UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
Washington,
D.C. 20549
FORM
10-Q
☒ QUARTERLY
REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For
the quarterly period ended September 30, 2023
or
☐ 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- 55347
RELMADA
THERAPEUTICS, INC.
(Exact
name of registrant as specified in its charter)
Nevada | | 45-5401931 |
(State or Other Jurisdiction of Incorporation or Organization) | | (I.R.S. Employer Identification No.) |
| | |
2222 Ponce de Leon, Floor 3 Coral Gables, FL | | 33134 |
(Address of Principal Executive Offices) | | (Zip Code) |
(786)
629-1376
(Registrant’s
Telephone Number, Including Area Code)
N/A
(Former
Name, Former Address and Former Fiscal Year, if Changed Since Last Report)
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, $0.001 par value per share | | RLMD | | The NASDAQ Global Select Market |
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 and posted pursuant
to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant
was required to submit such files). ☒ Yes No ☐
Indicate
by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company,
or an emerging growth company. See the 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 company | ☒ |
| | 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 6, 2023, there were 30,099,203 shares of common stock, $0.001 par value per share, outstanding.
Relmada
Therapeutics, Inc.
Index
PART
I - FINANCIAL INFORMATION
ITEM
1. FINANCIAL STATEMENTS
Relmada
Therapeutics, Inc.
Condensed
Consolidated Balance Sheets
| |
As of | | |
| |
| |
September 30, | | |
As of | |
| |
2023 (Unaudited) | | |
December 31, 2022 | |
Assets | |
| | |
| |
Current assets: | |
| | |
| |
Cash and cash equivalents | |
$ | 6,698,599 | | |
$ | 5,395,905 | |
Short-term investments | |
| 99,568,502 | | |
| 142,926,781 | |
Other receivables | |
| - | | |
| 512,432 | |
Prepaid expenses | |
| 2,834,037 | | |
| 4,035,186 | |
Total current assets | |
| 109,101,138 | | |
| 152,870,304 | |
Other assets | |
| 47,715 | | |
| 34,875 | |
Total assets | |
$ | 109,148,853 | | |
$ | 152,905,179 | |
| |
| | | |
| | |
Commitments and Contingencies (See Note 6) | |
| | | |
| | |
| |
| | | |
| | |
Liabilities and Stockholders’ Equity | |
| | | |
| | |
Current liabilities: | |
| | | |
| | |
Accounts payable | |
$ | 2,856,752 | | |
$ | 5,261,936 | |
Accrued expenses | |
| 5,565,466 | | |
| 7,206,941 | |
Total current liabilities | |
| 8,422,218 | | |
| 12,468,877 | |
| |
| | | |
| | |
Stockholders’ Equity: | |
| | | |
| | |
Class A convertible preferred stock, $0.001 par value, 3,500,000 shares authorized, none issued and outstanding | |
| - | | |
| - | |
Common stock, $0.001 par value, 150,000,000 shares authorized, 30,099,203 shares issued and outstanding | |
| 30,099 | | |
| 30,099 | |
Additional paid-in capital | |
| 636,434,059 | | |
| 602,517,138 | |
Accumulated deficit | |
| (535,737,523 | ) | |
| (462,110,935 | ) |
Total stockholders’ equity | |
| 100,726,635 | | |
| 140,436,302 | |
Total liabilities and stockholders’ equity | |
$ | 109,148,853 | | |
$ | 152,905,179 | |
The
accompanying notes are an integral part of these unaudited condensed consolidated financial statements.
Relmada
Therapeutics, Inc.
Condensed
Consolidated Statements of Operations
(Unaudited)
| |
Three months ended | | |
Nine months ended | |
| |
September 30, | | |
September 30, | |
| |
2023 | | |
2022 | | |
2023 | | |
2022 | |
Operating expenses: | |
| | |
| | |
| | |
| |
Research and development | |
$ | 10,454,072 | | |
$ | 30,529,108 | | |
$ | 40,055,287 | | |
$ | 86,454,632 | |
General and administrative | |
| 12,238,566 | | |
| 8,208,053 | | |
| 36,817,686 | | |
| 36,092,024 | |
Total operating expenses | |
| 22,692,638 | | |
| 38,737,161 | | |
| 76,872,973 | | |
| 122,546,656 | |
| |
| | | |
| | | |
| | | |
| | |
Loss from operations | |
| (22,692,638 | ) | |
| (38,737,161 | ) | |
| (76,872,973 | ) | |
| (122,546,656 | ) |
| |
| | | |
| | | |
| | | |
| | |
Other (expenses) income: | |
| | | |
| | | |
| | | |
| | |
Gain on settlement of fees | |
| - | | |
| - | | |
| - | | |
| 6,351,606 | |
Interest/investment income, net | |
| 1,321,441 | | |
| 827,614 | | |
| 3,892,478 | | |
| 1,544,898 | |
Realized loss on short-term investments | |
| (51,714 | ) | |
| (561,648 | ) | |
| (718,422 | ) | |
| (552,171 | ) |
Unrealized (loss) gain on short-term investments | |
| (579,147 | ) | |
| (947,512 | ) | |
| 72,329 | | |
| (3,897,135 | ) |
| |
| | | |
| | | |
| | | |
| | |
Total other (expense) income – net | |
| 690,580 | | |
| (681,546 | ) | |
| 3,246,385 | | |
| 3,447,198 | |
| |
| | | |
| | | |
| | | |
| | |
Net loss | |
$ | (22,002,058 | ) | |
$ | (39,418,707 | ) | |
$ | (73,626,588 | ) | |
$ | (119,099,458 | ) |
| |
| | | |
| | | |
| | | |
| | |
Loss per common share – basic and diluted | |
$ | (0.73 | ) | |
$ | (1.31 | ) | |
$ | (2.45 | ) | |
$ | (4.04 | ) |
| |
| | | |
| | | |
| | | |
| | |
Weighted average number of common shares outstanding – basic and diluted | |
| 30,099,203 | | |
| 30,063,735 | | |
| 30,099,203 | | |
| 29,470,198 | |
The
accompanying notes are an integral part of these unaudited condensed consolidated financial statements.
Relmada
Therapeutics, Inc.
Condensed
Consolidated Statements of Stockholders’ Equity
(Unaudited)
| |
Three and Nine months ended September 30, 2023 | |
| |
Common Stock | | |
Additional Paid-in | | |
Accumulated | | |
| |
| |
Shares | | |
Par Value | | |
Capital | | |
Deficit | | |
Total | |
Balance – December 31, 2022 | |
| 30,099,203 | | |
$ | 30,099 | | |
$ | 602,517,138 | | |
$ | (462,110,935 | ) | |
$ | 140,436,302 | |
Stock-based compensation | |
| - | | |
| - | | |
| 11,354,466 | | |
| - | | |
| 11,354,466 | |
Net loss | |
| - | | |
| - | | |
| - | | |
| (26,321,576 | ) | |
| (26,321,576 | ) |
Balance – March 31, 2023 | |
| 30,099,203 | | |
| 30,099 | | |
| 613,871,604 | | |
| (488,432,511 | ) | |
| 125,469,192 | |
Stock-based compensation | |
| - | | |
| - | | |
| 11,169,517 | | |
| - | | |
| 11,169,517 | |
Net loss | |
| - | | |
| - | | |
| - | | |
| (25,302,954 | ) | |
| (25,302,954 | ) |
Balance – June 30, 2023 | |
| 30,099,203 | | |
| 30,099 | | |
| 625,041,121 | | |
| (513,735,465 | ) | |
| 111,335,755 | |
Stock-based compensation | |
| - | | |
| - | | |
| 11,392,938 | | |
| - | | |
| 11,392,938 | |
Net loss | |
| - | | |
| - | | |
| - | | |
| (22,002,058 | ) | |
| (22,002,058 | ) |
Balance – September 30, 2023 | |
| 30,099,203 | | |
$ | 30,099 | | |
$ | 636,434,059 | | |
$ | (535,737,523 | ) | |
$ | 100,726,635 | |
| |
Three and Nine months ended September 30, 2022 | |
| |
Common Stock | | |
Additional Paid-in | | |
Accumulated | | |
| |
| |
Shares | | |
Par Value | | |
Capital | | |
Deficit | | |
Total | |
Balance – December 31, 2021 | |
| 27,740,147 | | |
$ | 27,740 | | |
$ | 513,304,258 | | |
$ | (305,067,112 | ) | |
$ | 208,264,886 | |
Stock-based compensation | |
| - | | |
| - | | |
| 11,930,681 | | |
| - | | |
| 11,930,681 | |
ATM offering, net | |
| 1,609,343 | | |
| 1,610 | | |
| 29,581,932 | | |
| - | | |
| 29,583,542 | |
Warrant exercised for cash | |
| 33,334 | | |
| 33 | | |
| 299,973 | | |
| - | | |
| 300,006 | |
Options exercised for cash | |
| 20,000 | | |
| 20 | | |
| 64,780 | | |
| - | | |
| 64,800 | |
Net loss | |
| - | | |
| - | | |
| - | | |
| (39,745,783 | ) | |
| (39,745,783 | ) |
Balance – March 31, 2022 | |
| 29,402,824 | | |
| 29,403 | | |
| 555,181,624 | | |
| (344,812,895 | ) | |
| 210,398,132 | |
Stock-based compensation | |
| - | | |
| - | | |
| 12,295,016 | | |
| - | | |
| 12,295,016 | |
Warrant exercised for cash | |
| 91,058 | | |
| 91 | | |
| 595,259 | | |
| - | | |
| 595,350 | |
Options exercised for cash | |
| 45,812 | | |
| 46 | | |
| 352,698 | | |
| - | | |
| 352,744 | |
ATM offering, net of offering costs | |
| 484,900 | | |
| 485 | | |
| 13,144,572 | | |
| - | | |
| 13,145,057 | |
Net loss | |
| - | | |
| - | | |
| - | | |
| (39,934,968 | ) | |
| (39,934,968 | ) |
Balance – June 30, 2022 | |
| 30,024,594 | | |
| 30,025 | | |
| 581,569,169 | | |
| (384,747,863 | ) | |
| 196,851,331 | |
Stock-based compensation | |
| - | | |
| - | | |
| 8,343,139 | | |
| - | | |
| 8,343,139 | |
Warrant exercised for cash | |
| 51,527 | | |
| 51 | | |
| 332,865 | | |
| - | | |
| 332,916 | |
Options exercised for cash | |
| 17,886 | | |
| 18 | | |
| 286,158 | | |
| - | | |
| 286,176 | |
Share exchange – Pre-funded warrants, net of fees | |
| (1,452,016 | ) | |
| (1,452 | ) | |
| (48,548 | ) | |
| - | | |
| (50,000 | ) |
Net loss | |
| - | | |
| - | | |
| - | | |
| (39,418,707 | ) | |
| (39,418,707 | ) |
Balance – September 30, 2022 | |
| 28,641,991 | | |
$ | 28,642 | | |
$ | 590,482,783 | | |
$ | (424,166,570 | ) | |
$ | 166,344,855 | |
The
accompanying notes are an integral part of these unaudited condensed consolidated financial statements.
Relmada
Therapeutics, Inc.
Condensed
Consolidated Statements of Cash Flows
(Unaudited)
| |
Nine months ended | |
| |
September 30, | |
| |
2023 | | |
2022 | |
Cash flows from operating activities | |
| | |
| |
Net loss | |
$ | (73,626,588 | ) | |
$ | (119,099,458 | ) |
Adjustments to reconcile net loss to net cash used in operating activities: | |
| | | |
| | |
Stock-based compensation | |
| 33,916,921 | | |
| 32,568,836 | |
Realized loss on short-term investments | |
| 718,422 | | |
| 552,171 | |
Unrealized (gain) loss on short-term investments | |
| (72,329 | ) | |
| 3,897,135 | |
Change in operating assets and liabilities: | |
| | | |
| | |
Lease payment receivable | |
| - | | |
| 86,377 | |
Other receivable | |
| 512,432 | | |
| - | |
Prepaid expenses and other assets | |
| 1,188,309 | | |
| 8,359,994 | |
Accounts payable | |
| (2,405,184 | ) | |
| (766,661 | ) |
Accrued expenses | |
| (1,641,475 | ) | |
| 6,482,889 | |
Net cash used in operating activities | |
| (41,409,492 | ) | |
| (67,918,717 | ) |
| |
| | | |
| | |
Cash flows from investing activities | |
| | | |
| | |
Purchase of short-term investments | |
| (57,151,963 | ) | |
| (38,993,173 | ) |
Sale of short-term investments | |
| 99,864,149 | | |
| 60,382,229 | |
Net cash provided by investing activities | |
| 42,712,186 | | |
| 21,389,056 | |
| |
| | | |
| | |
Cash flows from financing activities | |
| | | |
| | |
Payment of fees for warrants issued for common stock | |
| - | | |
| (50,000 | ) |
Proceeds from issuance of common stock – net | |
| - | | |
| 42,728,599 | |
Proceeds from options exercised for common stock | |
| - | | |
| 703,720 | |
Proceeds from warrants exercised for common stock | |
| - | | |
| 1,228,272 | |
Net cash provided by financing activities | |
| - | | |
| 44,610,591 | |
| |
| | | |
| | |
Net increase /(decrease) in cash and cash equivalents | |
| 1,302,694 | | |
| (1,919,070 | ) |
Cash and cash equivalents at beginning of the period | |
| 5,395,905 | | |
| 44,443,439 | |
Cash and cash equivalents at end of the period | |
$ | 6,698,599 | | |
| 42,524,369 | |
| |
| | | |
| | |
Supplemental disclosure of cash flow information: | |
| | | |
| | |
| |
| | | |
| | |
Non-cash investing and financing activities: | |
| | | |
| | |
Share exchange for Pre-funded warrants | |
$ | - | | |
$ | 1,452 | |
The
accompanying notes are an integral part of these unaudited condensed consolidated financial statements.
Relmada
Therapeutics, Inc.
Notes
to Unaudited Condensed Consolidated Financial Statements
NOTE
1 – BUSINESS
Relmada
Therapeutics, Inc. (Relmada or the Company) (a Nevada corporation), is a clinical-stage, publicly traded biotechnology company focused
on the development of esmethadone (d-methadone, dextromethadone, REL-1017), an N-methyl-D-aspartate (NMDA) receptor antagonist. Esmethadone
is a new chemical entity (NCE) that potentially addresses areas of high unmet medical need in the treatment of central nervous system
(CNS) diseases and other disorders.
In
addition to the normal risks associated with a new business venture, there can be no assurance that the Company’s research and
development will be successfully completed or that any product will be approved or commercially viable. The Company is subject to risks
common to companies in the biotechnology industry including, but not limited to, dependence on collaborative arrangements, development
by the Company or its competitors of new technological innovations, dependence on key personnel, protection of proprietary technology,
and compliance with the Food and Drug Administration (FDA) and other governmental regulations and approval requirements.
NOTE
2 – SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Basis
of Presentation
The
accompanying unaudited condensed consolidated financial statements and related notes have been prepared in accordance with accounting
principles generally accepted in the United States of America (U.S. GAAP) for interim unaudited condensed consolidated financial information.
Accordingly, they do not include all of the information and footnotes required by U.S. GAAP for complete consolidated financial statements.
The unaudited condensed consolidated financial statements reflect all adjustments (consisting of normal recurring adjustments) which
are, in the opinion of management, necessary for a fair statement of the results for the interim periods presented. Interim results are
not necessarily indicative of the results for the full year. These unaudited condensed consolidated financial statements should be read
in conjunction with the audited consolidated financial statements of the Company for the year ended December 31, 2022 and notes thereto
contained in the Company’s Annual Report on Form 10-K.
Principles
of Consolidation
The
unaudited condensed consolidated financial statements include the Company’s accounts and those of the Company’s wholly-owned
subsidiary. All significant intercompany accounts and transactions have been eliminated in consolidation.
Liquidity
As shown in the accompanying unaudited condensed
consolidated financial statements, the Company incurred negative operating cash flows of $41,409,492 for the nine months ended September
30, 2023 and has an accumulated deficit of $535,737,523 from inception through September 30, 2023.
Management
believes that the Company’s existing cash and cash equivalents and short-term investments will enable it to fund operating expenses
and capital expenditure requirements for at least 12 months from the issuance of these unaudited condensed consolidated financial statements.
Beyond that point management will evaluate the size and scope of any subsequent operations and clinical trials that will affect the timing
of additional financings through public or private sales of equity or debt securities or from bank or other loans or through strategic
collaboration and/or licensing agreements. Further, additional financing does not affect the Company’s conclusion that based on
the cash on hand and the budgeted cash flow requirements, the Company has sufficient funds to maintain operations for at least 12 months
from the issuance of these unaudited condensed consolidated financial statements.
Use
of Estimates
The
preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the
reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements
and the reported amounts of revenues and expenses for the reporting period. Actual results could differ from those estimates. The significant
estimates are stock-based compensation expenses and recorded amounts related to income taxes.
Cash
and Cash Equivalents
The
Company considers cash deposits and all highly liquid investments with a maturity of three months or less when purchased to be cash equivalents.
The Company’s cash deposits are held at two high-credit-quality financial institutions. The Company’s cash and cash equivalents
balance of $6,698,599 at September 30, 2023 at these institutions exceed the federally insured limits.
Relmada
Therapeutics, Inc.
Notes
to Unaudited Condensed Consolidated Financial Statements
NOTE
2 – SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (continued)
Short-term
Investments
The
Company’s investments consist entirely of mutual funds. The securities are measured at fair value based on the net asset value
(NAV). Substantially all equity investments in nonconsolidated entities are measured at fair value with recurring changes recognized
in earnings, except for those accounted for using equity method accounting. Changes in fair value of the securities are recorded as part
of other income on the unaudited condensed consolidated statement of operations. Short-term investment activity is presented in the investing
activities section on the unaudited condensed consolidated statement of cash flows.
Short-term
investments at September 30, 2023 consisted of mutual funds with a fair value of $99,568,502.
Patents
Costs
related to filing and pursuing patent applications are recorded as general and administrative expense and expensed as incurred since
recoverability of such expenditures is uncertain.
Leases
The
Company recognizes its leases with a term of greater than a year on the balance sheet by recording right-of-use assets and lease liabilities.
Leases can be classified as either operating leases or finance leases. Operating leases will result in straight-line lease expense, while
finance leases will result in front-loaded expense. The Company’s lease consists of an operating lease for office space. The Company
does not recognize a lease liability or right-of-use asset on the balance sheet for short-term leases. Instead, the Company recognizes
short-term lease payments as an expense on a straight-line basis over the lease term. A short-term lease is defined as a lease that,
at the commencement date, has a lease term of 12 months or less and does not include an option to purchase the underlying asset that
the lessee is reasonably certain to exercise.
Fair
Value of Financial Instruments
The
Company’s financial instruments primarily include cash, short-term investments, and accounts payable. Due to the short-term nature
of cash and accounts payable the carrying amounts of these assets and liabilities approximate their fair value.
Fair value is defined as the price that would
be received to sell an asset or paid to transfer a liability (an exit price), in an orderly transaction between market participants at
the reporting date. A fair value hierarchy has been established for valuation inputs that gives the highest priority to quoted prices
in active markets for identical assets or liabilities and the lowest priority to unobservable inputs. The fair value hierarchy is as follows:
|
Level 1 Inputs –
Unadjusted quoted prices in active markets for identical assets or liabilities that the reporting entity has the ability to access
at the measurement date. |
|
|
|
Level 2 Inputs –
Inputs other than quoted prices included in Level 1 that are observable for the asset or liability, either directly or indirectly.
These might include quoted prices for similar assets or liabilities in active markets, quoted prices for identical or similar assets
or liabilities in markets that are not active, inputs other than quoted prices that are observable for the asset or liability (such
as interest rates, volatilities, prepayment speeds, credit risks, etc.) or inputs that are derived principally from or corroborated
by market data by correlation or other means. |
|
|
|
Level 3 Inputs –
Prices or valuation techniques that require inputs that are both significant to the fair value measurement and unobservable (supported
by little or no market activity). |
As
required by Accounting Standard Codification (ASC) Topic No. 820 – 10 Fair Value Measurement, financial assets and liabilities
are classified based on the lowest level of input that is significant to the fair value measurement. The Company’s assessment of
the significance of a particular input to the fair value measurement requires judgment and may affect the valuation of the fair value
of assets and liabilities and their placement within the fair value hierarchy levels.
The Company’s short-term investment instruments
of $99,568,502 at September 30, 2023 consist of mutual funds and are classified using Level 1 inputs within the fair value hierarchy
because the value is based on quoted prices in active markets. Unrealized gains and losses are recorded in the unaudited condensed consolidated
statement of operations under other (expenses) income. The Company recorded an unrealized loss of $579,147 for the three months ended
September 30, 2023 and an unrealized gain of $72,329 included in other (expenses) income for the nine months ended September 30, 2023.
The Company recorded unrealized loss of $947,512 and $3,897,135 included in other (expenses) income for the three and nine months ended
September 30, 2022, respectively.
Relmada
Therapeutics, Inc.
Notes
to Unaudited Condensed Consolidated Financial Statements
NOTE
2 – SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (continued)
Income
Taxes
The
Company accounts for income taxes using the asset and liability method. Accordingly, deferred tax assets and liabilities are recognized
for the future tax consequences attributable to differences between financial statement carrying amounts of existing assets and liabilities
and their respective tax bases. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable
income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and
liabilities of a change in the tax rate is recognized in income or expense in the period that the change is effective. Tax benefits are
recognized when it is probable that the deduction will be sustained. A valuation allowance is established when it is more likely than
not that all or a portion of a deferred tax asset will either expire before the Company is able to realize the benefit, or that future
deductibility is uncertain. As of September 30, 2023 and December 31, 2022, the Company had recognized a valuation allowance to the full
extent of the Company’s net deferred tax assets since the likelihood of realization of the benefit does not meet the more likely
than not threshold.
The
Company files a U.S. Federal income tax return and various state returns. Uncertain tax positions taken on the Company’s tax returns
will be accounted for as liabilities for unrecognized tax benefits. The Company will recognize interest and penalties, if any, related
to unrecognized tax benefits in general and administrative expenses in the statements of operations. There were no liabilities recorded
for uncertain tax positions at September 30, 2023 and December 31, 2022. The open tax years, subject to potential examination by the
applicable taxing authority, for the Company are from June 30, 2018 forward.
Research
and Development
Research
and development costs primarily consist of research contracts for the advancement of product development, salaries and benefits, stock-based
compensation, and consultants. The Company expenses all research and development costs in the period incurred. The Company makes an estimate
of costs in relation to clinical study contracts. The Company analyzes the progress of studies, including the progress of clinical studies
and phases, invoices received and contracted costs when evaluating the adequacy of the amount expensed and the related prepaid asset
and accrued liability.
Stock-Based
Compensation
The
Company measures the cost of employee services received in exchange for an award of equity instruments based on the grant-date fair value
of the award. That cost is recognized over the period during which an employee is required to provide service in exchange for the award
– the requisite service period. The grant-date fair value of employee share options is estimated using the Black-Scholes option
pricing model adjusted for the unique characteristics of those instruments.
Net
Loss per Common Share
Basic
loss per common share attributable to common stockholders is calculated by dividing the net loss attributable to common stockholders
by the weighted-average number of common shares outstanding for the period, without consideration for common stock equivalents. Diluted
loss per common share attributable to common stockholders is computed by dividing the net loss attributable to common stockholders by
the weighted-average number of common share equivalents outstanding for the period determined using the treasury-stock method. Dilutive
common stock equivalents are comprised of options and warrants to purchase common stock. For all periods presented, there is no difference
in the number of shares used to calculate basic and diluted shares outstanding due to the Company’s net losses in each period.
For
the nine months ended September 30, 2023 and 2022, the potentially dilutive securities that would be anti-dilutive due to the Company’s
net loss are not included in the calculation of diluted net loss per share attributable to common stockholders. The anti-dilutive securities
are as follows (in common stock equivalent shares):
| |
Nine months ended | |
| |
September 30, 2023 | | |
September 30, 2022 | |
Stock options | |
| 12,455,568 | | |
| 10,719,424 | |
Common stock warrants | |
| 3,027,441 | | |
| 4,484,874 | |
Total | |
| 15,483,009 | | |
| 15,204,298 | |
Relmada
Therapeutics, Inc.
Notes
to Unaudited Condensed Consolidated Financial Statements
NOTE
3 – PREPAID EXPENSES
Prepaid
expenses consisted of the following (rounded to nearest $00):
| |
September 30, 2023 | | |
December 31, 2022 | |
Insurance | |
$ | 445,100 | | |
$ | 313,200 | |
Research and Development | |
| 2,185,900 | | |
| 3,619,800 | |
Other | |
| 203,000 | | |
| 102,200 | |
Total | |
$ | 2,834,000 | | |
$ | 4,035,200 | |
NOTE
4 – ACCRUED EXPENSES
Accrued
expenses consisted of the following (rounded to nearest $00):
| |
September 30,
2023 | | |
December 31,
2022 | |
Research and development | |
$ | 3,860,700 | | |
$ | 5,809,800 | |
Professional fees | |
| 174,900 | | |
| 116,500 | |
Accrued bonus | |
| 1,106,900 | | |
| 492,100 | |
Accrued vacation | |
| 355,900 | | |
| 529,800 | |
Other | |
| 67,100 | | |
| 258,700 | |
Total | |
$ | 5,565,500 | | |
$ | 7,206,900 | |
NOTE
5 – STOCKHOLDERS’ EQUITY
Common
Stock
During
the nine months ended September 30, 2023, no shares of common stock were issued.
On
April 6, 2022, the Company entered into a new Open Market Sale Agreement with Jefferies, as sales agent, pursuant to which we may offer
and sell, from time to time, through Jefferies, shares of our common stock, having an aggregate offering price of up to $100,000,000.
We are not obligated to sell any shares under the agreement. As of September 30, 2023, no shares have been issued under this agreement.
Options
and Warrants
In
December 2014, the Board of Directors adopted, and the Company’s shareholders approved Relmada’s 2014 Stock Option and Equity
Incentive Plan, as amended (the “Plan”), which allows for the granting of 5,152,942 common stock awards, stock appreciation
rights, and incentive and nonqualified stock options to purchase shares of the Company’s common stock to designated employees,
non-employee directors, and consultants and advisors.
In
May 2021, the Company’s Board of Directors adopted, and shareholders approved Relmada’s 2021 Equity Incentive Plan (the “2021
Plan”) which allows for the granting of 1,500,000 options or stock awards.
In
May 2022, the Company’s Board of Directors adopted, and shareholders approved an amendment to the 2021 Plan to increase the shares
of the Company’s common stock available for issuance thereunder by 3,900,000 shares.
In
May 2023, the Company’s Board of Directors adopted and shareholders approved an amendment to the 2021 Plan to increase the shares
of the Company’s common stock available for issuance thereunder by 2,500,000 shares.
These
combined plans allowed for the granting of up to 13,052,942 options or other stock awards.
Relmada
Therapeutics, Inc.
Notes
to Unaudited Condensed Consolidated Financial Statements
NOTE
5 – STOCKHOLDERS’ EQUITY (continued)
Stock options are exercisable generally for a
period of 10 years from the date of grant and generally vest over four years. As of September 30, 2023, 597,374 shares were available
for future grants under the 2014 or 2021 Plan.
As
of September 30, 2023, no stock appreciation rights have been issued.
The
Company utilizes the Black-Scholes option pricing model to estimate the fair value of stock options and warrants. The risk-free interest
rate assumptions were based upon the observed interest rates appropriate for the expected term of the equity instruments. The expected
dividend yield was assumed to be zero as the Company has not paid any dividends since its inception and does not anticipate paying dividends
in the foreseeable future. The expected volatility was based on historical volatility.
The
Company uses the simplified method for share-based compensation to estimate the expected term for equity awards for share-based compensation
in its option-pricing model.
From January 1, 2023 through September 30,
2023, 690,000 options were issued to various consultants and employees with an exercise price ranging from $2.28 to $4.30 and a
10-year term, vesting over a 4 year period. The options granted include time-based vesting grants. The options have an aggregate
fair value of approximately $2.1 million calculated using the Black-Scholes option-pricing model. Variables used in the
Black-Scholes option-pricing model include: (1) discount rate of 3.43 – 4.44 % (2) expected life of 6.25 years, (3) expected
volatility of 113.3 – 115.6 %, and (4) zero expected dividends.
On September 5, 2023, Dr. Eric Schmidt, a member
of the Board of Directors (the “Board”), notified the Company that he would resign from the Board, effective immediately.
On September 22, 2023, the Board voted and approved that all of Dr. Schmidt’s unvested options would vest immediately and be exercisable
through the original term of the respective grants. In addition, the Board approved the extension of the exercise period for the options
which were vested on September 5, 2023 from 90 days to the original term of the respective options. As a result of the modifications, the
Company recorded approximately $1.2 million of stock-based compensation during the quarter ended September 30, 2023.
At September 30, 2023,
the Company has unrecognized stock-based compensation expense of approximately $61.2 million related to unvested stock options which will
be recognized over the weighted average remaining service period of 2.33 years.
Options
A
summary of the changes in options during the nine months ended September 30, 2023 is as follows:
| |
Number of
Options | | |
Weighted
Average
Exercise
Price Per
Share | | |
Weighted
Average
Remaining
Contractual
Term
(Years) | | |
Aggregate
Intrinsic
Value | |
Outstanding and expected to vest at December 31, 2022 | |
| 12,122,606 | | |
$ | 18.19 | | |
| 8.5 | | |
$ | 417,998 | |
Granted | |
| 690,000 | | |
$ | 3.52 | | |
| 9.33 | | |
$ | 14,600 | |
Forfeited | |
| (191,099 | ) | |
$ | - | | |
| - | | |
$ | - | |
Cancelled | |
| (165,939 | ) | |
$ | - | | |
| - | | |
$ | - | |
Outstanding at September 30, 2023 | |
| 12,455,568 | | |
$ | 17.20 | | |
| 7.86 | | |
$ | 14,600 | |
Options exercisable at September 30, 2023 | |
| 6,559,124 | | |
$ | 20.36 | | |
| 7.17 | | |
$ | - | |
Warrants
A
summary of the changes in outstanding warrants during the nine months ended September 30, 2023 is as follows:
| |
Number of
Shares | | |
Weighted
Average
Exercise
Price Per
Share | |
Outstanding at December 31, 2022 | |
| 3,027,441 | | |
$ | 15.24 | |
Granted | |
| - | | |
$ | - | |
Exercised | |
| - | | |
$ | - | |
Outstanding at September 30, 2023 | |
| 3,027,441 | | |
$ | 15.24 | |
Warrants vested at September 30, 2023 | |
| 2,853,816 | | |
$ | 16.08 | |
Relmada
Therapeutics, Inc.
Notes
to Unaudited Condensed Consolidated Financial Statements
NOTE
5 – STOCKHOLDERS’ EQUITY (continued)
At September 30, 2023, the Company had approximately
$3.95 million of unrecognized compensation expense related to outstanding warrants.
At
September 30, 2023, the aggregate intrinsic value of warrants vested and outstanding was $0.
Stock-based
compensation by class of expense
The
following table summarizes the components of stock-based compensation expense which includes stock options and warrants in the unaudited
consolidated statements of operations for the nine months ended September 30, 2023 and 2022 (rounded to nearest $00):
| |
Nine Months Ended September 30,
2023 | | |
Nine Months Ended September 30,
2022 | |
Research and development | |
$ | 5,463,100 | | |
$ | 5,674,600 | |
General and administrative | |
| 28,453,800 | | |
| 26,894,200 | |
Total | |
$ | 33,916,900 | | |
$ | 32,568,800 | |
NOTE
6 – COMMITMENTS AND CONTINGENCIES
License
Agreements
Wonpung
On
August 20, 2007, the Company entered into a License Development and Commercialization Agreement with Wonpung Mulsan Co, a shareholder
of the Company. Wonpung has exclusive territorial rights in countries it selects in Asia to market up to two drugs the Company was developing
at the time of the signing of the agreement and a right of first refusal (“ROFR”) for up to an additional five drugs that
the Company may develop in the future as defined in more detail in the license agreement. If the parties cannot agree to terms of a license
agreement then the Company shall be able to engage in discussions with other potential licensors. As of September 30, 2022, no discussions
are active between the Company and Wonpung.
The
Company received an upfront license fee of $1,500,000 and will earn royalties of up to 12% of net sales for up to two licensed products
it is currently developing. The licensing terms for the ROFR products are subject to future negotiations and binding arbitration. The
terms of each licensing agreement will expire on the earlier of any time from 15 years to 20 years after licensing or on the date of
commercial availability of a generic product to such licensed product in the licensed territory.
Third
Party Licensor
Based
upon a prior acquisition, the Company assumed an obligation to pay third parties (Dr. Charles E. Inturrisi and Dr. Paolo Manfredi –
see below): (A) royalty payments up to 2% on net sales of licensed products that are not sold by sublicensee and (B) on each and every
sublicense earned royalty payment received by licensee from its sublicensee on sales of license product by sublicensee, the higher of
(i) 20% of the royalties received by licensee; or (ii) up to 2% of net sales of sublicensee. The Company will also make milestone payments
of up to $4 million or $2 million, for the first commercial sale of product in the field that has a single active pharmaceutical ingredient,
and for the first commercial sale of product in the field of product that has more than one active pharmaceutical ingredient, respectively.
As of September 30, 2023, the Company has not generated any revenue related to this license agreement.
Inturrisi
/ Manfredi
In January 2018, the Company entered into
an Intellectual Property Assignment Agreement (the Assignment Agreement) and License Agreement (the License Agreement and together with
the Assignment Agreement, the Agreements) with Dr. Charles E. Inturrisi and Dr. Paolo Manfredi (collectively, the Licensor). Pursuant
to the Agreements, Relmada assigned its existing rights, including patents and patent applications, to esmethadone in the context of psychiatric
use (the Existing Invention) to Licensor. Licensor then granted Relmada under the License Agreement a perpetual, worldwide, and exclusive
license to commercialize the Existing Invention and certain further inventions regarding esmethadone, in the context of other indications
such as those contemplated above. In consideration of the rights granted to Relmada under the License Agreement, Relmada paid the
Licensor an upfront, non-refundable license fee of $180,000. Additionally, Relmada will pay Licensor $45,000 every three months until
the earliest to occur of the following events: (i) the first commercial sale of a licensed product anywhere in the world, (ii) the expiration
or invalidation of the last to expire or be invalidated of the patent rights anywhere in the world, or (iii) the termination of the License
Agreement. Relmada will also pay Licensor tiered royalties with a maximum rate of 2%, decreasing to 1.75%, and 1.5% in certain circumstances,
on net sales of licensed products covered under the License Agreement. Relmada will also pay Licensor tiered payments up to a maximum
of 20%, and decreasing to 17.5%, and 15% in certain circumstances, of all consideration received by Relmada for sublicenses granted under
the License Agreement. As of September 30, 2023, no events have occurred, and the Company continues to pay Licensor $45,000 every three
months.
Relmada
Therapeutics, Inc.
Notes
to Unaudited Condensed Consolidated Financial Statements
NOTE
6 – COMMITMENTS AND CONTINGENCIES (continued)
Arbormentis,
LLC
On
July 16, 2021, the Company entered into a License Agreement with Arbormentis, LLC, a privately held Delaware limited liability company,
by which the Company acquired development and commercial rights to a novel psilocybin and derivate program from Arbormentis, LLC, worldwide
excluding the countries of Asia. The Company will collaborate with Arbormentis, LLC on the development of new therapies targeting
neurological and psychiatric disorders, leveraging its understanding of neuroplasticity, and focusing on this emerging new class of drugs
targeting the neuroplastogen mechanism of action. Under the terms of the License Agreement, the Company paid Arbormentis, LLC an upfront
fee of $12.7 million, consisting of a mix of cash and warrants to purchase the Company’s common stock, in addition to potential
milestone payments totaling up to approximately $160 million related to pre-specified development and commercialization milestones.
Arbormentis, LLC is also eligible to receive a low single digit royalty on net sales of any commercialized therapy resulting from this
agreement. The license agreement is terminable by the Company but is perpetual and not terminable by the licensor absent material breach
of its terms by the Company.
The
new licensed program stems from an international collaboration among U.S., European and Swiss scientists that has focused on the discovery
and development of compounds that may promote neural plasticity. Dr. Paolo Manfredi, Relmada’s Acting Chief Scientific Officer
and co-inventor of REL-1017, and Dr. Marco Pappagallo, Relmada’ s prior Acting Chief Medical Officer, are among the scientists
affiliated with Arbormentis, LLC.
Legal
From
time to time, the Company may become involved in lawsuits and other legal proceedings that arise in the course of business. Litigation
is subject to inherent uncertainties, and it is not possible to predict the outcome of litigation with total confidence. The Company
is currently not aware of any legal proceedings or potential claims against it whose outcome would be likely, individually or in the
aggregate, to have a material adverse effect on the Company’s business, financial condition, operating results, or cash flows.
Leases
and Sublease
On August 1, 2021, the Company relocated its corporate
headquarters to 2222 Ponce de Leon, Floor 3, Coral Gables, FL 33134, pursuant to a lease agreement with monthly rent of approximately
$11,000. The lease period was for five months. The lease agreement expired on December 31, 2021 and was renewed for the calendar year
2022 and 2023 with monthly rent of approximately $9,000 and $7,000 respectively. Beginning on January 1, 2023, we also leased office space
at 880 Third Avenue, 12th Floor, New York, NY 10022 with monthly rent of approximately $14,500 that expires on December 31,
2023. In accordance with ASC 842, Leases, the Company recognizes rent expense evenly over the 12 months. For the nine months ended
September 30, 2023 and 2022, the Company recognized lease expense of approximately $213,500 and $87,100, respectively.
On
June 8, 2017, the Company entered into an agreement with Actinium Pharmaceuticals, Inc. Pursuant to the terms of the agreement, Actinium
licensed the furniture, fixtures, equipment and tenant improvements located in its office (FFE) for a license fee of $7,529 per month
until December 8, 2022. On July 7, 2022, Actinium exercised its right to purchase the FFE for $52,698. The license of FFE qualified as
a sales type lease. At inception, the Company derecognized the underlying assets of $493,452, recognized discounted lease payments receivable
of $397,049 using the discount rate of 8.38% and recognized loss on sales-type lease of fixed assets of $96,403. As of September 30,
2023 and 2022 there was no unearned interest income.
NOTE
7 – OTHER POST-RETIREMENT BENEFIT PLAN
Relmada
participates in a multiemployer 401(k) plan that permits eligible employees to contribute funds on a pretax basis subject to maximum
allowed under federal tax provisions. The Company matches 100% of the first 3% of employee contributions, plus 50% of employee contributions
that exceed 3% but do not exceed 5%.
The
employees choose an amount from various investment options for both their contributions and the Company’s matching contribution.
The Company’s contribution expense was approximately $118,800 and $87,900 for the nine months ended September 30, 2023 and 2022,
respectively.
NOTE
8 – SUBSEQUENT EVENTS
None.
ITEM 2. MANAGEMENT’S DISCUSSION
AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATION
FORWARD-LOOKING STATEMENT NOTICE
This Quarterly Report on Form 10-Q (this Report)
contains forward looking statements that involve risks and uncertainties, principally in the sections entitled “Risk Factors,”
and “Management’s Discussion and Analysis of Financial Condition and Results of Operations.” All statements other than
statements of historical fact contained in this Quarterly Report, including statements regarding future events, our future financial
performance, business strategy and plans and objectives of management for future operations, are forward-looking statements. We have
attempted to identify forward-looking statements by terminology including “anticipates,” “believes,” “can,”
“continue,” “could,” “estimates,” “expects,” “intends,” “may,”
“plans,” “potential,” “predicts,” “should,” or “will” or the negative of
these terms or other comparable terminology. Although we do not make forward-looking statements unless we believe we have a reasonable
basis for doing so, we cannot guarantee their accuracy. These statements are only predictions and involve known and unknown risks, uncertainties
and other factors, including the risks outlined under “Risk Factors” or elsewhere in this Quarterly Report, which may cause
our or our industry’s actual results, levels of activity, performance or achievements expressed or implied by these forward-looking
statements. Moreover, we operate in a very competitive and rapidly changing environment. New risks emerge from time to time and it is
not possible for us to predict all risk factors, nor can we address the impact of all factors on our business or the extent to which
any factor, or combination of factors, may cause our actual results to differ materially from those contained in any forward-looking
statements. All forward-looking statements included in this document are based on information available to us on the date hereof, and
we assume no obligation to update any such forward-looking statements.
You should not place undue reliance on any forward-looking
statement, each of which applies only as of the date of this Quarterly Report on Form-10-Q. Before you invest in our securities, you
should be aware that the occurrence of the events described in the section entitled “Risk Factors” and elsewhere in this
Quarterly Report could negatively affect our business, operating results, financial condition and stock price. Except as required by
law, we undertake no obligation to update or revise publicly any of the forward-looking statements after the date of this Quarterly Report
on Form-10-Q to conform our statements to actual results or changed expectations.
Business Overview
Relmada Therapeutics, Inc. (Relmada or the Company,
we or us) (a Nevada corporation), is a clinical-stage biotechnology company focused on the development of esmethadone (d-methadone, dextromethadone,
REL-1017), an N-methyl-D-aspartate (NMDA) receptor antagonist. Esmethadone, an isomer of methadone, is a new chemical entity (NCE) that
potentially addresses areas of high unmet medical need in the treatment of central nervous system (CNS) diseases and other disorders.
Our lead product candidate, esmethadone, is being
developed as a rapidly acting, oral agent for the treatment of depression and other potential indications. On October 15, 2019 we reported
top-line data from study REL-1017-202. During late 2022, we announced RELIANCE I and III did not achieve their primary endpoints. Relmada
has completed its long term, open label study and plans to complete two additional adjunctive Phase 3 trials (RELIANCE II and RELIGHT).
Relmada also intends, in 2024, to enter human
studies of its proprietary, non-psychedelic/low dose modified-release formulation of psilocybin for metabolic indications.
Phase 2 Clinical Trial
In the REL-1017-202 study, 62 subjects, with
an average age of 49.2 years, with an average Hamilton Depression Rating Scale score of 25.3 and an average Montgomery-Asberg Depression
Rating Scale (MADRS) score of 34.0 (severe depression), were randomized. Other demographic characteristics were balanced across all arms.
After an initial screening period, subjects were randomized to one of three arms: placebo, REL-1017 25 mg or REL-1017 50 mg, in addition
to stable background antidepressant therapy. Subjects in the REL-1017 treatment arms received one loading dose of either 75 mg (25 mg
arm) or 100 mg (50 mg arm) of REL-1017. Subjects were treated inpatient for 7 days and discharged home at Day 9. They returned for follow-up
visits at Day 14 and Day 21. Efficacy was measured on Days 2, 4 and 7 in the dosing period and on Day 14, one week after treatment discontinuation.
61 subjects received all treatment doses and were included in the per-protocol population (PPP) treatment analysis; 57 subjects completed
all visits. All 62 randomized subjects were part of the intention-to-treat (ITT) analysis. No differences were observed between the ITT
and PPP analyses and results.
We observed that subjects in both the REL-1017
25 mg and 50 mg treatment groups experienced statistically significant improvement on all efficacy measures tested as compared to subjects
in the placebo group, including: MADRS; the Clinical Global Impression – Severity (CGI-S) scale; the Clinical Global Impression
– Improvement (CGI-I) scale; and the Symptoms of Depression Questionnaire (SDQ).
Improvements on the MADRS endpoint appeared on
Day 4 in both REL-1017 dose groups and continued through Day 7 and Day 14, seven days after treatment discontinuation, with P values<
0.03 and large effect sizes (a measure of quantifying the difference between two groups), ranging from 0.7 to 1.0. Similar findings emerged
from the CGI-S and CGI-I scales.
The study also confirmed the tolerability profile
of REL-1017, which was observed in the Phase 1 studies. Subjects experienced only mild and moderate adverse events (AEs), and no serious
adverse events, without significant differences between placebo and treatment groups. The AEs observed in the Phase 2a clinical study
were of the same nature as those observed in the Phase 1 clinical studies of d-Methadone, and there was no evidence of either treatment
induced psychotomimetic and dissociative AEs or withdrawal signs and symptoms upon treatment discontinuation.
Phase 3 Program
On December 20, 2020, Relmada announced that
the first patient had been enrolled in the first Phase 3 clinical trial (RELIANCE I) for the Company’s lead product candidate,
REL-1017, as an adjunctive treatment for MDD.
On April 1, 2021, Relmada announced the initiation
of RELIANCE II, the second of two sister pivotal Phase 3 clinical trials (RELIANCE I and RELIANCE II) for the Company’s lead product
candidate, REL-1017, as an adjunctive treatment for MDD.
On October 4, 2021, Relmada announced the initiation
of RELIANCE III study, a monotherapy trial for the Company’s lead product candidate, REL-1017.
On August 9, 2022, Relmada announced that the
FDA granted Fast Track designation to REL-1017 as a monotherapy for the treatment of MDD.
On October 13, 2022, Relmada announced that its
RELIANCE III study, evaluating REL-1017 in the monotherapy setting for MDD, did not achieve its primary endpoint, which was a statistically
significant improvement in depression symptoms compared to placebo as measured by MADRS on Day 28. In the study, the REL-1017 treatment
arm showed a MADRS reduction of 14.8 points at Day 28 versus 13.9 points for the placebo arm, a higher than expected placebo response.
On December 7, 2022, Relmada announced that its
RELIANCE I study, evaluating REL-1017 as an adjunctive treatment for MDD, did not achieve its primary endpoint, which was a statistically
significant improvement in depression symptoms compared to placebo as measured by MADRS on Day 28. In the study, the REL-1017 treatment
arm (n= 113) showed a MADRS reduction of 15.1 points at Day 28 versus 12.9 points for the placebo arm (n=114), which is a clinically meaningful
difference of 2.2 points on the MADRS. The study also showed a nominally statistically significant difference in the response rate, with
a response rate of 39.8% in the REL-1017 arm vs 27.2% in the placebo arm (p<0.05). Additionally, in a prespecified protocol analysis,
the REL-1017 treatment arm (n=101) showed a MADRS reduction of 15.6 points at Day 28 versus 12.5 points for the placebo arm (n=97), a
difference of 3.1 points, with p=0.051.
Patients who completed the RELIANCE trials were
eligible to rollover into the long-term, open-label study, which also included subjects who had not previously participated in a REL-1017
clinical trial. This rollover study completed subject visits on July 11, 2023.
On August 23, 2023, Relmada announced the dosing
of the first patient in RELIGHT, a Phase 3 clinical trial for REL-1017, as an adjunctive treatment for MDD.
On September 20, 2023, Relmada announced efficacy
results for the de novo (or new to treatment) patients (204 patients) and safety results for all subjects (627 patients) from the Phase
3, long-term, open-label, registrational trial (Study 310) of REL-1017 in patients with Major Depressive Disorder (MDD). Patients treated
daily with REL-1017 for up to one year experienced rapid, clinically meaningful, and sustained improvements in depressive symptoms and
associated functional impairment. REL-1017 was well-tolerated with long-term dosing, showing low rates of adverse events and discontinuations
due to adverse events. No new safety signals were detected.
In addition, in order to support potential regulatory
submissions seeking approval for REL-1017 as monotherapy and adjunctive treatment, the FDA confirmed that, based on what is known at
this time, Relmada will not be required to conduct a two-year carcinogenicity study of REL-1017, as sufficient clinical data have been
generated to date. The FDA also confirmed that Relmada does not need to conduct a Thorough QT analysis (TQT) cardiac study in humans
to support cardiac safety in potential regulatory submissions for REL-1017, as the data provided so far and the data generated by the
Phase 3 program will be adequate to evaluate the cardiac safety profile of REL-1017.
Human Abuse Potential (HAP) Studies
Top-line Results - Oxycodone:
On July 27, 2021, Relmada announced top-line
results that showed that all three doses of REL-1017 (25 mg, 75 mg and 150 mg, the therapeutic, supratherapeutic and maximum tolerated
doses (MTD), respectively) tested in recreational opioid users, demonstrated a highly statistically significant difference vs. the active
control drug, oxycodone 40 mg. The study’s primary endpoint was a measure of “likability” with the subjects rating
the maximum effect (or Emax) for Drug Liking “at the moment”, using a 1=100 bipolar rating scale (known as a visual analog
scale or VAS), with 100 as the highest likability, 50 as neutral (placebo-like), and 0 the highest dislike. In summary, all tested doses
of REL-1017, including the 150 mg MTD, showed a highly statistically significant difference in abuse potential versus oxycodone with
p-values less than 0.05. Consistent results were seen for the secondary endpoints. Additionally, all REL-1017 doses including 150 mg
(6 times the therapeutic dose and MTD) were statistically equivalent to placebo (p<0.05). These results support the lack of opioid
effects of REL-1017.
Top-line Results - Ketamine:
On February 23, 2022,
Relmada announced top-line results that showed that all three doses of REL-1017 (25 mg, 75 mg, and 150 mg, the therapeutic, supratherapeutic
and MTD, respectively) tested in recreational drug users, demonstrated a substantial (30+ points) and statistically significant difference
vs. the active control drug, intravenous ketamine 0.5 mg/kg over 40 minutes, and, importantly, were statistically equivalent to placebo.
The study’s primary endpoint was a measure of “likability” with the subjects rating the maximum effect (or Emax) for
Drug Liking “at this moment”, using a 1-100 bipolar rating scale (known as a visual analog scale or VAS), with 100 as the
highest likability, 50 as neutral (placebo-like), and 0 the highest dislike. Consistent results are seen for the secondary endpoints.
Psilocybin Program:
On October 11, 2023,
Relmada announced that it intends to enter human studies of its proprietary, non-psychedelic/low dose modified-release formulation of
psilocybin for metabolic indications. The Company plans to commence a single-ascending dose Phase 1 trial in obese patients with steatotic
liver disease in early 2024 to define the pharmacokinetic, safety and tolerability profile of Relmada's modified-release psilocybin formulation
in this population, followed by a Phase 2a trial in the same patient population to establish clinical proof-of-concept.
Pre-clinical data in
a rodent model of metabolic dysfunction-associated steatotic liver disease (MASLD) demonstrated beneficial effects of non-psychedelic/low
dose psilocybin on multiple metabolic parameters, including reduced hepatic steatosis, reduced body weight gain, and fasting blood glucose
levels.
Key Upcoming Anticipated Milestones
We expect multiple key milestones over the next
12-18 months. These include:
| ● | Complete enrollment in ongoing RELIANCE II, which is planned to enroll
approximately 300 patients, in the first half of 2024. |
| ● | Complete enrollment in new Relight study, which is planned to enroll
approximately 300 patients, in the second half of 2024. |
|
● |
Initiate Phase I trial of non-psychedelic/low dose modified-release formulation of psilocybin in early 2024. |
Our Development Program
Esmethadone (d-Methadone, dextromethadone,
REL-1017) as a treatment for MDD
Background
In 2020, the National Institute of Mental Health
(NIMH) estimated that 21.0 million adults aged 18 or older in the United States had at least one major depressive episode in the past
year. According to data from nationally representative surveys supported by NIMH, only about half of Americans diagnosed with major depression
in a given year receive treatment. Of those receiving treatment with as many as four different standard antidepressants, 33% of drug-treated
depression patients do not achieve adequate therapeutic benefits according to the Sequenced Treatment Alternatives to Relieve Depression
(STAR*D) trial published in the American Journal of Psychiatry.
In addition to the high failure rate, only two
of the marketed products for depression, esketamine (marketed by Johnson and Johnson as Spravato®), an in-clinic nasal spray treatment,
and dextromethorphan-bupropion (marketed by Axsome as Auvelityä), can demonstrate rapid
antidepressant effects, while the other currently approved products can take two to eight weeks to show activity. The urgent need for
improved, faster acting antidepressant treatments is underscored by the fact that severe depression can be life-threatening, due to heightened
risk of suicide.
Esmethadone Overview and Mechanism of Action
Esmethadone’s mechanism of action, as a
low affinity, non-competitive NMDA channel blocker or antagonist, is fundamentally differentiated from most currently FDA-approved antidepressants,
as well as all atypical antipsychotics used adjunctively with standard, FDA-approved antidepressants. Working through the same brain
mechanisms as ketamine and esketamine but potentially lacking their adverse side effects, esmethadone is being developed as a rapidly
acting, oral agent for the treatment of depression and potentially other CNS conditions.
In chemistry an enantiomer, also known as an
optical isomer, is one of two stereoisomers that are mirror images of each other that are non-superimposable (not identical), much as
one’s left and right hands are the same except for being reversed along one axis. A racemic compound, or racemate, is one that
has equal amounts of left- and right-handed enantiomers of a chiral molecule. For racemic drugs, often only one of a drug’s enantiomers
is responsible for the desired physiologic effects, while the other enantiomer is less active or inactive.
As a single isomer of racemic methadone, esmethadone
has been shown to possess NMDA antagonist properties with virtually no traditional opioid or ketamine-like adverse events at the expected
therapeutic doses. In contrast, racemic methadone is associated with common opioid side effects that include anxiety, nervousness, restlessness,
sleep problems (insomnia), nausea, vomiting, constipation, diarrhea, drowsiness, and others. It has been shown that the left (levo) isomer,
l-methadone, is largely responsible for methadone’s opioid activity, while the right (dextro) isomer, esmethadone, at the currently
therapeutic doses used in development is virtually inactive as an opioid while maintaining affinity for the NMDA receptor.
NMDA receptors are present in many parts of the
CNS and play important roles in regulating neuronal activity and promoting synaptic plasticity in brain areas important for cognitive
functions such as executive function, learning and memory. Based on these premises, esmethadone could show benefits in several different
CNS indications.
Esmethadone (d-methadone, dextromethadone,
REL-1017) in other indications
While our current strategy is to focus on the
further development of esmethadone as an adjunctive treatment of MDD, we may in the future re-commence testing of esmethadone as a monotherapy
for MDD. In addition, we are evaluating other indications that Relmada may explore in the future, including restless leg syndrome and
other glutamatergic system activation related diseases.
Psilocybin Program
Relmada acquired the development and commercial
rights to a novel psilocybin and derivative program from Arbormentis LLC in July of 2021. The original focus of the program was limited
to neurodegenerative diseases. Psilocybin has neuroplastogen™ effects that have the potential to ameliorate the consequences of
multiple neurodegenerative conditions. The pleiotropic metabolic effects of low-dose psilocybin were discovered while studying its neuroplastogen™
potential in a rodent model deficient in neurogenesis – obese rodents maintained on a high fructose, high fat diet (HFHFD). Specifically,
in a rodent model of metabolic dysfunction-associated steatotic liver disease (MASLD), beneficial effects of non-psychedelic/low dose
psilocybin were observed on multiple metabolic parameters, including reduced hepatic steatosis, reduced body weight gain, and fasting
blood glucose levels.
Our Corporate History and Background
We are a clinical-stage, publicly traded biotechnology
company developing NCEs and novel versions of drug products that potentially address areas of high unmet medical need in the treatment
of depression and other CNS diseases. We are also developing a novel non-psychedelic/low dose psilocybin for the treatment of metabolic
indications.
Currently, none of our product candidates have
been approved for sale in the United States or elsewhere. We have no commercial products nor do we have a sales or marketing infrastructure.
In order to market and sell our products we must conduct clinical trials on patients and obtain regulatory approvals from appropriate
regulatory agencies, like the FDA in the United States, and similar organizations elsewhere in the world.
We have not generated revenues and do not anticipate
generating revenues for the foreseeable future. We had net loss of $73,626,588 for the nine months ended September 30, 2023. At September
30, 2023, we had an accumulated deficit of $535,737,523.
Business Strategy
Our strategy is to leverage our considerable
industry experience, understanding of CNS markets and development expertise to identify, develop and commercialize product candidates
with significant market potential that can fulfill unmet medical needs in the treatment of CNS diseases. We have assembled a management
team along with both scientific advisors, including recognized experts in the fields of depression, and business advisors with significant
industry and regulatory experience to lead and execute the development and commercialization of esmethadone.
We plan to further develop esmethadone as our
priority program. As the drug esmethadone is an NCE, the regulatory pathway required to support a new drug application (NDA) submission
involves a full clinical development program. We plan to continue to generate intellectual property (IP) that will further protect our
products from competition. We will also continue to prioritize our product development activities after taking into account the resources
we have available, market dynamics and potential for adding value.
Market Opportunity
We believe that the market for addressing areas
of high unmet medical need in the treatment of CNS diseases will continue to be large for the foreseeable future and that it will represent
a sizable revenue opportunity for us. For example, the World Health Organization (WHO) has estimated that CNS diseases affect nearly
2 billion people globally, making up approximately 40% of total disease burden (based on disability adjusted life years), compared with
13% for cancer and 12% for cardiovascular disease.
The depression treatment market is segmented
on the basis of antidepressants drugs, devices, and therapies. Antidepressants are the largest and most popular market segment. The antidepressants
segment consists of large pharmaceutical and generic companies, such as Eli Lilly, Pfizer, GlaxoSmithKline, Allergan, Sage Therapeutics
and Johnson & Johnson. Some of the notable drugs produced by these companies are Cymbalta® (Eli Lilly), Effexor® (Pfizer),
Pristiq® (Pfizer), Zulresso® (Sage), Spravato® (Johnson & Johnson) and Auvelityä (Axsome).
Intellectual Property Portfolio and Market
Exclusivity
We have over 50 issued patents and pending patent
applications related to REL-1017 for multiple uses, including psychological and neurological conditions, potentially provide coverage
beyond 2033. We have also secured an Orphan Drug Designation from the FDA for d-methadone for “the treatment of postherpetic neuralgia"
(postherpetic neuralgia is lasting pain in areas of skin affected by previous outbreaks of shingles, caused by the varicella zoster,
or herpes zoster, virus) which, upon potential NDA approval, carries 7-year FDA Orphan Drug marketing exclusivity. In the European Union,
some of our actual and prospective products may be eligible up to 10 years of market exclusivity, which includes 8 years data exclusivity
and 2 years market exclusivity. In addition to any granted patents, REL-1017 will be eligible for market exclusivity to run concurrently
with the term of the patent for 5 years in the U.S. (Hatch Waxman Act) plus an additional 6 months of pediatric exclusivity and up to
10 years of exclusivity in the European Union. We believe an extensive intellectual property estate of US and foreign patents and applications,
once approved, will protect our technology and products.
Key Strengths
We believe that the key elements for our market success include:
|
● |
Compelling lead product opportunity, REL-1017 currently in the second
of three Phase 3 trials for the adjunctive treatment of MDD. |
|
|
|
|
● |
Robust and highly statistically significant, efficacy seen with esmethadone
in a randomized Phase 2 trial with the primary endpoint at 7 days, with onset of action seen at 4 days, and the effect carrying through
to 14 days (7 days post-treatment). |
|
● |
Successful Phase 1 safety studies of esmethadone and strong clinical
activity signal in depression established in three independent animal models in preclinical studies. |
|
|
|
|
● |
Potential in additional multiple indications for esmethadone in underserved
markets with large patient population in other affective disorders, and cognitive disorders. |
|
● |
Substantial esmethadone IP portfolio and market protection: approved and filed patent applications provide coverage beyond 2033. |
|
● |
Portfolio diversification with the development of a novel non-psychedelic/low
dose psilocybin for the treatment of metabolic indications. This program is expected to enter human studies, to define its pharmacokinetic,
safety and tolerability profile, in early 2024. |
|
|
|
|
● |
Scientific support of leading experts: Our scientific advisors include
clinicians and scientists who are affiliated with a number of highly regarded medical institutions such as Harvard, Cornell, Yale, and
University of Pennsylvania. |
Available Information
Reports we file with the Securities and Exchange
Commission (SEC) pursuant to the Exchange Act of 1934, as amended (the Exchange Act), including annual and quarterly reports, and other
reports we file, can be inspected and copied at the public reference facilities maintained by the SEC at 100 F Street NE, Washington,
D.C. 20549.
Results of Operations
For the Three Months Ended September 30, 2023 versus September
30, 2022
| |
Three Months Ended | | |
Three Months Ended | | |
| |
| |
September 30, 2023 | | |
September 30, 2022 | | |
Increase (Decrease) | |
Operating Expenses | |
| | |
| | |
| |
Research and development | |
$ | 10,454,072 | | |
$ | 30,529,108 | | |
$ | (20,075,036 | ) |
General and administrative | |
| 12,238,566 | | |
| 8,208,053 | | |
| 4,030,513 | |
Total | |
$ | 22,692,638 | | |
$ | 38,737,161 | | |
$ | (16,044,523 | ) |
Research and Development Expense
Research and development expense for the three
months ended September 30, 2023 was approximately $10,454,100 compared to $30,529,100 for the three months ended September 30, 2022, a
decrease of approximately $20,075,000. The decrease was primarily due to:
|
● |
Decrease in study costs of $12,875,800 associated with the completion
of the RELIANCE I and III in late 2022; |
|
● |
Decrease in other research expenses of $6,137,200 primarily associated
with the reduction of consultants contracted to assist in RELIANCE I and III that concluded in late 2022; |
|
● |
Decrease in stock-based compensation expense of $1,433,500; |
|
● |
Increase in compensation expense of $208,300 due to an increase in
research and development employees and their related bonus; and |
|
● |
Increase in manufacturing and drug storage costs of $163,200. |
General and Administrative Expense
General and administrative expense for the three
months ended September 30, 2023 was approximately $12,238,600 compared to $8,208,100 for the three months ended September 30, 2022, an
increase of approximately $4,030,500. The increase was primarily due to:
|
● |
Increase in stock-based compensation expense of $4,483,200; |
|
● |
Increase in compensation expense of $29,100 related to an increase of general and administrative employees and their related bonuses; and |
|
● |
Decrease in other general and administrative expenses of $481,800 primarily due to a decrease in consulting services. |
Other Income (Expense)
Interest / investment income was approximately
$1,321,400 and $827,600 for the three months ended September 30, 2023 and 2022, respectively. The increase was due to higher interest
rates and investment yields. Realized loss on short-term investments was approximately $51,700 and $561,600 for the three months ended
September 30, 2023 and 2022, respectively. Unrealized loss on short-term investments was approximately $579,100 and $947,500 for the
three months ended September 30, 2023 and 2022, respectively. Gain on settlement of fees was $6,351,600 for the three months ended September
30, 2022.
Net Loss
The net loss for the Company for the three months
ended September 30, 2023 and 2022 was approximately $22,002,100 and $39,418,700 respectively. The Company had loss per share, basic and
diluted of $0.73 and $1.31 for the three months ended September 30, 2023 and 2022, respectively.
Income Taxes
The Company did not provide for income taxes
for the three months ended September 30, 2023 and 2022, since there was a loss and a full valuation allowance against all deferred tax
assets.
Results of Operations
For the Nine Months Ended September 30, 2023 versus September 30,
2022
| |
Nine Months Ended | | |
Nine Months Ended | | |
| |
| |
September 30, 2023 | | |
September 30, 2022 | | |
Increase (Decrease) | |
Operating Expenses | |
| | |
| | |
| |
Research and development | |
$ | 40,055,287 | | |
$ | 86,454,632 | | |
$ | (46,399,345 | ) |
General and administrative | |
| 36,817,686 | | |
| 36,092,024 | | |
| 725,662 | |
Total | |
$ | 76,872,973 | | |
$ | 122,546,656 | | |
$ | (45,673,683 | ) |
Research and Development Expense
Research and development expense for the nine
months ended September 30, 2023 was approximately $40,055,300 compared to $86,454,600 for the nine months ended September 30, 2022, a
decrease of approximately $46,399,300. The decrease was primarily driven by:
|
● |
Decrease in study costs of $35,273,800 associated with the completion
of RELIANCE I and III in late 2022; |
|
● |
Decrease in other research expenses of $11,640,300 primarily associated
with the reduction of consultants contracted to assist in the execution of RELIANCE I and III that concluded in late 2022; |
|
● |
Decrease in manufacturing and drug storage costs of $414,700; |
|
● |
Decrease in stock-based compensation expense of $211,500; and |
|
● |
Increase in compensation expense of $1,141,000 due to an increase in research and development employees and their related bonuses. |
General and Administrative Expense
General and administrative expense for the nine
months ended September 30, 2023 was approximately $36,817,700 compared to $36,092,000 for the nine months ended September 30, 2022, an
increase of approximately $725,700. The increase was primarily due to:
|
● |
Increase in stock-based compensation expense of $1,559,500 primarily related to options granted to employees and key consultants; |
|
● |
Increase in compensation expense of $415,800 related to an increase of general and administrative employees and their related bonuses; and |
|
● |
Decrease in other general and administrative expenses of $1,249,600 primarily due to a decrease in consulting services. |
Other Income (Expense)
Interest / investment income was approximately
$3,892,500 and $1,544,900 for the nine months ended September 30, 2023 and 2022, respectively. Realized loss on short-term investments
was approximately $718,400 and $552,200 for the nine months ended September 30, 2023 and 2022, respectively. Unrealized gain on short-term
investments was approximately $72,300 and unrealized loss on short-term investments was approximately $3,897,100 for the nine months
ended September 30, 2023 and 2022, respectively. Gain on settlement fees was $6,351,600 for the nine months ended September 30, 2022.
Net Loss
The net loss for the Company for the nine months
ended September 30, 2023 and 2022 was approximately $73,626,600 and $119,099,500 respectively. The Company had loss per share, basic and
diluted of $2.45 and $4.04 for the nine months ended September 30, 2023 and 2022, respectively.
Income Taxes
The Company did not provide for income taxes
for the nine months ended September 30, 2023 and 2022, since there was a loss and a full valuation allowance against all deferred tax
assets.
Liquidity
As shown in the accompanying financial statements, the Company incurred
negative operating cash flows of $41,409,492 for the nine months ended September 30, 2023 and has an accumulated deficit of $535,737,523
from inception through September 30, 2023. At September 30, 2023 the Company had cash and cash equivalents, and short-term investments
of $106,267,101.
Management believes that the Company’s
existing cash and cash equivalents, and short-term investments will enable it to fund operating expenses and capital expenditure requirements
for at least 12 months from the issuance of these unaudited condensed consolidated financial statements. Beyond that point management
will evaluate the size and scope of any subsequent operations and clinical trials that will affect the timing of additional financings
through public or private sales of equity or debt securities or from bank or other loans or through strategic collaboration and/or licensing
agreements. Further, additional financing does not affect the Company’s conclusion that based on the cash on hand and the budgeted
cash flow requirements, the Company has sufficient funds to maintain operations for at least 12 months from the issuance of these unaudited
condensed consolidated financial statements.
The following table sets forth selected cash flow information for
the periods indicated below:
| |
Nine Months Ended September 30, 2023 | | |
Nine Months Ended September 30, 2022 | |
Cash used in operating activities | |
$ | (41,409,492 | ) | |
$ | (67,918,717 | ) |
Cash provided by investing activities | |
| 42,712,186 | | |
| 21,389,056 | |
Cash provided by financing activities | |
| - | | |
| 44,610,591 | |
Net increase/(decrease) in cash and cash equivalents | |
$ | 1,302,694 | | |
| (1,919,070 | ) |
For the nine months ended September 30, 2023,
cash used in operating activities was $41,409,492 primarily due to the net loss of $73,626,588 offset by non-cash stock-based compensation
charges of $33,916,921. There were realized losses and unrealized gains on short-term investments of $718,422 and $72,329, respectively.
In addition, there was a decrease in operating assets and liabilities of $2,345,918.
For the nine months ended September 30, 2022,
cash used in operating activities was $67,918,717 primarily due to the net loss of $119,099,458 offset by non-cash stock-based compensation
charges of $32,568,836. There were realized and unrealized losses on short-term investments of $552,171 and $3,897,135, respectively.
In addition, there was an increase in operating assets and liabilities of $14,162,599.
For the nine months ended September 30, 2023,
cash provided by investing activities was $42,712,186 due to $57,151,963 of purchases of short-term investments offset by $99,864,149
of sales of short-term investments.
For the nine months ended September 30, 2022,
cash provided by investing activities was $21,389,056 due to $38,996,173 of purchases of short-term investments offset by $60,382,229
of sales of short-term investments.
Net cash provided by financing activities for
the nine months ended September 30, 2023 was $0.
Net cash provided by financing activities for
the nine months ended September 30, 2022 was $44,610,591 due to sales of common stock of $42,728,599, proceeds from warrants exercised
for common stock of $1,228,272, and proceeds from options exercised for common stock of $703,720.
Effects of Inflation
Our assets are primarily monetary, consisting
of cash and cash equivalents and short-term investments. Because of their liquidity, these assets are not directly affected by inflation.
However, the rate of inflation affects our expenses, such as those for employee compensation and contract services, which could increase
our level of expenses and the rate at which we use our resources.
Commitments and Contingencies
Please refer to Note 7 in our Annual Report on
Form 10-K for the year ended December 31, 2022 under the heading Commitments and Contingencies. To our knowledge there have been no material
changes to the risk factors that were previously disclosed in the Company’s Annual Report on Form 10-K for the year ended December
31, 2022. Additional risks and uncertainties not currently known to us or that we currently deem to be immaterial also may materially
adversely affect our business, financial condition and/or operating results.
Critical Accounting Policies and Estimates
A critical accounting policy is one that is both
important to the portrayal of a company’s financial condition and results of operations and requires management’s most difficult,
subjective or complex judgments, often as a result of the need to make estimates about the effect of matters that are inherently uncertain.
Our unaudited condensed consolidated financial
statements are presented in accordance with U.S. GAAP, and all applicable U.S. GAAP accounting standards effective as of September 30,
2023 have been taken into consideration in preparing the unaudited consolidated financial statements. The preparation of unaudited condensed
consolidated financial statements requires management to make estimates and assumptions that affect the reported amounts of assets, liabilities,
and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and
expenses for the reporting period. Management bases its estimates on historical experience and on various assumptions that are believed
to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying value of assets
and liabilities that are not readily apparent from other sources. On a continual basis, management reviews its estimates utilizing currently
available information, changes in facts and circumstances, historical experience, and reasonable assumptions. After such reviews, and
if deemed appropriate, management’s estimates are adjusted accordingly. Actual results could differ from those estimates and assumptions
under different and/or future circumstances. Management considers an accounting estimate to be critical if:
|
● |
it requires assumptions to be made that were uncertain at the time the estimate was made; and |
|
|
|
|
● |
changes in the estimate, or the use of different estimating methods that could have been selected,
could have a material impact on results of operations or financial condition. |
We evaluate our estimates and assumptions on
an ongoing basis and none of the Company’s estimates and assumptions used within the unaudited condensed consolidated financial
statements involve a high level of estimation uncertainty. For additional discussion regarding the application of the significant accounting
policies, see Note 2 to the Company’s unaudited condensed consolidated financial statements included in this report.
ITEM 3. QUANTITATIVE AND QUALITATIVE
DISCLOSURES ABOUT MARKET RISK.
There have been no material changes to our exposures
to market risks as disclosed under the heading “Quantitative and Qualitative Disclosures About Market Risks” in the annual
MD&A contained in our Form 10-K for the year ended December 31, 2022.
ITEM 4. CONTROLS AND PROCEDURES
Evaluation of Disclosure Controls and Procedures
We carried out an evaluation, under the supervision
and with the participation of our management, including our principal executive officer and principal financial officer, of the effectiveness
of the design and operation 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 (the Exchange Act). Disclosure controls and procedures include, without limitation, controls and procedures
designed to ensure that information required to be disclosed by an issuer in the reports that it files or submits under the Exchange
Act is accumulated and communicated to the issuer’s management, including its principal executive and principal financial officers,
or persons performing similar functions, as appropriate to allow timely decisions regarding required disclosure. Based upon our evaluation,
our Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures are effective as of September
30, 2023, in ensuring that material information that we are required to disclose in reports that we file or submit under the Exchange
Act is recorded, processed, summarized and reported within the time periods specified in the Securities and Exchange Commission rules
and forms.
Changes in Internal Control over Financial
Reporting
There were no changes in our internal control
over financial reporting, as such term is defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act, during the nine months ended
September 30, 2023 that have materially affected, or are reasonably likely to materially affect, our internal control over financial
reporting.
PART II OTHER INFORMATION
ITEM 1. LEGAL PROCEEDINGS
From time to time, the Company may become involved
in lawsuits and other legal proceedings that arise in the course of business. Litigation is subject to inherent uncertainties, and it
is not possible to predict the outcome of litigation with total confidence. The Company is currently not aware of any legal proceedings
or potential claims against it whose outcome would be likely, individually or in the aggregate, to have a material adverse effect on
the Company’s business, financial condition, operating results, or cash flows.
ITEM 1A. RISK FACTORS
There have been no material changes to the risk
factors under Part I, Item 1A of our Form 10-K for the year ended December 31, 2022.
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
Copies of the following documents are included as exhibits to this
report pursuant to Item 601 of Regulation S-K
* |
The Exhibit attached to this Form 10-Q shall not be deemed “filed”
for purposes of Section 18 of the Securities Exchange Act of 1934 (the “Exchange Act”) or otherwise subject to liability
under that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended,
or the Exchange Act, except as expressly set forth by specific reference in such filing. |
SIGNATURES
Pursuant to the requirements of the Securities
Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
Date: November 8, 2023 |
By: |
/s/ Sergio Traversa |
|
|
Sergio Traversa |
|
|
Chief Executive Officer |
|
|
(Duly Authorized Officer and
Principal Executive Officer) |
|
|
|
|
|
/s/ Maged Shenouda |
|
|
Maged Shenouda |
|
|
Chief Financial Officer |
|
|
(Duly Authorized Officer and
Principal Financial and Accounting Officer) |
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Relmada Therapeutics, Inc.
Relmada Therapeutics, Inc.
18 U.S.C. SECTION 1350,
In connection with the Quarterly
Report of Relmada Therapeutics, Inc. (the “Company”) on Form 10-Q for the quarterly period ended September 30, 2023 as filed
with the Securities and Exchange Commission on the date hereof (the “Report”), I, Sergio Traversa, Chief Executive Officer
of the Company, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:
Relmada Therapeutics, Inc.
18 U.S.C. SECTION 1350,
In connection with the Quarterly
Report of Relmada Therapeutics, Inc. (the “Company”) on Form 10-Q for the quarterly period ended September 30, 2023 as filed
with the Securities and Exchange Commission on the date hereof (the “Report”), I, Maged Shenouda, Chief Financial Officer
of the Company, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:
Relmada Therapeutics, Inc.