stock [Line Items]
Share issue price per share						$ 10.00
Preferred stock, shares issued						335,273		335,273
Preferred stock, shares outstanding						335,273		335,273
Dividend rate on convertible exchangeable preferred stock (in percent)						6.00%		6.00%
Accrued and unpaid dividends						$ 50,291
Convertible Preferred Stock, Terms of Conversion						The Company may automatically convert the 6% Preferred Stock into common stock if the per share closing price of the Company’s common stock has exceeded $59,220, which is 150% of the conversion price of the 6% Preferred Stock, for at least 20 trading days during any 30 day trading period, ending within five trading days prior to notice of automatic conversion.
Redemption price per share (in dollars per share)						$ 10.00
Debt principal amount per share, basis for exchange (in dollars per share)						$ 10.00
Debt Instrument, Term						25 years
Liquidation preference (in dollars per share)						$ 10.00

Subsequent Events - Narrative (Details) - 6% convertible exchangeable preferred stock - $ / shares				9 Months Ended	12 Months Ended
	Nov. 01, 2023	Oct. 20, 2023	Sep. 06, 2023	Sep. 30, 2023	Dec. 31, 2022
Subsequent Event [Line Items]
Dividend declared, date			Sep. 06, 2023
Preferred stock dividend declared, amount per share			$ 0.15
Preferred stock, dividend rate (in percent)				6.00%	6.00%
Subsequent event
Subsequent Event [Line Items]
Dividends payable, date to be paid	Nov. 01, 2023
Dividend, record date		Oct. 20, 2023
Preferred stock, dividends per share, cash paid	$ 0.15