Management Plans to Address Operating Conditions.
Our strategy is aimed at being capital
efficient while leveraging our portfolio of clinical assets by seeking strategic relationships with organizations with clinical
development capabilities including development capital. Currently, we have active partnerships in four major territories: North
America, Europe, China and Pan Asia. In each case, the cost of development is being borne by our partners with no financial obligation
for RegeneRx. We still have significant clinical assets to develop, primarily RGN-352 (injectable formulation of Tß4 for
cardiac and CNS disorders) in the U.S., Pan Asia, and Europe, and RGN-259 in the EU. Our goal is to wait until satisfactory results
are obtained from the current ophthalmic clinical program in the U.S. before moving into the EU. However, we intend to continue
to develop RGN-352, our injectable systemic product candidate for cardiac and central nervous system indications, either by obtaining
grants to fund a Phase 2a clinical trial in the cardiovascular or central nervous system fields or finding a suitable partner with
the resources and capabilities to develop it as we have with RGN-259. We have also been evaluating the potential of RGN-352 for
the treatment of COVID-19.
Since inception, and through June 30, 2020,
we have an accumulated deficit of $108 million and we had cash and cash equivalents of $377,594 as of June 30, 2020. We anticipate
incurring additional operating losses in the future as we continue to explore the potential clinical benefits of Tß4-based
product candidates over multiple indications. We have entered into a series of strategic partnerships under licensing and joint
venture agreements where our partners are responsible for advancing development of our product candidates by sponsoring multiple
clinical trials. In February 2019, we sold a series of convertible promissory notes to management, the Company’s Board of
Directors and accredited investors including Essetifin S.p.A., our largest stockholder (the “2019 Notes”). The sale
of the 2019 Notes resulted in gross proceeds to the Company of $1,300,000 over two closings. The first closing in the amount of
$650,000 occurred in February 2019 and the second closing, also in the amount of $650,000, occurred on May 13, 2019 after the Company
provided notice of the enrollment of the first patient in a Phase 3 trial in patients with DES the (“ARISE-3”) sponsored
by ReGenTree LLC (“ReGenTree” or “Joint Venture”). The 2019 Notes contain a $0.12 conversion price and
the purchasers also received a warrant exercisable at $0.18 to purchase additional shares of common stock equal to 75% of the number
of shares into which each note is initially convertible (the “2019 Warrants”). On March 2, 2018, the Company entered
into a warrant reprice and exercise and issuance agreement (the “Reprice Agreement”) with Sabby Healthcare Master Fund,
Ltd., and Sabby Volatility Warrant Master Fund, Ltd. (collectively, “March 2018 Investor”). In addition, we received
proceeds of $115,625 pursuant to the exercise of warrants held by the March 2018 Investor as well as $125,000 for April 2019 warrant
exercises. In January 2020, the March 2018 Investor exercised their remaining warrants and the Company received proceeds of $241,911.
At present we have sufficient cash to fund planned operations through the third quarter of 2020.
While we successfully secured additional
operating capital to continue operations through the third quarter of 2020, we will need substantial additional funds in order
to significantly advance development of our unlicensed programs. Accordingly, we will continue to evaluate opportunities to raise
additional capital and are in the process of exploring various alternatives, including, without limitation, a public or private
placement of our securities, debt financing, corporate collaboration and licensing arrangements, or the sale of our Company or
certain of our intellectual property rights.
On March 11, 2020, the World Health
Organization declared the outbreak of a novel coronavirus (“COVID-19”) as a global pandemic, which continues to
spread throughout the United States and around the world. As of August 14, 2020, the Company is aware of changes in its
business as a result of COVID-19, such as the slowing of the accrual of patients for the ARISE-3 Phase 3 clinical trial for
dry eye syndrome and the completion of treatment by some patients enrolled during the pandemic, but uncertain of the impact
of on its financial position, results of operations or cash flows. Management believes any disruption, when and if
experienced, could be temporary; however, there is uncertainty around when any disruption might occur, the duration and hence
the potential impact. As a result, while we are making steady progress with the ARISE-3 clinical trial, we are unable to
estimate the potential impact on our business as of the date of this filing. In addition, the global pandemic may, due to the
nature of the total disruption of the national and world economies, impact our ability to raise any additional capital
necessary to fund our operations.
These factors raise substantial doubt about
our ability to continue as a going concern. The accompanying condensed financial statements have been prepared assuming that we
will continue as a going concern. This basis of accounting contemplates the recovery of our assets and the satisfaction of our
liabilities in the normal course of business.
Although we intend to continue to seek
additional financing or additional strategic partners, we may not be able to complete a financing or corporate transaction, either
on favorable terms or at all. If we are unable to complete a financing or strategic transaction, we may not be able to continue
as a going concern after our funds have been exhausted, and we could be required to significantly curtail or cease operations,
file for bankruptcy or liquidate and dissolve. There can be no assurance that we will be able to obtain any sources of funding.
The condensed financial statements do not include any adjustments relating to the recoverability and classification of recorded
asset amounts and classification of liabilities that might be necessary should we be forced to take any such actions.
In addition to our current operational
requirements, we continually refine our operating strategy and evaluate alternative clinical uses of Tß4. However, substantial
additional resources will be needed before we will be able to achieve sustained profitability. Consequently, we continually evaluate
alternative sources of financing such as the sharing of development costs through strategic collaboration agreements. There can
be no assurance that our financing efforts will be successful and, if we are not able to obtain sufficient levels of financing,
we would delay certain clinical and/or research activities and our financial condition would be materially and adversely affected.
Even if we are able to obtain sufficient funding, other factors including competition, dependence on third parties, uncertainty
regarding patents, protection of proprietary rights, manufacturing of peptides, and technology obsolescence could have a significant
impact on us and our operations.
To achieve profitability, we, and/or a
partner, must successfully conduct pre-clinical studies and clinical trials, obtain required regulatory approvals and successfully
manufacture and market those pharmaceuticals we wish to commercialize. The time required to reach profitability is highly uncertain,
and there can be no assurance that we will be able to achieve sustained profitability, if at all.
Basis of Presentation.
The accompanying unaudited interim condensed
financial statements reflect, in the opinion of management, all adjustments (consisting only of normal recurring adjustments) necessary
for a fair presentation of our financial position, results of operations and cash flows for each period presented. These statements
have been prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”)
and with the rules and regulations of the Securities and Exchange Commission (“SEC”), for interim financial statements.
Accordingly, they do not include all of the information and footnotes required by GAAP. The accounting policies underlying our
unaudited interim condensed financial statements are consistent with those underlying our audited annual financial statements,
but do not include all disclosures including notes required by GAAP for complete financial statements. These unaudited interim
condensed financial statements should be read in conjunction with the audited annual financial statements as of and for the year
ended December 31, 2019, and related notes thereto, included in our Annual Report on Form 10-K for the year ended December 31,
2019 (the “Annual Report”).
The Company’s significant accounting
policies are included in “Part IV - Item 15 – Exhibits, Financial Statement Schedules. - Note 2 – SUMMARY OF
SIGNIFICANT ACCOUNTING POLICIES” in the Company’s Annual Report. There have been no changes to these policies.
The accompanying December 31, 2019 financial
information was derived from our audited financial statements included in the Annual Report. Operating results for the six-month
period ended June 30, 2020 are not necessarily indicative of the results to be expected for the year ending December 31, 2020 or
any other future period.
References in this Quarterly Report on
Form 10-Q to “authoritative guidance” are to the Accounting Standards Codification (“ASC”) issued by the
Financial Accounting Standards Board.
Use of Estimates.
The preparation of financial statements
in conformity with GAAP requires management to make estimates and assumptions that affect the amounts reported in the financial
statements and accompanying notes. Critical accounting policies involved in applying our accounting policies are those that require
management to make assumptions about matters that are highly uncertain at the time the accounting estimate was made and those for
which different estimates reasonably could have been used for the current period. Critical accounting estimates are also those
which are reasonably likely to change from period to period and would have a material impact on the presentation of our financial
condition, changes in financial condition or results of operations. Our most critical accounting estimates relate to accounting
policies for revenue recognition, discount rate used to calculate the present value of future lease payments and share-based arrangements.
Management bases its estimates on historical experience and on various other assumptions that it believes are reasonable under
the circumstances. Actual results could differ from those estimates.
Convertible
Notes with Detachable Warrants.
In accordance with ASC 470-20, Debt
with Conversion and Other Options, the proceeds received from convertible notes are allocated between the convertible notes
and the detachable warrants based on the relative fair value of the convertible notes without the warrants and the relative fair
value of the warrants. The portion of the proceeds allocated to the warrants is recognized as additional paid-in capital and a
debt discount. The debt discount related to warrants is accreted into interest expense through maturity of the notes.
Revenue
Recognition.
Whenever the Company determines that an
arrangement should be accounted for as a combined performance obligation, we must determine the period over which the performance
obligation will be performed and when revenue will be recognized. Revenue is recognized using either a relative performance or
straight-line method. We recognize revenue using the relative performance method provided that the we can reasonably estimate the
level of effort required to complete our performance obligation under an arrangement and such performance obligation is provided
on a best-efforts basis. Revenue recognized is limited to the lesser of the cumulative amount of payments received or the cumulative
amount of revenue earned, as determined using the relative performance method, as of each reporting period.
Leases.
At the inception of a contract we determine
if the arrangement is, or contains, a lease. Right-of-use (“ROU”) assets represent our right to use an underlying asset
for the lease term and lease liabilities represent our obligation to make lease payments arising from the lease. Operating lease
ROU assets and liabilities are recognized at commencement date based on the present value of lease payments over the lease term.
Rent expense is recognized on a straight-line basis over the lease term.
We have made certain accounting policy
elections whereby we (i) do not recognize ROU assets or lease liabilities for short-term leases (those with original terms of 12
months or less) and (ii) combine lease and non-lease elements of our operating leases.
ROU Assets.
ROU assets are reviewed for impairment
whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability
of assets to be held and used is measured by a comparison of the carrying amount of an asset to future undiscounted net cash flows
expected to be generated by the asset. Recoverability measurement and estimating of undiscounted cash flows is done at the lowest
possible level for which we can identify assets. If such assets are considered to be impaired, impairment is recognized as the
amount by which the carrying amount of assets exceeds the fair value of the assets.
Accounting Standards Updates.
The Company has evaluated all issued and
unadopted Accounting Standard Updates (“ASU”) and believes the adoption of these standards will not have a material
impact on its results of operations, financial position or cash flows.
2. Net
Income (Loss) per Common Share
Basic net income (loss) per common share
for the three and six month periods ended June 30, 2020 and 2019 is based on the weighted-average number of shares of common stock
outstanding during the periods. Diluted loss per share is based on the weighted-average number of shares of common stock outstanding
during each period in which a loss is incurred. Potentially dilutive shares are excluded because the effect is antidilutive. In
periods where there is net income, diluted income per share is based on the weighted-average number of shares of common stock outstanding
plus dilutive securities with a purchase or conversion price below the per share price of our common stock on the last day of the
reporting period. The potentially dilutive securities include 31,269,884 shares and 31,175,178 shares in 2020 and 2019, respectively,
reserved for the conversion of convertible debt or exercise of outstanding options and warrants.
3. Stock-Based
Compensation
We measure stock-based compensation
expense based on the grant date fair value of the awards, which is then recognized over the period which service is required
to be provided. We estimate the value of our stock option awards on the date of grant using the Black-Scholes option pricing
model (“Black-Scholes”) and amortize that cost over the expected term of the grant. We recognized $146,433 and
$115,307 in stock-based compensation expense for the three months ended June 30, 2020 and 2019, respectively. We recognized
$196,272 and $170,062 in stock-based compensation expense for the six months ended June 30, 2020 and 2019, respectively.
We issued 2,130,000 stock options to employees,
consultants and directors during the six months ended June 30, 2020 and 2,415,000 stock options to employees, consultants and directors
during the six months ended June 30, 2019. We used the following forward-looking range of assumptions to value the stock options
issue in 2020 and 2019:
|
|
2020
|
|
|
2019
|
|
Dividend yield
|
|
|
0.0
|
%
|
|
|
0.0
|
%
|
Risk-free rate of return
|
|
|
0.33
|
%
|
|
|
2.15
|
%
|
Expected life in years
|
|
|
5.88
|
|
|
|
5.88
|
|
Volatility
|
|
|
74.57
|
%
|
|
|
93.59
|
%
|
Forfeiture rate
|
|
|
2.6
|
%
|
|
|
2.6
|
%
|
A summary of the Company’s stock
options for the six months ended June 30, 2020 is as follows:
|
|
Number of Shares
|
|
|
Weighted
Average
Exercise Price
|
|
|
Weighted
Average
Remaining
Contractual Life
|
|
|
Aggregate
Intrinsic Value
|
|
Options Outstanding, December 31, 2019
|
|
|
9,821,250
|
|
|
$
|
0.28
|
|
|
|
|
|
|
|
|
|
Granted
|
|
|
2,130,000
|
|
|
$
|
0.30
|
|
|
|
|
|
|
|
|
|
Exercised
|
|
|
-
|
|
|
$
|
-
|
|
|
|
|
|
|
|
|
|
Forfeited
|
|
|
-
|
|
|
$
|
-
|
|
|
|
|
|
|
|
|
|
Options Outstanding, June 30, 2020
|
|
|
11,951,250
|
|
|
$
|
0.28
|
|
|
|
5.9 years
|
|
|
$
|
813,600
|
|
Vested and unvested but expected to vest, June 30, 2020
|
|
|
11,784,785
|
|
|
$
|
0.28
|
|
|
|
5.9 years
|
|
|
$
|
802,268
|
|
Exercisable at June 30, 2020
|
|
|
8,093,750
|
|
|
$
|
0.30
|
|
|
|
4.4 years
|
|
|
$
|
550,550
|
|
The average expected life was determined
using historical data. We expect to recognize the compensation cost related to non-vested options as of June 30, 2020 of $558,474
over the weighted average remaining recognition period of 1.57 years.
4. Income
Taxes
As of June 30, 2020, there have been no
material changes to our uncertain tax position disclosures as provided in Note 9 of the Annual Report. The tax returns for all
years in the Company’s major tax jurisdictions are not settled as of January 1, 2020; no changes in settled tax years have
occurred through June 30, 2020. Due to the existence of tax attribute carryforwards (which are currently offset by a full valuation
allowance), the Company treats all years’ tax positions as unsettled due to the taxing authorities’ ability to modify
these attributes.
5. Fair
Value Measurements
The authoritative guidance for fair value
measurements defines fair value as the exchange price that would be received for an asset or paid to transfer a liability (an exit
price) in the principal or the most advantageous market for the asset or liability in an orderly transaction between market participants
on the measurement date. Market participants are buyers and sellers in the principal market that are (i) independent, (ii) knowledgeable,
(iii) able to transact, and (iv) willing to transact. The guidance describes a fair value hierarchy based on the levels of inputs,
of which the first two are considered observable and the last unobservable, that may be used to measure fair value which are the
following:
|
Level 1 — Quoted prices in active markets for identical assets and liabilities.
|
|
Level 2 — Observable inputs other than quoted prices in active markets for identical assets and liabilities.
|
|
Level 3 — Unobservable inputs.
|
As of June 30, 2020 and December 31, 2019,
our only qualifying assets that required measurement under the foregoing fair value hierarchy were money market funds included
in cash and cash equivalents valued at $273,171 and $550,044, respectively, using Level 1 inputs.
6.
Convertible Notes
2014
Convertible Notes
On January
7, 2014, we completed a private placement of convertible notes raising an aggregate of $55,000 in gross proceeds (the “January
2014 Notes”). The January 2014 Notes bore interest at a rate of five percent (5%) per annum, matured sixty (60)
months after their date of issuance and were convertible into shares of our common stock at a conversion price of six cents ($0.06)
per share (subject to adjustment as described in the January 2014 Notes) at any time prior to repayment, at the election of the
investor. In the aggregate, the Notes were initially convertible into up to 916,667 shares of our common stock.
At any time
prior to maturity of the January 2014 Notes, with the consent of the holders of a majority in interest of the January 2014 Notes,
we could prepay the outstanding principal amount of the January 2014 Notes plus unpaid accrued interest without penalty. The outstanding
principal and all accrued interest on the January 2014 Notes would accelerate and automatically become immediately due and payable
upon the occurrence of certain events of default.
The investors
in the offering included two current and one former member of the Board of Directors. The principal amounts of their respective
January 2014 Notes are as set forth below:
Investor
|
|
Note Principal
|
|
Joseph C. McNay
|
|
$
|
25,000
|
|
Allan L. Goldstein
|
|
$
|
10,000
|
|
L. Thompson Bowles
|
|
$
|
5,000
|
|
The January
2014 Notes contained a down round provision under which the conversion price could be decreased as a result of future equity offerings,
as defined in the January 2014 Notes. The adjustment would reduce the conversion price of the January 2014 Notes to
be equivalent to that of the newly issued stock or stock-related instruments. As a result, the Company concluded that
the conversion feature represented an embedded conversion feature for accounting purposes and should be recognized as a derivative
liability, requiring a mark-to-market adjustment at the end of each reporting period until the related January 2014 Notes have
been settled prior to the adoption of ASU 2017-11. The bifurcated liability of $55,000 was recorded on the date of issuance
which resulted in a residual debt value of $0. The discount related to the embedded feature was accreted back to debt through the
maturity of the notes. The January 2014 Notes matured, and the holders elected to convert the note balances of $55,000 and accrued
interest of approximately $14,000 into common stock in January 2019.
2019
Convertible Notes
On February
27, 2019, we sold a series of convertible promissory notes to management, the Company’s Board of Directors and accredited
investors including Essetifin S.p.A., our largest stockholder. The sale of the notes resulted in gross proceeds to the Company
of $1,300,000 over two closings. The first closing in the amount of $650,000 occurred on February 27, 2019 and the second closing,
also in the amount of $650,000, occurred on May 13, 2019 after the Company provided notice of the enrollment of the first patient
in the ARISE-3 clinical trial in DES sponsored by ReGenTree. The 2019 Notes will mature on March 1, 2024. The 2019 Notes bear interest
at a rate of five percent (5%) per annum and are convertible into shares of our common stock at a conversion price of twelve cents
($0.12) per share (subject to adjustment as described in the 2019 Notes) at any time prior to repayment, at the election of the
investors. In the aggregate, the 2019 Notes issued in both closings are convertible into up to 10,833,333 shares of our common
stock excluding interest.
At any time
prior to maturity of the 2019 Notes, with the consent of the holders of a majority in interest of the 2019 Notes, we can prepay
the outstanding principal amount of the 2019 Notes plus unpaid accrued interest without penalty. The outstanding principal and
all accrued interest on the 2019 Notes will accelerate and automatically become immediately due and payable upon the occurrence
of certain events of default.
In connection
with the issuance of the 2019 Notes we also issued warrants to each investor. The warrants are exercisable for an aggregate of
8,125,000 shares of common stock with an exercise price of eighteen cents ($0.18) per share for a period of five years. The relative
fair value of the 2019 Warrants issued was $348,443 calculated using the Black-Scholes-Merton valuation model value of $0.06 with
an expected and contractual life of five years, an assumed volatility of 67.86%, and a risk-free interest rate of 2.49%. The 2019
warrants are classified in equity.
The Company
allocated $348,443 of the gross proceeds to the warrants, on a relative fair value basis. In addition, because the effective conversion
price of the 2019 Notes was less than the fair value of the underlying common stock on the issuance date, we allocated the intrinsic
value of that feature to additional paid-in-capital. The debt discount created by the 2019 Warrants and beneficial conversion feature
will be amortized over the term of the 2019 Notes as additional interest expense using the effective interest method.
The affiliated
investors, and the principal amount of their respective 2019 Notes purchase are as set forth below:
Investor
|
|
Note Principal
|
|
Essetifin S.p.A.
|
|
$
|
1,000,000
|
|
Joseph C. McNay
|
|
$
|
25,000
|
|
J.J. Finkelstein
|
|
$
|
25,000
|
|
Mauro Bove
|
|
$
|
10,000
|
|
Allan L. Goldstein
|
|
$
|
5,000
|
|
R. Don Elsey
|
|
$
|
5,000
|
|
Essetifin S.p.A.,
our largest stockholder, is currently the holder of all of our securities previously held by Sigma-Tau and its affiliates. The
other listed investors are members of our Board of Directors including Mr. Finkelstein, who serves as our CEO, and Dr. Goldstein
who serves as our Chief Scientific Advisor and Chairman of our Board of Directors.
The Company
recorded interest expense and discount accretion as set forth below:
|
|
For the three months ended
|
|
|
For the six months ended
|
|
|
|
June 30, 2020
|
|
|
June 30, 2019
|
|
|
June 30, 2020
|
|
|
June 30, 2019
|
|
January 2014 Notes
|
|
$
|
-
|
|
|
$
|
-
|
|
|
$
|
-
|
|
|
$
|
479
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2019 Notes
|
|
|
51,619
|
|
|
|
39,447
|
|
|
|
103,238
|
|
|
|
48,558
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total interest expense
|
|
$
|
51,619
|
|
|
$
|
39,447
|
|
|
$
|
103,238
|
|
|
$
|
49,037
|
|
7. License
Agreements
Joint Venture Agreement – ReGenTree.
On January 28, 2015, the Company entered
into the Joint Venture Agreement with GtreeBNT, a stockholder in the Company. The Joint Venture Agreement provides for the creation
of the Joint Venture, jointly owned by the Company and GtreeBNT. ReGenTree will commercialize RGN-259 for treatment of dry eye
syndrome and neurotrophic keratopathy in the United States and Canada.
GtreeBNT is solely responsible for
funding all the product development and commercialization efforts of the Joint Venture. GtreeBNT made an initial contribution
of $3 million in cash and received an initial equity stake of 51%. RegeneRx’s ownership interest in ReGenTree was
reduced to 38.5% when the Clinical Study Report was filed for the Phase 2/3 dry eye clinical trial. Based on when, and if,
certain additional development milestones are achieved in the U.S. with RGN-259, our equity ownership may be incrementally
reduced to between 38.5% and 25%, with 25% being the final equity ownership upon approval of an NDA for DES in the U.S. In
addition to our equity ownership, RegeneRx retains a royalty on net sales that varies between single and low double digits,
depending on whether commercial sales are made by ReGenTree or a licensee. In the event ReGenTree is acquired or there is a
change of control that occurs following achievement of an NDA, RegeneRx shall be entitled to a minimum of 40% of all proceeds
paid or payable and will forgo any future royalties. The Company is not required or otherwise obligated to provide financial
support to the Joint Venture.
The Joint Venture is responsible for executing
all development and commercialization activities under the License Agreement, which activities will be directed by a joint development
committee comprised of representatives of the Company and GtreeBNT. The License Agreement has a term that extends to the later
of the expiration of the last patent covered by the License Agreement or 25 years from the first commercial sale under the License
Agreement. The License Agreement may be earlier terminated if the Joint Venture fails to meet certain commercialization milestones,
if either party breaches the License Agreement and fails to cure such breach, as a result of government action that limits the
ability of the Joint Venture to commercialize the product, as a result of a challenge to a licensed patent, following termination
of the license between the Company and certain agencies of the United States federal government, or upon the bankruptcy of either
party.
Under the License Agreement, the Company
received $1.0 million in up-front payments and is entitled to receive royalties on the Joint Venture’s future sales of products.
On April 6, 2016, we received $250,000 from ReGenTree in connection with the amendment of the License Agreement in April 2016 to
expand the territorial rights to include Canada. The Company is accounting for the License Agreement with the Joint Venture as
a revenue arrangement. Since participation in the joint development committee is required, it was deemed to be a material promise.
Management has concluded that the participation in the joint development committee is not distinct from other promised goods and
services. The Company assessed the license agreements in accordance with ASC 606. The Company evaluated the promised goods and
services under the license agreements and determined that there was one combined performance obligation representing a series of
distinct goods and services including the license to research, develop and commercialize RGN-259 and participation in the joint
development committee. Revenue is being recognized on a straight-line basis over a period of 30 years, which, in management’s
judgment, is the best measure of progress towards satisfying the performance obligation and represents the Company’s best
estimate of the period of the obligation. Revenue will be recognized for future royalty payments as they are earned.
GtreeBNT.
On March 7, 2014, we entered into license
agreements with GtreeBNT Co., Ltd. The two Licensing Agreements are for the license of territorial rights to two of our Thymosin
Beta 4-based products candidates, RGN-259 and RGN-137.
Under the license agreement for RGN-259,
our preservative-free eye drop product candidate, GtreeBNT will have the right to develop and commercialize RGN-259 in Asia (excluding
China, Hong Kong, Taiwan, and Macau). The rights will be exclusive in Korea, Japan, Australia, New Zealand, Brunei, Cambodia, East
Timor, Indonesia, Laos, Malaysia, Mongolia, Myanmar (Burma), Philippines, Singapore, Thailand, Vietnam, and Kazakhstan, and semi-exclusive
in India, Pakistan, Bangladesh, Bhutan, Maldives, Nepal, Sri Lanka, Kyrgyzstan, Tajikistan, Turkmenistan and Uzbekistan, collectively,
the Territory (the “259 Territory”). Under the 259 license agreement we are eligible to receive aggregate potential
milestone payments of up to $3.5 million. In addition, we are eligible to receive royalties of a low double-digit percentage of
any commercial sales of the licensed product sold by GtreeBNT in the 259 Territory.
Under the license agreement for RGN-137,
our topical dermal gel product candidate, GtreeBNT will have the exclusive right to develop and commercialize RGN-137 in the U.S.
(the “137 Territory”). Under the 137 agreement we are eligible to receive aggregate potential milestone payments of
up to $3.5 million. In addition, we are eligible to receive royalties of a low double-digit percentage of any commercial sales
of the Company’s licensed product sold by GtreeBNT in the 137 Territory.
In August 2017, we amended the
license agreement for RGN-137 held by GtreeBNT. Under the amendment, the 137 Territory was expanded to include Europe,
Canada, South Korea, Australia and Japan. Under the agreement, the Company received a series of non-refundable payments and
is entitled to receive royalties on the future sales of products. The Company is accounting for the license agreement as a
revenue arrangement. Since participation in the joint development committee is required it was deemed to be a material
promise. Management has concluded that the participation in the joint development committee is not distinct from other
promised goods and services. The Company assessed the license agreement in accordance with ASC 606. The Company evaluated the
promised goods and services under the agreement and determined that there was one combined performance obligation
representing a series of distinct goods and services including the license to research, develop and commercialize RGN-137 and
participation in the joint development committee. Revenue is being recognized on a straight-line basis over a period of 23
years, which, in management’s judgment, is the best measure of progress towards satisfying the performance obligation
and represents the Company’s best estimate of the period of the obligation.
Lee’s Pharmaceutical.
We are a party to a license agreement with
Lee’s Pharmaceutical (HK) Limited (“Lee’s”), headquartered in Hong Kong, for the license of Thymosin Beta
4 in any pharmaceutical form, including our RGN-259, RGN-352 and RGN-137 product candidates, in China, Hong Kong, Macau and Taiwan
(the “License Agreement”). Lee’s previously filed an IND with the Chinese FDA (“CFDA”) to conduct
a Phase 2, randomized, double-masked, dose-response clinical trial with RGN-259 in China for dry-eye syndrome. Lee's subsequently
informed us that it received notice from CFDA declining its IND application for a Phase 2b dry eye clinical trial because the API
(active pharmaceutical ingredient or Tß4) was manufactured outside of China. The API was manufactured in the U.S. and provided
to Lee's by RegeneRx pursuant to a license agreement to develop RGN-259 ophthalmic eye drops in the licensed territory. However,
in mid-2016, we were informed by Lee’s that the CFDA modified its manufacturing regulations and will now allow Chinese companies
to utilize API manufactured outside of China for Phase 1 and 2 clinical trials. We have not yet been informed of a projected starting
date for Phase 2 trials and believe that Lee’s intends to wait until the completion of ARISE-3 before undertaking clinical
trials. In February 2019, the License Agreement was amended and assigned by Lee’s to their affiliate, Zhaoke Ophthalmology
Pharmaceutical Limited. There are no economic changes to the License Agreement.
8. Stockholders’
Equity
On January 6, 2019, the January 2014 Convertible
Notes matured, and the holders elected to convert the note balances and accrued interest into common stock. As a result, we issued
1,149,016 shares of common stock.
On March 2, 2018, the Company entered into
a warrant reprice and exercise and issuance agreement with the March 2018 Investor. In connection with the Reprice Agreement, the
Company issued to the March 2018 Investor warrants to purchase shares of the Company’s common stock (the “March Warrants”).
The exercise price under the March Warrants is subject to a limited anti-dilution provision, such that in the event the Company
makes an issuance of common stock (subject to customary exceptions) at a price per share less than the applicable exercise price
of the March Warrants, the exercise price of the March Warrants will be reduced to the price per share applicable to such new issuance
but will not adjust to an exercise price below $0.125. As a result of the issuance of the 2019 Notes and 2019 Warrants, the exercise
price of the March Warrants was adjusted to $0.125 per share. The estimated fair value of the effect of the exercise price adjustment
of $82,566 is reflected as a dividend to the March 2018 Investor in 2019.
Subsequent to the reduction of the exercise
price of the March Warrants to $0.125 in 2019, the March 2018 Investor exercised warrants for 925,000 shares of common stock and
the Company received exercise proceeds of $115,625. The March 2018 Investor exercised additional warrants on April 23, 2019 for
1,000,000 shares of common stock and the Company received exercise proceeds of $125,000. In January 2020, the March 2018 Investor
exercised warrants for 1,935,294 shares of common stock and the Company received exercise proceeds of $241,911.
9. Leases
In June 2020, we amended our office lease
agreement and the term has been extended through July 2022. During the extended term, our rental payments will be approximately
$4,200 per month. We had previously amended the office lease to extend through July 2020. Our facility lease is our only existing
lease as of June 30, 2020 and is classified as operating lease.
The discount rate used in the calculation
of our lease liability is approximately 20%, which is based on our estimate of the rate of interest that we would have to pay to
borrow on a collateralized basis over a similar term and amount equal to the lease payments in a similar economic environment as
the lease does not provide an implicit rate.
The following table summarizes the Company’s
recognition of its operating lease:
|
|
June 30, 2020
|
|
Assets
|
|
|
|
|
Operating lease right-of-use asset
|
|
$
|
85,668
|
|
Total lease assets
|
|
$
|
85,668
|
|
|
|
|
|
|
Liabilities
|
|
|
|
|
Current
|
|
|
|
|
Current portion of operating lease liability
|
|
$
|
36,836
|
|
Non-current
|
|
|
|
|
Operating lease liability
|
|
|
49,215
|
|
Total lease liabilities
|
|
$
|
86,051
|
|
Rent expense, consisting of minimum operating
lease payments and variable lease payments for pass through items such as common area maintenance and real estate taxes for the
six months ended June 30, 2020 and 2019 is recorded as general and administrative expense and consisted of the following:
|
|
2020
|
|
|
2019
|
|
Operating lease cost
|
|
$
|
22,891
|
|
|
$
|
23,992
|
|
Variable lease costs
|
|
|
-
|
|
|
|
2,766
|
|
Total lease costs
|
|
$
|
22,891
|
|
|
$
|
26,758
|
|
A maturity analysis of our operating
lease minimum lease payments as of June 30, 2020 follows:
2020
|
|
$
|
25,349
|
|
2021
|
|
|
50,904
|
|
2022
|
|
|
29,694
|
|
Total
|
|
|
105,947
|
|
|
|
|
|
|
Discount factor
|
|
|
(19,896
|
)
|
Total lease liability
|
|
$
|
86,051
|
|
10. Promissory
Note
On
April 24, 2020, the Company entered into a Term Note (the “Loan”) with PNC Bank (the “Bank”)
pursuant to the Paycheck Protection Program (the “PPP”) of the Coronavirus Aid, Relief, and Economic Security Act (“CARES
Act”) administered by the U.S. Small Business Administration. The principal amount of the Loan is $55,400.
In
accordance with the requirements of the CARES Act, the Company will use the proceeds from the Loan in accordance with the
requirements of the PPP to cover certain qualified expenses, including payroll costs, rent and utility costs. Interest
accrues on the Loan at the rate of 1.00% per annum. The Company may apply for forgiveness of amount due under the Loan, in
an amount equal to the sum of qualified expenses under the PPP, which include payroll costs, rent obligations, and covered
utility payments incurred during the eight weeks following disbursement under the Loan. The Company intends to use the
entire proceeds under the Loan for such qualifying expenses.
Subject
to any forgiveness under the PPP, the Loan matures two years following the date of issuance of the Loan and includes a period for
the first six months during which time required payments of interest and principal are deferred. Beginning on the fifteenth day
of the seventh month following the date of the Loan, the Company is required to make 18 monthly payments of principal and interest.
The Loan may be prepaid at any time prior to maturity with no prepayment penalties. The Loan provides for customary events of default,
including, among others, those relating to breaches of their obligations under the Loan, including a failure to make payments,
any bankruptcy or similar proceedings involving the Company, and certain material effects on the Company’s ability to repay
the Loan. The Company did not provide any collateral or guarantees for the Loan.
|
ITEM 2.
|
Management’s Discussion and Analysis of Financial Condition and Results of Operations
|
This Quarterly Report on Form 10-Q,
including this Part I., Item 2., “Management’s Discussion and Analysis of Financial Condition and Results of Operations,”
contains forward-looking statements regarding us and our business, financial condition, results of operations and prospects within
the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements may be identified by the words
“project,” “believe,” “anticipate,” “plan,” “expect,” “estimate,”
“intend,” “should,” “would,” “could,” “will,” “may” or
other similar expressions. In addition, any statements that refer to projections of our future financial performance, our clinical
development programs and schedules, our future capital resources and funding requirements, our expectations regarding future licenses
of our technology, our anticipated growth and trends in our business and other characterizations of future events or circumstances
are forward-looking statements. We cannot guarantee that we will achieve the plans, intentions or expectations expressed or implied
in our forward-looking statements. There are a number of important factors that could cause actual results, levels of activity,
performance or events to differ materially from those expressed or implied in the forward-looking statements we make, including
those described under “Risk Factors” set forth below in Part II., Item 1A. In addition, any forward-looking statements
we make in this document speak only as of the date of this report, and we do not intend to update any such forward-looking statements
to reflect events or circumstances that occur after that date.
Business Overview
We are a biopharmaceutical company focused
on the development of a novel therapeutic peptide, Thymosin beta 4, or Tß4, for tissue and organ protection, repair, and
regeneration. We have formulated Tß4 into three distinct product candidates in clinical development:
|
•
|
RGN-259, a preservative-free topical eye drop for regeneration of corneal tissues damaged by injury,
disease or other pathology;
|
|
|
|
|
•
|
RGN-352, an injectable formulation to treat cardiovascular diseases, central and peripheral
nervous system diseases, and other medical
indications that may be treated by systemic administration; and
|
|
|
|
|
•
|
RGN-137, a topical gel for dermal wounds and reduction
of scar tissue.
|
We are continuing strategic partnership
discussions with biotechnology and pharmaceutical companies, and the U.S. military, regarding the further clinical development
of certain of our product candidates.
Current Financial Status
In February 2019, we sold a series of convertible
promissory notes to management, the Company’s Board of Directors and accredited investors including Essetifin S.p.A., our
largest stockholder. The sale of the 2019 Notes resulted in gross proceeds to the Company of $1,300,000 over two closings. The
first closing in the amount of $650,000 occurred in February 2019 and the second closing, also in the amount of $650,000, occurred
on May 13, 2019 after the Company provided notice of the enrollment of the first patient in the ARISE-3 clinical trial in DES sponsored
by ReGenTree. The 2019 Notes contain a $0.12 conversion price and the purchasers also received a warrant exercisable at $0.18 to
purchase additional shares of common stock equal to 75% of the number of shares into which each note is initially convertible.
In addition, we received proceeds of $115,625 pursuant to the exercise of warrants held by Sabby Management as well as $125,000
for April 2019 warrant exercises. In January 2020, Sabby exercised their remaining warrants and the Company received proceeds of
$241,911. At present, with the receipt of the sale proceeds from the closing on the 2019 Notes and proceeds from the March and
April 2019 and January 2020 warrant exercises, we have sufficient cash to fund planned operations through the third quarter of
2020.
Current Clinical Status
In January 2015, we entered into a Joint
Venture Agreement with GtreeBNT whereby we created ReGenTree LLC (“ReGenTree” or “Joint Venture”) jointly
owned by us and GtreeBNT, which will commercialize RGN-259 for treatment of dry eye syndrome and neurotrophic keratitis, an orphan
indication in the United States.
To date ReGenTree has sponsored a Phase
2/3 clinical trial (“ARISE-1”) and Phase 3 clinical trials in patients with DES (“ARISE-2”). Currently,
it is sponsoring a Phase 3 clinical trial in patients with neurotrophic keratitis (“NK”) (“SEER-1”), and
ARISE-3 in patients with DES, both in the U.S. In May 2016, we reported the results of the 317-patient ARISE-1 trial and in October
2017, we reported the results of the ARISE-2 trial. The ARISE-2 study, which was sponsored by ReGenTree and managed by Ora, Inc.
pursuant a recent contract between the parties, demonstrated a number of statistically significant improvements in both signs and
symptoms of DES with 0.1% RGN-259 versus placebo, while showing excellent safety, comfort, and tolerability profiles. The ocular
discomfort symptom showed a statistically significant reduction in the RGN-259-treated group at day 15 as compared to placebo (p=0.0149)
in the change from baseline. For sign, RGN-259 also improved the dry eye patient’s ability to withstand an exacerbated condition
in a patient subgroup with both compromised corneal fluorescein staining and Schirmer’s test at baseline. In this population,
RGN-259 showed superiority over placebo in reducing corneal fluorescein staining in the change from baseline at days 15 and 29
(p=0.0207 and 0.0254, respectively). RGN-259 confirmed its global effects on dry eye syndrome and fast onset in multiple sign and
symptom efficacies with no safety issues in the ARISE-1 and ARISE-2 studies as well as in the pooled data, although ARISE-2 was
not successful in duplicating the results of ARISE-1 where the study population was limited and less diversified. ReGenTree is
proceeding with its RGN-259 development plan as discussed with the FDA in April 2018. ReGenTree and Ora, Inc. have entered into
a contract for management of ARISE-3. ReGenTree has initiated the study, the first patient was enrolled in the second quarter of
2019 and until recently it was expected to complete enrollment in the Summer of 2020. Due to the COVID-19 pandemic, the completion
of ARISE-3 has been delayed. ReGenTree previously reported in clinicaltrials.gov that the Estimated Study Completion Date was scheduled
for November 2020. However, until the pandemic is under control, it is unclear if the trial will be completed by the end of 2020.
The NK trial (SEER-1), a smaller
study in an orphan population, last reported enrollment of 17 patients. On May 14, 2020, the Company reported that the trial
was closed and reported the results of SEER-1 in 18 patients. Six out of 10 patients in the RGN-259 treated group and 1 out
of 8 patients in the placebo treated group achieved complete corneal healing in 4 weeks. In terms of the primary endpoint,
"ratio of corneal wound healed patients after four weeks' administration", the statistical difference was slightly
over 0.05 (p = 0.0656, Fisher's exact test), due to the limited number of patients in each group. When another statistical
analysis method was used to analyze the same primary endpoint (Chi square test), there was statistical significance, p =
0.0400. In addition, in a pre-specified secondary endpoint evaluating corneal epithelial healing at day 43 (two weeks post
treatment) and the durability of RGN-259 treatment, we also confirmed a clear statistical difference using the Fisher's exact
test, p = 0.0359. Several other efficacy parameters were either highly significant or strongly trending toward statistical
significance in the RGN-259 group indicating the depth of patient response to RGN-259.
GtreeBNT has developed the CMC (chemistry,
manufacturing and controls) dossier required for Phase 3 clinical trials and commercialization in the U.S. and in Korea. This comprehensive
and critical effort ensures that final drug product manufacturing, packaging, stability, purity, reproducibility, etc., meets regulatory
guidelines and product specifications. The product of this activity is the current product formulation being utilized in the U.S.
trials being conducted by ReGenTree and will also be utilized in the planned clinical activity to be conducted by GtreeBNT under
the RGN-259 license agreement for Pan Asia.
During the past several years, ReGenTree,
LLC began developing a modified eye drop formulation that it believes will enhance the efficacy of thymosin beta 4 for NK, improve
the patient experience, and allow a proprietary valued orphan product price for this rare disease. The Company has completed a
preliminary formulation for NK patients that will be considered for use in future clinical study. ReGenTree has not yet determined
if it will use this new formulation in the future for NK.
In February 2017, our licensee for RGN-137,
GtreeBNT, through its subsidiary, Lenus Therapeutics, LLC, received permission from the FDA to sponsor a Phase 3 clinical trial
using RGN-137 to treat patients with epidermolysis bullosa (“EB”), a genetic disease that causes severe blistering
of the skin and internal organs. In August 2017, the Company amended the agreement for RGN-137 held by GtreeBNT. Under the amendment
the Territory was expanded to include Europe, Canada, South Korea, Australia and Japan. In December 2018, GtreeBNT initiated a
small Phase 2 open trial in patients with EB to evaluate RGN-137 in such patients prior to sponsoring a larger Phase 3 trial. Three
patients have been enrolled in the open clinical trial to date. It was reported in August 2019, that the first patient had positively
responded to RGN-137. As of the date of this report, the Company has not been updated as to current enrollment status.
Development of Product Candidates
Previously, thymosin beta 4 was regulated
as a new chemical entity under the FDA’s Center for Drug Evaluation and Research (“CDER”). On March 23, 2020
a new requirement under the Biologics Price Competition and Innovation Act of 2009 (BPCI Act) was enacted requiring that polypeptides
larger than 40 amino acids in length, such as thymosin beta 4 (Tβ4), be regulated as biologics under the FDA’s Center
for Biologics Evaluation and Research (“CBER”). Other such products formerly regulated as drugs, and now as biologics,
include insulin and insulin analogs, human growth hormone, pancreatic enzymes, and reproductive hormones.
Pursuant to our most recent FDA meeting
related to RGN-259, our product candidate for the treatment of neurotrophic keratitis (NK), we officially confirmed that since
RGN-259 contains Tβ4 as the active ingredient it will now be approved under a BLA instead of under an NDA. In this regard,
the team at ReGenTree LLC, our U.S. joint venture, has already been developing the chemistry, manufacturing, and controls (CMC)
required for a BLA with top-tier CGMP manufacturers based in the U.S. and Europe. ReGenTree has received official confirmation
from the FDA that its CMC manufacturing and quality control standards and development directions would be appropriate to submit
a BLA. Thus, we intend to proceed with development conforming to BLA standards as we move forward.
Unlike the previous 5-year exclusive period
for new chemical entities approved under an NDA, section 7002 of the Patient Protection and Affordable Care Act (PPACA) provides
12 years of exclusivity for products approved under a BLA. Biologics can also receive orphan drug and pediatric exclusivities.
Therefore, if RGN-259 receives a license under a BLA, and with the Tβ4 patents already secured in the U.S, our exclusive market
position should be strengthened.
RGN-259
RGN-259 is our proprietary
preservative-free eye drop formulation of Thymosin beta 4. In September 2011, we completed a Phase 2a exploratory clinical trial
evaluating the safety and efficacy of RGN-259 in 72 patients with moderate dry eye syndrome. In November 2011, we reported preliminary
safety and efficacy results from the trial. RGN-259 was deemed safe and well-tolerated, with no observed drug-related adverse events.
In June 2012, we reported
preliminary results from a double-masked, vehicle-controlled, physician-sponsored Phase 2 clinical trial evaluating RGN-259 for
the treatment of nine patients (18 eyes) with severe dry eye. RGN-259 was observed to be safe and well-tolerated and met key efficacy
objectives with statistically significant sign and symptom improvements, compared to vehicle control, at various time intervals,
including 28 days post-treatment.
Consistent with the reduction
of ocular discomfort and fluorescein staining at the 28-day follow-up visit, other improvements seen in the RGN-259-treated patients
included tear film breakup time and increased tear volume production. Likewise, these improvements were seen at other time points
in the study. These results were published in Cornea in 2015.
In September 2015, ReGenTree
began the Phase 2/3 ARISE-1 clinical trial in patients with DES and the Phase 3 SEER-1 clinical trial in patients with neurotrophic
keratopathy, both in the U.S. In May 2016, we reported the results of the 317-patient ARISE-1 dry eye trial. In the trial, RGN-259
demonstrated statistically significant improvements in both signs and symptoms of dry eye with 0.05% and 0.1% RGN-259 compared
to placebo in a dose dependent manner during a 28-day dosing period. While the primary outcome measures were not met, several key
related pre-specified endpoints and subgroups of patients with more severe dry eye showed statistically significant treatment effects.
These results confirm the findings from the previous Phase 2 trial providing clear direction for the clinical regulatory pathway
and remaining registration trials for RGN-259. Shortly following the ARISE-1 trial, the FDA approved ReGenTree’s Phase 3
ARISE-2 dry eye protocol and we initiated the ARISE-2 trial that enrolled approximately 600 patients.
The ARISE-2 study, which
was sponsored by ReGenTree and managed by Ora, Inc., demonstrated a number of statistically significant improvements in both signs
and symptoms of DES with 0.1% RGN-259 versus placebo, while showing excellent safety, comfort, and tolerability profiles. The ocular
discomfort symptom showed a statistically significant reduction in the RGN-259-treated group at day 15 as compared to placebo (p=0.0149)
in the change from baseline. In addition, RGN-259 also improved the dry eye patient’s ability to withstand an exacerbated
condition in a patient subgroup with both compromised corneal fluorescein staining and Schirmer’s test at baseline. In this
population, RGN-259 showed superiority over placebo in reducing corneal fluorescein staining in the change from baseline at days
15 and 29 (p=0.0207 and 0.0254, respectively). RGN-259 confirmed its global effects on DES and fast onset in multiple sign and
symptom efficacies with no safety issues in the ARISE-1 and ARISE-2 studies as well as in the pooled data, although ARISE-2 was
not successful in duplicating the results of ARISE-1 where the study population was limited and less diversified.
In February 2019,
ReGenTree initiated a 700-patient ARISE-3 trial in patients with DES to confirm the results observed in ARISE-2. Although we
continue to make steady progress, due to the COVID-19 pandemic, the completion of ARISE-3 could be delayed. ReGenTree
previously reported in clinicaltrials.gov that the Estimated Study Completion Date was scheduled for November 2020. Until the pandemic is under control it is unclear if the trial will be completed by that date.
RGN-352
During 2009, we completed a Phase 1a
and Phase 1b clinical trial evaluating the safety, tolerability and pharmacokinetics of the intravenous administration of
RGN-352 in 60 healthy subjects (40 in each group, 20 of whom participated in both Phases). Based on the results of these
Phase 1 trials and extensive preclinical efficacy data published in peer-reviewed journals, in the second half of 2010, we
began start-up activities for a Phase 2 study to evaluate RGN-352 (Tß4 Injectable Solution) in patients who had
suffered an AMI. We had planned to begin enrolling patients in this clinical trial in the second quarter of 2011. However, in
March 2011, we were notified by the FDA that the trial was placed on clinical hold as a result of our contract
manufacturer’s alleged failure to comply with the current Good Manufacturing Practice (“cGMP”) regulations.
The manufacturer has since closed its manufacturing facility and filed for bankruptcy protection. The FDA prohibited us from
using any of the active drug or placebo formulated by this manufacturer in human trials; consequently, we must have study
drug (RGN-352 and RGN-352 placebo) manufactured by a new cGMP-compliant manufacturer in the event we seek to move forward
with this trial. While we have identified a qualified manufacturer for RGN-352, we have elected to postpone activities on
this trial until the requisite funding or a partner is secured.
In addition to the potential application
of RGN-352 for the treatment of cardiovascular disease, preclinical research published in the scientific journals Neuroscience
and the Journal of Neurosurgery, among others, indicates that RGN-352 may also prove useful for patients with multiple sclerosis,
or MS, as well as patients suffering a stroke, traumatic brain injury, peripheral neuropathy, or spinal cord injury. In these preclinical
studies, the administration of Tß4 resulted in regeneration of neuronal tissue by promoting remyelination of axons and stimulating
oligodendrogenesis, resulting in improvement of neurological functional activity. In 2012, researchers studying Tß4 under
a material transfer agreement (MTA) found that Tß4 had beneficial effects in animal models of peripheral neuropathy, one
of the major complications of diabetes. This research was published in the Journal of Neurobiology of Disease in 2012 and
appears to corroborate previous findings using Tß4 for repair of central nervous system disorders. We are discussing possible
partnership opportunities with companies interested in developing RGN-352 for this indication.
Based on our Phase 1 data and the preclinical
research discussed above, we are evaluating various opportunities for government funding for a Phase 2a clinical trial to show
proof-of-concept in each case while also talking with prospective strategic partners with the interest, capabilities and resources
to further develop product candidate in these fields. We have also been evaluating the potential of RGN-352 for the treatment of
COVID-19.
RGN-137
Clinical
Development — Epidermolysis Bullosa. Starting in 2005, we began conducting a Phase 2 clinical
trial designed to assess the safety and effectiveness of RGN-137 for the treatment of patients with EB. EB is a genetic disease
of approximately 10 gene mutations that results in fragile skin and other epithelial structures (e.g., cornea and GI tract) that
can blister spontaneously or separate at the slightest trauma or friction, creating a wound that at times does not heal or heals
poorly. In severe cases, recurrent blistering and tissue loss may be life threatening. EB has been designated as an “orphan”
indication by the FDA’s Office of Orphan Drugs. We closed the Phase 2 trial in late 2011 and we submitted the final report
to the FDA in 2014. Subsequently, we licensed RGN-137 to GtreeBNT for development in the U.S. and EU. In February 2017, GtreeBNT
received permission from the U.S. FDA to sponsor a Phase 3 clinical trial using RGN-137 to treat patients with EB. Recently, the
FDA modified efficacy requirements in EB patients from complete wound closing to partial wound closing, which has had a positive
impact on clinical trial design. Our licensee initiated a Phase 2 open clinical trial on EB patients in the U.S. in December 2018,
and 3 of 15 patients have been enrolled to date. Due to the COVID-19 pandemic, it is unclear when enrollment will resume.
Clinical
Development — Pressure Ulcers. In late 2005, we began conducting Phase 2 clinical trial designed
to assess the safety and effectiveness of RGN-137 for the treatment of patients with chronic pressure ulcers, commonly known as
bedsores.
In January 2009, we reported final data
from this trial. RGN-137 was well-tolerated at all three dose levels studied, with no dose-limiting adverse events, which achieved
the primary objective of the study. A follow-on evaluation, reported at the 3rd International Symposium on the Thymosins in Health
and Disease in March 2012, showed that for those pressure ulcer patients’ wounds that healed, RGN-137 mid dose (0.02% Tβ4
gel product) accelerated wound closure with a median time to healing of 22 days as compared to 57 days for the placebo. Although
those results are clinically significant, they were not statistically significant.
Clinical
Development — Venous Stasis Ulcers. In mid-2006, we began conducting a Phase 2 clinical trial
designed to assess the safety and effectiveness of RGN-137 for the treatment of patients with venous stasis ulcers. Venous
stasis ulcers are a common type of chronic wound that develops on the ankle or lower leg in patients with chronic vascular
disease. In these patients’ blood flow in the lower extremities is impaired leading to venous hypertension, edema
(swelling) and mild redness and scaling of the skin that gradually progresses to ulceration. In 2009, we reported final data
from that trial. Those results were both clinically and statistically significant.
Strategic Partnerships
Currently, we have active partnerships
in four major territories: North America, Europe, China and Pan Asia. Our partners have been moving forward and making progress
in each territory. In each case, the cost of development is being borne by our partners with no financial obligation for RegeneRx.
We still have significant clinical assets to develop, primarily RGN-352 (injectable formulation of Tß4 for cardiac and CNS
disorders) in the U.S., most of Asia, and Europe; RGN-259 in the EU. In August 2017, we amended the RGN-137 License Agreement with
GtreeBNT, expanding the territory to include Europe, Canada, South Korea, Australia and Japan. Regarding RGN-259, our goal is to
wait until satisfactory results are obtained from the current ophthalmic clinical program in the U.S. before moving into the EU.
This should allow us to obtain a higher value for the asset at that time. However, we will pursue development opportunities with
RGN-352, our injectable systemic product candidate for cardiac and central nervous system indications, either by obtaining grants
to fund a Phase 2a clinical trial in the cardiovascular or central nervous system fields or finding a suitable partner with the
resources and capabilities to develop it as we have with RGN-259. We have also been exploring the potential of RGN-352 for the
treatment of COVID-19.
We anticipate incurring additional operating
losses in the future as we continue to explore the potential clinical benefits of Tß4-based product candidates over multiple
indications. To fund further development and clinical trials we have entered into a series of strategic partnerships under licensing
and joint venture agreements where our partners are responsible for advancing development of our product candidates with multiple
clinical trials.
Lee’s Pharmaceuticals.
We are a party to a license agreement with
Lee’s Pharmaceutical for the license of Thymosin Beta 4 in any pharmaceutical form, including our RGN-259, RGN-352 and RGN-137
product candidates, in China, Hong Kong, Macau and Taiwan. In February 2019, the License Agreement was assigned by Lee’s
to their affiliate, Zhaoke Ophthalmology Pharmaceutical Limited. Lee’s previously filed an IND with the Chinese FDA to conduct
a Phase 2, randomized, double-masked, dose-response clinical trial with RGN-259 in China for dry-eye syndrome. Lee's subsequently
informed us that it received notice from China's FDA declining its IND application for a Phase 2b dry eye clinical trial because
the API was manufactured outside of China. The API was manufactured in the U.S. and provided to Lee's by RegeneRx pursuant to a
license agreement to develop RGN-259 ophthalmic eye drops in the licensed territory. However, in mid-2016, we were informed by
Lee’s that the CFDA modified its manufacturing regulations and will now allow Chinese companies to utilize API manufactured
outside of China for Phase 1 and 2 clinical trials. We have not yet been informed of a projected starting date for Phase 2 trials
but believe Lee’s intends to await the outcome of the ARISE-3 DES trial prior to initiating clinical trials in China. Lee’s
has assigned the license to its subsidiary China Ophthalmology Focus Ltd.
GtreeBNT.
We are a party to a license agreement with
GtreeBNT for the license of RGN-259 related to certain development and commercialization rights for RGN-259, in Asia (excluding
China, Hong Kong, Macau and Taiwan). Separately, we licensed GtreeBNT the rights to RGN-137 which was recently amended as discussed
above. GtreeBNT is currently our second largest stockholder. GtreeBNT filed an IND with the Korean Ministry of Food and Drug Safety
to conduct a Phase 2/3 study with RGN-259 in patients with dry eye syndrome and in July 2015, received approval to conduct the
trial. In late 2016, GtreeBNT informed us that it believes marketing approval in the U.S. will allow expedited marketing in Korea,
possibly without the need for a clinical trial. At this point, we are still awaiting marketing approval in the U.S.
U.S. Joint Venture (ReGenTree, LLC).
In January 2015, we entered into a Joint
Venture Agreement with GtreeBNT whereby we created ReGenTree, jointly owned by us and GtreeBNT, which will commercialize RGN-259
for treatment of dry eye and NK, an orphan indication in the United States. We are entitled to royalties as a percentage of net
sales ranging from single digits to low double digits based on the medical indications approved and whether the Joint Venture commercializes
products directly or through a third party. RegeneRx possesses one of three board seats of ReGenTree and certain major decisions
and transactions within ReGenTree, such as commercialization strategy, mergers, and acquisitions, require RegeneRx’s board
designee’s consent. We currently hold a 38.5% ownership interest in ReGenTree. This ownership interest may be further reduced
to as low as 25% once ReGenTree obtains FDA approval of an NDA for dry eye syndrome in the U.S. In the event ReGenTree is acquired,
or a change of control occurs following achievement of an NDA, RegeneRx shall be entitled to a minimum of 40% of all proceeds paid
or payable and will forgo any future royalties.
Our Strategy
We seek to maximize the value
of our product candidates by advancing their clinical development and then identifying suitable partners for further development,
regulatory approval, and marketing. We intend to engage in strategic partnerships with companies with clinical development and
commercialization strengths in desired pharmaceutical therapeutic fields. We are actively seeking partners with suitable infrastructure,
expertise and a long-term initiative in our medical fields of interest. Our ability to locate and engage new strategic partners
has been limited by the global COVID pandemic. Historically, we have entered the licensing and joint ventures discussed above.
We continue to control the cardiovascular and neurovascular assets (RGN-352) in the EU and are able to consolidate them with similar
assets in the U.S. and other territories in Asia to create a worldwide portfolio that we believe will be more attractive to multi-national
pharmaceutical companies.
Financial Operations Overview
We have never
generated product revenues, and we do not expect to generate product revenues until the FDA approves one of our product candidates,
if ever, and we begin marketing and selling it. We anticipate incurring additional operating losses in the future as we continue
to explore the potential clinical benefits of Tß4-based product candidates over multiple indications. To fund further development
and clinical trials we have entered into a series of strategic partnerships under licensing and joint venture agreements where
our partners are responsible for advancing development of our product candidates with multiple clinical trials.
Most of our
expenditures to date have been for research and development, or R&D, activities and general and administrative, or G&A,
activities. R&D costs include all of the wholly-allocable costs associated with our various clinical programs passed through
to us by our outsourced vendors. Those costs include manufacturing Tß4 and peptide fragments, formulation of Tß4 into
our product candidates, stability studies for both Tß4, and the various formulations, preclinical toxicology, safety and
pharmacokinetic studies, clinical trial management, medical oversight, laboratory evaluations, statistical data analysis, regulatory
compliance, quality assurance and other related activities. R&D includes cash and non-cash compensation, payroll taxes, travel
and other miscellaneous costs of our internal R&D personnel, three persons in total, who are dedicated on a part-time hourly
basis to R&D efforts. R&D also includes a proration of our common infrastructure costs for office space and communications.
We expense our R&D costs as they are incurred.
R&D expenditures are subject to the
risks and uncertainties associated with clinical trials and the FDA review and approval process. As a result, these expenses could
exceed our expectations, possibly materially. We are uncertain as to what we will incur in future R&D costs for our clinical
studies, as these amounts are subject to, management's continuing assessment of the economics of each individual R&D project
and the internal competition for project funding.
G&A costs include outside
professional fees for legal, business development, audit and accounting services. G&A also includes cash and non-cash
compensation, travel and other miscellaneous costs of our internal G&A personnel, two in total, who are wholly dedicated
to G&A efforts. G&A also includes a proration of our common infrastructure costs for office space and communications.
Our G&A expenses also include costs to maintain our intellectual property portfolio. Historically we have expanded our
patent prosecution activities and in some cases, we have filed patent applications for non-critical strategic purposes
intended to prevent others from filing similar patent claims. We continue to closely monitor our patent applications in the
United States, Europe and other countries with the advice of outside legal counsel to determine if they will continue to
provide strategic benefits. In cases where we believe the benefit has been realized or it becomes unnecessary due to the
issuance of other patents, or for other reasons that will not affect the strength of our intellectual property portfolio, we
have and will continue to abandon these patent applications in order to reduce our costs of continued prosecution or
maintenance.
Critical Accounting Policies
In Item 7, “Management’s Discussion
and Analysis of Financial Condition and Results of Operations,” of our Annual Report on Form 10-K for the year ended December
31, 2019, which was filed with the SEC on March 20, 2020, which we refer to as the Annual Report, we included a discussion of the
most significant accounting policies and estimates used in the preparation of our financial statements. There has been no material
change in the policies and estimates used in the preparation of our financial statements since the filing of our Annual Report.
Results of Operations
Comparison of the three months ended
June 30, 2020 and 2019
Revenues. For
the three months ended June 30, 2020 and 2019, we recorded revenue in the amount of approximately $19,000 related to the amortization
of unearned license fees.
R&D Expenses.
For the three months ended June 30, 2020, our R&D expenses increased by approximately $12,000, or 43%, to $38,000 from $26,000
for the same period in 2019. The 2020 increase relates to an increase in stock option expense (increase of $9,000) from the 2019
period as well an increase in R&D reference materials (increase of $3,000).
G&A Expenses.
For the three months ended June 30, 2020, our G&A expenses increased by approximately $22,000, or 6%, to $367,000 from $345,000
for the same period in 2019. The changes in the G&A expenses are reflected in several areas. Decreases in professional services
(decrease of $19,000), dues (decrease of $4,000) and facility and related (decrease of $6,000) are offset by increases in personnel
related (increase of $14,000), stock option expense (increase of $23,000) and insurance (increase of $14,000). We expect that our
G&A expenses will remain steady over the next year.
Net Loss. Our
Statements of Operations reflects a net loss of $436,000 for the quarter ended June 30, 2020, versus a net loss of $388,000 for
the quarter ended June 30, 2019.
Comparison of
the six months ended June 30, 2020 and 2019
Revenues. For the
six months ended June 30, 2020, we recorded revenue in the amount of $38,000 versus $38,000 in the 2019 period. Revenue in both
periods relate to the recognition of the license fees received from ReGenTree and GtreeBNT.
R&D Expenses.
For the six months ended June 30, 2020, our R&D expenses increased by approximately $7,000 or 19%, to $49,000 from $42,000
for the same period in 2019. The 2020 increase relates primarily to an increase in stock option expense (increase of $4,000) in
2020 versus the 2019 period as well an increase in R&D reference materials (increase of $3,000).
G&A Expenses.
For the six months ended June 30, 2020, our G&A expenses increased by approximately $40,000, or 6%, to $712,000 from $672,000
for the same period in 2019. The changes in the G&A expenses are reflected in several areas. Increases in personnel related
(increase of $28,000), stock option compensation expense (increase of $21,000), and insurance expense (increase $29,000) were
offset by decreases in professional services (decrease of $23,000), seminars (decrease of $5,000), dues (decrease of $4,000)
and facility and related (decrease of $6,000).
Net Loss. Our Statements
of Operations reflects a net loss of $823,000 for the six months ended June 30, 2020, versus a net loss of $721,000 recorded in
the six months ended June 30, 2019.
Liquidity and Capital Resources
Overview
We have not commercialized
any of our product candidates to date and have incurred significant losses since inception. Over the past couple of years, we have
primarily financed our operations through the sale of a series of convertible promissory notes through private placements with
accredited investors and the March and August 2014 private placements of common stock with GtreeBNT as well as our entry into the
joint venture with ReGenTree in early 2015. The report of our independent registered public accounting firm regarding our financial
statements for the year ended December 31, 2019 contained an explanatory paragraph regarding our ability to continue as a going
concern based upon our history of net losses and dependence on future financing in order to meet our planned operating activities.
We had cash and cash equivalents of $377,594
at June 30, 2020. Our current cash which includes the proceeds from the closing of the February 2019 note sale as well as the proceeds
from January 2020 warrant exercises will be sufficient to fund planned operations through the third quarter of 2020. We will need
to secure additional funding in order to advance operations substantially beyond the third quarter of 2020. Given its nature, the
COVID global pandemic may impact our ability to secure additional funding. We may also receive funds from grants, new partnerships
or the raising of additional capital if the market climate warrants. Additionally, we intend to continue to pursue additional partnering
activities, particularly for RGN-352, our injectable systemic product candidate for cardiac and central nervous system indications.
On April 24, 2020, the Company entered into a Term Note (the “Loan”) with PNC Bank (the “Bank”) pursuant to the Paycheck Protection Program
(the “PPP”) of the Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”) administered by the
U.S. Small Business Administration. The principal amount of the Loan is $55,400.
In accordance with the requirements of
the CARES Act, the Company will use the proceeds from the Loan in accordance with the requirements of the PPP to cover certain
qualified expenses, including payroll costs, rent and utility costs. Interest accrues on the Loan at the rate of 1.00% per annum.
The Company may apply for forgiveness of amount due under the Loan, in an amount equal to the sum of qualified expenses under
the PPP, which include payroll costs, rent obligations, and covered utility payments incurred during the eight weeks following
disbursement under the Loan. The Company intends to use the entire proceeds under the Loan for such qualifying expenses.
Subject to any forgiveness under the PPP,
the Loan matures two years following the date of issuance of the Loan and includes a period for the first six months during which
time required payments of interest and principal are deferred. Beginning on the fifteenth day of the seventh month following the
date of the Loan, the Company is required to make 18 monthly payments of principal and interest. The Loan may be prepaid at any
time prior to maturity with no prepayment penalties. The Loan provides for customary events of default, including, among others,
those relating to breaches of their obligations under the Loan, including a failure to make payments, any bankruptcy or similar
proceedings involving the Company, and certain material effects on the Company’s ability to repay the Loan. The Company
did not provide any collateral or guarantees for the Loan.
Cash Flows for the Six Months Ended
June 30, 2020 and 2019
Net cash used in operating activities
was approximately $560,000 for the six months ended June 30, 2020 compared to approximately $607,000 used in operating
activities for the six months ended June 30, 2019. We received gross proceeds of approximately $242,000 from the exercise of
warrants and approximately $55,000 in loan proceeds in the six months ended June 30, 2020. In 2019, we received gross
proceeds of $1,541,000 from the closing of the February 2019 Notes as well as the exercise of warrants.
Future Funding Requirements
The expenditures that
will be necessary to execute our business plan are subject to numerous uncertainties that may adversely affect our liquidity and
capital resources. Currently, RegeneRx has active partnerships in three major territories: the U.S., China and Pan Asia. Our partners
have been moving forward and making progress in each territory. In each case, the cost of development is being borne by our partners
with no financial obligation for RegeneRx. Patient accrual, treatment, and follow-up for ophthalmic trials are, in general, relatively
fast, as opposed to most other clinical efforts: In February 2019, ReGenTree initiated a 700-patient ARISE-3 trial in patients
with DES to confirm the results observed in ARISE-2. Although we continue to make steady progress, due to the COVID-19 pandemic,
the completion of ARISE-3 could be delayed. ReGenTree previously reported in clinicaltrials.gov that the Estimated
Study Completion Date was scheduled for November 2020. Until the pandemic is under control it is unclear if the trial
will be completed by that date.
We still have significant
clinical assets to develop, primarily RGN-352 (injectable formulation of Tß4 for cardiac and CNS disorders) in the U.S.,
Pan Asia, and Europe, and RGN-259 in the EU. Our goal is to wait until the results are obtained from the current ophthalmic clinical
trials before moving into the EU with RGN-259. If successful, this should allow us to obtain a higher value for the asset at that
time. However, we intend to continue to develop RGN-352, either by obtaining grants to fund a Phase 2a clinical trial in the cardiovascular
or central nervous system fields or finding a suitable partner with the resources and capabilities to develop it as we have with
RGN-259. We have also been exploring the potential of RGN-352 for the treatment of COVID-19. Our capital resources remain limited:
therefore, we will need to secure additional operating capital to continue operations substantially beyond the third quarter of
2020. A sale of common stock and warrants, a convertible instrument or additional partnering of licensed rights are possible sources
of operating capital in the future. In addition, the length of time required for clinical trials varies substantially according
to the type, complexity, novelty and intended use of a product candidate, as well as outside factors such as the COVID-19 pandemic.
Some of the factors that could impact our liquidity and capital needs include, but are not limited to:
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the progress of our clinical trials;
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the progress of our research activities;
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the number and scope of our research programs;
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the progress of our preclinical development activities;
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the costs involved in preparing, filing, prosecuting, maintaining, enforcing and defending patent
and other intellectual property claims;
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the costs related to development and manufacture of preclinical, clinical and validation lots for
regulatory purposes and commercialization of drug supply associated with our product candidates;
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our ability to enter into corporate collaborations and the terms and success of these collaborations;
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the costs and timing of regulatory approvals; and
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the costs of establishing manufacturing, sales and distribution capabilities.
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In addition, the duration
and the cost of clinical trials may vary significantly over the life of a project as a result of differences arising during the
clinical trial protocol, including, among others, the following:
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the number of patients that ultimately participate in the trial;
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the duration of patient follow-up that seems appropriate in view of the results;
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the number of clinical sites included in the trials;
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the length of time required to enroll suitable patient subjects; and
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Also, we test our
product candidates in numerous preclinical studies to identify indications for which they may be efficacious. We may conduct
multiple clinical trials to cover a variety of indications for each product candidate. As we obtain results from trials, we
may elect to discontinue clinical trials for certain product candidates or for certain indications in order to focus our
resources on more promising product candidates or indications.
Our proprietary product
candidates have not yet achieved FDA regulatory approval, which is required before we can market them as therapeutic products.
In order to proceed to subsequent clinical trial stages and to ultimately achieve regulatory approval, the FDA must conclude that
our clinical data establish safety and efficacy. Historically, the results from preclinical studies and early clinical trials have
often not been predictive of results obtained in later clinical trials. A number of new drugs and biologics have shown promising
results in clinical trials, but subsequently failed to establish sufficient safety and efficacy data to obtain necessary regulatory
approvals.
Sources
of Liquidity
We have not commercialized
any of our product candidates to date and have primarily financed our operations through the issuance of common stock and common
stock warrants in private and public financings. In June of 2016, we raised $1,520,000 by selling 5,147,059 shares of common stock
and warrants to purchase 5,147,059 shares of common stock to Sabby. On March 2, 2018, we entered into a warrant reprice and exercise
and issuance agreement with Sabby, which, in consideration of the holders exercising in full all of the 2016 Offering warrants
the exercise price per share of the warrants was reduced to $0.20 per share. In addition, and as further consideration, we issued
to the holders of the 2016 Offering warrants 3,860,294 new warrants with an exercise price of $0.2301 per share. Pursuant to the
terms of the Reprice Agreement the exercise price of the new warrants will be reduced from $0.2301 to $0.125 as a result of the
sale of the 2019 Notes. We received gross proceeds of approximately $1,000,000 pursuant the exercise and issued 5,147,059 of common
stock. Most recently, in February 2019, we sold a series of convertible promissory notes to accredited investors including Essetifin
S.p.A., our largest shareholder. The sale of the notes resulted in gross proceeds to the Company of $1,300,000 over two closings.
The first closing in the amount of $650,000 occurred in February 2019 and the second closing, also in the amount of $650,000, occurred
on May 13, 2019 after the Company provided notice of the enrollment of the first patient in the ARISE-3 clinical trial in DES sponsored
by ReGenTree. The notes contain a $0.12 conversion price and are initially convertible into 10,833,333 chares off common stock.
The purchasers also received a warrant exercisable at $0.18 to purchase additional 8,125,000 shares of common stock. In addition,
we received proceeds of $115,625 pursuant to the exercise of warrants held by Sabby Management as well as $125,000 for April 2019
warrant exercises. In January 2020, Sabby exercised their remaining warrants and the Company received proceeds of $241,911. At
present, with the receipt of the sale proceeds from the closing on the 2019 Notes and proceeds from the March and April 2019 and
January 2020 warrant exercises, we have sufficient cash to fund planned operations through the third quarter of 2020.
Other Financing
Sources
Other potential sources
of outside capital include entering into additional strategic business relationships, additional issuances of equity securities
or debt financing or other similar financial instruments. If we raise additional capital through a strategic business relationship,
we may have to give up valuable rights to our intellectual property. If we raise funds by selling additional shares of our common
stock or securities convertible into our common stock, the ownership interest of our existing stockholders may be significantly
diluted. In addition, if additional funds are raised through the issuance of preferred stock or debt securities, these securities
are likely to have rights, preferences and privileges senior to our common stock and may involve significant fees, interest expense,
restrictive covenants and the granting of security interests in our assets.
Our failure to successfully
address liquidity requirements could have a materially negative impact on our business, including the possibility of surrendering
our rights to some technologies or product opportunities, delaying our clinical trials, or ceasing operations. There can be no
assurance that we will be able to obtain additional capital in sufficient amounts, on acceptable terms, or at all.
Off-Balance Sheet Arrangements
We do not have any off-balance sheet arrangements,
as such term is defined in Item 303(a)(4) of Regulation S-K.
Item 3. Quantitative and Qualitative
Disclosures about Market Risk.
Our cash equivalents,
which are generally comprised of Federally insured bank deposits, are subject to default, changes in credit rating and changes
in market value. These investments are also subject to interest rate risk and will decrease in value if market interest rates increase.
As of June 30, 2020, these cash equivalents were $273,171. Due to the short-term nature of these investments, if market interest
rates differed by 10% from their levels as of June 30, 2020, the change in fair value of our financial instruments would not have
been material.
Item 4. Controls and Procedures
a) Evaluation of
Disclosure Controls and Procedures
Our management, under the supervision and
with the participation of our President and Chief Executive Officer, in his capacity as our principal executive officer and our
principal financial officer, performed an evaluation of the effectiveness of the design and operation of our “disclosure
controls and procedures” (as defined in Rule 13a-15(e) and 15d-15(e) of the Securities Exchange Act of 1934, as amended)
as of June 30, 2020. Based upon this evaluation, management has concluded that, as of June 30, 2020, our disclosure controls and
procedures were effective to provide reasonable assurance that the information required to be disclosed is recorded, processed,
summarized and reported within the time periods specified under applicable rules of the SEC, and that such information is accumulated
and communicated to management, including our President and Chief Executive Officer, as appropriate, to allow timely decisions
regarding required disclosures.
b) Changes in Internal
Controls
There
were no changes in our internal control over financial reporting during the three months ended June 30, 2020 that have materially
affected, or which are reasonably likely to materially affect, our internal control over financial reporting.
Set forth below and elsewhere in this report
and in other documents we file with the SEC are risks and uncertainties that could cause actual results to differ materially from
the results contemplated by the forward-looking statements contained in this report. The descriptions below include any material
changes to and supersede the description of the risk factors affecting our business previously disclosed in “Part II, Item
1A. Risk Factors” of the Annual Report.
Risks Related to Our Liquidity and Need
for Financing
Before giving effect to any potential
additional sales of our securities, we estimate that our existing capital resources coupled with the proceeds from the February
2019 note sales and warrant exercises will only be sufficient to fund our operations through the third quarter of 2020.
Even though we sold the 2019 Notes in February
2019 and have received proceeds of $1,300,000 and received approximately $480,000, including approximately $240,000 in January
2020, from the exercise of the warrants, these proceeds are only projected to fund our operations at the current level through
the third quarter of 2020, therefore we will need to secure additional operating capital to continue operations substantially beyond
the third quarter of 2020. We continuously monitor our cash use as well as the clinical timelines. We will need to secure additional
operating capital in 2020 and are evaluating options including the licensing of additional rights to commercialize our clinical
products as well as raising capital through the capital markets, either of which could cause a reduction in the trading price of
our common stock. The COVID global pandemic may impact our ability to secure additional financing.
We will need substantial additional
capital for the continued development of product candidates through marketing approval and for our longer-term future operations.
We anticipate that substantial new capital
resources will be required to continue our longer-term product development efforts, including any and all follow-on trials that
will result from our current clinical programs beyond those currently contemplated, and to scale up manufacturing processes for
our product candidates. However, the actual amount of funds that we will need will be determined by many factors, some of which
are beyond our control. These factors include, without limitation:
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the scope of our, or our partners’
clinical trials, which is significantly influenced by the quality of clinical data achieved as trials are completed and the requirements
established by regulatory authorities;
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the speed with which we, or our partners,
complete our clinical trials, which depends on our ability to attract and enroll qualifying patients and the quality of the work
performed by our clinical investigators and contract research organizations chosen to conduct the studies or events such as the
COVID-19 pandemic;
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the time required to prosecute, enforce
and defend our intellectual property rights, which depends on evolving legal regimes and infringement claims that may arise between
us and third parties;
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the ability to manufacture at scales sufficient
to supply commercial quantities of any of our product candidates that receive regulatory approval, which may require levels of
effort not currently anticipated; and
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the successful commercialization of our
product candidates, which will depend on our, or our partners’, ability to either create or partner with an effective commercialization
organization and which could be delayed or prevented by the emergence of equal or more effective therapies.
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Emerging biotechnology companies like ours
may raise capital through corporate collaborations and by licensing intellectual property rights to other biotechnology or pharmaceutical
enterprises. We intend to pursue this strategy, but there can be no assurance that we will be able to enter into additional license
agreements with respect to our intellectual property or product development programs on commercially reasonable terms, if at all.
There are substantial challenges and risks that will make it difficult to successfully implement any of these alternatives. If
we are successful in raising additional capital through such a license or collaboration, we may have to give up valuable rights
to our intellectual property. In addition, the business priorities of a strategic partner may change over time, which creates the
possibility that the interests of the strategic partner in developing our technology may diminish and could have a potentially
material negative impact on the value of our interest in the licensed intellectual property or product candidates.
Further, if we raise additional funds by
selling shares of our common stock or securities convertible into our common stock the ownership interest of our existing stockholders
may be significantly diluted. If additional funds are raised through the issuance of preferred stock or debt securities, these
securities are likely to have rights, preferences and privileges senior to our common stock and may involve significant fees, interest
expense, restrictive covenants or the granting of security interests in our assets.
Our failure to successfully address our
long-term liquidity requirements would have a material negative impact on our business, including the possibility of surrendering
our rights to some technologies or product opportunities, delaying our clinical trials or ceasing our operations.
We have incurred losses since inception
and expect to incur significant losses in the foreseeable future and may never become profitable.
We have not commercialized any product
candidates to date and incurred net operating losses every year since our inception in 1982. We believe these losses will continue
for the foreseeable future and may increase, as we pursue our product development efforts related to Tß4. As of June 30,
2020, our accumulated deficit totaled approximately $108 million.
As we expand our research and development
efforts and seek to obtain regulatory approval of our product candidates to make them commercially viable, we anticipate substantial
and increasing operating losses. Our ability to generate revenues and to become profitable will depend largely on our ability,
alone or through the efforts of third-party licensees and collaborators, to efficiently and successfully complete the development
of our product candidates, obtain necessary regulatory approvals for commercialization, scale-up commercial quantity manufacturing
capabilities either internally or through third-party suppliers, and market our product candidates. There can be no assurance that
we will achieve any of these objectives or that we will ever become profitable or be able to maintain profitability. Even if we
do achieve profitability, we cannot predict the level of such profitability. If we sustain losses over an extended period of time
and are not otherwise able to raise necessary funds to continue our development efforts and maintain our operations, we may be
forced to cease operations.
Our common stock is quoted on the
over-the-counter market, which subjects us to the SEC’s penny stock rules and may decrease the liquidity of our common stock.
Our common stock is traded
over-the-counter on the OTC Bulletin Board. Over-the-counter markets are generally considered to be less efficient than, and
not as broad as, a stock exchange. There may be a limited market for our stock now that it is quoted on the OTC Bulletin
Board, trading in our stock may become more difficult and our share price could decrease. Specifically, you may not be able
to resell your shares of common stock at or above the price you paid for such shares or at all.
In addition, our ability to raise additional
capital may be impaired because of the less liquid nature of the over-the-counter markets. While we cannot guarantee that we would
be able to complete an equity financing on acceptable terms, or at all, we believe that dilution from any equity financing while
our shares are quoted on an over-the-counter market would likely be substantially greater than if we were to complete a financing
while our common stock is traded on a national securities exchange. Further, we are unable to use short-form registration statements
on Form S-3 for the registration of our securities, which could impair our ability to raise additional capital as needed.
Our common stock is also subject to penny
stock rules, which impose additional sales practice requirements on broker-dealers who sell our common stock. The SEC generally
defines “penny stock” as an equity security that has a market price of less than $5.00 per share, subject to certain
exceptions. The ability of broker-dealers to sell our common stock and the ability of our stockholders to sell their shares in
the secondary market will be limited and, as a result, the market liquidity for our common stock will likely be adversely affected.
We cannot assure you that trading in our securities will not be subject to these or other regulations in the future.
The report of our independent registered
public accounting firm contains explanatory language that substantial doubt exists about our ability to continue as a going concern.
The report of our independent registered
public accounting firm on our financial statements for the year ended December 31, 2019 contains explanatory language that substantial
doubt exists about our ability to continue as a going concern, without raising additional capital. As described in this report,
in February 2019 we sold the 2019 Notes for proceeds of $1,300,000 and we received approximately $240,000 from the exercise of
the warrants, these proceeds are only projected to fund our operations at the current level through the third quarter of 2020.
We will need to secure additional operating capital to continue operations substantially beyond the third quarter of 2020. Therefore,
we are seeking sources of capital, but if we are unable to obtain sufficient financing to support and complete these activities,
then we would, in all likelihood, experience severe liquidity problems and may have to curtail our operations. If we curtail our
operations, we may be placed into bankruptcy or undergo liquidation, the result of which will adversely affect the value of our
common shares.
Risks Related to Our Business
and Operations
Public health threats could have
an adverse effect on our clinical trials and financial results.
Public health threats could adversely affect
our ongoing or planned business operations. In particular, the novel coronavirus (COVID-19) has resulted in quarantines, restrictions
on travel and other business and economic disruptions. We cannot presently predict the scope and severity of any potential business
shutdowns or disruptions, but if we or any of the third parties with whom we engage, including the partners and other third parties
with whom we conduct business, were to experience shutdowns or other business disruptions, our ability to conduct our business
in the manner and on the timelines presently planned could be materially and adversely impacted. The COVID-19 pandemic has affected
patient accrual in our ARISE-3 clinical trial and we do not have a clear date on which it will be completed. As of the date of
this report, while we do not specifically foresee additional delays, it is impossible for us to predict further impact the COVID-19
global pandemic may have.
Our planned Phase 2 clinical trial
of RGN-352 was placed on clinical hold by the FDA in March 2011 due to non-compliance of cGMP regulations by a contract manufacturer
and we are unsure when, if ever, we will be able to resume this trial.
In the second half of 2010, we
implemented the development plans for our Phase 2 clinical trial to evaluate RGN-352 in patients who have suffered an acute
myocardial infarction, or AMI. We had planned to begin enrolling patients near the end of the first quarter of 2011. However,
in March 2011, we were notified by the FDA that the trial was placed on clinical hold as a result of our contract
manufacturer’s alleged failure to comply with current Good Manufacturing Practice (“cGMP”) regulations. The
FDA has prohibited us from using any of the active drug or placebo formulated by this manufacturer in human trials, which
will require us to identify a cGMP-compliant manufacturer and to have new material produced in the event that we seek to
resume this trial. We have also learned that the contract manufacturer has closed its manufacturing facility. Significant
preparatory time and procedures will be required before any new suitable manufacturer would be able to manufacture RGN-352
for the AMI trial. Since we are unable to estimate the length of time that the trial will be on clinical hold, we have
elected to cease activities on this trial until the FDA clinical hold is resolved and the requisite funding might be secured.
Consequently, there can be no assurance that we will be able to timely initiate trial activities or complete this trial, if
at all.
All of our drug candidates are based
on a single compound.
Our current primary business focus is the
development of Tß4, and its analogues, derivatives and fragments, for the regeneration and accelerated repair of damaged
tissue from non-healing dermal and corneal wounds, cardiac injury, central/peripheral nervous system diseases and other conditions,
as well as an improvement in various functions, such as, but not limited to, cardiac and neurological. Unlike many pharmaceutical
companies that have a number of unique chemical entities in development, we are dependent on a single molecule, formulated for
different routes of administration and different clinical indications, for our potential commercial success. As a result, any common
safety or efficacy concerns for Tß4-based products that cross formulations would have a much greater impact on our business
prospects than if our product pipeline were more diversified.
We may never be able to commercialize
our product candidates.
Although Tß4 has shown biological
activity in in vitro studies and in vivo animal models and while we observed clinical activity and efficacious outcomes
in our recent RGN-259 Phase 2a trial and earlier Phase 2 dermal trials, we cannot assure you that our product candidates will exhibit
activity or importance in humans in large-scale trials. Our drug candidates are still in research and development, and we do not
expect them to be commercially available for the foreseeable future, if at all. Only a small number of research and development
programs ultimately result in commercially successful drugs. Potential products that appear to be promising at early stages of
development may not reach the market for a number of reasons. These include the possibility that the potential products may:
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be found ineffective or cause harmful
side effects during preclinical studies or clinical trials;
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fail to receive necessary regulatory approvals;
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be precluded from commercialization by
proprietary rights of third parties;
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be difficult to manufacture on a large
scale; or
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be uneconomical or otherwise fail to achieve
market acceptance.
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If any of these potential problems occurs,
we may never successfully market Tß4-based products.
We are subject to intense government
regulation, and we may not receive regulatory approvals for our drug candidates.
Our product candidates will require regulatory
approvals prior to sale. In particular, therapeutic agents are subject to stringent approval processes, prior to commercial marketing,
by the FDA and by comparable agencies in most foreign countries. The process of obtaining FDA and corresponding foreign approvals
is costly and time-consuming, and we cannot assure you that such approvals will be granted. Also, the regulations we are subject
to change frequently and such changes could cause delays in the development of our product candidates.
Three of our drug candidates are
currently in the clinical development stage, and we cannot be certain that we, or our partners, will successfully complete
the clinical trials necessary to receive regulatory product approvals. The regulatory approval process is lengthy,
unpredictable and expensive. To obtain regulatory approvals in the United States, we or a partner must ultimately demonstrate
to the satisfaction of the FDA that our product candidates are sufficiently safe and effective for their proposed
administration to humans. Many factors, known and unknown, can adversely impact clinical trials and the ability to evaluate a
product candidate’s safety and efficacy, including:
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the FDA or other health regulatory authorities,
or institutional review boards, or IRBs, do not approve a clinical trial protocol or place a clinical trial on hold;
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suitable patients do not enroll in a clinical
trial in sufficient numbers or at the expected rate, for reasons such as the size of the patient population, the proximity of patients
to clinical sites, the eligibility criteria for the trial, the perceptions of investigators and patients regarding safety, and
the availability of other treatment options;
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clinical trial data is adversely affected
by trial conduct or patient withdrawal prior to completion of the trial;
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there may be competition with ongoing
clinical trials and scheduling conflicts with participating clinicians;
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patients experience serious adverse events,
including adverse side effects of our drug candidates, for a variety of reasons that may or may not be related to our product candidates,
including the advanced stage of their disease and other medical problems;
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patients in the placebo or untreated control
group exhibit greater than expected improvements or fewer than expected adverse events;
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third-party clinical investigators do
not perform the clinical trials on the anticipated schedule or consistent with the clinical trial protocol and good clinical practices,
or other third-party organizations do not perform data collection and analysis in a timely or accurate manner;
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service providers, collaborators or co-sponsors
do not adequately perform their obligations in relation to the clinical trial or cause the trial to be delayed or terminated;
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we are unable to obtain a sufficient supply
of manufactured clinical trial materials;
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regulatory inspections of manufacturing
facilities, which may, among other things, require us or a co-sponsor to undertake corrective action or suspend the clinical trials,
such as the clinical hold with respect to our Phase 2 clinical trial of RGN-352;
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the interim results of the clinical trial
are inconclusive or negative;
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the clinical trial, although approved
and completed, generates data that is not considered by the FDA or others to be clinically relevant or sufficient to demonstrate
safety and efficacy; and
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changes in governmental regulations or
administrative actions that could affect the conduct of the clinical trial or the interpretation of its results.
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There can be no assurance that our, or
our partners’, clinical trials will in fact demonstrate, to the satisfaction of the FDA and others, that our product candidates
are sufficiently safe or effective. The FDA or we may also restrict or suspend our clinical trials at any time if it is believed
that subjects participating in the trials are being exposed to unacceptable health risks.
Clinical trials for product candidates
such as ours are often conducted with patients who have more advanced forms of a particular condition or other unrelated conditions.
For example, in clinical trials for our product candidate RGN-137, we have studied patients who are not only suffering from chronic
epidermal wounds but who are also older and much more likely to have other serious adverse conditions. During the course of treatment
with our product candidates, patients could die or suffer other adverse events for reasons that may or may not be related to the
drug candidate being tested. Further, and as a consequence that all of our drug candidates are based on Tß4, crossover risk
exists such that a patient in one trial may be adversely impacted by one drug candidate, and that adverse event may have implications
for our other trials and other drug candidates. However, even if unrelated to our product candidates, such adverse events can nevertheless
negatively impact our clinical trials, and our business prospects would suffer.
These factors, many of which may be
outside of our control, may have a negative impact on our business by making it difficult to advance product candidates or by
reducing or eliminating their potential or perceived value. As a consequence, we may need to perform more or larger clinical
trials than planned. Further, if we are forced to contribute greater financial and clinical resources to a study, valuable
resources will be diverted from other areas of our business. If we fail to complete or if we experience material delays in
completing our clinical trials as currently planned, or we otherwise fail to commence or complete, or experience delays in,
any of our other present or planned clinical trials, including as a result of the actions of third parties upon which we rely
for these functions, our ability to conduct our business as currently planned could materially suffer.
We may not successfully establish
and maintain development and testing relationships with third-party service providers and collaborators, which could adversely
affect our ability to develop our product candidates.
We have only limited resources, experience
with and capacity to conduct requisite testing and clinical trials of our drug candidates. As a result, we rely and expect to
continue to rely on third-party service providers and collaborators, including corporate partners, licensors and contract research
organizations, or CROs, to perform a number of activities relating to the development of our drug candidates, including the design
and conduct of clinical trials, and potentially the obtaining of regulatory approvals. For example, we currently rely on several
third-party contractors to manufacture and formulate Tß4 into the product candidates used in our clinical trials, develop
assays to assess Tß4’s effectiveness in complex biological systems, recruit clinical investigators and sites to participate
in our trials, manage the clinical trial process and collect, evaluate and report clinical results.
We may not be able to maintain or expand
our current arrangements with these third parties or maintain such relationships on favorable terms. Our third-party contractors
may be impacted by the COVID-19 pandemic. Our agreements with these third parties may also contain provisions that restrict our
ability to develop and test our product candidates or that give third parties rights to control aspects of our product development
and clinical programs. In addition, conflicts may arise with our collaborators, such as conflicts concerning the interpretation
of clinical data, the achievement of milestones, the interpretation of financial provisions or the ownership of intellectual property
developed during the collaboration. If any conflicts arise with our existing or future collaborators, they may act in their self-interest,
which may be adverse to our best interests. Any failure to maintain our collaborative agreements and any conflicts with our collaborators
could delay or prevent us from developing our product candidates. We and our collaborators may fail to develop products covered
by our present and future collaborations if, among other things:
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we or our partners do not achieve our
objectives under our collaboration agreements;
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we or our partners are unable to obtain
patent protection for the products or proprietary technologies we develop in our partnerships;
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we are unable to manage multiple simultaneous
product development partnerships;
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our partners become competitors of ours
or enter into agreements with our competitors;
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we or our partners encounter regulatory
hurdles that prevent commercialization of our product candidates; or
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we develop products and processes or enter
into additional partnerships that conflict with the business objectives of our other partners.
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We also have less control over the timing
and other aspects of our clinical trials than if we conducted the monitoring and supervision entirely on our own. In addition,
activities may be impacted by the COVID-19 pandemic. Third parties may not perform their responsibilities for our clinical trials
on our anticipated schedule or consistent with a clinical trial protocol or applicable regulations. We, and our partners, also
rely on clinical research organizations to perform much of our data management and analysis. They may not provide these services
as required or in a timely manner. If any of these parties do not meet deadlines or follow proper procedures, including procedures
required by law, the preclinical studies and clinical trials may take longer than expected, may be delayed or may be terminated,
which would have a materially negative impact on our product development efforts. If we were forced to find a replacement entity
to perform any of our preclinical studies or clinical trials, we may not be able to find a suitable entity on favorable terms or
at all. Even if we were able to find a replacement, resulting delays in the tests or trials may result in significant additional
expenditures and delays in obtaining regulatory approval for drug candidates, which could have a material adverse impact on our
results of operations and business prospects.
GtreeBNT Co., Ltd. has limited drug
development experience.
We are a party to several license agreements
and a Joint Venture with GtreeBNT. Historically, GtreeBNT’s business focus has been in the IT software industry in Korea
with strong IP positions addressing specific software tools and apps such as optimized multimedia software for smart phones. GtreeBNT
made a strategic decision in November 2013 to expand into the biopharmaceutical business through selected strategic alliances with
biopharmaceutical companies in the U.S. and EU. The collaboration with RegeneRx is the first strategic investment in this initiative.
While GtreeBNT has hired executives and staff with significant pharmaceutical experience, the company has no internal drug development
experience. As a result, GtreeBNT may face more and different challenges in the development of these product candidates than would
more established pharmaceutical companies.
GtreeBNT Co., Ltd. may have different
public reporting requirements than RegeneRx and communications between the two companies may sometimes conflict or be less than
clear.
GtreeBNT is a public company traded on
the Korean stock market. Certain disclosure requirements may differ from RegeneRx’s. Moreover, due to different language
conventions, translations may be less than 100% accurate. Further, RegeneRx may not always get material information related to
clinical trials or manufacturing development or strategic product development strategy in a timely or clear manner.
GtreeBNT Co., Ltd. has limited financial
resources.
GtreeBNT has informed us that they have
limited financial resources. They have to continuously raise capital to fund research, development, clinical trials, and operations.
Therefore, their ability to finance each of these areas is subject to its ability to secured adequate capital. While GtreeBNT has
been able to finance each of these areas, to date, there is no assurance that they will be able to do so in the future. If GtreeBNT
is unable to secure necessary financing to fund clinical trials or operations, it could have a material adverse impact on RGN-137
and RGN-259 and RegeneRx’s ability to continue funding operations while these products are under development.
We are subject to intense competition
from companies with greater resources and more mature products, which may result in our competitors developing or commercializing
products before or more successfully than we do.
We are engaged in a business that is highly
competitive. Research and development activities for the development of drugs to treat indications within our focus are being sponsored
or conducted by private and public research institutions and by major pharmaceutical companies located in the United States and
a number of foreign countries. Most of these companies and institutions have financial and human resources that are substantially
greater than our own and they have extensive experience in conducting research and development activities and clinical trials and
in obtaining the regulatory approvals necessary to market pharmaceutical products that we do not have. As a result, they may develop
competing products more rapidly that are safer, more effective, or have fewer side effects, or are less expensive, or they may
develop and commercialize products that render our product candidates non-competitive or obsolete.
With respect to our product candidate RGN-259,
there are also numerous ophthalmic companies developing drugs for corneal wound healing and other front-of-the-eye diseases and
injuries, including dry eye syndrome. Amniotic membranes have been successfully used to treat corneal wounds in certain cases,
as have topical steroids and antibacterial agents. Most specialty ophthalmic companies have a number of products on the market
that could compete with RGN-259. There are numerous antibiotics to treat eye infections to promote corneal wound healing and many
eye lubrication products that are soothing to the eye and help eye healing, many of which are sold without prescriptions. Companies
also market steroids to treat certain conditions within our area of interest. Allergan, Inc. markets Restasis™, Ophthalmic
Emulsion and Novartis markets Xiidra, which are the only two commercially available and FDA-approved eye drop products to treat
dry eye. Restasis™ and Xiidra have been approved for marketing in certain other countries where we have licensed RGN-259.
We have initially targeted our
product candidate RGN-352 for cardiovascular indications. We have also been exploring the potential of RGN-352 for the
treatment of COVID-19. Most large pharmaceutical companies and many smaller biomedical companies are vigorously pursuing the
development of therapeutics to treat patients after heart attacks and for other cardiovascular indications. Numerous
biotechnology and pharmaceutical companies are developing products to treat COVID-19.
With respect to our product candidate RGN-137
for wound healing, Johnson & Johnson has previously marketed Regranex™ for this purpose in patients with diabetic foot
ulcers. Other companies, such as Novartis, are developing and marketing artificial skins, which we believe could also compete with
RGN-137. Moreover, wound healing is a large and highly fragmented marketplace attracting many companies, large and small, to develop
products for treating acute and chronic wounds.
Even if approved for marketing, our
technologies and product candidates are unproven and they may fail to gain market acceptance.
Our product candidates, all of which are
based on the molecule Tß4, are new and unproven and there is no guarantee that health care providers or patients will be
interested in our product candidates, even if they are approved for use. If any of our product candidates are approved by the FDA,
our success will depend in part on our ability to demonstrate sufficient clinical benefits, reliability, safety, and cost effectiveness
of our, or our partners’, product candidates relative to other approaches, as well as on our ability to continue to develop
our product candidates to respond to competitive and technological changes. If the market does not accept our product candidates,
when and if we are able to commercialize them, then we may never become profitable. Factors that could delay, inhibit or prevent
market acceptance of our product candidates may include:
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the timing and receipt of marketing approvals;
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the safety and efficacy of the products;
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the emergence of equivalent or superior
products;
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the cost-effectiveness of the products;
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It is difficult to predict the future growth
of our business, if any, and the size of the market for our product candidates because the markets are continually evolving. There
can be no assurance that our product candidates will prove superior to products that may currently be available or may become available
in the future or that our research and development activities will result in any commercially profitable products.
We have no marketing experience,
sales force or distribution capabilities. If our product candidates are approved, and we are unable to recruit key personnel to
perform these functions, we may not be able to commercialize them successfully.
Although we do not currently have any marketable
products, our ability to produce revenues ultimately depends on our, or our partners’, ability to sell our product candidates
if and when they are approved by the FDA and other regulatory authorities. We currently have no experience in marketing or selling
pharmaceutical products, and we do not have a marketing and sales staff or distribution capabilities. Developing a marketing and
sales force is also time-consuming and could delay the launch of new products or expansion of existing product sales. In addition,
we will compete with many companies that currently have extensive and well-funded marketing and sales operations. If we fail to
establish successful marketing and sales capabilities or fail to enter into successful marketing arrangements with third parties,
our ability to generate revenues will suffer.
If we enter markets outside the United
States our business will be subject to political, economic, legal and social risks in those markets, which could adversely affect
our business.
There are significant regulatory and
legal barriers to entering markets outside the United States that must be overcome if we, or our partners, seek regulatory
approval to market our product candidates in countries other than the United States. We would be subject to the burden of
complying with a wide variety of national and local laws, including multiple and possibly overlapping and conflicting laws.
We also may experience difficulties adapting to new cultures, business customs and legal systems. Any sales and operations
outside the United States would be subject to political, economic and social uncertainties including, among others:
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changes and limits in import and export
controls;
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increases in custom duties and tariffs;
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changes in currency exchange rates;
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economic and political instability;
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changes in government regulations and
laws;
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absence in some jurisdictions of effective
laws to protect our intellectual property rights; and
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currency transfer and other restrictions
and regulations that may limit our ability to sell certain product candidates or repatriate profits to the United States.
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Any changes related to these and other
factors could adversely affect our business if and to the extent we enter markets outside the United States. Additionally, we have
entered into license agreements with Sigma-Tau S.p.A, Lee’s Pharmaceutical Limited and GtreeBNT Co., Ltd. for the development
of certain of our product candidates in international markets. As a result, these development activities will be subject to compliance
in all respects with local laws and regulations and may be subject to many of the risks described above.
Governmental and third-party payors
may subject any product candidates we develop to sales and pharmaceutical pricing controls that could limit our product revenues
and delay profitability.
The successful commercialization of our
product candidates, if they are approved by the FDA, will likely depend on our ability to obtain reimbursement for the cost of
the product and treatment. Government authorities, private health insurers and other organizations, such as health maintenance
organizations, are increasingly seeking to lower the prices charged for medical products and services. Also, the trend toward managed
health care in the United States, the growth of healthcare maintenance organizations, and recently enacted legislation reforming
healthcare and proposals to reform government insurance programs could have a significant influence on the purchase of healthcare
services and products, resulting in lower prices and reducing demand for our product candidates. The cost containment measures
that healthcare providers are instituting and any healthcare reform could reduce our ability to sell our product candidates and
may have a material adverse effect on our operations. We cannot assure you that reimbursement in the United States or foreign countries
will be available for any of our product candidates, and that any reimbursement granted will be maintained, or that limits on reimbursement
available from third-party payors will not reduce the demand for, or the price of, our product candidates. The lack or inadequacy
of third-party reimbursements for our product candidates would decrease the potential profitability of our operations. We cannot
forecast what additional legislation or regulation relating to the healthcare industry or third-party coverage and reimbursement
may be enacted in the future, or what effect the legislation or regulation would have on our business.
We have no manufacturing or formulation
capabilities and are dependent upon third-party suppliers and/or our licensees to provide us with our product candidates. If these
suppliers do not manufacture our product candidates in sufficient quantities, at acceptable quality levels and at acceptable cost,
or if we are unable to identify suitable replacement suppliers if needed, our clinical development efforts could be delayed, prevented
or impaired.
We do not own or operate
manufacturing facilities and have little experience in manufacturing pharmaceutical products. We currently rely, and expect
to continue to rely, primarily on peptide manufacturers to supply us with Tß4 for further formulation into our product
candidates. We have historically engaged three separate smaller drug formulation contractors for the formulation of clinical
grade product candidates, one for each of our three product candidates in clinical development, although, as described in
this report, the contractor we engaged to formulate and vial RGN-352 has filed for bankruptcy and closed its manufacturing
facility, and our clinical trial involving RGN-352 has been placed on clinical hold. We currently do not have an alternative
source of supply for either Tß4 or the individual drug candidates. If these suppliers, together or individually, are
not able to supply us with either Tß4 or individual product candidates on a timely basis, in sufficient quantities, at
acceptable levels of quality and at a competitive price, or if we are unable to identify a replacement manufacturer to
perform these functions on acceptable terms as needed, our development programs could be seriously jeopardized.
The clinical hold on our RGN-352 trial
will require us to have new material manufactured by a cGMP-compliant manufacturer in the event that we seek to resume this trial.
Significant preparatory time and procedures will be required before any new manufacturer would be able to manufacture RGN-352 for
the AMI trial, due to the time required for revalidation of processes and assays related to such production that were already in
place with the original manufacturer. Since we are unable to estimate the length of time that the trial will be on clinical hold,
we have elected to cease activities on this trial until the FDA clinical hold is resolved and the requisite funding might be secured.
Other risks of relying solely on single
suppliers for each of our product candidates include:
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the possibility that our other manufacturers,
and any new manufacturer that we, or our partners, may identify for RGN-352, may not be able to ensure quality and compliance with
regulations relating to the manufacture of pharmaceuticals;
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their manufacturing capacity may not be
sufficient or available to produce the required quantities of our product candidates based on our planned clinical development
schedule, if at all;
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they may not have access to the capital
necessary to expand their manufacturing facilities in response to our needs;
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commissioning replacement suppliers would
be difficult and time-consuming;
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individual suppliers may have used substantial
proprietary know-how relating to the manufacture of our product candidates and, in the event we must find a replacement or supplemental
supplier, our ability to transfer this know-how to the new supplier could be an expensive and/or time-consuming process;
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an individual supplier may experience
events, such as a fire or natural disaster, that force it to stop or curtail production for an extended period;
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an individual supplier could encounter
significant increases in labor, capital or other costs that would make it difficult for them to produce our products cost-effectively;
or
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an individual supplier may not be able
to obtain the raw materials or validated drug containers in sufficient quantities, at acceptable costs or in sufficient time to
complete the manufacture, formulation and delivery of our product candidates.
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Our suppliers may use hazardous and
biological materials in their businesses. Any claims relating to improper handling, storage or disposal of these materials could
be time-consuming and costly to us, and we are not insured against such claims.
Our product candidates and processes involve
the controlled storage, use and disposal by our suppliers of certain hazardous and biological materials and waste products. We
and our suppliers and other collaborators are subject to federal, state and local regulations governing the use, manufacture, storage,
handling and disposal of materials and waste products. Even if we and these suppliers and collaborators comply with the standards
prescribed by law and regulation, the risk of accidental contamination or injury from hazardous materials cannot be completely
eliminated. In the event of an accident, we could be held liable for any damages that result, and we do not carry insurance for
this type of claim. We may also incur significant costs to comply with current or future environmental laws and regulations.
We face the risk of product liability
claims, which could adversely affect our business and financial condition.
We, or our partners, may be subject
to product liability claims as a result of our testing, manufacturing, and marketing of drugs. In addition, the use of our
product candidates, when and if developed and sold, will expose us to the risk of product liability claims. Product liability
may result from harm to patients using our product candidates, such as a complication that was either not communicated as a
potential side effect or was more extreme than anticipated. We require all patients enrolled in our clinical trials to sign
consents, which explain various risks involved with participating in the trial. However, patient consents provide only a
limited level of protection, and it may be alleged that the consent did not address or did not adequately address a risk that
the patient suffered. Additionally, we will generally be required to indemnify our clinical product manufacturers, clinical
trial centers, medical professionals and other parties conducting related activities in connection with losses they may incur
through their involvement in the clinical trials.
Our ability to reduce our liability exposure
for human clinical trials and commercial sales, if any, of Tß4 is dependent in part on our ability to obtain sufficient product
liability insurance or to collaborate with third parties that have adequate insurance. Although we intend to obtain and maintain
product liability insurance coverage if we gain approval to market any of our product candidates, we cannot guarantee that product
liability insurance will continue to be available to us on acceptable terms, or at all, or that its coverage will be sufficient
to cover all claims against us. A product liability claim, even one without merit or for which we have substantial coverage, could
result in significant legal defense costs, thereby potentially exposing us to expenses significantly in excess of our revenues,
as well as harm to our reputation and distraction of our management.
If any of our key employees discontinue
their services with us, our efforts to develop our business may be delayed.
We are highly dependent on the principal
members of our management team. The loss of our chairman and Chief Scientific Officer, Allan Goldstein, or chief executive officer,
J.J. Finkelstein could prevent or significantly delay the achievement of our goals. We cannot assure you that Dr. Goldstein or
Mr. Finkelstein, or any other key employees or consultants, will not elect to terminate their employment or consulting arrangements.
In addition, we do not maintain a key man life insurance policy with respect to any of our management personnel. In the future,
we anticipate that we will also need to add additional management and other personnel. Competition for qualified personnel in our
industry is intense, and our success will depend in part on our ability to attract and retain highly skilled personnel. We cannot
assure you that our efforts to attract or retain such personnel will be successful.
Mauro Bove, a member of our Board
is a consultant to Lee’s Pharmaceuticals, a relationship which could give rise to a conflict of interest for Mr. Bove.
Mauro Bove is a member of our Board of
Directors and currently provides consulting services to Lee’s Pharmaceuticals Group in Hong Kong. There can be no assurance
that we will ever receive any further payments from Lee’s under the current agreement established between RegeneRx and Lee’s.
As a result of Mr. Bove’s relationship with Lee’s, Mr. Bove may have interests that are different from our other stockholders
in connection with our agreement with Lee’s and circumstances may arise that require the exercise of the Board’s discretion
with respect to Lee’s that require the exclusion of Mr. Bove.
Risks Related to
Our Intellectual Property
We may not be able to maintain broad
patent protection for our product candidates, which could limit the commercial potential of our product candidates.
Our success will depend in part on our,
or our partners’ ability to obtain, defend and enforce patents, both in the United States and abroad. We have attempted to
create a substantial intellectual property portfolio, submitting patent applications for various compositions of matter, methods
of use and fragments and derivatives of Tß4. As described elsewhere in this report, we currently do not have adequate financial
resources to fund our ongoing business activities substantially beyond the third quarter of 2020 without additional funding. As
a result of our current financial condition, we continuously evaluate our issued patents and patent applications and may decide
to limit their therapeutic and/or geographic coverage in an effort to enhance our ability to focus on certain medical conditions
and countries within our financial constraints. As a result, we may not be able to protect our intellectual property rights in
indications and/or territories that we otherwise would, and, therefore, our ability to commercialize Tß4, if at all, could
be substantially limited, which could have a material adverse impact on our future results of operations.
If
we, or our partners, are not able to maintain adequate patent protection for our product candidates, we may be unable to prevent
our competitors from using our technology or technology that we license.
Our
success will depend in substantial part on our, or our partners’, abilities to obtain, defend and enforce patents, maintain
trade secrets and operate without infringing upon the proprietary rights of others, both in the United States and abroad. Pursuant
to an exclusive worldwide license from the NIH, we have exclusive rights to use Tß4 in the treatment of non-healing wounds.
While patents covering our use of Tß4 have issued in some countries, we cannot guarantee whether or when corresponding patents
will be issued, or the scope of any patents that may be issued, in other countries. We have attempted to create a substantial
intellectual property portfolio, submitting patent applications for various compositions of matter, methods of use and fragments
and derivatives of Tß4. We have also in-licensed other intellectual property rights from third parties that could be subject
to the same risks as our own patents. If any of these patent applications do not issue, or do not issue in certain countries,
or are not enforceable, the ability to commercialize Tß4 in various medical indications could be substantially limited or
eliminated.
In
addition, the patent positions of the products being developed by us and our collaborators involve complex legal and factual uncertainties.
As a result, we cannot assure you that any patent applications filed by us, or by others under which we have rights, will result
in patents being issued in the United States or foreign countries. In addition, there can be no assurance that any patents will
be issued from any pending or future patent applications of ours or our partners, that the scope of any patent protection will
be sufficient to provide us with competitive advantages, that any patents obtained by us or our partners will be held valid if
subsequently challenged or that others will not claim rights in or ownership of the patents and other proprietary rights we or
our partners may hold. Unauthorized parties may try to copy aspects of our product candidates and technologies or obtain and use
information we consider proprietary. Policing the unauthorized use of our proprietary rights is difficult. We cannot guarantee
that no harm or threat will be made to our or our partners’ intellectual property. In addition, changes in, or different
interpretations of, patent laws in the United States and other countries may also adversely affect the scope of our patent protection
and our competitive situation.
Due
to the significant time lag between the filing of patent applications and the publication of such patents, we cannot be certain
that our licensors were the first to file the patent applications we license or, even if they were the first to file, also were
the first to invent, particularly with regards to patent rights in the United States. In addition, a number of pharmaceutical
and biotechnology companies and research and academic institutions have developed technologies, filed patent applications or received
patents on various technologies that may be related to our product candidates. Some of these technologies, applications or patents
may conflict with our or our licensors’ technologies or patent applications. A conflict could limit the scope of the patents,
if any, that we or our licensors may be able to obtain or result in denial of our or our licensors’ patent applications.
If patents that cover our activities are issued to other companies, we may not be able to develop or obtain alternative technology.
Additionally,
there is certain subject matter that is patentable in the United States but not generally patentable outside of the United States.
Differences in what constitutes patentable subject matter in various countries may limit the protection we can obtain outside
of the United States. For example, methods of treating humans are not patentable in many countries outside of the United States.
These and other issues may prevent us from obtaining patent protection outside of the United States, which would have a material
adverse effect on our business, financial condition and results of operations.
Changes
to U.S. patent laws could materially reduce any value our patent portfolio may have.
The
value of our patents depends in part on their duration. A shorter period of patent protection could lessen the value of our rights
under any patents that may be obtained and may decrease revenues derived from its patents. For example, the U.S. patent laws were
previously amended to change the term of patent protection from 17 years following patent issuance to 20 years from
the earliest effective filing date of the application. Because the time from filing to issuance of biotechnology applications
may be more than three years depending on the subject matter, a 20-year patent term from the filing date may result in substantially
shorter patent protection. Future changes to patent laws could shorten our period of patent exclusivity and may decrease the revenues
that we might derive from the patents and the value of our patent portfolio.
We,
or our partners, may not have adequate protection for our unpatented proprietary information, which could adversely affect our
competitive position.
In
addition to our patents, we, and our partners, also rely on trade secrets, know-how, continuing technological innovations and
licensing opportunities to develop and maintain our competitive position. However, others may independently develop substantially
equivalent proprietary information and techniques or otherwise gain access to our trade secrets or disclose our technology. To
protect our trade secrets, we may enter into confidentiality agreements with employees, consultants and potential collaborators.
However, we may not have such agreements in place with all such parties and, where we do, these agreements may not provide meaningful
protection of our trade secrets or adequate remedies in the event of unauthorized use or disclosure of such information. Also,
our trade secrets or know-how may become known through other means or be independently discovered by our competitors. Any of these
events could prevent us from developing or commercializing our product candidates.
We
may be subject to claims that we or our employees have wrongfully used or disclosed alleged trade secrets of former employers.
As
is commonplace in the biotechnology industry, we employ now, and may hire in the future, individuals who were previously employed
at other biotechnology or pharmaceutical companies, including competitors or potential competitors. Although there are no claims
currently pending against us, we may be subject to claims that we or certain employees have inadvertently or otherwise used or
disclosed trade secrets or other proprietary information of former employers. Litigation may be necessary to defend against these
claims. Even if we are successful in defending against these claims, litigation could result in substantial costs and would be
a significant distraction to management.
Risks
Related to Our Securities
Our
common stock price is volatile, our stock is highly illiquid, and any investment in our securities could decline substantially
in value.
For
the period from January 1, 2020 through August 7, 2020 the closing price of our common stock has ranged from $0.14 to $0.42, with
an average daily trading volume of approximately 80,000 shares. Considering our small size and limited resources, as well as the
uncertainties and risks that can affect our business and industry, our stock price is expected to continue to be highly volatile
and can be subject to substantial drops, with or even in the absence of news affecting our business. The following factors, in
addition to the other risk factors described in this report, and the potentially low volume of trades in our common stock since
it is not listed on a national securities exchange, may have a significant impact on the market price of our common stock, some
of which are beyond our control:
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·
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results
of pre-clinical studies and clinical trials;
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commercial
success of approved products;
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corporate
partnerships;
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technological
innovations by us or competitors;
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changes
in laws and government regulations both in the U.S. and overseas;
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·
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changes
in key personnel at our company;
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·
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developments
concerning proprietary rights, including patents and litigation matters;
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·
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public
perception relating to the commercial value or safety of any of our product candidates;
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·
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other
issuances of our common stock, or securities convertible into or exercisable for our
common stock, causing dilution;
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·
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anticipated
or unanticipated changes in our financial performance;
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general
trends related to the biopharmaceutical and biotechnological industries; and
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·
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general
conditions in the stock market.
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The
stock market in general has recently experienced relatively large price and volume fluctuations. In particular, the market prices
of securities of smaller biotechnology companies have experienced dramatic fluctuations that often have been unrelated or disproportionate
to the operating results of these companies. Continued market fluctuations could result in extreme volatility in the price of
our common stock, which could cause a decline in its value. You should also be aware that price volatility may be worse if the
trading volume of the common stock remains limited or declines.
Our
principal stockholders have significant voting power and may take actions that may not be in the best interests of our other stockholders.
Our
officers, directors and principal stockholders together control approximately 48.2% of our outstanding common stock. Included
in this group are previous stockholders of Sigma-Tau and its affiliates, which now have consolidated their holding into Essetifin
S.p.A. which holds outstanding shares representing approximately 26.2% of our outstanding common stock and GtreeBNT which owns
approximately 14.7% of our outstanding common stock. These stockholders also hold options, warrants, convertible promissory notes
and stock purchase rights that provide them with the right to acquire significantly more shares of common stock. Accordingly,
if these stockholders acted together they could control the outcome of all stockholder votes. This concentration of ownership
may have the effect of delaying or preventing a change in control and might adversely affect the market price of our common stock,
and therefore may not be in the best interest of our other stockholders.
If
securities or industry analysts do not publish research or reports or publish unfavorable research about our business, the price
of our common stock and other securities and their trading volume could decline.
The
trading market for our common stock and other securities will depend in part on the research and reports that securities or industry
analysts publish about us or our business. We do not currently have and may never obtain research coverage by securities and industry
analysts. If securities or industry analysts do not commence or maintain coverage of us, the trading price for our common stock
and other securities would be negatively affected. In the event we obtain securities or industry analyst coverage, if one or more
of the analysts who covers us downgrades our securities, the price of our securities would likely decline. If one or more of these
analysts ceases to cover us or fails to publish regular reports on us, interest in the purchase of our securities could decrease,
which could cause the price of our common stock and other securities and their trading volume to decline.
The
exercise of options and warrants, conversion of convertible promissory notes, and other issuances of shares of common stock or
securities convertible into common stock will dilute your interest.
As
of June 30, 2020, there were outstanding options to purchase an aggregate of 11,951,250 shares of our common stock under our 2010
and 2018 incentive equity plans at exercise prices ranging from $0.16 per share to $0.64 per share and outstanding warrants to
purchase 8,485,300 shares of our common stock at a weighted average exercise price of $0.19 per share. On February 27, 2019 we
sold the 2019 Notes that will initially be convertible at $0.12 into 10,833,333 shares and the 2019 Warrants to purchase 8,125,000
shares with an exercise price of $0.18 per share. In March 2018 we entered into a warrant reprice and exercise and issuance agreement
(the “Reprice Agreement”) with the holders of the warrants issued in June 2016. Under the terms of the Reprice Agreement,
in consideration of the holders exercising in full all of the 2016 Offering warrants the exercise price per share of 5,147,059
warrants was reduced to $0.20 per share. As further consideration, we issued to the holders of the 2016 Offering warrants 3,860,294
new warrants with an exercise price of $0.2301 per share. Pursuant to the terms of the Reprice Agreement the exercise price of
the new warrants has been reduced to $0.125 as a result of the February 2019 convertible note sale. Subsequent to reducing the
exercise price to $0.125, the warrant holders exercised all of the repriced warrants, including for 1,935,000 shares of common
stock in January 2020 and we have received exercise proceeds of approximately $242,000.
Any
issuance of our common stock that is not made solely to then-existing stockholders proportionate to their interests, such as in
the case of a stock dividend or stock split, will result in dilution to each stockholder by reducing his, her or its percentage
ownership of the total outstanding shares. Moreover, if we issue options or warrants to purchase our common stock in the future
and those options or warrants are exercised or we issue restricted stock, stockholders may experience further dilution. Holders
of shares of our common stock have no preemptive rights that entitle them to purchase their pro rata share of any offering of
shares of any class or series.
Our
certificate of incorporation and Delaware law contain provisions that could discourage or prevent a takeover or other change in
control, even if such a transaction would be beneficial to our stockholders, which could affect our stock price adversely and
prevent attempts by our stockholders to replace or remove our current management.
Our
certificate of incorporation provides our Board with the power to issue shares of preferred stock without stockholder approval.
In addition, we are subject to the anti-takeover provisions of Section 203 of the Delaware General Corporation Law. Subject
to specified exceptions, this section provides that a corporation may not engage in any business combination with any interested
stockholder, as defined in that statute, during the three-year period following the time that such stockholder becomes an interested
stockholder. This provision could also have the effect of delaying or preventing a change of control of our company. The foregoing
factors could reduce the price that investors or an acquirer might be willing to pay in the future for shares of our common stock.
We
may become involved in securities class action litigation that could divert management’s attention and harm our business
and our insurance coverage may not be sufficient to cover all costs and damages.
The
stock market has from time to time experienced significant price and volume fluctuations that have affected the market prices
for the common stock of pharmaceutical and biotechnology companies. These broad market fluctuations may cause the market price
of our common stock to decline. In the past, following periods of volatility in the market price of a particular company’s
securities, securities class action litigation has often been brought against that company. If we experience this sort of volatility,
we may become involved in this type of litigation in the future. Litigation often is expensive and diverts management’s
attention and resources, which could hurt our business, operating results and financial condition.
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Item
2.
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Unregistered
Sales of Equity Securities and Use of Proceeds
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None.
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Item
3.
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Defaults
Upon Senior Securities
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None.
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Item
4.
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Mine
Safety Disclosures
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Not
applicable.
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Item
5.
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Other
Information
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None.
Exhibit
No.
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Description of Exhibit
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31.1
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Certification of Principal Executive Officer and Principal Financial Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.*
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32.1
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Certification of Principal Executive Officer and Principal Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.**
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101
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The
following materials from the Registrant’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2020, formatted
in XBRL (eXtensible Business Reporting Language): (i) Condensed Balance Sheets at June 30, 2020 and December 31, 2019; (ii)
Condensed Statements of Operations for the three and six months ended June 30, 2020 and 2019; (iii) Condensed Statement of
Changes in Stockholders’ Deficit for the six months ended June 30, 2020 and 2019; (iv) Condensed Statements of Cash
Flows for the six months ended June 30, 2020 and 2019; and (v) Notes to Condensed Financial Statements.
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*
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Filed
herewith. Except where noted, the exhibits referred to in this column have heretofore been filed with the Securities and Exchange
Commission as exhibits to the documents indicated and are hereby incorporated by reference thereto.
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**
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Furnished
herewith. This certification is being furnished solely to accompany this quarterly report pursuant to 18 U.S.C. Section 1350,
is not being filed for purposes of Section 18 of the Securities Exchange Act of 1934 and is not to be incorporated
by reference into any filing of the registrant, whether made before or after the date hereof, regardless of any general
incorporation language in such filing.
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