2018
ANNUAL
REPORT
[THIS PAGE INTENTIONALLY LEFT BLANK]
Dear Stockholders,
2018 was a pivotal year for Innovate Biopharmaceuticals as we began our first year as a public company and laid the
groundwork for the first ever Phase 3 clinical trial for celiac disease. Celiac disease is an autoimmune disease which affects
approximately 1% of most of the world’s population, including more than 3 million patients in the U.S., and currently has no
approved treatment. Growth in awareness and diagnosis of celiac disease have contributed to improved understanding of the
disease and the need for a pharmaceutical therapy for this underserved patient population.
In 2018, we also furthered our understanding of the molecular biology of our lead drug, larazotide acetate, which has a
unique mechanism of action that re-normalizes the gut-epithelial barrier and the gut-liver axis. We believe that larazotide has
potential applications in several autoimmune and metabolic diseases, including type 1 diabetes mellitus, non-alcoholic
steatohepatitis (NASH), chronic kidney disease, and inflammatory bowel diseases (Crohn’s disease and ulcerative colitis).
Larazotide is based on gut-restricted peptides which re-normalize the intestinal-epithelial barrier, a key gateway to multiple
diseases. This gateway to inflammation in a variety of autoimmune, metabolic and CNS diseases is the connection from the
gut to the organ affected, such as the gut-liver connection in NASH, gut-brain connection in Parkinson’s disease, and the gut-
pancreas connection in type 1 diabetes. Inflammatory modulators including peptides, metabolites and others, secreted by the
microbiome, the bacteria residing in the gut, and other sources are able to pass thru a leaky intestinal barrier (a layer of
epithelial cells lining the gut) leading to dysfunction of the immune system and inflammation. Although the intestinal barrier
has been studied over time and implicated in a variety of diseases, its molecular regulation is still not well understood, and
larazotide, our lead drug, is the only known therapeutic that has been shown in studies to re-normalize this leaky intestinal
barrier.
Recently, research developments have shown links to changes in the microbiome of cancer patients to their responsiveness to
immunotherapies utilizing checkpoint inhibitors, including anti-PD-1/PDL-1antibodies and anti-CTLA-4 antibody. Only a
minority of patients, less than 25%, respond to checkpoint inhibitors. Innovate is pursing research collaborations to elucidate
how regulation of the intestinal barrier by larazotide could prevent translocation of various factors from the gut to the
vasculature and the tumor, thereby potentially augmenting checkpoint inhibitors and converting non-responders to
responders.
We are also evaluating larazotide in preclinical models to treat NASH. NASH represents a rapidly growing health concern
affecting an estimated 3-5% of the U.S. population. Studies have shown that NASH patients have higher intestinal
permeability. To execute our development strategy, we believe we have assembled an expert team of pharmaceutical
executives, consultants and key scientific opinion leaders with an accomplished track record of product development and
bringing important, novel medicines to patients.
In closing, 2018 was a truly memorable year for Innovate on all fronts. This would not have been possible without your
ongoing support. As we focus our efforts in 2019, our commitment is to continue developing innovative medicines for
delivery to those who remain in need; patients are waiting, and we will work continuously to serve them.
Sandeep Laumas, M.D.
Executive Chairman, Chief Executive Officer and Director
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 10-K
(Mark One)
þ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the fiscal year ended December 31, 2018
OR
¨ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from ________________ to ________________
Commission file number 001-37797
INNOVATE BIOPHARMACEUTICALS, INC.
(Exact name of registrant as specified in its charter)
Delaware
(State or other jurisdiction of
incorporation or organization)
27-3948465
(I.R.S. Employer
Identification No.)
8480 Honeycutt Road, Suite 120
Raleigh, North Carolina 27615
(Address of principal executive offices, including zip code)
(919) 275-1933
(Registrant’s telephone number, including area code)
SECURITIES REGISTERED PURSUANT TO SECTION 12(b) OF THE ACT:
Title of each class
Common Stock $0.0001 Par Value
Name of each exchange on which registered
The Nasdaq Stock Market LLC
SECURITIES REGISTERED PURSUANT TO SECTION 12(g) OF THE ACT: None
Indicate by check mark if the registrant is a well-known seasoned issuer as defined in Rule 405 of the Securities Act. Yes ¨ No þ
Indicate by check mark if the issuer is not required to file reports pursuant to Section 13 or 15(d) of the Exchange Act. Yes ¨ No þ
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange
Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been
subject to such filing requirements for the past 90 days. Yes þ No ¨
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data
File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months
(or for such shorter period that the registrant was required to submit and post such files). Yes þ No ¨
Indicate by check mark if the disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be
contained, to the best of the Registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this
Form 10-K or an amendment to this 10-K. ¨
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a small reporting
company. See the definitions of “large accelerated filer,” “accelerated filer,” “non-accelerated filer,” and “smaller reporting company” in
Rule 12b-2 of the Exchange Act.
Large accelerated filer
Non-accelerated filer
¨
¨
Accelerated filer
Smaller reporting company
Emerging growth company
þ
þ
þ
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying
with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. þ
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ¨ No þ
The aggregate value of common stock held by non-affiliates of the registrant as of June 29, 2018, the last business day of the registrant’s
most recently completed second fiscal quarter, was approximately $313 million (based on the last reported closing sale price on the Nasdaq
Capital Market on that date of $23.57 per share).
As of March 13, 2019, the registrant had 26,794,534 shares of common stock, par value $0.0001 per share, issued and outstanding.
DOCUMENTS INCORPORATED BY REFERENCE
Part III of this annual report on Form 10-K incorporates information by reference from the registrant’s definitive proxy statement to be filed
with the Securities and Exchange Commission pursuant to Regulation 14A under the Securities Exchange Act of 1934, as amended, within
120 days after the close of the registrant’s fiscal year.
FORWARD-LOOKING STATEMENTS
This Annual Report on Form 10-K contains forward-looking statements within the meaning of Section 27A of the Securities
Act of 1933, as amended (the “Securities Act”), and Section 21E of the Securities Exchange Act of 1934, as amended (the
“Exchange Act”). When used in this report, the words “believe,” “may,” “could,” “will,” “estimate,” “continue,” “anticipate,”
“intend,” “target,” “expect,” “plan,” “indicate,” “seek,” “should,” “would” and similar expressions are intended to identify
forward-looking statements, though not all forward-looking statements contain these identifying words. All statements other
than statements of historical fact are statements that could be deemed forward-looking statements.
These forward-looking statements are based on our current expectations and beliefs and involve significant risks and
uncertainties that may cause our actual results, performance, prospects and opportunities in the future to differ materially from
those expressed or implied by such forward-looking statements. These risks and uncertainties include, among other things, risks
related to our limited operating history; our need for substantial additional funding; the lengthy, expensive and uncertain nature
of the clinical trial process; results of earlier studies and trials not being predictive of future trial results; our need to attract and
retain senior management and key scientific personnel; our reliance on third parties; our ability to manage our growth; potential
delays in commencement and completion of clinical studies; our ability to obtain and maintain effective intellectual property
protection; and other risks described with these in greater detail in the “Risk Factors” section of this Annual Report on Form
10-K. These forward-looking statements are made as of the date of this Annual Report on Form 10-K and we assume no obligation
to update or revise them to reflect new events or circumstances except as required by law.
TABLE OF CONTENTS
PART I
ITEM 1.
ITEM 1A.
ITEM 1B.
ITEM 2.
ITEM 3.
ITEM 4.
BUSINESS
RISK FACTORS
UNRESOLVED STAFF COMMENTS
PROPERTIES
LEGAL PROCEEDINGS
MINE SAFETY DISCLOSURES
PART II
ITEM 5.
ITEM 6.
ITEM 7.
MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED SHAREHOLDER MATTERS
AND ISSUER PURCHASES OF EQUITY SECURITIES
SELECTED FINANCIAL DATA
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
OF OPERATIONS
ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
CONSOLIDATED FINANCIAL STATEMENTS AND SUPPPLEMENTARY DATA
ITEM 8.
CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND
ITEM 9.
FINANCIAL DISCLOSURE
CONTROLS AND PROCEDURES
OTHER INFORMATION
ITEM 9A.
ITEM 9B.
PART III
ITEM 10.
ITEM 11.
ITEM 12.
ITEM 13.
DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE
EXECUTIVE COMPENSATION
SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT
CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS AND DIRECTOR
INDEPENDENCE
ITEM 14.
PRINCIPAL ACCOUNTANT FEES AND SERVICES
ITEM 15.
ITEM 16.
EXHIBITS AND FINANCIAL STATEMENT SCHEDULES
FORM 10-K SUMMARY
SIGNATURES
INDEX TO FINANCIAL STATEMENTS
PART IV
8
41
69
69
69
70
70
71
76
84
84
84
84
85
85
86
86
86
86
87
90
91
F-1
PART I
Item 1. Business.
Merger of Monster Digital, Inc. and Innovate Biopharmaceuticals Inc.
On January 29, 2018, Monster Digital, Inc. (“Monster”) and privately held Innovate Biopharmaceuticals Inc. (“Private
Innovate”) completed a reverse recapitalization in accordance with the terms of the Agreement and Plan of Merger and
Reorganization, dated July 3, 2017, as amended (the “Merger Agreement”), by and among Monster, Monster Merger Sub, Inc.
(“Merger Sub”) and Private Innovate, which changed its name in connection with the transaction to IB Pharmaceuticals Inc.
(“IB Pharmaceuticals”). Pursuant to the Merger Agreement, Merger Sub merged with and into IB Pharmaceuticals with IB
Pharmaceuticals surviving as the wholly owned subsidiary of Monster (the “Merger”). Immediately following the Merger,
Monster changed its name to Innovate Biopharmaceuticals, Inc. (“Innovate”). In connection with the closing of the Merger,
Innovate’s common stock began trading on the Nasdaq Capital Market under the ticker symbol “INNT” on February 1, 2018.
Prior to the Merger, Monster was incorporated in Delaware in November 2010 under the name “Monster Digital, Inc.”
Except as otherwise noted or where the context otherwise requires, as used in this report, the words “we,” “us,” “our,” the
“Company” and “Innovate” refer to Innovate Biopharmaceuticals, Inc. as of and following the closing of the Merger on January
29, 2018 and, where applicable, the business of Private Innovate prior to the Merger. All references to “Monster” refer to Monster
Digital, Inc. prior to the closing of the Merger.
Overview
Prior to the Merger, Monster’s primary business focus was the design, development and marketing of premium products
under the “Monster Digital” brand for use in high-performance consumer electronics, mobile products and computing
applications.
After the Merger, we are a clinical-stage biopharmaceutical company developing novel medicines for autoimmune and
inflammatory diseases with unmet medical needs. Our pipeline includes drug candidates for celiac disease, nonalcoholic
steatohepatitis (NASH), alcoholic steatohepatitis (ASH), Crohn’s disease (CD) and ulcerative colitis (UC). Our lead program,
INN-202 (larazotide acetate or larazotide) is entering Phase 3 registration trials for celiac disease, an unmet medical need,
targeted to start in the first half of 2019. INN-202 has the potential to be the first-to-market therapeutic for celiac disease, which
affects an estimated 1% of the North American population or approximately 3 million individuals. Celiac patients have no
treatment alternative other than a strict lifelong adherence to a gluten-free diet, which is difficult to maintain and can be deficient
in key nutrients. Additionally, current FDA labeling standards allow up to 20 parts per million (ppm) of gluten in “gluten-free”
labeled foods, which contains enough gluten to cause celiac symptoms in many patients, including abdominal pain, abdominal
cramping, bloating, gas, headaches, ataxia, ‘‘brain fog’’ and fatigue. Long-term ramifications of celiac disease include enteropathy
associated T-cell lymphoma (EATL), osteoporosis and anemia.
8
Figure 1: Larazotide’s mechanism of action is applicable to multiple diseases.
Larazotide is an 8-amino acid peptide formulated into an orally administered capsule and has been tested in nearly 600
celiac patients with statistically significant improvement in celiac symptoms. The FDA has granted larazotide Fast Track
Designation for celiac disease. Larazotide’s safety profile has been similar to placebo mainly due to its lack of systemic absorption
into blood circulation. Additionally, larazotide’s mechanism of action as a tight junction regulator is a new approach to treating
autoimmune diseases, such as celiac disease. Multiple pre-clinical studies have shown larazotide causes a reduction in
permeability across the intestinal epithelial barrier, making it the only drug candidate known to us which is in clinical trials with
this mechanism of action. Increased intestinal permeability underlies several diseases in addition to celiac disease, including
NASH, ASH, Crohn’s disease, ulcerative colitis and irritable bowel syndrome-diarrhea predominant (IBS-D), among others
(Figure 1). We are engaging in multiple research collaborations to expand larazotide’s clinical indications with a shorter time
to proof-of-concept.
Celiac Disease (CeD)
With the release of the Phase 2b trial data in 342 celiac patients at the 2014 Digestive Disease Week conference, larazotide
became the first and the only drug for the treatment of celiac disease (published data), which met its primary efficacy endpoint
with statistical significance. The Phase 2b data showed statistically significant (p=0.022) reduction in abdominal and non-GI
(headache) symptoms as measured by the CeD PRO. After a successful End-of-Phase 2 meeting with the FDA, which confirmed
the regulatory path forward, we expect to launch the Phase 3 registration program during the first half of 2019 with topline data
expected in 2020. We recently entered into an agreement with a clinical research organization to facilitate the completion of
start-up activities for our Phase 3 clinical trials in celiac disease.
Larazotide is being investigated as an adjunct to a gluten-free diet for celiac patients who continue to experience symptoms
despite adhering to a gluten-free diet. Due to the difficulty of maintaining a gluten-free diet due to lack of easy access to and
the higher cost of gluten-free foods, contamination from gluten as well as social pressures, it is estimated that more than half
the celiac population experiences multiple, potentially debilitating, symptoms per month. A study from the UK indicates that
more than 70% of patients diagnosed with celiac disease consume gluten either intentionally or inadvertently (Hall et al. 2013).
Non-alcoholic Steatohepatitis (NASH)
Larazotide is also being tested as a therapy for NASH in pre-clinical models. NASH is an unmet disease affecting
approximately 5%-6% of the U.S. adult population. There are several drugs in development for NASH; however, to our
knowledge, none have larazotide’s mechanism of action. We are developing a proprietary formulation of larazotide, INN-217,
for efficient delivery to the large intestine. INN-217 has the potential to reduce the transport of lipopolysaccharide (LPS), which
9
is produced by gram negative bacteria in the gut and translocated from the intestinal lumen to the liver via the portal circulation.
Several studies have shown a link between NASH and increased levels of LPS, which translocates across an inflamed, “leaky”
epithelial barrier to the liver thus directly damaging liver cells. INN-217 can potentially decrease the flux of LPS across the
leaky epithelial barrier, which is known to play an important role in the pathogenesis of NASH. Since none of the NASH drugs
in development currently directly target reduction of intestinal permeability, INN-217 has the potential to affect NASH alone
as well as work synergistically with other late stage NASH drugs in development, which are primarily focused on metabolic
and fibrosis targets including farnesoid X receptor (FXR) and acetyl-CoA carboxylase (ACC).
Figure 2: LPS (lipopolysaccharide) is a toxin produced by intestinal bacteria and translocates via the leaky epithelial barrier
to the liver and damage liver cells. Thus, LPS has been implicated in the pathogenesis of NASH.
Alcoholic Steatohepatitis (ASH)
Alcoholic liver disease (ALD) is a spectrum of chronic liver disease ranging from steatosis, alcoholic steatohepatitis (ASH),
liver fibrosis, cirrhosis and ultimately hepatocellular carcinoma (HCC). About 10 % of chronic alcoholics end up with chronic
liver disease. Not all patients with steatosis go on to develop steatohepatitis, as several factors are involved. Oxidative stress
and inflammatory cytokines have been implicated in addition to metabolic products of alcohol and/or intestinal barrier
dysfunction. Due to a dysfunctional barrier, the intestinal immune system is exposed to various antigens and pathogen-associated
molecular patterns (PAMPs) which translocate to the liver via the portal vein interacting with hepatocytes and other liver cells.
Previous work has shown the small intestine of chronic drinkers has increased intestinal permeability which remains even up
to 2 weeks after cessation of alcohol. Enlarged intracellular spaces between the epithelial cells in the intestinal mucosa of
cirrhotics, and metabolites of alcohol, such as acetaldehyde, have been shown to disrupt tight junction proteins in in vitro and
in vivo models. Endotoxin or lipopolysaccharide has been implicated in liver injury in early alcohol-induced liver injury in
mouse models.
Due to larazotide’s effect on decreasing intestinal permeability and its well-established safety profile, Innovate is
investigating whether larazotide could have a beneficial affect on ASH. With directed delivery of larazotide to various parts of
the intestine, it may be able to be used to blunt exposure of metabolic toxins and alcohol metabolites to the liver in these patients.
We believe that larazotide has the potential to beneficially affect ASH.
10
Ulcerative Colitis (UC)
INN-108 is in development for the treatment of mild-to-moderate UC. INN-108 is expected to be delivered orally using an
azo-bonded pro-drug approach linking mesalamine or 5-ASA (5-amino salicylic acid) to 4-APAA (approved as Actarit in Japan
in 1994 for the treatment of rheumatoid arthritis). After having completed a successful Phase 1 trial at currently approved doses
of mesalamine, INN-108 is expected to enter a proof-of-concept Phase 2 trial. The azo-bond protects INN-108 (Figure 13) from
the low pH in the stomach, allowing it to transit to the colon where the UC lesions are primarily located. In the colon, the azo
bond is broken enzymatically by azoreductases, leading to the separation of mesalamine and 4-APAA which has a synergistic
anti-inflammatory effect. Although the majority of patients present with mild-to-moderate UC, the focus of drug development
has been in moderate-to-severe UC with little innovation or drug development for mild-to-moderate UC. The mainstay of
treatment for mild-to-moderate UC continues to be various oral reformulations of mesalamine such as Shire’s Lialda (approved
2007) and Pentasa (approved 1993), Allergan’s Asacol HD (approved 2008) and Valeant/Salix’s Apriso (approved 2008).
Acute Radiation Proctitis (ARP)
We are exploring INN-108 as a potential intervention for acute radiation proctitis (ARP) due to its unique anti-inflammatory
benefits. Radiation injury to the lower intestine is correlated with cancer treatments to the rectum, anus, prostate, bladder and
other genitourinary areas. The rectum and sigmoid colon are often affected. Caused by direct mucosal damage due to radiation
exposure, ARP symptoms include tenesmus, urgency, mucus discharge, diarrhea and less often, bleeding. If the exposure has
affected the genitourinary tract or small bowel, further complications can include small bowel obstruction, bacterial overgrowth,
fistulas, urethral stenosis and cystitis.
To our knowledge, there have been no large, randomized, double-blind placebo-controlled trials with rigor in order to
advance treatments of ARP to registration status with regulatory authorities. Most care is supportive with hydration and
antidiarrheal medications. Butyrate enemas have been reasoned to increase time to healing. In one of the only randomized trials
of this type, although small, but placebo-controlled and blinded, balsalazide was shown to prevent or reduce symptoms in patients
undergoing radiation therapy for prostate cancer. Balsalazide is one of a class of aminosalicylates with a similar delivery to
INN-108. They are both chemically similar to sulfasalazine, lacking the sulfa moiety in favor of a less antigenic carrier. Because
of INN-108’s described potency compared with sulfasalazine and balsalazide’s positive effects in ARP, a clinical development
plan for INN-108 in ARP could be explored in order to test a hypothesis of two active anti-inflammatory moieties acting at the
site of mucosal damage.
Magnetic Resonance Cholangiopancreatography (MRCP)
We also own the global rights to INN-329, a proprietary formulation of secretin, a peptide hormone which is used to
improve visualization in magnetic resonance cholangiopancreatography (MRCP) procedures. Secretin is a 27-amino acid
long hormone which rapidly stimulates release of pancreatic secretions, thus improving visualization of the pancreatic ducts
during imaging procedures.
Our Strategy
Our goal is to become a leading biopharmaceutical company by developing novel therapeutics that have the potential to
transform current treatment paradigms for patients and to address unmet medical needs. We are currently pursuing the
development of drugs for autoimmune and inflammatory diseases that target established biological pathways. The critical
components of our strategy are as follows:
•
•
Advance INN-202 (larazotide) for celiac disease into Phase 3 clinical trials. Our highest clinical priority is to initiate
the Phase 3 trials for larazotide for the treatment of celiac disease. We had a successful End-of-Phase 2 meeting with
the FDA in 2017. With the guidance and agreement reached with the FDA, we plan to initiate our Phase 3 trials during
the first half of 2019. We recently completed an initial feasibility review of more than 200 potential investigative sites
and pre-selected 122 potential investigational sites to participate in the upcoming study. We entered into an agreement
with a clinical research organization to facilitate completion of start-up activities for our Phase 3 clinical trials in celiac
disease.
Accelerate development of INN-217 (larazotide) for NASH. Increased intestinal permeability leads to LPS
translocation to the liver and is one of the key recognized pathogenic factors in NASH. Larazotide’s mechanism of
action to decrease intestinal permeability could thus have a therapeutic effect in NASH. We plan to develop larazotide
11
alone and in combinations with select NASH therapies in development with the potential for a synergistic therapeutic
benefit. We are continuing evaluation of larazotide in various pre-clinical models of NASH.
Further evaluation of larazotide for the treatment of ASH. Building on previous research showing increased intestinal
permeability may cause microbial translocation of toxic products into circulation of the bloodstream, we are expanding
our work in alcoholic liver disease. Initial in-vitro data suggests the potential use of larazotide in alcoholic liver diseases
pre-clinical models. We recently entered into a research collaboration with Massachusetts General Hospital, Harvard
Medical School, to explore larazotide in established models for the treatment of ASH.
Further the study INN-108 for ulcerative colitis. A Phase 1 trial in the U.S. with 24 subjects had been completed. We
plan to initiate the proof of concept Phase 2 trials for INN-108 for the treatment of mild-to-moderate UC, subject to
receipt of financing.
Seek partnerships to commercialize late stage pipeline drugs. With large addressable markets, such as celiac disease
and NASH, we plan to seek out partners with established presences and histories of successful commercialization.
Leverage and protect our existing intellectual property portfolio and secure patents for additional indications. We
intend to continue to expand our intellectual property, grounded in securing composition of matter patents and method
of use patents for newer indications. We plan to develop new formulations for the product candidates for other indications
and improved performance of existing indications.
In-license additional intellectual property and pipeline drugs to expand our presence in the treatment of autoimmune
and inflammatory diseases. In addition to broadening our current pipeline through indication expansion, we continue
to explore expansion of our product pipeline through in-licensing, strategic partnerships and product acquisitions. As
we continue to explore in-licensing opportunities, we expect that future pipeline expansion decisions will be based on
the unmet medical needs in autoimmune and inflammatory disease areas including, but not limited to, celiac disease
and NASH, the commercial opportunity and the ability to rapidly develop and commercialize a product candidate.
Leverage the expertise of our management team and network of scientific advisors and key opinion leaders. We are
led by a strong management team that has been involved in a broad spectrum of R&D activities leading to successful
outcomes, including FDA approvals and drug launches. We will continue to leverage the collective experience and
talent of our management team, network of leading scientific experts and key opinion leaders to strategize and implement
our development and eventually our commercialization strategy.
Out-license our non-core assets/indications and establish research collaborations. From time to time, we review our
internal research priorities and therapeutic focus areas and may decide to out-license non-core assets/indications that
arise from current and future available data. We may seek research collaborations that leverage the capabilities of our
core assets to monetize and expand upon the breadth of opportunities that may be accessible through our drug candidates.
We have initiated research collaborations with Dr. O. Colin Stine of the University of Maryland at Baltimore to study
larazotide’s corrective effect on the dysfunctional intestinal barrier and the dysfunctional microbiome in various diseases
and a research collaboration with Dr. James Nataro of the University of Virginia, Charlottesville, to study larazotide’s
effect on Environmental Enteric Dysfunction.
Outsource capital intensive operations. We plan to continue to outsource capital intensive operations, including most
clinical development and all manufacturing operations of our product candidates and to facilitate the rapid development
of our pipeline by using high quality specialist vendors and consultants in a capital efficient manner.
•
•
•
•
•
•
•
•
12
Our Drug Product Pipeline
Our current pipeline is focused on clinical stage assets with large markets and unmet medical needs. We continue to leverage
additional proof-of-concept work for larazotide to expand into additional indications, including NASH, Crohn’s disease and
ulcerative colitis. The following table summarizes key information about our pipeline of drug product candidates to date (Table
1):
Table 1: Our key pipeline products are clinical stage and address large markets with chronically dosed therapies.
INN-202 (Larazotide) for Celiac Disease
Larazotide is being developed for the treatment of celiac disease and has successfully completed a Phase 2b trial showing
statistically significant reduction in abdominal and non-GI (headache) symptoms. We are planning to launch the Phase 3 trials
in the first half of 2019.
Larazotide is an orally administered, locally acting, non-systemic, synthetic 8-amino acid (Figure 3), tight junction regulator
being investigated as an adjunct to a gluten-free diet in celiac disease patients who still experience persistent GI symptoms
despite being on a gluten-free diet. Because of larazotide’s lack of absorption into the blood circulation, we believe that fewer
complications, if any, are likely to develop for individuals taking chronically dosed lifetime medication.
The larazotide drug product is an enteric coated drug product formulated as enteric coated multiparticulate beads filled into
hard gelatin capsules for oral delivery. The enteric coating is designed to allow the bead particles to bypass the stomach and
release larazotide upon entry into the small intestine (duodenum). A mixed bead formulation is used to allow partial release of
larazotide upon entry into the duodenum and to release the remaining larazotide approximately 30 minutes later. In clinical trials,
larazotide has been dosed 15 minutes before meals allowing time for its effect in the small bowel before exposure to gluten.
13
Figure 3: Larazotide acetate is an 8-amino acid peptide in an oral capsule using a proprietary formulation
Larazotide’s Mechanism of Action
In research studies supportive of the mechanism of action, larazotide has been shown to stimulate recovery of mucosal
barrier function via the regulation of tight junctions both in vitro and in vivo, including in a celiac disease mouse model
(Gopalakrishnan, 2012). In doing so, it is proposed that larazotide reduces the symptoms associated with celiac disease.
In several autoimmune diseases, this increased intestinal permeability or paracellular leakage allows increased exposure to
a triggering antigen and a consequent inflammatory response, the characteristics of which are determined by the particular
disease and the genetic makeup of the individual. A new paradigm for autoimmune diseases is that there are three contributing
factors to the development of disease:
1. A genetically susceptible immune system that allows the host to react abnormally to an environmental antigen;
2. An environmental antigen that triggers the disease process; and
3. The ability of the environmental antigen to interact with the immune system.
Larazotide regulates tight junction opening triggered by both gluten and inflammatory cytokines, thus reducing uptake of
gluten. Larazotide also disrupts the intestinal permeability-inflammation loop and has been shown to reduce symptoms associated
with celiac disease.
Larazotide’s Dose Response
Previously published in vitro work using Caco-2 cells has shown a linear dose response for larazotide in reducing permeability
of the epithelial barrier by tightening the leaky tight junctions (Gopalakrishnan, 2012). In several clinical trials, larazotide has
exhibited clinical benefit by reducing celiac symptoms at lower doses while inhibition of this activity occurs at the higher doses.
To better understand this observation, Dr. Anthony Blikslager from North Carolina State University evaluated the pharmacology
of larazotide at the luminal surface of the small intestine in an ex vivo porcine model. A section of the porcine intestine was
ligated, placed in an Ussing chamber while changes in permeability were measured by electrical resistance. Multiple experiments
demonstrated that following an ischemic insult causing increased intestinal permeability, full length larazotide is capable of
restoring intestinal wall integrity to that of the non-ischemic control. Subsequently, it was discovered that a specific
aminopeptidase located within the brush borders of the intestinal epithelium cleaves larazotide into two fragments which lack
either one or both N-terminus glycine (G) residues (GG VLVQPG). Both cleaved fragments, GVLVQPG and VLVQPG, do not
decrease intestinal permeability. Moreover, when these two fragments are administered in combination with the active full-
length larazotide, they inhibit larazotide’s activity to restore intestinal wall integrity or reduce permeability. These data
demonstrate that higher doses of larazotide lead to local buildup of breakdown fragments, which then compete with and block
activity of larazotide after threshold concentration is reached. The in vitro experiments using Caco-2 monolayers did not show
the same pharmacology and dose response because they lack the brush border and therefore lack the aminopeptidase which
cleaves larazotide. These data also provide an explanation for the clinical observations of an optimal lower dose of larazotide,
which avoids the reservoir of competing inactive fragments generated at high doses of larazotide.
14
Figure 4: An aminopeptidase in the brush border cleaves larazotide into two fragments; fragment #2 acts as an inhibitor of
larazotide
Figure 5: Illustrative effect of gluten ingestion. Breakdown to gliadin peptides which can cross a “leaky” epithelial barrier in
the small bowel thus activating the intestinal-inflammatory loop and leading to symptoms and villous atrophy.
As we further instigate larazotide’s dose response, we are also exploring larazotide analogs and derivatives by which we
may be able to offer a longer acting molecule with a traditional dose response to improve efficacy. A molecule that would be
resistant to proteolytic degradation. We continue to work with our academic collaborators to further investigate.
15
The Intestinal Barrier, Tight Junctions and Intestinal Permeability
The intestine is one of the largest interfaces between a person and his or her environment and an intact intestinal barrier is
essential in maintaining overall health. An important function of the intestinal barrier is to regulate the trafficking of
macromolecules between the environment and the host. Together with gut-associated lymphoid tissue and the neuroendocrine
network, the intestinal epithelial barrier controls the equilibrium between tolerance and immunity to non-self antigens. When
the finely tuned trafficking of macromolecules is dysregulated, both intestinal and extra-intestinal autoimmune disorders can
occur in genetically susceptible individuals (Figure 5).
Transcellular fluxes (through the cell membrane) allow nutrients and small molecules to enter the cell from the luminal side
of the intestine and exit on the serosal side (internal milieu). Paracellular fluxes (between cells) in contrast are limited by size
and charge constraints imposed by the tight junctions between epithelial cells. The paracellular pathway is the key regulator of
intestinal permeability to larger more complex macromolecules that may be immunogenically significant.
Intestinal epithelial cells adhere to each other through junction complexes. The tight junction, also referred to as zonula
occludens, represents the major barrier to diffusion within the paracellular space between intestinal cells. Multiple proteins that
make up the tight junction have been identified including occludin, claudin family members and junctional adhesion protein
(JAM). These interact with cytosolic proteins (ZO-1, ZO-2 and ZO-3) that function as adaptors between the tight junction
proteins and actin and myosin contractile elements within the cell. Acting together, they open and close the paracellular junctions
between cells. It is now apparent that tight junctions are dynamic structures that are involved in developmental, physiological
and pathological processes.
The role of tight junction dysfunction in the pathogenesis of autoimmune diseases is under active investigation. Many
autoimmune populations have increased intestinal permeability and it is believed that this may play a fundamental role in the
development of autoimmunity. In susceptible populations, the opening of tight junctions between intestinal epithelial cells may
lead to exposure to oral antigens via paracellular transport and a consequent autoimmune response. A wide range of gastrointestinal
and systemic inflammatory diseases are associated with abnormal intestinal permeability including celiac disease, type 1 diabetes,
inflammatory bowel diseases (Crohn’s disease and UC) and ankylosing spondylitis.
Summary of Key Clinical Trials using Larazotide in Celiac Disease
Larazotide has been administered to humans in seven clinical trials. These include three Phase 1 trials: (two trials in healthy
subjects and a Phase 1b proof of concept (POC) trial in subjects with celiac disease), two Phase 2 gluten challenge studies in
subjects with controlled celiac disease and additionally two Phase 2 trials in subjects with active celiac disease (Table 2). After
the Phase 1 studies, larazotide was tested to explore which endpoint would be suitable for celiac disease. After looking at
permeability changes in the gut, which turned out to be highly variable in a large trial setting and then mucosal healing, which
likely requires a longer-term study, symptom reduction showed the most consistent and reliable reduction both in a gluten
challenge and a ‘‘real-life’’ trial. Importantly, after exposure in nearly 600 subjects, the safety profile of larazotide remained
similar to placebo due to its lack of absorption into the bloodstream, which we believe is an important advantage for a chronically
dosed drug.
The initial Investigational New Drug Application (IND) for the treatment of celiac disease was filed with the FDA by Alba
Therapeutics Corporation (Alba) on 12 August 2005 for the use of larazotide acetate (INN-202). The IND was transferred from
Alba to Innovate effective March 8, 2016. During the course of the seven clinical studies, 5 patients experienced a serious adverse
event, of which 2 received placebo and 3 received larazotide. These events included inflammation of the gallbladder, gall stones,
depression, allergic reaction to penicillin and appendicitis. We do not believe that any of these events were considered related
to treatment with study medication.
16
Trial
-001
-002
-003
-004
Study Date
2005
2005-06
2006
2006-07
-006
2008
-011
2008-09
-06B
-012
2008
2011-13
Clinical Trial
Phase 1: Single Escalating Doses in Healthy Volunteers
No. of Subjects
24
Phase 1b: Multiple Dose POC in Celiac Patients – Gluten
Challenge
Phase 1: Multiple Escalating Dose in Volunteers
Phase 2a: Multiple Dose POC in Celiac Patients Gluten
Challenge 2 weeks
Phase 2b: Dose Ranging, in Celiac Patients Gluten
Challenge, 6 weeks
Phase 2b: POC and Dose Ranging in Active Celiac
Patients
Phase 2b: Similar to -006, in Celiac Patients
Phase 2b: Multiple dose in Celiac patients with
Symptoms on a Gluten-Free Diet
21
24
86
184
105
42
342
Table 2: Significant drug exposure in the subjects in multiple clinical trials consistently showed a safety profile similar to
placebo, which we believe is an important advantage for chronic lifetime administration.
Clinical Trial (‘006) Results Revealed Key Insight into Symptom Reduction as a Primary Endpoint
A Phase 2b study with a gluten challenge (CLIN1001-006) was conducted in 184 subjects with well-controlled celiac disease
on a gluten-free diet. Subjects were randomized to one of four treatment groups, (placebo, 1 mg, 4 mg, or 8 mg larazotide) and
asked to take treatment 15 minutes prior to each meal (TID). Subjects remained on their gluten-free diets throughout the duration
of the trial except for nine hundred (900) mg of gluten that was taken with each meal. The trial results revealed key insights into
how to move the program forward by focusing on reduction of symptoms. The 1-mg dose prevented the development of gluten-
induced symptoms as measured by GSRS (a patient-reported outcome (PRO) devised and validated by AstraZeneca) and all
drug treatment groups had lower anti-transglutaminase antibody levels than the placebo group. Results of pre-specified secondary
endpoints suggest that larazotide reduced antigen exposure as manifested by reduced production of anti-tissue transglutaminase
(tTG) levels and immune reactivity towards gluten and gluten-related gastrointestinal symptoms in subjects with celiac disease
undergoing a gluten challenge.
Figure 6: The overall trial designs for Phase 2b and Phase 3 are similar with a screening period followed by 12 weeks of
randomization to larazotide vs. placebo.
17
Figure 7: Responder Rate Analysis: Larazotide is the only drug in development for celiac disease to meet its primary endpoint
with statistical significance (shown above) as measured by GSRS and the copyrighted CeD PRO (celiac disease patient reported
outcome), an FDA-agreed upon primary endpoint for Phase 3. Source: Gastroenterology 2015; 148:1311–1319; p. 1315
Clinical Trial (‘012) Met the Primary Endpoint with Statistical Significance (CeD-GSRS/CeD PRO)
The purpose of the ‘012 study was to assess the efficacy (reduction and relief of signs and symptoms of celiac disease) of
3 different doses of larazotide (0.5 mg, 1 mg and 2 mg TID) versus placebo for the treatment of celiac disease in adults as an
adjunct to a gluten-free diet. Larazotide or placebo was administered TID, 15 minutes prior to each meal. After a screening
period, subjects were asked to continue following their current gluten-free diets into a placebo run-in phase for 4 weeks after
which they were randomized to drug versus placebo. Subjects maintained an electronic diary capturing: daily symptoms celiac
disease patient reported outcome (CeD-PRO), weekly symptoms (CeD-GSRS), bowel movements (BSFS) and a self-reported
daily general well-being assessment.
The primary endpoint of average on-treatment CeD GSRS score throughout the treatment period was met at the 0.5 mg
TID dose. In addition, a number of pre-specified secondary and exploratory endpoints, such as symptomatic days and symptom-
free days, collectively demonstrated that a dose of 0.5 mg TID was superior to placebo and higher doses of larazotide. No
difference was observed between the two higher dose levels (1 mg and 2 mg TID) or placebo, suggesting a narrow dose range
around the 0.5 mg dose, which also seems to correlate with pre-clinical data.
18
Figure 8: Treatment effect of larazotide from the Phase 2b trial (‘012) compared to approved IBS/CIC drugs with varying
treatment effects mostly in the mid to high single digit range. Source: Gastroenterology 2015; 148:1311–1319; p. 1315 and FDA
Drug Labels
The CeD PRO, a copyrighted PRO created specifically for celiac disease and wholly owned by us, showed a statically
significant (p=0.022) treatment effect of 14.3% (drug responder rate minus placebo responder rate). Although to our knowledge
there are no celiac drugs approved as a comparator, the treatment effect was greater than several other GI dugs approved for
IBS and chronic idiopathic constipation (CIC) which use a similar clinical trial design (Figure 8).
Path Forward to Phase 3 Trials
After a successful End-of-Phase 2 meeting with the FDA, agreements were reached on the key aspects of the Phase 3 clinical
trials. The FDA agreed on using the previously validated CeD PRO as the primary endpoint with two doses of larazotide which
bracket the range of efficacy in previous trials. Two Phase 3 trials with a size of approximately 900 patients each would allow
for more than a 90% power to replicate the Phase 2b trial results. Most other criteria, such as inclusion, exclusion and site
selection/coordination, are expected to remain similar to the ‘012 Phase 2b trial.
We recently completed an initial feasibility review of over 200 potential investigative sites and pre-selected 122 potential
investigational sites for participation in the upcoming Phase 3 clinical trials. We entered into an agreement with a clinical research
organization to facilitate completion of start-up activities in our Phase 3 clinical trials in celiac disease.
About Celiac Disease
Celiac disease is a genetic autoimmune disease triggered by the ingestion of gluten-containing foods such as wheat, barley
and rye. Individuals with celiac disease have increased intestinal permeability, commonly referred to as ‘‘leaky’’ gut. This allows
macromolecules that normally remain on the luminal side of the intestine to pass through to the serosal side through tight junctions
via paracellular diffusion (Figure 9). In the case of celiac disease, this permeability may allow gluten break-down products, the
triggering antigens of celiac disease, to reach gut-associated lymphoid tissue (GALT), initiating an inflammatory response.
Celiac disease is characterized by chronic inflammation of the small intestinal mucosa that may result in diverse symptoms,
malabsorption, atrophy of intestinal villi and a variety of clinical manifestations.
19
Figure 9: The epithelial barrier separates the intestinal content from the immune system (lamina propria) and the vasculature.
Figure 10: Intestinal villi atrophy in celiac patients, a characteristic finding upon biopsy of the small intestine.
Large Population — Unmet Need (no drug approved); Serious Long-Term Consequences
Celiac disease affects an estimated 1% of the Western population (Dubé, 2005). Currently, there are no therapeutics available
to treat celiac disease and the current management of celiac disease is a life-long adherence to a gluten-free diet. Changes in
dietary habits are difficult to maintain and foods labeled as gluten-free may still contain small amounts of gluten (up to 20 ppm
per FDA labeling standards). Dietary compliance is imperfect in a large fraction of patients (Rostom, 2006) and difficult to
adhere to on an ongoing basis (Green, 2007). In a survey conducted in the United Kingdom non-adherence to the gluten-free
diet was found to be as high as 70% (Hall, 2013).
There are serious long-term consequences to exposure to gluten in patients with celiac disease, including the risk of
developing osteoporosis, stomach, esophageal, or colon cancers and T-cell lymphoma (Green 2003, Green 2007). The continuous
20
GI symptoms often result in significant morbidity with a substantial reduction in quality of life. In addition, not all patients
respond to a gluten-free diet. Patients diagnosed with celiac disease may continue to have or re-develop symptoms despite being
on a gluten-free diet (Rostom 2006). This suggests a need for a therapeutic agent for the treatment of celiac disease (Green,
2007; Hall, 2013).
Celiac disease represents a model of an autoimmune disorder in which the following elements are known:
1. The triggering environmental factor is glutenin or gliadin, the proline, glutamine and glycine rich glycoprotein fractions
of gluten;
2. There is a close genetic association with HLA haplotypes DQ2 and/or DQ8; and
3. A highly specific humoral autoimmune response occurs.
Genetics of Celiac Disease
The high incidence of celiac disease in first degree relatives of celiac patients (10 − 15%) and high concordance rate in
monozygotic twins (80%) suggest a strong genetic component. Gliadin deamidation by tissue transglutaminase (tTG) enhances
the recognition of gliadin peptides by human leukocyte antigen (HLA) DQ2 and DQ8 T cells in genetically predisposed subjects,
which in turn may initiate the cascade of autoimmune reactions responsible for mucosal destruction. This interaction implies
that gliadin and/or its breakdown peptides in some way cross the intestinal epithelial barrier and reach the lamina propria of the
intestinal mucosa where they are recognized by antigen-presenting cells. The enhanced paracellular permeability of individuals
with celiac disease would allow passage of macromolecules through the paracellular spaces with resulting autoimmune
inflammation. There is a strong genetic predisposition to celiac disease, with major risk associated with HLA DQ2 (approximately
95% of celiac disease patients) and HLA-DQ8 (approximately 5% of celiac disease patients). The prevalence of celiac disease
in the U.S. is estimated to be approximately 1%; however approximately 30% of the general U.S. population is HLA DQ2
positive (Figure 11), indicating that additional factors are involved in the development of celiac disease.
Figure 11: Distribution of HLA-DQ2/DQ8 in the general US population and in celiac disease. Source: J. Clin. Invest. 2007 Jan
2;117(1):41.
In celiac disease, an inflammatory reaction occurs in the intestine that is characterized by infiltration of immune cells in
the lamina propria and epithelial compartments with chronic inflammatory cells and progressive architectural changes to the
mucosa. Both adaptive and innate branches of the immune system are involved. The adaptive response is mediated by gluten-
reactive CD4+ T cells in the lamina propria that recognize gluten-derived peptides when presented by the HLA class II molecules
DQ2 or DQ8. The CD4+ T cells then produce pro-inflammatory cytokines such as interferon gamma. This results in an
inflammatory cascade with the release of cytokines, anti-tTG antibodies, T cells and other tissue-damaging mediators leading
to villous injury and crypt hyperplasia in the intestine. Anti-human tissue transglutaminase (anti-tTG) antibodies are also
produced, which form the basis of serological diagnosis of celiac disease.
21
Anti-tTG Antibodies: Highly Sensitive and Specific Blood-based ELISA Diagnostic Test
The current approach for diagnosis of celiac disease is to use anti-tissue transglutaminase-2 (tTG-2) antibody tests as an
initial screen with definitive diagnosis from biopsy of the small intestine mucosa. The diagnosis of celiac disease is confirmed
by demonstration of characteristic histologic changes in the small intestinal mucosa, which are scored based on criteria initially
put forth by Marsh and later modified. In 2012, the European Society of Pediatric Gastroenterology, Hepatology and Nutrition
(ESPGHAN) Guidelines allowed symptomatic children with serum anti-tTG antibody levels ≥10 times upper limit of normal
to avoid duodenal biopsies after positive human leukocyte (HLA) test and serum anti-endomysial antibodies.
The need for multiple clinical and laboratory findings to diagnose celiac disease makes monitoring disease progression
difficult. International guidelines give standardized definitions and criteria for the diagnosis of celiac disease, however there are
not clear standards for follow-up and monitoring of treatment. This is particularly true for celiac patients diagnosed as adults,
who respond differently and less completely to a gluten-free diet than do celiac patients diagnosed as children. It is not clear
who should perform follow-up of patients with celiac disease and at what frequency but the American College of Gastroenterology
suggests that an annual follow-up seems reasonable. Recommendations for monitoring disease progression include assessing
symptoms and dietary compliance and repeating serology tests. Markers of celiac disease progression and improvement that are
both validated and provide a timely assessment of disease activity are lacking.
Role of Tissue Transglutaminase in Celiac Disease
Anti-tTG-2 antibodies are produced in the small-intestinal mucosa (Picarelli et al. 1996), where they can bind tTG-2 present
in the basement membrane and around blood vessels and form deposits characteristic of the disease. tTG-2 has been implicated
in a variety of human disorders including several neurodegenerative conditions and cancer. Transglutaminases (TGs) were first
discovered in the 1950s and are a family of enzymes which catalyze Ca2+-dependent post-translational modification of proteins.
Of the seven isoforms discovered so far, all share the same basic four-domain tertiary structure, with minor variations, although
their catalytic mechanism is conserved, resembling that of the cysteine proteases. tTGs cause transamidation, esterification and
hydrolysis, all of which lead to post-translational modifications in the target proteins. Characteristically, tTG’s mediate selective
protein cross-linking by forming covalent isopeptide linkages between two target proteins. The resulting cross-linked products
in many cases have high molecular masses and are unusually resistant to proteolytic degradation and mechanical strain. As in
the case of the gliadin fragments in celiac disease, they are able to pass thru the leaky paracellular pathway from the lumen to
the lamina propria, where the immune cells reside and are then activated.
Gliadin fragments, in addition to being rich in proline, also have high glutamine content, which makes them suitable substrates
for tTG-2, which targets glutamine residues. For augmented DQ2/8 binding, the conversion of glutamine residues to glutamic
acid is catalyzed by tTG-2 as a deamidation reaction. After deamidation, the gliadin peptides become highly negatively charged
in key anchor positions, thereby increasing their affinity to the HLA molecules. CD4+ T cells recognize the deamidated gliadin
peptides bound to the HLA DQ2 or DQ8 molecules by their T cell receptors, thus activating intestinal inflammation leading to
villous atrophy.
Gluten and Food Labeling
Gluten is a complex molecule contained in several grains such as wheat, rye and barley. Gluten can be subdivided into two
major protein subgroups according to its solubility in alcohol and aqueous solutions. These subclasses consist of gliadins, soluble
in 40 − 70% ethanol and glutenins which are large, polymeric molecules insoluble in both alcohol and aqueous solutions. The
gliadins and glutenins can be further subdivided into groups according to their molecular weight. Glutenins can be subdivided
into low and high molecular weight proteins, while the gliadin protein family contains α-, β-, γ- and ω- types. Both glutenins
and gliadins are characterized by a high amount of prolines (20%) and glutamines (40%) that protect them from complete
degradation in the gastrointestinal tract and make them difficult to digest. Currently 31 nine-amino acid peptide sequences in
the prolamins of wheat and related species have been defined as being celiac toxic or celiac ‘‘epitopes.’’ These epitopes are
located in the repetitive domains of the prolamins, which are proline and glutamine-rich and the high levels of proline make the
peptide resistant to proteolysis. In addition, the prolamin-reactive T cells also recognize these epitopes to a greater extent when
specific glutamine residues in their sequences have been deamidated to glutamic acid by tTG-2. The immunodominant sequence
after wheat challenge corresponds to a well-characterized 33 residue peptide from α-gliadin, ‘‘33-mer,’’ that is resistant to
gastrointestinal digestion (with pepsin and trypsin) and was initially identified as the major celiac toxic peptide in the gliadins.
The FDA finalized a standard definition of ‘‘gluten-free’’ in August 2013. As of August 5, 2014, all manufacturers of FDA-
regulated packaged food making a gluten-free claim must comply with the guidelines outlined by the FDA (www.fda.gov/gluten-
22
freelabeling). A ‘‘gluten free’’ claim still allows up to 20 ppm of gluten which leads to more than 100mg/day and up to 500 mg/
day of gluten exposure. Due to the presence of gluten in foods, beer, liquor, cosmetics and household products, exposure is
difficult to completely avoid and due to cross-contamination, celiac patients have increased risks of exposure to gluten, which
can cause symptoms more frequently.
CNS
Headaches
Gluten ataxia
Endocrine
Type 1 Diabetes
Autoimmune
Thyroid
Oncology/Heme
Enteropathy
associated T-cell
lymphoma (EATL)
Skin
Dermatitis
herpetiformis
Other
Rheumatoid arthritis
(RA)
Anemia
Alopecia areata
Reduced bone
Density
Peripheral neuropathies
Addison’s disease
Vitiligo
Sjogren’s syndrome
Table 3: Diseases associated with celiac disease
Non-GI Manifestations of Celiac Disease and Co-Morbidities
Headache, Gluten Ataxia: Nervous System Manifestation of Celiac Disease. The association between celiac disease and
neurologic disorders has been supported by numerous studies over the past 40 years. While peripheral neuropathy and ataxia
have been the most frequently reported neurologic extra-intestinal manifestations of celiac disease, a growing body of literature
has established headache as a common presentation of celiac disease as well. The exact prevalence of headache among patients
ranges from about 30% to 60% (Lebwohl, 2016).
Dermatitis herpetiformis: Skin Manifestation of Celiac Disease. Dermatitis herpetiformis (DH) is an inflammatory cutaneous
disease characterized by intensely pruritic polymorphic lesions with a chronic-relapsing course, first described by Duhring in
1884. The only treatment for achieving and maintaining permanent control of DH is a strict lifelong adherence to a gluten-free
diet. It appears in approximately 25% of patients with celiac disease of all ages, however mainly in adults and is a characteristic
clinical presenting symptom.
INN-217: Non-alcoholic steatohepatitis (NASH) and The Microbiome
NASH is a growing epidemic affecting approximately 5% to 6% of the general population. An additional 10% to 20% of
the general population who ingest little (< 70 g/week for females and <140 g/week for males) to no alcohol are characterized
with fat accumulation in the liver, without inflammation or damage, a condition called nonalcoholic fatty liver disease (NAFLD).
The progression of fatty liver to NAFLD to NASH to cirrhosis is a serious condition which has no approved FDA treatment.
Evidence supporting a role for the gut-liver axis in the pathogenesis of NAFLD/NASH has been accumulating over the past 20
years. LPS or endotoxin translocation is thought to be a primary cause of downstream signaling in the liver causing inflammation
and damage. NASH is associated with increased gut permeability caused by disruption of intercellular tight junctions in the
intestine allowing LPS from bacteria to pass into the portal circulation to the liver directly damaging hepatocytes. LPS constitutes
the outer leaflet of the outer membrane of most gram-negative bacteria. LPS is comprised of a hydrophilic polysaccharide and
a hydrophobic component known as lipid A which is responsible for the major bioactivity of endotoxin. When released and
translocated into the bloodstream from the gut, LPS can cause a variety of cytokine activity and inflammation in the host.
The disrupted barrier along with an altered microbiome in the gut contribute to NASH as recently demonstrated by a group
from Emory University, Rahman et. al., in Gastroenterology (2016). Knockout mice missing the junctional adhesion molecule
A (JAM-A) (F11r-/-), which have a defect in the intestinal epithelial barrier thus making it “leaky,” develop more severe
steatohepatitis. JAM-A is a component of the tight junction complex that regulates intestinal epithelial paracellular permeability.
F11r-/- mice therefore have leaky tight junctions that allow for translocation of gut bacteria to peripheral organs. By restoring
the leaky tight junctions, larazotide could potentially have a beneficial therapeutic effect by blocking translocation of bacterial
toxins via the paracellular pathway and may also help normalize the dysbiotic microbiome found in NASH.
According to a marketing and research firm, GlobalData, the market for NASH therapeutics is expected to grow significantly.
GlobalData estimates that the market in the United States, France, Germany, Italy, Spain, the United Kingdom and Japan for
such therapeutics will be approximately $25.3 billion by 2026. We expect that this market could be addressed by larazotide
INN-217, however we are unable to estimate what portion until the effect of larazotide in this population has been studied in
clinical trials to better understand the specific patient-type in NASH that may derive benefit.
23
Figure 12: Growing NASH population up to 5%-6% of adults in the US alone.
INN-289: Crohn’s disease: chronic disease with need for oral therapeutics
Innovate is working on a proprietary formulation of larazotide for Crohn’s disease, INN-289. Animal data has shown the
effect of larazotide on disease attenuation in an IL-10 knockout mouse model (Arrieta, 2009), which has been well established
and used for several drug development programs. Larazotide was placed in the drinking water of the mice at a low dose (0.1
mg/ml) or high dose (1.0 mg/ml) during the period from 4 to 17 weeks of age. Results were compared to wild type mice, IL-10
knockout mice with no treatment and IL-10 knockout mice treated with probiotics. Intestinal and colonic permeability was
significantly reduced in the high dose larazotide treatment group, but not in the untreated IL-10 knockout group. Larazotide
treatment caused a reduction in all tissue markers of colonic inflammation (IFNγ and TNFα) and in histological inflammation.
Other Indications using Larazotide’s Mechanism of Action
Larazotide for Environmental Enteric Dysfunction (EED): Positive in vitro Data;
Environmental enteric dysfunction (EED) is a rare pediatric tropical disease in the U.S. and Europe, however, more than
165 million children in developing countries in Africa and Asia suffer from it. As per section 524 of the Federal Food, Drug and
Cosmetic Act (FD&C) Act, EED would likely fall under ‘‘Current List of Tropical Disease’’ number ‘S,’ thus making a drug
approved for EED in the U.S. potentially eligible for a Priority Review Voucher.
The histological presentation of EED is very similar to celiac disease with villous atrophy and chronic inflammation of the
small bowel and the pathogenesis of EED is linked to increased intestinal permeability. We have tested larazotide against some
of the pathogens commonly found in EED (unpublished) and found positive in vitro results which will need to be confirmed in
animal models before starting a clinical trial in EED.
INN-108: Mild-to-Moderate Ulcerative Colitis
INN-108 is in development for mild-to-moderate UC and is expected to enter a proof-of-concept Phase 2 trial, subject to
receipt of additional financing. UC is an IBD that affects more than 1.25 million people in the major markets of the United
States, France, Germany, Italy, Spain, the United Kingdom and Japan and is characterized by inflammation and ulcers in the
colon and rectum. UC is a chronic disease that can be debilitating and sometimes lead to life-threatening complications. While
poorly understood, a multitude of environmental factors and genetic vulnerabilities are thought to lead to the dysregulation of
the immune response via a defective epithelial barrier. Although the majority of patients present with mild-to-moderate UC
which can progress to severe UC, the focus of drug development has been in moderate-to-severe UC with little innovation or
drug development for mild-to-moderate UC. The mainstay of treatment for mild-to-moderate UC remains various oral
reformulations of mesalamine or 5-ASA (5-amino salicylic acid) such as Shire’s Lialda (approved 2007) and Pentasa (approved
1993), Allergan’s Asacol HD (approved 2008) and Valeant/Salix’s Apriso (approved 2008).
24
The initial IND was filed with the FDA by Nobex Corporation on May 15, 2003 for the use of APAZA (INN-108) for the
treatment of ulcerative colitis. The IND was then transferred from Seachaid Corporation to Innovate effective March 19, 2014.
Two Phase 1 studies in healthy subjects and patients with ulcerative colitis were conducted by Nobex with INN-108. No serious
adverse events were reported during either study.
INN-108 uses an azo-bonded pro-drug approach linking mesalamine to 4-APAA. Mitsubishi Pharma developed 4-APAA
as Actarit in Japan which was approved in 1994 for rheumatoid arthritis. IBD drugs were all originally approved for RA, from
the oldest 5-ASA, sulfasalazine, to the latest biologics, Humira and Enbrel. 4-APAA has more than two decades of safety data
as a standalone drug and has an mechanism of action which is differentiated from mesalamine though the ultimate effect for
both is anti-inflammatory (Figure 13). Taken orally as a tablet, the azo-bond protects INN-108 from the low pH in the stomach,
thus allowing it to transit to the colon where the UC lesions are located. In the colon, the azo bond is broken enzymatically
leading to the release of mesalamine and 4-APAA which have a synergistic anti-inflammatory effect. With the addition of 4-
APAA, which is not approved in the U.S. or EU, to the already approved mesalamine, the synergistic effect could lead to superior
clinical efficacy over the currently approved oral mesalamines.
Figure 13: 4-APAA is covalently bonded to 5-ASA via a high energy azo-bond which is only enzymatically cleaved in the colon.
The anti-inflammatory effect of each of 5-ASA and 4-APAA via different pathways which could lead to a potential synergistic
anti-inflammatory effect as seen in animal studies.
25
INN-108: UC Animal Model Data Shows Synergy between 4-APAA and Mesalamine
The effects of chronic treatment with INN-108 on Clostridium diffıcile toxin A — induced colitis of the colon is shown in
Figure 14. Orally administered INN-108 was significantly more potent than sulfasalazine or 4-APAA alone (McVey, 2005).
Figure 14: A rat UC model using toxin A induced-colitis as the insult leads to sloughing of the colonic epithelium with
increasing doses. Using sulfasalazine vs. INN-108 to protect against the toxin A injury showed INN-108 was significantly
more potent that sulfasalazine. Source: McVey DC et al. Digestive Diseases and Sciences. 2005 Mar 1;50(3):565-73.
INN-108 Clinical Development Pathway
After completing two Phase 1 studies, the first of which was conducted between June 2003 and July 2003, and the second
of which was conducted between February 2004 and June 2004, a profile was established with dosing of mesalamine and 4-
APAA at 2 grams each for a total of 4 grams three times a day.
The typical dose of the various approved mesalamine formulations range from 1.5g to 2.4g per day, thus INN-108’s
mesalamine content is within the established approved dose range. The addition of 4-APAA is thought to improve the efficacy
above mesalamine, which would allow INN-108 to be used either after or instead of current mesalamines. In a Phase 2 trial, we
plan to compare INN-108 to mesalamine seeking to demonstrate a greater clinical effect than mesalamine alone.
Ulcerative Colitis: Lack of Innovation in New Drug Development for Past Several Decades
Conventional therapies broadly inhibit mechanisms involved in the inflammatory process and are commonly used to
effectively treat patients experiencing a mild-to-moderate form of the disease. For mild-to-moderate UC, oral mesalamine has
an established efficacy and safety profile. However, gastroenterologists cite the need for new therapies for mild-to-moderate
UC.
Patients who do not respond to mesalamine are typically eventually transitioned to biologics. The primary targets for
biologics have been to control the immune response and inflammatory cascade, by inhibiting or downregulating molecules such
as TNF-α, NF-κB, IL-1β and IFN1-γ. We believe INN-108 bridges the gap between mesalamine and biologics by its mechanism
of action of both inhibiting the inflammatory process and down-regulating the cytokines.
26
About Ulcerative Colitis
UC is a chronic intermittent relapsing inflammatory disorder of the large intestine and rectum. While poorly understood, a
multitude of environmental factors and genetic vulnerabilities are thought to lead to the dysregulation of the immune response
via a defective epithelial barrier. As a result, chronic inflammation and ulceration of the colon occurs. UC is specific to the colon
and affects only the mucosal lining of the colon. Common symptoms of UC include diarrhea, bloody stools and abdominal pain.
The majority of patients are intermittent in their disease course, in that they experience a relapse among periods of remission.
However, some patients experience only a single episode of the disease prior to maintaining remission whereas other patients
are chronically symptomatic and may require a proctocolectomy to treat their condition.
History of Drug Development in Mild-to-Moderate Ulcerative Colitis
The original compound used in UC was sulfasalazine (Azulfidine), a conjugate of 5-ASA linked to sulfapyridine by an azo
bond, which is split into the two molecules by bacterial azoreductases in the colon. The 5-ASA component or mesalamine is the
active therapeutic moiety of sulfasalazine, with sulfapyridine thought to have little if any therapeutic effect. Sulfapyridine,
however, is the cause of most of the significant adverse side effects of sulfasalazine.
This led to the development of other 5-ASA preparations utilizing azo chemistry to deliver high concentrations of mesalamine
or 5-ASA to the colon by preventing early absorption of the drug in the small intestine. Such preparations include olsalazine
(Dipentum), consisting of two molecules of 5-ASA bonded together by an azo bond and balsalazide (Colazal), consisting of 5-
ASA azo bonded to an inert carrier (4-aminobenzoyl-β-alanine). The efficacy of these newer oral forms of 5-ASA is comparable
to that of sulfasalazine, but they are better tolerated. However, some side effects persist which prevent wider use. In each of
these preparations, the only active moiety is mesalamine or 5-ASA, an anti-inflammatory agent.
INN-329: Magnetic Resonance Cholangiopancreatography
INN-329 is a proprietary formulation of secretin, a peptide hormone which is used to improve visualization in magnetic
resonance cholangiopancreatography (MRCP) procedures. Secretin is a 27-amino acid long hormone which rapidly stimulates
release of pancreatic secretions, thus improving visualization of the pancreatic ducts during imaging procedures. Secretin has
also been tested in a variety of central nervous system conditions such as autism, though currently approved only for pancreatic
function testing and imaging with endoscopic retrograde cholangiopancreatography (ERCP). We acquired the assets of secretin
from Repligen Corporation in December 2014.
The initial IND and was filed with the FDA by Repligen on July 29, 2005 for MRCP. The IND was transferred from Repligen
to Innovate in January 2015. The New Drug Application (NDA) for MRCP was filed with the FDA on December 21, 2011 and
was transferred to Innovate in January 2015.
MRCP has been used for more than 20 years as a non-invasive tool for imaging pancreatic ducts. With the addition of
secretin pancreatic secretions are increased leading to significantly improved visualization of the pancreatic ducts for detection
of abnormalities, including pancreatic cancer. The gold standard for pancreatic duct imaging had been ERCP, an expensive and
invasive procedure with complications such as pancreatitis (3 − 5%), bleeding (1 − 2%), perforation (1%), infection (1 − 2%)
and death (1/250). More than a half-million ERCP procedures are performed annually in the U.S. and as the role of ERCP
diminishes for screening, it will further the need for approval of secretin for S-MRCP. We expect to repeat a Phase 3 trial with
a partner, if and when secured, as per previous discussion with the FDA to look at improvement in visualization of the pancreatic
duct via MRCP with and without secretin.
Our Intellectual Property
We strive to protect the proprietary technology that we believe is important to our business, including our product candidates
and our processes. We seek patent protection in the United States and internationally for our product candidates, their methods
of use and processes of manufacture and any other technology to which we have rights, as appropriate. Additionally, we have
licensed the rights to intellectual property related to certain of our product candidates, including patents and patent applications
that cover the products or their methods of use or processes of manufacture. The terms of the licenses are described below under
the heading “Licensing Agreements.” The patent families related to the intellectual property covered by the licenses include 23
U.S. patents and 126 foreign patents with expiration dates ranging from 2019 to 2031. We also rely on trade secrets that may
be important to the development of our business.
27
Our success will in part depend on the ability to obtain and maintain patent and other proprietary rights in commercially
important technology, inventions and know-how related to our business, the validity and enforceability of our patents, the
continued confidentiality of our trade secrets and our ability to operate without infringing the valid and enforceable patents and
proprietary rights of third parties. We also rely on continuing technological innovation and in-licensing opportunities to develop
and maintain our proprietary position.
We cannot be sure that patents will be granted with respect to any of our pending patent applications or with respect to any
patent applications we may own or license in the future, nor can we be sure that any of our existing patents or any patents we
may own or license in the future will be useful in protecting our technology and products. For this and more comprehensive
risks related to our intellectual property, please see “Risk Factors—Risks Related to Our Intellectual Property.”
CeD PRO: Copyrighted Primary Endpoint for Celiac Disease Tested in a Successful Clinical Trial
The patient reported outcome (PRO) primary end point for celiac disease (CeD PRO) was developed based on FDA guidance
and is copyrighted in the United States effective October 13, 2011. The copyright registration is in effect for 95 years from the
year of first publication or 120 years from the year of creation, whichever expires first. If the drug is approved by the FDA and
is the first drug to be approved for celiac disease, Innovate believes that the PRO will become the standard for assessing efficacy
in celiac disease. Competitor companies seeking to use a PRO to establish efficacy in this indication would either need to
develop their own PRO or would be required to license the CeD PRO from Innovate, thus providing an additional barrier to
competitor entry into the marketplace.
Strategic Collaborations and License Agreements
We have entered into collaboration agreements with several academic institutions and other contract research organizations
to investigate pre-clinical studies for the use of our product candidates in potential other indications or to further broaden our
understanding of the current indications.
Licensing Agreements
License with Alba Therapeutics Corporation
In February 2016, we entered into a license agreement (the “Alba License”) with Alba Therapeutics Corporation (“Alba”)
to obtain an exclusive worldwide license to certain intellectual property relating to larazotide and related compounds.
Our initial area of focus for this asset relates to the treatment of celiac disease. We now refer to this program as INN-202.
The license agreement gives us the rights to (i) patent families owned by University of Maryland, Baltimore (UMB) and licensed
to Alba, (ii) certain patent families owned by Alba and (iii) one patent family that is jointly owned. In connection with the Alba
License, we also entered into a sublicense agreement with Alba under which Alba sublicensed the UMB patents to us (the “Alba
Sublicense”).
As consideration for the Alba License, we agreed to pay (i) a one-time, non-refundable fee of $0.4 million at the time of
execution and (ii) set payments totaling up to $151.5 million upon the achievement of certain milestones in connection with the
development of the product, which milestones include the dosing of the first patient in the Phase 3 clinical trial, acceptance and
approval of the New Drug Application, the first commercial sale and the achievement of certain net sales targets. The last
milestone payment is due upon the achievement of annual net sales of INN-202 in excess of $1.5 billion. Upon the first commercial
sale of INN-202, the license becomes perpetual and irrevocable. The term of the Alba Sublicense, for which we paid a one-time,
non-refundable fee of $0.1 million, extends until the earlier of (i) the termination of the Alba License, (ii) the termination of the
underlying license agreement, or (iii) an assignment of the underlying license agreement to us. After we make the first milestone
payment after the dosing of the first patient in the Phase 3 clinical trial and are able to demonstrate sufficient financial resources
to complete the trial, we have the exclusive option to purchase the assets covered by the license.
The foreign patents covering the composition-of-matter for the larazotide peptide expire in 2019. The Alba Therapeutics
patent estate nevertheless provides product exclusivity for INN-202 in the U.S. until June 4, 2031, not including patent term
extensions that may apply upon product approval.
Significant patents in the INN-202 patent estate include issued patents in the U.S. for methods of treating celiac disease
with larazotide, (US Patents 8,034,776 and 9,279,807), of which the last to expire has a term to July 16, 2030.
28
Other significant patents include the larazotide formulation patent family, which has three issued U.S. patents as well as 39
filings outside the U.S. (31 issued). The significant patents in the INN-202 patent estate formulation patent family includes
patents covering the composition-of-matter (US Patent 9,265,811) and corresponding methods of treatment (US Patents 8,168,594
and 9,241,969) for the larazotide formulation, with the last to expire patent having an expiration in the U.S. of June 4, 2031.
License with Seachaid Pharmaceuticals, Inc.
In April 2013, we entered into a license agreement (the “Seachaid License”) with Seachaid Pharmaceuticals, Inc. (“Seachaid”)
to further develop and commercialize the licensed product, the compound known as APAZA. This program is now referred to
as INN-108 by us.
The license agreement gives us the exclusive rights to (i) commercialize products covered by the patents owned or controlled
by Seachaid related to the composition, formulation or use of any APAZA compound in the territory that includes the U.S.,
Canada, Japan and most countries in Europe and (ii) use, research, develop, export and make products worldwide for the purposes
of such commercialization.
As consideration for the Seachaid License, we agreed to pay a one-time, non-refundable fee of $0.2 million at the earlier
of the time we meet certain financing levels or 18 months following the execution of the agreement and set payments totaling
up to $6.0 million upon the achievement of certain milestones in connection with the development of the product, filing of the
New Drug Application, the first commercial sale and payments ranging from $1.0 million to $2.5 million based on the achievement
of certain net sales targets. There are future royalty payments in the single digits based on achieving sales targets and we are
required to pay Seachaid a portion of any sublicense revenue. The royalty payments continue for each licensed product and in
each applicable country until the earlier of (i) the date of expiration of the last valid claim for such products to expire or (ii) the
date that one or more generic equivalents if such product makes up 50 percent or more of sales in the applicable country. The
term of the Seachaid License extends on a product-by-product and country-by-country basis until the expiration of the royalty
period for the applicable product in the applicable country.
The INN-108 patent estate includes issued patents for:
(i.) immunoregulatory compounds and derivatives and methods of treating diseases therewith, of which the last to expire
has a term to December 17, 2021 (in the U.S.) and August 28, 2021 (in Europe);
(ii.) methods and compositions employing 4-aminophenylacetic acid, of which the last to expire has a term to August 29,
2021 (in the U.S.) and March 22, 2025 (in Europe);
(iii.)5-ASA derivatives having anti-inflammatory and antibiotic activity, of which the last to expire has a term to August
29, 2021 (in the U.S.) and August 28, 2021 (in Europe); and
(iv.) synthesis of azo bonded immunoregulatory compounds, of which the last to expire has a term to May 31, 2028 (in the
U.S.) and July 7, 2025 (in Europe).
The INN-108 patent estate includes also provisional patent applications for pharmaceutical compositions, delivery
compositions, methods of prophylaxis and methods of treatment. These patent applications have not yet been issued; therefore,
it is impossible to know the expiration date of any intellectual property that might result from these applications.
Asset Purchase Agreement
In December 2014, we entered into an Asset Purchase Agreement (the “Asset Purchase Agreement”) with Repligen
Corporation (“Repligen”) to acquire Repligen’s RG-1068 program for the development of secretin for the pancreatic imaging
market and MRCP procedures. We now refer to this program as INN-329. As consideration for the Asset Purchase Agreement,
we agreed to make a non-refundable cash payment on the date of the agreement and future royalty payments consisting of a
percentage between five and fifteen of annual net sales, with such royalty payment percentage increasing as annual net sales
increase. The royalty payments are made on a product-by-product and country-by-country basis and the obligation to make the
payments expires with respect to each country upon the later of (i) the expiration of regulatory exclusivity for the product in
that country or (ii) ten years after the first commercial sale in that country. The royalty amount is subject to reduction in certain
situations, such as the entry of generic competition in the market.
29
Manufacturing and Supply
We contract with third parties for the manufacturing of all of our product candidates, including INN-108, INN-202 and
INN-329, for pre-clinical and clinical studies and intend to continue to do so in the future. We do not own or operate any
manufacturing facilities and we have no plans to build any owned clinical or commercial scale manufacturing capabilities. We
believe that the use of contract manufacturing organizations (CMOs) eliminates the need to directly invest in manufacturing
facilities, equipment and additional staff. Although we rely on contract manufacturers, our personnel or consultants have extensive
manufacturing experience overseeing CMOs.
As we further develop our molecules, we expect to consider secondary or back-up manufacturers for both active
pharmaceutical ingredient and drug product manufacturing. To date, our third-party manufacturers have met the manufacturing
requirements for our product candidates in a timely manner. We expect third-party manufacturers to be capable of providing
sufficient quantities of our product candidates to meet anticipated full-scale commercial demands but we have not assessed these
capabilities beyond the supply of clinical materials to date. We currently engage CMOs on a ‘‘fee for services’’ basis based on
our current development plans. We plan to identify CMOs and enter into longer term contracts or commitments as we move our
product candidates into Phase 3 clinical trials.
We believe alternate sources of manufacturing will be available to satisfy our clinical and future commercial requirements;
however, we cannot guarantee that identifying and establishing alternative relationships with such sources will be successful,
cost effective, or completed on a timely basis without significant delay in the development or commercialization of our product
candidates. All of the vendors we use are required to conduct their operations under current Good Manufacturing Practices, or
cGMP, a regulatory standard for the manufacture of pharmaceuticals.
Commercialization
We own or control exclusive rights to all three of our product candidates in the markets of the United States, France, Germany,
Italy, Spain, the United Kingdom and Japan. We plan to pursue regulatory approvals for our products in the United States and
the European Union and may independently commercialize these products in the United States. In doing so, we may engage
strategic partners to assist with the sales and promotion of our products.
Our anticipated commercialization strategy in the United States would target key prescribing physicians, including specialists
such as gastroenterologists, as well as provide patients with support programs to ensure product access. Outside of the United
States, we plan to seek partners to commercialize our products via out-licensing agreements or other similar commercial
arrangements.
Competition
The pharmaceutical industry is highly competitive and characterized by intense and rapidly changing competition to develop
new technologies and proprietary products. Our potential competitors include both major and specialty pharmaceutical companies
worldwide. Our success will be based in part on our ability to identify, develop and manage a portfolio of product candidates
that are safer and more effective than competing products.
The competitive landscape in celiac disease is currently limited, which we believe is due to lack of significant past R&D
investments and lack of recognition and education around the disease. To our knowledge, there are no late stage competitors
entering Phase 3 clinical trials or any who have successfully completed Phase 2 studies to date. However, in recent years large
pharmaceutical companies have begun to expand their focus areas to autoimmune diseases such as celiac disease, and given the
unmet medical needs in these areas, we anticipate increasing competition. A few early stage programs are active, including
Takeda/PvP’s KumaMax (gluten degrading enzyme), Amgen/Provention Bio’s AMG-714 (an IL-15 MAb) and Dr. Falk Pharma/
Zeria’s ZED-1227 (a tTG-2 inhibitor). ImmunogenX’s IMGX003 (two gluten degrading enzymes) failed to meet its primary
endpoint in a Phase 2b trial in 2015, yet an NIH sponsored trial is evaluating a patient subset in a phase 2 trial launched in March
2019.
30
Product
AMG 714
Status
Phase 2
Anti-IL-15
MAb
ZED-1227
Phase 1b
TGase-2 inhibitor
Mechanism
Company
Amgen/
Provention Bio
Zedira GmbH/
Dr Falk
Pharma
Route
Subcutaneous;
2x/month
Oral
Product Type
MAb
(humanized)
Small molecule
(peptidomimetic)
Nexvax2
Phase 2
Tolerizing vaccine
ImmusanT
Intradermal
KumaMax
IMGX003
Pre-
clinical
Phase 2
Enzymatic
degradation of gluten
Takeda/PvP
Biologics
Two gluten degrading
enzymes
ImmunogenX
Oral
Oral
3 gliadin epitopes
(peptides)
Recombinant enzyme
Recombinant enzymes
Table 4: Current celiac drugs in development are still in pre-clinical to early Phase 2 proof-of-concept stage. No drugs have
completed a successful Phase 2b efficacy trial other than larazotide.
Ulcerative colitis drug development has historically been primarily focused on the moderate-to-severe UC population with
little investment and research and development in mild-to-moderate UC, which is the majority of the patient populations. Current
treatments for mild-to-moderate UC include the mesalamine reformulations that are pictured in Figure 15 below and described
above under the heading “History of Drug Development in Mild to Moderate Ulcerative Colitis,” including Lialda, Pentasa,
Asacol HD and Apriso, Valeant/Salix’s Uceris (oral MMX-formulated budesonide; a corticosteroid) and 5-mercaptopurine
(severe side effects). Eventually, half of the mild-to-moderate UC patients progress from mesalamine to the more expensive
biologics, which creates a significant potential market opportunity for any drug that is more effective than mesalamine and less
expensive than the biologics.
Figure 15: Other than various reformulations of mesalamine which have been used for the past several decades, no new drugs
have been approved for mild-to-moderate UC
Government Regulations
The FDA and other regulatory authorities at federal, state and local levels, as well as in foreign countries, extensively
regulate, among other things, the research, development, testing, manufacture, quality control, import, export, safety,
effectiveness, labeling, packaging, storage, distribution, record keeping, approval, advertising, promotion, marketing, post-
31
approval monitoring and post-approval reporting of drugs, such as those we are developing. Along with third-party contractors,
we will be required to navigate the various preclinical, clinical and commercial approval requirements of the governing regulatory
agencies of the countries in which we wish to conduct studies or seek approval or licensure of our product candidates. The
process of obtaining regulatory approvals and the subsequent compliance with appropriate federal, state, local and foreign statutes
and regulations require the expenditure of substantial time and financial resources.
Government Regulation of Drugs
The process required by the FDA before drug product candidates may be marketed in the United States generally involves
the following:
•
•
•
•
•
•
•
•
•
completion of preclinical laboratory tests and animal studies performed in accordance with the FDA’s current Good
Laboratory Practices, or GLP, regulation;
submission to the FDA of an Investigational New Drug application, or IND, which must become effective before clinical
trials may begin and must be updated annually or when significant changes are made;
approval by an independent Institutional Review Board, or IRB, or ethics committee for each clinical site before a
clinical trial can begin;
performance of adequate and well-controlled human clinical trials to establish the safety and efficacy of the proposed
product candidate for its intended purpose;
preparation of and submission to the FDA of a New Drug Application, or NDA, after completion of all required clinical
trials;
a determination by the FDA within 60 days of its receipt of an NDA to file the application for review;
satisfactory completion of an FDA Advisory Committee review, if applicable;
satisfactory completion of an FDA pre-approval inspection of the manufacturing facility or facilities at which the
proposed product is produced to assess compliance with current Good Manufacturing Practices, or cGMP, and to assure
that the facilities, methods and controls are adequate to preserve the product’s continued safety, purity and potency,
and of selected clinical investigational sites to assess compliance with current Good Clinical Practices, or cGCPs; and
FDA review and approval of the NDA to permit commercial marketing of the product for particular indications for use
in the United States, which must be updated annually and when significant changes are made.
The testing and approval processes require substantial time, effort and financial resources and we cannot be certain that any
approvals for our product candidates will be granted on a timely basis, if at all. Prior to beginning the first clinical trial with a
product candidate, we must submit an IND to the FDA. An IND is a request for authorization from the FDA to administer an
investigational new drug product to humans. The central focus of an IND submission is on the general investigational plan and
the protocol(s) for clinical studies. The IND also includes results of animal and in vitro studies assessing the toxicology,
pharmacokinetics, pharmacology and pharmacodynamic characteristics of the product; chemistry, manufacturing and controls
information; and any available human data or literature to support the use of the investigational product. An IND must become
effective before human clinical trials may begin. The IND automatically becomes effective 30 days after receipt by the FDA,
unless the FDA, within the 30-day time period, raises safety concerns or questions about the proposed clinical trial. In such a
case, the IND may be placed on clinical hold and the IND sponsor and the FDA must resolve any outstanding concerns or
questions before the clinical trial can begin. Submission of an IND therefore may or may not result in FDA authorization to
begin a clinical trial.
Clinical trials involve the administration of the investigational product to human subjects under the supervision of qualified
investigators in accordance with cGCPs, which include the requirement that all research subjects provide their informed consent
for their participation in any clinical study. Clinical trials are conducted under protocols detailing, among other things, the
objectives of the study, the parameters to be used in monitoring safety and the effectiveness criteria to be evaluated. A separate
submission to the existing IND must be made for each successive clinical trial conducted during product development and for
any subsequent protocol amendments. Furthermore, an independent Institutional Review Board, or IRB, for each site proposing
to conduct the clinical trial must review and approve the plan for any clinical trial and its informed consent form before the
clinical trial begins at that site and must monitor the study until completed. Regulatory authorities, the IRB or the sponsor may
suspend a clinical trial at any time on various grounds, including a finding that the subjects are being exposed to an unacceptable
health risk or that the trial is unlikely to meet its stated objectives. Some studies also include oversight by an independent group
32
of qualified experts organized by the clinical study sponsor, known as a data safety monitoring board, which provides authorization
for whether or not a study may move forward at designated check points based on access to certain data from the study and may
halt the clinical trial if it determines that there is an unacceptable safety risk for subjects or other grounds, such as no demonstration
of efficacy. There are also requirements governing the reporting of ongoing clinical studies and clinical study results to public
registries.
For purposes of NDA approval, human clinical trials are typically conducted in three sequential phases that may overlap.
•
•
•
Phase 1. The drug product is initially introduced into healthy human subjects and tested for safety, pharmacokinetics
and pharmacodynamics. In the case of some products for severe or life-threatening diseases, the initial human testing
may be conducted in patients.
Phase 2. The drug product is evaluated in a limited patient population to identify possible adverse effects and safety
risks, to preliminarily evaluate the efficacy of the product for specific targeted diseases and to determine dosage tolerance,
optimal dosage and dosing schedule.
Phase 3. Clinical trials are undertaken to further evaluate dosage, clinical efficacy, potency and safety in an expanded
patient population at geographically dispersed clinical trial sites. These clinical trials are intended to establish the overall
risk to benefit ratio of the product and provide an adequate basis for product labeling.
In some cases, the FDA may require, or companies may voluntarily pursue, additional clinical trials after a product is
approved to gain more information about the product. These so-called Phase 4 studies may be required as a condition to approval
of the NDA.
Phase 1, Phase 2 and Phase 3 testing may not be completed successfully within a specified period, if at all and there can be
no assurance that the data collected will support FDA approval or licensure of the product. Concurrent with clinical trials,
companies may complete additional animal studies (for example, long term carcinogenicity studies) and develop additional
information about the drug characteristics of the product candidate and must finalize a process for manufacturing the product
in commercial quantities in accordance with cGMP requirements. The manufacturing process must be capable of consistently
producing quality batches of the product candidate. Additionally, appropriate packaging must be selected and tested and stability
studies must be conducted to demonstrate that the product candidate does not undergo unacceptable deterioration over its shelf
life.
NDA Submission and Review by the FDA
Assuming successful completion of all required testing in accordance with all applicable regulatory requirements, the results
of product development, nonclinical studies and clinical trials are submitted to the FDA as part of an NDA requesting approval
to market the product for one or more indications. The NDA must include all relevant data available from pertinent preclinical
and clinical studies, including negative or ambiguous results as well as positive findings, together with detailed information
relating to the product’s chemistry, manufacturing, controls and proposed labeling, among other things. Data can come from
company-sponsored clinical studies intended to test the safety and effectiveness of a use of the product, or from a number of
alternative sources, including studies initiated by investigators. The submission of an NDA requires payment of a substantial
User Fee to FDA and the sponsor of an approved NDA is also subject to annual product and establishment user fees. These fees
are typically increased annually. A waiver of user fees may be obtained under certain limited circumstances.
Within 60 days following submission of the application, the FDA reviews an NDA to determine if it is substantially complete
before the agency accepts it for filing. The FDA may refuse to file any NDA that it deems incomplete or not properly reviewable
at the time of submission and may request additional information. In this event, the NDA must be resubmitted with the additional
information. Once an NDA has been filed, the FDA’s goal is to review the application within ten months after it accepts the
application for filing, or, if the application has been granted approval designation, six months after the FDA accepts the application
for filing. The review process may be significantly extended by FDA requests for additional information or clarification. The
FDA reviews an NDA to determine, among other things, whether a product is safe and effective for the indication being pursued
and the facility in which it is manufactured, processed, packed, or held meets standards designed to assure the product’s continued
safety and effectiveness. The FDA may convene an advisory committee to provide clinical insight on application review questions.
Before approving an NDA, the FDA will typically inspect the facility or facilities where the product is manufactured. The FDA
will not approve an application unless it determines that the manufacturing processes and facilities are in compliance with cGMP
requirements and adequate to assure consistent production of the product within required specifications. Additionally, before
approving an NDA, the FDA will typically inspect one or more clinical sites to assure compliance with cGCP. If the FDA
determines that the application, manufacturing process or manufacturing facilities are not acceptable, it will outline the
33
deficiencies in the submission and often will request additional testing or information. Notwithstanding the submission of any
requested additional information, the FDA ultimately may decide that the application does not satisfy the regulatory criteria for
approval and will issue a Complete Response Letter.
The testing and approval process require substantial time, effort and financial resources and each may take several years to
complete. The FDA may not grant approval on a timely basis, or at all, and we may encounter difficulties or unanticipated costs
in our efforts to secure necessary governmental approvals, which could delay or preclude us from marketing our products. After
the FDA evaluates an NDA and conducts inspections of manufacturing facilities where the investigational product and/or its
drug substance will be produced, the FDA may issue an approval letter or a Complete Response Letter. An approval letter
authorizes commercial marketing of the product with specific prescribing information for specific indications. The Approval
Letter may contain Post-Marketing Requirements (PMRs) or Post-Marketing Commitments (PMCs) which comprise studies or
clinical trials that the Sponsor is required or has committed to conducting. A Complete Response Letter indicates that the review
cycle of the application is complete and the application is not ready for approval. A Complete Response Letter may request
additional information or clarification. The FDA may delay or refuse approval of an NDA if applicable regulatory criteria are
not satisfied, require additional testing or information and/or require post-marketing testing and surveillance to monitor safety
or efficacy of a product.
If regulatory approval of a product is granted, such approval may entail limitations on the indicated uses for which such
product may be marketed. For example, the FDA may approve the NDA with a Risk Evaluation and Mitigation Strategy, or
REMS, plan to mitigate risks, which could include medication guides, physician communication plans, or elements to assure
safe use, such as restricted distribution methods, patient registries and other risk minimization tools. The FDA also may condition
approval on, among other things, changes to proposed labeling or the development of adequate controls and specifications. Once
approved, the FDA may withdraw the product approval if compliance with pre- and post-marketing regulatory standards is not
maintained or if problems occur after the product reaches the marketplace. The FDA may require one or more Phase 4 post-
market studies and surveillance to further assess and monitor the product’s safety and effectiveness after commercialization and
may limit further marketing of the product based on the results of these post-marketing studies. In addition, new government
requirements, including those resulting from new legislation, may be established, or the FDA’s policies may change, which
could delay or prevent regulatory approval of our products under development.
A sponsor may seek approval of its product candidate under programs designed to accelerate FDA’s review and approval
of new drugs that meet certain criteria. Specifically, new drug products are eligible for fast track designation if they are intended
to treat a serious or life-threatening condition and demonstrate the potential to address unmet medical needs for the condition.
For a fast track product, the FDA may consider sections of the NDA for review on a rolling basis before the complete application
is submitted if relevant criteria are met. A fast track designated product candidate may also qualify for priority review, under
which the FDA sets the target date for FDA action on the NDA at six months after the FDA accepts the application for filing.
Priority review is granted when there is evidence that the proposed product would be a significant improvement in the safety or
effectiveness of the treatment, diagnosis, or prevention of a serious condition. If criteria are not met for priority review, the
application is subject to the standard FDA review period of 10 months after FDA accepts the application for filing.
Under the accelerated approval program, the FDA may approve an NDA on the basis of either a surrogate endpoint that is
reasonably likely to predict clinical benefit, or on a clinical endpoint that can be measured earlier than irreversible morbidity or
mortality, that is reasonably likely to predict an effect on irreversible morbidity or mortality or other clinical benefit, taking into
account the severity, rarity, or prevalence of the condition and the availability or lack of alternative treatments. Products subject
to accelerated approval must have associated marketing materials submitted for pre-approval by the FDA’s Office of Prescription
Drug Promotion during the pre-approval review period. Post-marketing studies or completion of ongoing studies after marketing
approval are generally required to verify the product’s clinical benefit in relationship to the surrogate endpoint or ultimate
outcome in relationship to the clinical benefit. In addition, the Food and Drug Administration Safety and Innovation Act, or
FDASIA, which was enacted and signed into law in 2012, established breakthrough therapy designation. A sponsor may seek
FDA designation of its product candidate as a breakthrough therapy if the product candidate is intended, alone or in combination
with one or more other drugs or biologics, to treat a serious or life-threatening disease or condition and preliminary clinical
evidence indicates that the therapy may demonstrate substantial improvement over existing therapies on one or more clinically
significant endpoints, such as substantial treatment effects observed early in clinical development. Sponsors may request the
FDA to designate a breakthrough therapy at the time of or any time after the submission of an IND, but ideally before an end-
of-Phase 2 meeting with FDA. If the FDA designates a breakthrough therapy, it may take actions appropriate to expedite the
development and review of the application, which may include holding meetings with the sponsor and the review team throughout
the development of the therapy; providing timely advice to, and interactive communication with, the sponsor regarding the
development of the drug to ensure that the development program to gather the nonclinical and clinical data necessary for approval
34
is as efficient as practicable; involving senior managers and experienced review staff, as appropriate, in a collaborative, cross-
disciplinary review; assigning a cross-disciplinary project lead for the FDA review team to facilitate an efficient review of the
development program and to serve as a scientific liaison between the review team and the sponsor; and considering alternative
clinical trial designs when scientifically appropriate, which may result in smaller or more efficient clinical trials that require less
time to complete and may minimize the number of patients exposed to a potentially less efficacious treatment. Breakthrough
designation also allows the sponsor to file sections of the NDA for review on a rolling basis. We may seek designation as a
breakthrough therapy for some or all of our product candidates.
Fast Track designation, priority review and breakthrough therapy designation do not change the standards for approval but
may expedite the development or approval process.
Orphan Drug Status
Under the Orphan Drug Act, the FDA may grant orphan drug designation to drug candidates intended to treat a rare disease
or condition, which is generally a disease or condition that affects fewer than 200,000 individuals in the United States, or more
than 200,000 individuals in the United States and for which there is no reasonable expectation that costs of research and
development of the drug for the indication can be recovered by sales of the drug in the United States. Orphan drug designation
must be requested before submitting an NDA. After the FDA grants orphan drug designation, the generic identity of the therapeutic
agent and its potential orphan use are disclosed publicly by the FDA. Although there may be some increased communication
opportunities, orphan drug designation does not convey any advantage in or shorten the duration of the regulatory review and
approval process.
If a drug candidate that has orphan drug designation subsequently receives the first FDA approval for the disease for which
it has such designation, the product is entitled to orphan drug exclusivity, which means that the FDA may not approve any other
applications, including a full NDA, to market the same drug for the same indication for seven years, except in very limited
circumstances, such as if the second applicant demonstrates the clinical superiority of its product or if FDA finds that the holder
of the orphan drug exclusivity has not shown that it can assure the availability of sufficient quantities of the orphan drug to meet
the needs of patients with the disease or condition for which the drug was designated. Orphan drug exclusivity does not prevent
the FDA from approving a different drug for the same disease or condition, or the same drug for a different disease or condition.
Among the other benefits of orphan drug designation are tax credits for certain research and a waiver of the NDA application
user fee.
Orphan drug exclusivity could block the approval of our drug candidates for seven years if a competitor obtains approval
of the same product as defined by the FDA or if our drug candidate is determined to be contained within the competitor’s product
for the same indication or disease.
As in the United States, designation as an orphan drug for the treatment of a specific indication in the European Union,
must be made before the application for marketing authorization is made. Orphan drugs in Europe enjoy economic and marketing
benefits, including up to 10 years of market exclusivity for the approved indication unless another applicant can show that its
product is safer, more effective or otherwise clinically superior to the orphan designated product.
The FDA and foreign regulators expect holders of exclusivity for orphan drugs to assure the availability of sufficient
quantities of their orphan drugs to meet the needs of patients. Failure to do so could result in the withdrawal of marketing
exclusivity for the orphan drug.
Post-Approval Requirements
Any products manufactured or distributed by us pursuant to FDA approvals are subject to pervasive and continuing regulation
by the FDA, including, among other things, requirements relating to record-keeping, reporting of adverse experiences, periodic
reporting, distribution and advertising and promotion of the product. After approval, most changes to the approved product
labeling, such as adding new indications or other labeling claims, are subject to prior FDA review and approval. There also are
continuing, annual user fee requirements for any marketed products and the establishments at which such products are
manufactured, as well as new application fees for supplemental applications with clinical data. Drug manufacturers and their
subcontractors are required to register their establishments with the FDA and certain state agencies and are subject to periodic
unannounced inspections by the FDA and certain state agencies for compliance with GMP, which impose certain procedural
and documentation requirements upon us and our third-party manufacturers. Changes to the manufacturing process are strictly
regulated and, depending on the significance of the change, may require prior FDA approval before being implemented. FDA
35
regulations also require investigation and correction of any deviations from cGMP and impose reporting requirements upon us
and any third-party manufacturers that we may decide to use. Accordingly, manufacturers must continue to expend time, money
and effort in the area of production and quality control to maintain compliance with cGMP and other aspects of regulatory
compliance. We cannot be certain that we or our present or future suppliers will be able to comply with the cGMP regulations
and other FDA regulatory requirements. If our present or future suppliers are not able to comply with these requirements, the
FDA may, among other things, halt their clinical trials, require them to recall a product from distribution, or withdraw approval
of the NDA.
Future FDA and state inspections may identify compliance issues at our facilities or at the facilities of our contract
manufacturers that may disrupt production or distribution, or require substantial resources to correct. In addition, discovery of
previously unknown problems with a product or the failure to comply with applicable requirements may result in restrictions
on a product, manufacturer or holder of an approved NDA, including withdrawal or recall of the product from the market or
other voluntary, FDA-initiated or judicial action that could delay or prohibit further marketing.
The FDA may withdraw approval of an NDA if compliance with regulatory requirements and standards is not maintained
or if problems occur after the product reaches the market. Later discovery of previously unknown problems with a product,
including adverse events of unanticipated severity or frequency, or with manufacturing processes, or failure to comply with
regulatory requirements, may result in revisions to the approved labeling to add new safety information; imposition of post-
market studies or clinical studies to assess new safety risks; or imposition of distribution restrictions or other restrictions under
a REMS program. Other potential consequences include, among other things:
•
•
•
•
•
restrictions on the marketing or manufacturing of the product, complete withdrawal of the product from the market, or
product recalls;
fines, warning letters, or holds on post-approval clinical studies;
refusal of the FDA to approve pending applications or supplements to approved applications, or suspension or revocation
of product license approvals;
product seizure or detention, or refusal to permit the import or export of products; or
injunctions or the imposition of civil or criminal penalties.
The FDA closely regulates the marketing, labeling, advertising and promotion of drugs and biologics. A company can make
only those claims relating to safety and efficacy that are consistent with the FDA approved label and with FDA regulations
governing marketing of prescription products. The FDA and other agencies actively enforce the laws and regulations prohibiting
the promotion of off-label uses. Failure to comply with these requirements can result in, among other things, adverse publicity,
warning letters, corrective advertising and potential civil and criminal penalties. Physicians may prescribe legally available
products for uses that are not described in the product’s labeling and that differ from those tested by us and approved by the
FDA. Such off-label uses are common across medical specialties. Physicians may believe that such off-label uses are the best
treatment for many patients in varied circumstances. The FDA does not regulate the behavior of physicians in their choice of
treatments. The FDA does, however, restrict manufacturer’s communications on the subject of off-label use of their products.
Other Healthcare Laws and Compliance Requirements
Our sales, promotion, medical education, clinical research and other activities following product approval will be subject
to regulation by numerous regulatory and law enforcement authorities in the United States in addition to FDA, including
potentially the Federal Trade Commission, the Department of Justice, the Centers for Medicare and Medicaid Services, or CMS,
other divisions of the U.S. Department of Health and Human Services and state and local governments. Our promotional and
scientific/educational programs and interactions with healthcare professionals must comply with the federal Anti-Kickback
Statute, the civil False Claims Act, physician payment transparency laws, privacy laws, security laws, anti-bribery and corruption
laws and additional federal and state laws similar to the foregoing.
The federal Anti-Kickback Statute prohibits, among other things, the knowing and willing, direct or indirect offer, receipt,
solicitation or payment of remuneration in exchange for or to induce the referral of patients, including the purchase, order or
lease of any good, facility, item or service that would be paid for in whole or part by Medicare, Medicaid or other federal health
care programs. Remuneration has been broadly defined to include anything of value, including cash, improper discounts and
free or reduced price items and services. The federal Anti-Kickback Statute has been interpreted to apply to arrangements between
pharmaceutical manufacturers on one hand and prescribers, purchasers, formulary managers and beneficiaries on the other.
36
Although there are a number of statutory exceptions and regulatory safe harbors protecting some common activities from
prosecution, the exceptions and safe harbors are drawn narrowly. Practices that involve remuneration that may be alleged to be
intended to induce prescribing, purchases or recommendations may be subject to increased scrutiny and review if they do not
qualify for an exception or safe harbor. Failure to meet all of the requirements of a particular applicable statutory exception or
regulatory safe harbor does not make the conduct per se illegal under the federal Anti-Kickback Statute. Instead, the legality of
the arrangement will be evaluated on a case-by-case basis based on a cumulative review of all its facts and circumstances. Several
courts have interpreted the statute’s intent requirement to mean that if any one purpose of an arrangement involving remuneration
is to induce referrals of federal healthcare covered business, the federal Anti-Kickback Statute has been violated. The government
has enforced the federal Anti-Kickback Statute to reach large settlements with healthcare companies based on sham research or
consulting and other financial arrangements with physicians. Further, a person or entity does not need to have actual knowledge
of the statute or specific intent to violate it to have committed a violation. In addition, the government may assert that a claim
including items or services resulting from a violation of the federal Anti-Kickback Statute constitutes a false or fraudulent claim
for purposes of the False Claims Act. Many states have similar laws that apply to their state health care programs as well as
private payers.
Federal false claims and false statement laws, including the federal civil False Claims Act, or FCA, impose liability on
persons and/or entities that, among other things, knowingly present or cause to be presented claims that are false or fraudulent
or not provided as claimed for payment or approval by a federal health care program. The FCA has been used to prosecute
persons or entities that “cause” the submission of claims for payment that are inaccurate or fraudulent, by, for example, providing
inaccurate billing or coding information to customers, promoting a product off-label, submitting claims for services not provided
as claimed, or submitting claims for services that were provided but not medically necessary. Actions under the FCA may be
brought by the Attorney General or as a qui tam action by a private individual, or whistleblower, in the name of the government.
Violations of the FCA can result in significant monetary penalties and treble damages. The federal government is using the FCA
and the accompanying threat of significant liability, in its investigation and prosecution of pharmaceutical and biotechnology
companies throughout the country, for example, in connection with the promotion of products for unapproved uses and other
illegal sales and marketing practices. The government has obtained multi-million and multi-billion dollar settlements under the
FCA in addition to individual criminal convictions under applicable criminal statutes. In addition, certain companies that were
found to be in violation of the FCA have been forced to implement extensive corrective action plans and have often become
subject to consent decrees or corporate integrity agreements, restricting the manner in which they conduct their business.
The federal Health Insurance Portability and Accountability Act of 1996, or HIPAA, created additional federal criminal
statutes that prohibit, among other things, knowingly and willfully executing, or attempting to execute, a scheme to defraud any
healthcare benefit program, including private third-party payers; knowingly and willfully falsifying, concealing or covering up
a material fact or making any materially false, fictitious or fraudulent statement in connection with the delivery of or payment
for healthcare benefits, items or services; and willfully obstructing a criminal investigation of a healthcare offense. Like the
federal Anti-Kickback Statute, the Affordable Care Act amended the intent standard for certain healthcare fraud statutes under
HIPAA such that a person or entity no longer needs to have actual knowledge of the statute or specific intent to violate it in order
to have committed a violation.
Given the significant size of actual and potential settlements, it is expected that the federal government will continue to
devote substantial resources to investigating healthcare providers’ and manufacturers’ compliance with applicable fraud and
abuse laws. Many states have similar fraud and abuse statutes or regulations that may be broader in scope and may apply
regardless of payer, in addition to items and services reimbursed under Medicaid and other state programs. To the extent that
our products, once commercialized, are sold in a foreign country, we may be subject to similar foreign laws.
There has been a recent trend of increased federal and state regulation of payments made to physicians and other healthcare
providers. The Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act,
or collectively, the Affordable Care Act, among other things, imposed new reporting requirements on certain manufacturers of
drugs, devices, biologics and medical supplies for which payment is available under Medicare, Medicaid or the Children’s Health
Insurance Program, with specific exceptions, for payments or other transfers of value made by them to physicians and teaching
hospitals, as well as ownership and investment interests held by physicians and their immediate family members. Covered
manufacturers are required to collect and report detailed payment data and submit legal attestation to the accuracy of such data
to the government each year. Failure to submit required information may result in civil monetary penalties of up to an aggregate
of $150,000 per year (or up to an aggregate of $1 million per year for “knowing failures”), for all payments, transfers of value
or ownership or investment interests that are not timely, accurately and completely reported in an annual submission. Additionally,
entities that do not comply with mandatory reporting requirements may be subject to a corporate integrity agreement. Certain
states also mandate implementation of commercial compliance programs, impose restrictions on covered manufacturers’
37
marketing practices and/or require the tracking and reporting of gifts, compensation and other remuneration to physicians and
other healthcare professionals.
We may be subject to data privacy and security regulation by both the federal government and the states in which we conduct
our business. HIPAA, as amended by the Health Information Technology and Clinical Health Act, or HITECH and their respective
implementing regulations impose specified requirements on certain health care providers, plans and clearinghouses (collectively,
“covered entities”) and their “business associates,” relating to the privacy, security and transmission of individually identifiable
health information. Among other things, HITECH makes HIPAA’s security standards directly applicable to “business associates,”
defined as independent contractors or agents of covered entities that create, receive, maintain or transmit protected health
information in connection with providing a service for or on behalf of a covered entity. HITECH also increased the civil and
criminal penalties that may be imposed against covered entities, business associates and possibly other persons and gave state
attorneys general new authority to file civil actions for damages or injunctions in federal courts to enforce HIPAA and seek
attorney’s fees and costs associated with pursuing federal civil actions. In addition, certain states have their own laws that govern
the privacy and security of health information in certain circumstances, many of which differ from each other and/or HIPAA in
significant ways and may not have the same effect, thus complicating compliance efforts.
If our operations are found to be in violation of any of such laws or any other governmental regulations that apply to them,
we may be subject to penalties, including, without limitation, civil and criminal penalties, damages, fines, disgorgement, the
curtailment or restructuring of our operations, exclusion from participation in federal and state healthcare programs,
imprisonment, contractual damages, reputational harm and diminished profits and future earnings, any of which could adversely
affect our ability to operate our business and our financial results.
In addition to the foregoing health care laws, we are also subject to the U.S. Foreign Corrupt Practices Act, or FCPA, and
similar worldwide anti-bribery laws, which generally prohibit companies and their intermediaries from making improper
payments to government officials or private-sector recipients for the purpose of obtaining or retaining business. We have plans
to adopt an anti-corruption policy, which will become effective upon the completion of this transaction and expect to prepare
and implement procedures to ensure compliance with such policy. The anti-corruption policy mandates compliance with the
FCPA and similar anti-bribery laws applicable to our business throughout the world. However, we cannot assure you that such
a policy or procedures implemented to enforce such a policy will protect us from intentional, reckless or negligent acts committed
by our employees, distributors, partners, collaborators or agents. Violations of these laws, or allegations of such violations, could
result in fines, penalties or prosecution and have a negative impact on our business, results of operations and reputation.
Coverage and Reimbursement
Sales of pharmaceutical products depend significantly on the extent to which coverage and adequate reimbursement are
provided by third-party payers. Third-party payers include state and federal government health care programs, managed care
providers, private health insurers and other organizations. Although we currently believe that third-party payers will provide
coverage and reimbursement for our product candidates, if approved, we cannot be certain of this. Third-party payers are
increasingly challenging the price, examining the cost-effectiveness and reducing reimbursement for medical products and
services. In addition, significant uncertainty exists as to the reimbursement status of newly approved healthcare products. The
U.S. government, state legislatures and foreign governments have continued implementing cost containment programs, including
price controls, restrictions on coverage and reimbursement and requirements for substitution of generic products. Adoption of
price controls and cost containment measures, and adoption of more restrictive policies in jurisdictions with existing controls
and measures, could further limit our net revenue and results. We may need to conduct expensive clinical studies to demonstrate
the comparative cost-effectiveness of our products. The product candidates that we develop may not be considered cost-effective
and thus may not be covered or sufficiently reimbursed. It is time consuming and expensive for us to seek coverage and
reimbursement from third-party payers, as each payer will make its own determination as to whether to cover a product and at
what level of reimbursement. Thus, one payer’s decision to provide coverage and adequate reimbursement for a product does
not assure that another payer will provide coverage or that the reimbursement levels will be adequate. Moreover, a payer’s
decision to provide coverage for a drug product does not imply that an adequate reimbursement rate will be approved.
Reimbursement may not be available or sufficient to allow them to sell our products on a competitive and profitable basis.
Healthcare Reform
The United States and some foreign jurisdictions are considering or have enacted a number of legislative and regulatory
proposals to change the healthcare system in ways that could materially affect our ability to sell our products profitably. Among
policy makers and payers in the United States and elsewhere, there is significant interest in promoting changes in healthcare
38
systems with the stated goals of containing healthcare costs, improving quality and/or expanding access. In the United States,
the pharmaceutical industry has been a particular focus of these efforts and has been significantly affected by major legislative
initiatives.
By way of example, in 2010 the Affordable Care Act was signed into law, intended to broaden access to health insurance,
reduce or constrain the growth of healthcare spending, enhance remedies against fraud and abuse, add new transparency
requirements for the healthcare and health insurance industries, impose new taxes and fees on the health industry and impose
additional health policy reforms. Among the provisions of the Affordable Care Act of importance to our potential drug candidates
are:
•
•
•
•
•
•
•
•
an annual, nondeductible fee on any entity that manufactures or imports specified branded prescription drugs and
biologic agents, apportioned among these entities according to their market share in certain government healthcare
programs;
an increase in the statutory minimum rebates a manufacturer must pay under the Medicaid Drug Rebate Program to
23.1% and 13.0% of the average manufacturer price for branded and generic drugs, respectively;
a new methodology by which rebates owed by manufacturers under the Medicaid Drug Rebate Program are calculated
for drugs that are inhaled, infused, instilled, implanted or injected;
a new Medicare Part D coverage gap discount program, in which manufacturers must agree to offer 50% point-of-sale
discounts off negotiated prices of applicable brand drugs to eligible beneficiaries during their coverage gap period, as
a condition for a manufacturer’s outpatient drugs to be covered under Medicare Part D;
extension of a manufacturer’s Medicaid rebate liability to covered drugs dispensed to individuals who are enrolled in
Medicaid managed care organizations;
expansion of eligibility criteria for Medicaid programs by, among other things, allowing states to offer Medicaid
coverage to additional individuals and by adding new mandatory eligibility categories for certain individuals with
income at or below 133% of the federal poverty level, thereby potentially increasing a manufacturer’s Medicaid rebate
liability;
expansion of the entities eligible for discounts under the Public Health Service pharmaceutical pricing program; and
a new Patient-Centered Outcomes Research Institute to oversee, identify priorities in and conduct comparative clinical
effectiveness research, along with funding for such research.
In addition, other legislative changes have been proposed and adopted since the Affordable Care Act was enacted. These
changes include, among others, the Budget Control Act of 2011, which mandates aggregate reductions to Medicare payments
to providers of up to 2% per fiscal year effective in 2013, and, due to subsequent legislative amendments, will remain in effect
through 2024, unless additional Congressional action is taken. The American Taxpayer Relief Act of 2012, among other things,
further reduced Medicare payments to several providers, including hospitals and cancer treatment centers, and increased the
statute of limitations period for the government to recover overpayments to providers from three to five years. These new laws
may result in additional reductions in Medicare and other healthcare funding, which could have a material adverse effect on
customers for our product candidates, if approved, and, accordingly, our financial operations.
We expect that healthcare reform measures that may be adopted in the future, including the possible repeal and replacement
of the Affordable Care Act which the Trump administration has stated is a priority, are unpredictable and the potential impact
on our operations and financial position are uncertain, but may result in more rigorous coverage criteria and lower reimbursement
and place additional downward pressure on the price that we receive for any approved product. Any reduction in reimbursement
from Medicare or other government-funded programs may result in a similar reduction in payments from private payers. The
implementation of cost containment measures or other healthcare reforms may prevent us from being able to generate revenue,
attain profitability or commercialize our drugs.
Foreign Regulation
In addition to regulations in the United States, we will be subject to a variety of foreign regulations governing clinical trials
and commercial sales and distribution of our products to the extent we choose to develop or sell any products outside of the
United States. The approval process varies from country to country and the time may be longer or shorter than that required to
obtain FDA approval. The requirements governing the conduct of clinical trials, product licensing, pricing and reimbursement
and privacy, can vary greatly from country to country.
39
Research and Development Expenses
We had research and development expenses of $7.6 million and $4.0 million for the years ended December 31, 2018 and
2017, respectively.
Employees
We have eight full-time employees and also engage consultants to provide services to us, including clinical development,
manufacturing support, regulatory support, business development and general business operational support.
Corporate Information
Private Innovate was incorporated under the laws of North Carolina under the name “GI Therapeutics, Inc.” in 2012 and
changed its name to “Innovate Biopharmaceuticals Inc.” when it converted to a Delaware corporation in 2014. In January 2018,
Merger Sub merged with and into Private Innovate with Private Innovate surviving as a wholly owned subsidiary of the Company
and the Company changed its name to Innovate Biopharmaceuticals, Inc. Our principal executive offices are located at 8480
Honeycutt Road, Suite 120, Raleigh, NC 27615 and our telephone number is (919) 275-1933. Our corporate website address is
http://www.innovatebiopharma.com. Our Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on
Form 8-K and amendments to reports filed pursuant to Sections 13(a) and 15(d) of the Exchange Act, will be made available
free of charge on our website as soon as reasonably practicable after we electronically file such material with, or furnish it to,
the U.S. Securities and Exchange Commission, or the SEC. The contents of our website are not incorporated into this Annual
Report on Form 10-K and our reference to the URL for our website is intended to be an inactive textual reference only.
This Annual Report on Form 10-K contains references to our trademarks and to trademarks belonging to other entities.
Solely for convenience, trademarks and trade names referred to in this Annual Report on Form 10-K, including logos, artwork
and other visual displays, may appear without the ® or TM symbols, but such references are not intended to indicate, in any
way, that we will not assert, to the fullest extent under applicable law, our rights or the rights of the applicable licensor to these
trademarks and trade names. We do not intend our use or display of other companies’ trade names or trademarks to imply a
relationship with, or endorsement or sponsorship of us by, any other company.
We are an “emerging growth company” as defined in the JOBS Act and therefore we may take advantage of certain exemptions
from various public company reporting requirements. As an “emerging growth company:”
•
•
•
•
we will present no more than two years of audited financial statements and no more than two years of related
management’s discussion and analysis of financial condition and results of operations;
we will avail ourselves of the exemption from the requirement to obtain an attestation and report from our auditors on
the assessment of our internal control over financial reporting pursuant to the Sarbanes-Oxley Act;
we will provide less extensive disclosure about our executive compensation arrangements; and
we will not require stockholder non-binding advisory votes on executive compensation or golden parachute
arrangements.
However, we have chosen to irrevocably opt out of the extended transition periods available under the JOBS Act for
complying with new or revised accounting standards. We will remain an “emerging growth company” for up to five years,
although we will cease to be an “emerging growth company” upon the earliest of (1) December 31, 2021, (2) the last day of the
first fiscal year in which our annual gross revenues are $1.07 billion or more, (3) the date on which we have, during the previous
rolling three-year period, issued more than $1 billion in non-convertible debt securities and (4) the date on which we are deemed
to be a “large accelerated filer” as defined in the Exchange Act.
40
Item 1A. Risk Factors.
Our business, financial condition and operating results may be affected by a number of factors, including but not limited
to those described below. Any one or more of such factors could directly or indirectly cause our actual results of operations and
financial condition to vary materially from our past or anticipated future results of operations and financial condition. Any of
these factors, in whole or in part, could materially and adversely affect our business, financial condition, results of operations
and stock price. The following information should be read in conjunction with Part II, Item 7, “Management’s Discussion and
Analysis of Financial Condition and Results of Operations” and the accompanying financial statements and related notes in
Part II, Item 8, “Financial Statements and Supplementary Data” of this Annual Report on Form 10-K.
Risks Related to Our Capital Requirements and Financial Condition
We have a limited operating history and have incurred significant losses since inception and expect that we will continue to
incur losses for the foreseeable future, which makes it difficult to assess our future viability.
We have not been profitable since we commenced operations and we may never achieve or sustain profitability. As a clinical-
stage biopharmaceutical company, we have a limited operating history upon which to evaluate our business and prospects. In
addition, we have limited history as an organization and have not yet demonstrated an ability to successfully overcome many
of the risks and uncertainties frequently encountered by companies in new and rapidly evolving fields, particularly in the
biopharmaceutical industry. Drug development is a highly speculative undertaking and involves a substantial degree of risk. We
have not yet obtained regulatory approvals for any of our product candidates, commercialized any of our product candidates,
or generated any revenue from sales of products. We have devoted significant resources to research and development and other
expenses related to our ongoing clinical trials and operations, in addition to acquiring product candidates.
Since inception, substantial resources have been dedicated to the acquisition and development of our product candidates,
INN-202 (larazotide acetate), INN-108 (APAZA) and INN-329 (secretin). We will require significant additional capital to
continue operations and to execute on our current business strategy to develop INN-202 through regulatory approval and further
develop INN-217, INN-289, INN-108 and INN-329 for eventually seeking regulatory approval. We cannot estimate with
reasonable certainty the actual amounts necessary to successfully complete the development and commercialization of our
product candidates and there is no certainty that we will be able to raise the necessary capital on reasonable terms or at all.
Our auditor has expressed substantial doubt about our ability to continue as a going concern.
The audit report on our financial statements for the years ended December 31, 2018 and 2017, included an explanatory
paragraph related to recurring losses from operations and our dependence on additional financing to continue as a going concern.
We have incurred net losses for the years ended December 31, 2018 and 2017 and had an accumulated deficit of $43.5 million
as of December 31, 2018. In view of these matters, our ability to continue as a going concern is dependent upon our ability to
raise additional debt or equity financing or enter into strategic partnerships. We intend to continue to finance our operations
through debt or equity financings or strategic partnerships. The failure to obtain sufficient financing or strategic partnerships
could adversely affect our ability to achieve our business objectives and continue as a going concern.
We will require substantial additional financing to obtain regulatory approval for INN-202 for celiac disease and for further
development of INN-217 (for NASH), INN-108 (for ulcerative colitis and acute radiation proctitis), INN-289 (for Crohn’s
disease) and INN-329 (for magnetic resonance cholangiopancreatography or “MRCP”), and for further development of pre-
clinical drug candidates such as alcoholic steatohepatitis. Failure to obtain this necessary capital when needed on acceptable
terms, or at all, could force us to delay, limit, reduce or terminate our product development efforts and other operations.
For the years ended December 31, 2018 and 2017, we incurred losses from operations of $18.2 million and $11.2 million,
respectively, and net cash used in operating activities was $15.2 million and $5.1 million, respectively. At December 31, 2018,
we had an accumulated deficit of $43.5 million and cash and cash equivalents of $5.7 million. We expect to continue to incur
substantial operating losses for the next several years as we advance our product candidates through clinical development, U.S.
and other regional regulatory approvals and commercialization. No revenue from operations will likely be available until, and
unless, one of our product candidates is approved by the Food and Drug Administration (“FDA”) or another regulatory agency
and successfully marketed, or we enter into an arrangement that provides for licensing revenue or other partnering-related
funding, outcomes which we may not achieve on a timely basis, or at all.
41
Our capital requirements for the foreseeable future will depend in large part on, and could increase significantly as a result
of, our expenditures on our development programs. Future expenditures on our development programs are subject to many
uncertainties, and will depend on, and could increase significantly as a result of, many factors, including:
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
the number, size, complexity, results and timing of our drug development programs;
the number of nonclinical and clinical studies necessary to demonstrate acceptable evidence of the safety and
efficacy of our product candidates;
the terms of any collaborative or other strategic arrangement that we may establish;
changes in standards of care which could change the size and complexity of clinical studies;
the ability to locate patients to participate in a study given the limited number of patients available for orphan or
ultra-orphan indications;
the number of patients who participate, the rate of enrollment and the ratio of randomized to evaluable patients in
each clinical study;
the number and location of sites and the rate of site initiation in each study;
the duration of patient treatment and follow-up;
the potential for additional safety monitoring or other post-marketing studies that may be requested by regulatory
agencies;
the time and cost to manufacture clinical trial material and commercial product, including process development and
scale-up activities and to conduct stability studies, which can last several years;
the degree of difficulty and cost involved in securing alternate manufacturers or suppliers of drug product,
components or delivery devices, as necessary to meet FDA requirements and/or commercial demand;
the costs, requirements, timing of, and the ability to, secure regulatory approvals;
the extent to which we increase our workforce and the costs involved in recruiting, training and incentivizing new
employees;
the costs related to developing, acquiring and/or contracting for sales, marketing and distribution capabilities, supply
chain management capabilities and regulatory compliance capabilities, if we obtain regulatory approval for a
product candidate and commercialize it without a partner;
the costs involved in evaluating competing technologies and market developments or the loss in sales in case of such
competition; and
the costs involved in establishing, enforcing or defending patent claims and other proprietary rights.
In addition, we are obligated to dedicate a portion of our cash flow to payments on our debt, which reduces the amounts
available to fund other corporate initiatives. An event of default on our debt could increase and accelerate the amounts due
thereunder.
Additional capital may not be available when we need it, on terms that are acceptable to us or at all. If adequate funds are
not available to us on a timely basis, we will be required to delay, limit, reduce or terminate development activities, our
establishment of sales and marketing, manufacturing or distribution capabilities, or other activities that may be necessary to
commercialize our product candidates, conduct preclinical or clinical studies, or other development activities.
If we raise additional capital through strategic alliances or licensing arrangements or other collaborations with third parties,
we may be required to relinquish certain valuable rights to our product candidates, technologies, future revenue streams or
research programs or grant licenses on terms that may not be favorable. If we raise additional capital through equity or debt
offerings in which the instruments can convert to equity, the ownership interest of our stockholders will be diluted and the terms
of any new equity securities may have preferential rights over our common stock. If we raise additional capital through debt
financing, we may be subject to covenants limiting or restricting our ability to take specific actions, such as incurring additional
debt or making capital expenditures, or subject to specified financial ratios, any of which could restrict our ability to develop
and commercialize our product candidates or operate as a business.
Our ability to raise capital in the future may be limited by applicable laws and regulations.
On March 15, 2018, we filed a shelf registration statement on Form S-3 that was declared effective on July 13, 2018
registering shares of our common stock for issuance in primary offerings. Using a shelf registration statement on Form S-3 to
raise additional capital generally takes less time and is less expensive than other means, such as conducting an offering under
a Form S-1 registration statement. However, our ability to raise capital using a shelf registration statement may be limited by,
among other things, SEC rules and regulations. Under SEC rules and regulations, if our public float (the market value of our
common stock held by non-affiliates) is less than $75.0 million, at the time we update our Form S-3 as required under Section
42
10(a)(3) of the Securities Act, then as of the time of such update until our public float again exceeds $75.0 million, the aggregate
market value of securities sold by us or on our behalf under our Form S-3 in any 12-month period will be limited to an aggregate
of one-third of our public float. We expect that we will become subject to this limitation with the filing of our Annual Report
on Form 10-K for the year ended December 31, 2018. If our ability to utilize a Form S-3 registration statement for a primary
offering of our securities is limited to one-third of our public float or precluded altogether due to failure to satisfy other eligibility
requirements of such Form, we may conduct such an offering pursuant to an exemption from registration under the Securities
Act or under a Form S-1 registration statement, and we would expect either of those alternatives to increase the cost of raising
additional capital relative to utilizing a Form S-3 registration statement.
In addition, under current SEC rules and regulations, our common stock must be listed and registered on a national securities
exchange in order to utilize a Form S-3 registration statement (i) for a primary offering, if our public float is not at least $75.0
million as of a date within 60 days prior to the date of filing the Form S-3 or a re-evaluation date, whichever is later, and (ii) to
register the resale of our securities by persons other than us (i.e., a resale offering). While currently our common stock is listed
on the Nasdaq Capital Market, there can be no assurance that we will be able to maintain such listing.
Our ability to timely raise sufficient additional capital also may be limited by Nasdaq’s stockholder approval requirements
for transactions involving the issuance of our common stock or securities convertible into our common stock. For instance,
Nasdaq requires that we obtain stockholder approval of any transaction involving the sale, issuance or potential issuance by us
of our common stock (or securities convertible into our common stock) at a price less than the greater of book or market value,
which (together with sales by our officers, directors and principal stockholders) equals 20% or more of our then outstanding
common stock, unless the transaction is considered a “public offering” by Nasdaq. In addition, certain prior sales by us may be
aggregated with any offering we may propose in the future, further limiting the amount we could raise in any future offering
without stockholder approval. Nasdaq also requires that we obtain stockholder approval if the issuance or potential issuance of
additional shares will be considered by Nasdaq to result in a change of control of our company.
Obtaining stockholder approval is a costly and time-consuming process. If we are required to obtain stockholder approval
for a potential transaction, we would expect to spend substantial additional money and resources. In addition, seeking stockholder
approval would delay our receipt of otherwise available capital or alter the terms of the transaction, which may materially and
adversely affect our ability to execute our business strategy, and there is no guarantee our stockholders ultimately would approve
a proposed transaction.
The Convertible Note may be converted into shares of common stock and it may also be redeemed in certain circumstances.
If the holder of this note converts it into shares of common stock, our current stockholders could be significantly diluted; if
certain events occur and the holder of this note redeems it, our liquidity and our ability to continue our operations may be
materially impaired.
The holder of the Convertible Note can convert all or any portion of such note, including a premium in some cases, into
shares of our common stock at a conversion price that may vary over time. The number of shares of common stock issued upon
the conversion of such note may be significant. The issuance of new shares of common stock upon such conversion will cause
the percentage ownership held by each stockholder prior to such issuance to decrease and such decrease in percentage ownership
could be significant. If the holder of this note requires us to repay the note, our ability to continue developing and commercializing
our product candidates or operate as a business would be severely restricted.
We have not generated any revenue from product sales and may never be profitable.
We have no products approved for commercialization and have never generated any revenue from product sales. Our ability
to generate revenue and achieve profitability depends on our ability, alone or with strategic collaboration partners, to successfully
complete the development of, and obtain the requisite regulatory approvals necessary to commercialize, one or more of our
product candidates.
The comprehensive tax reform bill passed in 2017 could adversely affect our business and financial condition.
On December 22, 2017, President Trump signed into law new legislation that significantly revises the Internal Revenue
Code of 1986, as amended. The federal tax law, among other things, contains significant changes to corporate taxation, including
reduction of the corporate tax rate from a top marginal rate of 35% to a flat rate of 21%, limitation of the tax deduction for
interest expense to 30% of adjusted earnings (except for certain small businesses), limitation of the deduction for net operating
43
losses to 80% of current year taxable income and elimination of net operating loss carrybacks, one time taxation of offshore
earnings at reduced rates regardless of whether they are repatriated, elimination of U.S. tax on foreign earnings (subject to certain
important exceptions), immediate deductions for certain new investments instead of deductions for depreciation expense over
time and modifying or repealing many business deductions and credits. Notwithstanding the reduction in the corporate income
tax rate, the overall impact of the federal tax law is uncertain and our business and financial condition could be adversely
affected. In addition, it is uncertain if and to what extent various states will conform to the new federal tax law. The impact of
this tax reform on holders of our common stock is also uncertain and could be adverse. We urge our stockholders to consult with
their legal and tax advisors with respect to this legislation and the potential tax consequences of investing in or holding our
common stock.
Risks Related to Our Business Strategy and Operations
We do not have any products that are approved for commercial sale.
We currently do not have any therapeutic products approved for commercial sale. We have not received, and may not receive
within the next several years, if at all, any revenues from the commercialization of our product candidates if approved. In the
event one or more of our product candidates is approved for commercial sale, we will incur significant costs in connection with
commercializing any approved product candidate and we may not generate significant revenue from sales of such products,
which would impact our ability to become profitable and maintain profitability.
We are substantially dependent upon the clinical, regulatory and commercial success of our five product candidates, INN-202,
INN-217, INN-108, INN-289 and INN-329. Clinical drug development involves a lengthy and expensive process with an
uncertain outcome; results of earlier studies and trials may not be predictive of future trial results; and our clinical trials
may fail to adequately demonstrate to the satisfaction of regulatory authorities the safety and efficacy of our five product
candidates.
The success of our business is dependent on our ability to advance the clinical development of INN-202 for the treatment
of celiac disease, INN-217 for NASH, INN-108 for the treatment of mild to moderate ulcerative colitis, INN-289 for Crohn’s
disease and INN-329 for MRCP. INN-202 has successfully completed Phase 2b trials; however, Phase 3 pivotal studies and
open label safety studies remain to be conducted. We will need to prepare for INN-108 to enter Phase 2 efficacy trials for mild
to moderate ulcerative colitis. INN-329 requires additional studies to be performed for completion of Phase 3 trials. INN-217
and INN-289 require pre-clinical studies followed by clinical trials.
Clinical testing is expensive and can take many years to complete. The outcome of this testing is inherently uncertain. A
failure of one or more of our clinical trials can occur at any time during the clinical trial process. The results of preclinical studies
and early clinical trials of our product candidates may not necessarily be predictive of the results of later-stage clinical trials.
There is a high failure rate for drugs proceeding through clinical trials and product candidates in later stages of clinical trials
may fail to show the required safety and efficacy despite having progressed through preclinical studies and initial clinical trials.
Many companies in the pharmaceutical industry have suffered significant setbacks in advanced clinical trials due to lack of
efficacy or adverse safety profiles, notwithstanding promising results in earlier clinical trials, and we cannot be certain that we
will not face similar setbacks. Even if our clinical trials are completed, the results may not be sufficient to obtain regulatory
approval for our product candidates.
Because of the developmental nature of our product candidates, we are subject to risks associated with initiating,
completing and achieving positive outcomes from our current and future clinical trials, including:
•
•
•
•
•
•
inability to enroll enough patients in the clinical trials;
slow implementation, enrollment and completion of the clinical trials;
low patient compliance and adherence to dosing and reporting requirements, such as incomplete reporting of patient
reported outcomes in the clinical trials or missed doses;
lack of safety and efficacy in the clinical trials;
delays in the manufacture of supplies for drug components due to delays in formulation, process development, or
manufacturing activities;
requirements for additional nonclinical or clinical studies based on changes to formulation and/or changes to
regulatory requirements; and
44
•
requirements for additional clinical studies based on inconclusive clinical results or changes in market, standard of
care, and/or regulatory requirements.
If we successfully complete the necessary clinical trials for our product candidates, our success will be subject to the
risks associated with obtaining regulatory approvals, product launch and commercialization, including:
•
•
•
•
•
•
•
delays during regulatory review and/or requirements for additional chemistry, manufacturing and controls, or
nonclinical or clinical studies, resulting in increased costs and/or delays in marketing approval and subsequent
commercialization of our product candidates in the United States and other markets;
FDA rejection of our New Drug Application (“NDA”) submissions for our product candidates;
regulatory rejection in the European Union, Japan and other markets;
inability to consistently manufacture commercial supplies of drug and delivery devices resulting in slowed market
development and lower revenue;
inability to enforce our intellectual property rights in and to our product candidates;
reduction in the safety profile of our product candidates following approval; and
poor commercial sales due to:
•
•
•
•
•
the ability of our future sales organization or our potential commercialization partners to effectively sell our
product candidates;
lack of success in educating physicians and patients about the benefits, administration and use of our product
candidates;
low patient demand for our product candidates;
the availability, perceived advantages, relative cost, relative safety and relative efficacy of other products or
treatments for the targeted indications of our product candidates; and
poor prescription coverage and inadequate reimbursement for our product candidates.
Many of these clinical, regulatory and commercial matters are beyond our control and are subject to other risks described
elsewhere in this “Risk Factors” section. Accordingly, we cannot provide any assurances that we will be able to advance our
product candidates further through final clinical development or obtain regulatory approval of, commercialize or generate
significant revenue from them. If we cannot do so, or are significantly delayed in doing so, our business will be materially
harmed.
If we fail to attract and retain senior management and key scientific personnel, we may be unable to successfully develop
and commercialize our product candidates.
We have historically operated with a limited number of employees. We currently have eight full-time employees,
including two employees engaged full-time and two employees engaged part-time in research and development. Therefore,
institutional knowledge is concentrated within a small number of employees. Our success depends in part on our continued
ability to attract, retain and motivate highly qualified management, clinical and scientific personnel. Our future success is
highly dependent upon the contributions of our senior management team. The loss of services of any of these individuals
could delay or prevent the successful development of our product pipeline, completion of our planned clinical trials or the
commercialization of our product candidates.
We may have intense competition from other companies and organizations for qualified personnel. Other companies and
organizations with which we compete for personnel may have greater financial and other resources and different risk profiles
than we do, and a history of successful development and commercialization of their product candidates. Replacing key
employees may be difficult and costly; and we may not have other personnel with the capacity to assume all the
responsibilities of a key employee upon his or her departure. If we cannot attract and retain skilled personnel, as needed, we
may not achieve our development and other goals.
In addition, the success of our business will depend on our ability to develop and maintain relationships with respected
service providers and industry-leading consultants and advisers. If we cannot develop and maintain such relationships, as
needed, the rate and success at which we can develop and commercialize product candidates may be limited. In addition, our
outsourcing strategy, which has included engaging consultants to manage key functional areas, may subject us to scrutiny
under labor laws and regulations, which may divert management time and attention and have an adverse effect on our
business and financial condition.
45
Our management team has limited experience managing a public company.
Most members of our management team have limited experience managing a publicly traded company, interacting with
public company investors and complying with the increasingly complex laws pertaining to public companies. Our
management team may not successfully or efficiently manage our existence as a public company subject to significant
regulatory oversight and reporting obligations under the federal securities laws and the continuous scrutiny of securities
analysts and investors. These obligations and constituencies require significant attention from our senior management and
could divert their attention away from the day-to-day management of our business.
We have identified a material weakness in our internal control over financial reporting and may identify additional
material weaknesses in the future or otherwise fail to maintain an effective system of internal control, which may impair
our ability to produce accurate financial statements or prevent fraud.
Currently, we have limited resources to address our internal controls and procedures and rely on consultants to assist us
with our financial accounting and compliance obligations. In connection with the preparation of our audited financial
statements for the year ended December 31, 2017, our independent auditors advised management that a material weakness
existed in internal controls over financial reporting due to inadequate segregation of duties and appropriate level of review
and management has been advised that this material weakness still remains at December 31, 2018. A material weakness is a
deficiency, or a combination of deficiencies, in internal control over financial reporting such that there is a reasonable
possibility that a material misstatement of the company’s annual or interim financial statements will not be prevented or
detected on a timely basis. Although we are committed to continuing to improve our internal control processes and intend to
implement a plan to remediate this material weakness, such implementation will require us to spend limited resources, and
we cannot be certain of the effectiveness of such plan or that, in the future, additional material weaknesses or significant
deficiencies will not exist or otherwise be discovered. If we are unable to maintain proper and effective internal controls, we
may not be able to produce timely and accurate financial statements and prevent fraud. In addition, if we are unable to
successfully remediate the material weaknesses in our internal controls or if we are unable to produce accurate and timely
financial statements, our stock price may be adversely affected and we may be unable to maintain compliance with applicable
stock exchange listing requirements.
Our employees, independent contractors and consultants, principal investigators, clinical research organizations
(“CROs”), contract manufacturing organizations (“CMOs”) and other vendors, and any future commercial partners may
engage in misconduct or other improper activities, including noncompliance with regulatory standards and requirements,
which could cause significant liability for us and harm our reputation.
We are exposed to the risk that our employees, independent contractors and consultants, principal investigators, CROs,
CMOs and other vendors, and any future commercial partners may engage in fraudulent conduct or other misconduct. This
type of misconduct may include intentional failures to comply with FDA regulations or similar regulations of comparable
foreign regulatory authorities, to provide accurate information to the FDA or comparable foreign regulatory authorities, to
comply with manufacturing standards required by Current Good Manufacturing Practices (“cGMP”) or our standards, to
comply with federal and state healthcare fraud and abuse laws and regulations and similar laws and regulations established
and enforced by comparable foreign regulatory authorities, and to report financial information or data accurately or disclose
unauthorized activities to them. The misconduct of our employees and other of our service providers could involve the
improper use of information obtained in the course of clinical trials, which could result in regulatory sanctions and serious
harm to our reputation. We have adopted a code of ethics and business conduct, but it is not always possible to identify and
deter such misconduct, and the precautions we take to detect and prevent this activity, such as the implementation of a quality
system which entails vendor audits by quality experts, may not be effective in controlling unknown or unmanaged risks or
losses or in protecting us from governmental investigations or other actions or lawsuits stemming from a failure to be in
compliance with such laws or regulations. If any such actions are instituted against us, and we are not successful in defending
ourselves or asserting our rights, those actions could have a significant impact on our business and results of operations,
including the imposition of significant fines or other sanctions.
46
We do not have, and do not have plans to establish, manufacturing facilities. We completely rely on third parties for the
manufacture and supply of our clinical trial drug supplies and, if approved, commercial product materials. The loss of
any of these vendors or a vendor’s failure to provide us with an adequate supply of clinical trial or commercial product
material in a timely manner and on commercially acceptable terms, or at all, could harm our business.
We outsource the manufacture of our product candidates and do not plan to establish our own manufacturing facilities.
To manufacture our product candidates, we have made numerous custom modifications at CMOs, making us highly
dependent on these CMOs. For clinical and commercial supplies, if approved, we have or plan to have supply agreements
with third party CMOs for drug substance and finished drug product. While we have existing supply agreements with third
party CMOs, we would need to negotiate agreements for commercial supply with several important CMOs and we may not
be able to reach agreement on acceptable terms. In addition, we rely on these third parties to conduct or assist us in key
manufacturing development activities, including qualification of equipment, developing and validating methods, defining
critical process parameters, releasing component materials and conducting stability testing, among other things. If these third
parties are unable to perform their tasks successfully in a timely manner, whether for technical, financial or other reasons, we
may be unable to secure clinical trial material, or commercial supply material if approved, which likely would delay the
initiation, conduct or completion of our clinical studies or prevent us from having enough commercial supply material for
sale, which would have a material and adverse effect on our business.
Currently, we do not have alternative vendors to back up our primary vendors of clinical trial material or, if approved,
commercial supply material. Identification of and discussions with other vendors may be protracted and/or unsuccessful, or
these new vendors may be unsuccessful in producing the same results as the current primary vendors producing the material.
Therefore, if our primary vendors become unable or unwilling to perform their required activities, we could experience
protracted delays or interruptions in the supply of clinical trial material and, ultimately, product for commercial sale, which
would materially and adversely affect our development programs, commercial activities, operating results and financial
condition. In addition, the FDA or regulatory authorities outside of the United States may require us to have an alternate
manufacturer of a drug product before approving it for marketing and sale in the United States or abroad and securing such
alternate manufacturer before approval of an NDA could result in considerable additional time and cost prior to approval.
Any new manufacturer or supplier of finished drug product or our component materials, including drug substance and
delivery devices, would be required to qualify under applicable regulatory requirements and would need to have sufficient
rights under applicable intellectual property laws to the method of manufacturing of such product or ingredients required by
us. The FDA or foreign regulatory agency may require us to conduct additional clinical studies, collect stability data and
provide additional information concerning any new supplier, or change in a validated manufacturing process, including
scaling-up production, before we could distribute products from that manufacturer or supplier or revised process. For
example, if we were to engage a third party other than our current CMOs to supply the drug substance or drug product for
future clinical trial, or commercial production, the FDA or regulatory authorities outside of the United States may require us
to conduct additional clinical and nonclinical studies to ensure comparability of the drug substance or drug product
manufactured by our current CMOs to that manufactured by the new supplier.
The manufacture of pharmaceutical products requires significant expertise and capital investment, including the
development of advanced manufacturing techniques and process controls. Manufacturers of pharmaceutical products often
encounter difficulties in production, particularly in scaling-up initial production. These problems include difficulties with
production costs and yields, quality control, including stability of the product candidate and quality assurance testing and
shortages of qualified personnel. Our product candidates have not been manufactured at the scale we believe will be
necessary to maximize their commercial value, and accordingly, we may encounter difficulties in attempting to scale-up
production and may not succeed in that effort on a timely basis or at all. In addition, the FDA or other regulatory authorities
may impose additional requirements as we scale-up initial production capabilities, which may delay our scale-up activities
and/or add expense.
All manufacturers of our clinical trial material and, if approved, commercial product, including drug substance
manufacturers, must comply with cGMP requirements enforced by the FDA through its facilities inspection program and
applicable requirements of foreign regulatory authorities. These requirements include quality control, quality assurance and
the maintenance of records and documentation. Manufacturers of our clinical trial material may be unable to comply with
these cGMP requirements and with other FDA, state and foreign regulatory requirements. While we or our representatives
generally monitor and audit our manufacturers’ systems, we do not have full control over their ongoing compliance with
these regulations. And while the responsibility to maintain cGMP compliance is shared between the third-party manufacturer
and us, we bear ultimate responsibility for our supply chain and compliance with regulatory standards. Failure to comply with
47
these requirements may result in fines and civil penalties, suspension of production, suspension or delay or failure to obtain
product approval, product seizure or recall, or withdrawal of product approval.
If our manufacturers encounter any of the aforementioned difficulties or otherwise fail to comply with their contractual
obligations or there are delays entering commercial supply agreements due to capital constraints, we may have insufficient
quantities of material to support ongoing and/or planned clinical studies or to meet commercial demand, if approved. In
addition, any delay or interruption in the supply of materials necessary or useful to manufacture our product candidates could
delay the completion of our clinical studies, increase the costs associated with our development programs and, depending
upon the period of delay, require us to commence new clinical studies at significant additional expense or terminate the
studies completely. Delays or interruptions in the supply of commercial product could result in increased cost of goods sold
and lost sales. We cannot provide assurance that manufacturing or quality control problems will not arise in connection with
the manufacture of our clinical trial material or commercial product, if approved, or that third-party manufacturers will be
able to maintain the necessary governmental licenses and approvals to continue manufacturing such clinical trial material or
commercial product, as applicable. In addition, if our products are manufactured entirely or partially outside the United
States, we may experience interruptions in supply due to shipping or customs difficulties or regional instability. Furthermore,
changes in currency exchange rates, shipping costs and import tariffs could adversely affect our cost of goods sold. Any of
the above factors could cause us to delay or suspend anticipated or ongoing trials, regulatory submissions or
commercialization of our product candidates, entail higher costs or result in us being unable to effectively commercialize our
products. Our dependence upon third parties for the manufacture of our clinical trial material may adversely affect our future
costs and our ability to develop and commercialize our product candidates on a timely and competitive basis.
We currently rely significantly on third parties to conduct our nonclinical testing and clinical studies and other aspects of
our development programs. If those third parties do not satisfactorily perform their contractual obligations or meet
anticipated deadlines, the development of our product candidates could be adversely affected.
We do not currently employ personnel or possess the facilities necessary to conduct many of the activities associated
with our programs. We engage consultants, advisors, CROs and others to assist in the design and conduct of nonclinical and
clinical studies of our product candidates, with interpretation of the results of those studies and with regulatory activities and
expect to continue to outsource all or a significant amount of such activities. As a result, many important aspects of our
development programs are and will continue to be outside our direct control and our third-party service providers may not
perform their activities as required or expected including the maintenance of Good Clinical Practices (“GCP”), Good
Laboratory Practices (“GLP”) and Good Manufacturing Practices (“GMP”) compliance, which are ultimately our
responsibility to ensure. Further, such third parties may not be as committed to the success of our programs as our own
employees and, therefore, may not devote the same time, thoughtfulness or creativity to completing projects or problem-
solving as our own employees would. To the extent we are unable to successfully manage the performance of third-party
service providers, our business may be adversely affected.
The CROs that we engage or may engage to execute our clinical studies play a significant role in the conduct of the
studies, including the collection and analysis of study data, and we likely will depend on CROs and clinical investigators to
conduct future clinical studies and to assist in analyzing data from completed studies and developing regulatory strategies for
our product candidates. Individuals working at the CROs with which we contract, as well as investigators at the sites at which
our studies are conducted, are not our employees, and we have limited control over the amount or timing of resources that
they devote to their programs. If our CROs, study investigators, and/or third-party sponsors fail to devote sufficient time and
resources to studies of our product candidates, if we and/or our CROs do not comply with all GLP and GCP regulatory and
contractual requirements, or if their performance is substandard, it may delay commencement and/or completion of these
studies, submission of applications for regulatory approval, regulatory approval and commercialization of our product
candidates. Failure of CROs to meet their obligations to us could adversely affect the development of our product candidates.
In addition, the CROs we engage may have relationships with other commercial entities, some of which may compete
with us. Through intentional or unintentional means, our competitors may benefit from lessons learned on the project that
could ultimately harm our competitive position. Moreover, if a CRO fails to properly, or at all, perform our activities during a
clinical study, we may not be able to enter into arrangements with alternative CROs on acceptable terms or in a timely
manner, or at all. Switching CROs may increase costs and divert management time and attention. In addition, there likely
would be a transition period before a new CRO commences work. These challenges could result in delays in the
commencement or completion of our clinical studies, which could materially impact our ability to meet our desired and/or
announced development timelines and have a material adverse impact on our business and financial condition.
48
We may not achieve our projected development goals within the time frames that we have announced.
We have set goals for accomplishing certain objectives material to the successful development of our product candidates.
The actual timing of these events may vary due to many factors, including delays or failures in our nonclinical testing,
clinical studies and manufacturing and regulatory activities and the uncertainties inherent in the regulatory approval process.
From time to time, we create estimates for the completion of enrollment of or announcement of data from clinical studies of
our product candidates. However, predicting the rate of enrollment or the time from completion of enrollment to
announcement of data for any clinical study requires us to make significant assumptions that may prove to be incorrect. As
discussed in other risk factors above, our estimated enrollment rates and the actual rates may differ materially and the time
required to complete enrollment of any clinical study may be considerably longer than we estimate. Such delays may
adversely affect our business, financial condition and results of operations.
Even if we complete a clinical study with successful results, we may not achieve our projected development goals within
the periods we initially anticipate or announce. If a development plan for a product candidate becomes more extensive and
costly than anticipated, we may determine that the associated time and cost are not financially justifiable and, as a result, may
discontinue development in a particular indication or of the product candidate as a whole. In addition, even if a study did
complete with successful results, changes may occur in regulatory requirements or policy during the period of product
development and/or regulatory review of an NDA that relate to the data required to be included in NDAs which may require
additional studies that may be costly and time consuming. Any of these actions may be viewed negatively, which could
adversely impact our business, financial condition and results of operations.
Further, throughout development, we must provide adequate assurance to the FDA and other regulatory authorities that
we can consistently develop and produce our product candidates in conformance with GLP, GCP, cGMP and other regulatory
standards. As discussed above, we rely on CMOs for the manufacture of clinical and future commercial, quantities of our
product candidates. If future FDA or other regulatory authority inspections identify cGMP compliance deficiencies at these
third-party facilities, production of our clinical trial material or, in the future, commercial product, could be disrupted,
causing potentially substantial delay in or failure of development or commercialization of our product candidates.
We currently have limited marketing capabilities and no sales organization. If we are unable to establish sales and
marketing capabilities on our own or through third parties, we will be unable to successfully commercialize our products,
if approved, or generate product revenue.
To commercialize our products, if approved, in the United States and other jurisdictions we seek approvals, we must
build our marketing, sales, managerial and other non-technical capabilities or make arrangements with third parties to
perform these services and we may not be successful in doing so. If our products receive regulatory approval, we expect to
market such products in the United States through a focused, specialized sales force, which will be costly and time
consuming. We have no prior experience in the marketing and sale of pharmaceutical products and there are significant risks
involved in building and managing a sales organization, including our ability to hire, retain and incentivize qualified
individuals, generate sufficient sales leads, provide adequate training to sales and marketing personnel and effectively
manage a geographically dispersed sales and marketing team. Outside of the United States, we may consider collaboration
arrangements. If we are unable to enter into such arrangements on acceptable terms or at all, we may not be able to
successfully commercialize our products in certain markets. Any failure or delay in the development of our internal sales,
marketing and distribution capabilities would adversely impact the commercialization of our products. If we are not
successful in commercializing our products, either on our own or through collaborations with one or more third parties, our
future product revenue will suffer and we would incur significant additional losses.
To establish a sales and marketing infrastructure and expand our manufacturing capabilities, we will need to increase the
size of our organization and we may experience difficulties in managing this growth.
We currently have eight full-time employees, including two employees engaged full-time and two employees engaged
part-time in research and development. As we advance our product candidates through the development process and to
commercialization, we will need to continue to expand our development, regulatory, quality, managerial, sales and marketing,
operational, finance and other resources to manage our operations and clinical trials, continue our development activities and
commercialize our product candidates, if approved. As our operations expand, we expect that we will need to manage
additional relationships with various manufacturers and collaborative partners, suppliers and other organizations.
49
Due to our limited financial resources and our limited experience in managing a company with such anticipated growth,
we may not be able to effectively manage the expansion of our operations or recruit and train additional qualified personnel.
In addition, the physical expansion of our operations may lead to significant costs and may divert our management and
resources. Any inability to manage growth could delay the execution of our development and strategic objectives, or disrupt
our operations, which could materially impact our business, revenue and operating results.
Our product candidates may cause undesirable side effects or adverse events, or have other properties that could delay or
prevent their clinical development, regulatory approval or commercialization.
As with many pharmaceutical products, undesirable side effects or adverse events caused by our product candidates
could interrupt, delay or halt clinical studies and could result in the denial of regulatory approval by the FDA or other
regulatory authorities for any or all indications, and in turn prevent us from commercializing our product candidates. If
undesirable side effects occur, they could possibly prevent approval, which would have a material and adverse effect on our
business.
If any of our product candidates receive marketing approval and we or others later identify undesirable side effects
caused by the product:
•
•
•
•
regulatory authorities may require the addition of labeling statements, such as a “black box” warning or a
contraindication;
we may be required to change the way the product is administered, conduct additional clinical studies or change the
labeling of the product;
regulatory authorities may withdraw approval of the product; and
our reputation may suffer.
Any of these events could prevent us from achieving or maintaining market acceptance of the affected product or could
substantially increase the costs and expenses of commercializing the product, which in turn could delay or prevent us
from generating significant revenue from its sale.
Our business and operations would suffer in the event of third-party computer system failures, cyber-attacks on third-
party systems or deficiency in our cyber security.
We rely on information technology (“IT”) systems, including third-party “cloud based” service providers, to keep
financial records, maintain laboratory data, clinical data and corporate records, to communicate with staff and external parties
and to operate other critical functions. This includes critical systems such as email, other communication tools, electronic
document repositories and archives. If any of these third-party information technology providers are compromised due to
computer viruses, unauthorized access, malware, natural disasters, fire, terrorism, war and telecommunication failures,
electrical failures, cyber-attacks or cyber-intrusions over the internet, then sensitive emails or documents could be exposed or
deleted. Similarly, we could incur business disruption if our access to the internet is compromised and we are unable to
connect with third-party IT providers. The risk of a security breach or disruption, particularly through cyber-attacks or cyber
intrusion, including by computer hackers, foreign governments and cyber terrorists, has generally increased as the number,
intensity and sophistication of attempted attacks and intrusions from around the world have increased. In addition, we rely on
those third parties to safeguard important confidential personal data regarding our employees and patients enrolled in our
clinical trials. If a disruption event were to occur and cause interruptions in a third-party IT provider’s operations, it could
result in a disruption of our drug development programs. For example, the loss of clinical trial data from completed, ongoing
or planned clinical trials could result in delays in our regulatory approval efforts and significantly increase our costs to
recover or reproduce the data. To the extent that any disruption or security breach results in a loss of or damage to our data or
applications, or inappropriate disclosure of confidential or proprietary information, we could incur liability and development
of our product candidates could be delayed, or could fail.
50
Risks Related to Drug Development and Commercialization
We depend on the successful completion of clinical studies of our product candidates and any positive results in prior
clinical studies do not ensure that ongoing or future clinical studies will be successful.
Pharmaceutical products are subject to stringent regulatory requirements covering quality, safety and efficacy. The
burden of proof is on the manufacturer, such as us, to show with substantial clinical data that the risk/benefit profile for any
new drug is favorable. Only after successfully completing extensive pharmaceutical development, nonclinical testing and
clinical studies may a product be considered for regulatory approval.
If we license rights to develop our product candidates to independent third parties or otherwise permit such third parties
to evaluate our product candidates in clinical studies, we may have limited control over those clinical studies. Any safety or
efficacy concern identified in a third-party sponsored study could adversely affect our or another licensee’s development of
our product candidate and prospects for our regulatory approval, even if the data from that study are subject to varying
interpretations and analyses.
There is significant risk that ongoing and future clinical studies of our product candidates are or will be unsuccessful.
Negative or inconclusive results could cause the FDA and other regulatory authorities to require us to repeat or conduct
additional clinical studies, which could significantly increase the time and expense associated with development of that
product candidate or cause us to elect to discontinue one or more clinical programs. Failure to complete a clinical study of a
product candidate or an unsuccessful result of a clinical study could have a material adverse effect on our business.
Clinical drug development involves a lengthy and expensive process, with an uncertain outcome. We may incur additional
costs or experience delays in completing, or ultimately be unable to complete, the development and commercialization of
our drug candidates.
Clinical studies are expensive, difficult to design and implement, may take many years to complete and outcomes are
inherently uncertain. A drug product may fail to demonstrate positive results at any stage of testing despite having progressed
satisfactorily through nonclinical testing and initial clinical studies. There is significant risk in clinical development where
later stage clinical studies are designed and powered based on the analysis of data from earlier studies, with these earlier
studies involving a smaller number of patients and the results of the earlier studies being driven primarily by a subset of
responsive patients. In addition, interim results of a clinical study do not necessarily predict final results. Further, clinical
study data frequently are susceptible to varying interpretations. Medical professionals and/or regulatory authorities may
analyze or weigh study data differently than the sponsor company, resulting in delay or failure to obtain marketing approval
for a product candidate. Additionally, the possible lack of standardization across multiple investigative sites may induce
variability in the results, which can interfere with the evaluation of treatment effects.
Delays in commencement and completion of clinical studies are common and have many causes. Delays in clinical studies
of our product candidates could increase overall development costs and jeopardize our ability to obtain regulatory
approval and successfully commercialize any approved products.
Clinical studies may not commence on time or be completed on schedule, if at all. The commencement and completion
of clinical studies can be delayed for a variety of reasons, including:
•
•
•
•
•
•
•
inability to raise sufficient funding to initiate or to continue a clinical study;
delays in obtaining regulatory approval to commence a clinical study;
delays in identifying and reaching agreement on acceptable terms with prospective CROs and clinical study sites
and investigators, which agreements can be subject to extensive negotiation and may vary significantly among study
sites;
delays in obtaining regulatory approval in a prospective country;
delays in obtaining ethics committee approval to conduct a clinical study at a prospective site;
delays in reaching agreements on acceptable terms with prospective CMOs or other vendors for the production and
supply of clinical trial material and, if necessary, drug administration devices, which agreements can be subject to
extensive negotiation;
delays in the production or delivery of sufficient quantities of clinical trial material from our CMOs and other
vendors to initiate or continue a clinical study;
51
•
•
•
•
•
•
•
•
•
•
•
delays due to product candidate recalls as a result of stability failure, excessive product complaints or other failures
of the product candidate during its use or testing;
invalidation of clinical data caused by premature unblinding or integrity issues;
invalidation of clinical data caused by mixing up of the active drug and placebo through randomization or
manufacturing errors;
delays on the part of our CROs, CMOs and other third-party contractors in developing procedures and protocols or
otherwise conducting activities in accordance with applicable policies and procedures and in accordance with agreed
upon timelines;
delays in identifying and hiring or engaging, as applicable, additional employees or consultants to assist in managing
clinical study-related activities;
delays in recruiting and enrolling individuals to participate in a clinical study, which historically can be challenging
in orphan diseases;
delays caused by patients dropping out of a clinical study due to side effects, concurrent disorders, difficulties in
adhering to the study protocol, unknown issues related to different patient profiles than in previous studies, or
otherwise;
delays in having patients complete participation in a clinical study, including returning for post-treatment follow-up;
delays resulting from study sites dropping out of a trial, providing inadequate staff support for the study, problems
with shipment of study supplies to clinical sites, or focusing our staff’s efforts on enrolling studies that compete for
the same patient population;
suspension of enrollment at a study site or the imposition of a clinical hold by the FDA or other regulatory authority
following an inspection of clinical study operations at study sites or finding of a drug-related serious adverse event;
and
delays in quality control/quality assurance procedures necessary for study database lock and analysis of unblinded
data.
We may experience difficulties in the enrollment of patients in our clinical trials, which may delay or prevent us from
obtaining regulatory approval.
We may not be able to continue clinical trials for our product candidates if we are unable to locate and enroll a sufficient
number of eligible patients to participate in these trials as required by the FDA or similar regulatory authorities outside the
United States. In particular, some of our competitors have ongoing clinical trials for drug candidates that treat the same
indications as our drug candidates and patients who would otherwise be eligible for our clinical trials may instead enroll in
clinical trials of our competitors’ drug candidates.
Patient enrollment, a critical component to successful completion of a clinical study, is affected by many factors,
including:
•
•
•
•
•
•
•
•
the size of the target patient population;
other ongoing studies competing for the same patient population;
the eligibility criteria for the clinical trial;
the design of the clinical study;
the perceived risks and benefits of the product candidate under study;
the efforts to facilitate timely enrollment in clinical trials;
the proximity and availability of clinical trial sites for prospective patients; and
the ability to monitor patients adequately during and after treatment.
Clinical studies may not begin on time or be completed in the time frames we anticipate. The length of time necessary to
successfully complete clinical studies varies significantly and is difficult to predict accurately. We may make statements
regarding anticipated timing for completion of enrollment in and/or availability of results from our clinical studies, but such
predictions are subject to a number of significant assumptions and actual timing may differ materially for a variety of
reasons, including patient enrollment rates, length of time needed to prepare raw study data for analysis and then to review
and analyze it and other factors described above. If we experience delays in the completion of a clinical study, if a clinical
study is terminated, or if failure to conduct a study in accordance with regulatory requirements or the study’s protocol leads
to deficient safety and/or efficacy data, the regulatory approval and/or commercial prospects for our product candidates may
be harmed and our ability to generate product revenue will be delayed. In addition, any delays in completing our clinical
studies likely will increase our development costs. Further, many of the factors that cause, or lead to, a delay in the
commencement or completion of clinical studies may ultimately lead to the denial of regulatory approval of a product
52
candidate. Even if we ultimately commercialize our product candidates, the standard of care may have changed or other
therapies for the same indications may have been introduced to the market in the interim and may establish a competitive
threat to us or may diminish the need for our products.
Clinical studies are very expensive, difficult to design and implement, often take many years to complete and the outcome
is inherently uncertain.
Clinical development of pharmaceutical products for humans is generally very expensive and takes many years to
complete. Failures can occur at any stage of clinical testing. We estimate that clinical development of our product candidates
will take several additional years to complete, but because of the variety of factors that can affect the design, timing and
outcome of clinical studies, we are unable to estimate the exact funds required to complete research and development, to
obtain regulatory approval and to commercialize all of our product candidates. We will need significant additional capital to
continue to advance our product candidates pursuant to our current development and commercialization plans.
Failure at any stage of clinical testing is not uncommon and we may encounter problems that would require additional,
unplanned studies or cause us to abandon a clinical development program.
In addition, a clinical study may be suspended or terminated by us, an institutional review board (“IRB”), a data safety
monitoring board, the FDA or other regulatory authorities due to a number of factors, including:
•
•
•
•
•
lack of adequate funding to continue the study;
failure to conduct the study in accordance with regulatory requirements or the study’s protocol;
inspection of clinical study operations or sites by the FDA or other regulatory authorities resulting in the imposition
of a clinical hold;
unforeseen safety issues, including adverse side effects; or
changes in governmental regulations or administrative actions.
Changes in governmental regulations and guidance relating to clinical studies may occur and we may need to amend
study protocols to reflect these changes, or we may amend study protocols for other reasons. Amendments may require us to
resubmit protocols to IRBs for reexamination and approval or renegotiate terms with CROs, study sites and investigators, all
of which may adversely impact the costs or timing of or our ability to successfully complete a trial.
Use of our proprietary patient-reported outcome measure, CeD PRO, in our Phase 3 clinical trials of larazotide acetate for
the treatment of celiac disease may adversely impact our ability to achieve a positive result from these clinical trials.
Patient-reported outcome assessments (“PROs”), involve patients’ subjective assessments of efficacy and this
subjectivity can increase the uncertainty of clinical trial outcomes. Such assessments can be influenced by a number of
factors and can vary widely from day to day for a particular patient, and from patient to patient and site to site within a
clinical trial, leading to high variability in PRO measurements.
The variability of PRO measures and high placebo response rates could adversely impact our Phase 3 clinical trials of
larazotide acetate for celiac disease. The variability of a PRO measure can complicate clinical trial design, adversely impact
the ability of a study to show a statistically significant improvement and generally adversely impact a clinical development
program by introducing additional uncertainties.
There is significant uncertainty regarding the regulatory approval process for any investigational new drug, substantial
further testing and validation of our product candidates and related manufacturing processes may be required, and
regulatory approval may be conditioned, delayed or denied, any of which could delay or prevent us from successfully
marketing our product candidates and substantially harm our business.
Pharmaceutical products generally are subject to rigorous nonclinical testing and clinical studies and other approval
procedures mandated by the FDA and foreign regulatory authorities. Various federal and foreign statutes and regulations also
govern or materially influence the manufacturing, safety, labeling, storage, record keeping and marketing of pharmaceutical
products. The process of obtaining these approvals and the subsequent compliance with appropriate U.S. and foreign statutes
and regulations is time-consuming and requires the expenditure of substantial resources.
53
We are preparing INN-202, larazotide acetate, for Phase 3 clinical trials, the success of which will be needed for FDA
approval to market INN-202 in the United States to treat celiac disease in patients with persistent symptoms while adhering
to a gluten free diet. While significant communication with the FDA on the Phase 3 study design has occurred, even if the
Phase 3 clinical study meets all of its statistical goals and protocol end points, the FDA may not view the results as robust and
convincing and may require additional clinical studies and/or other costly studies, which could require us to expend
substantial additional resources and could significantly extend the timeline for clinical development prior to market approval.
Additionally, we are required by the FDA to conduct a long-term safety study on INN-202. The results of this study will not
be known until a short time prior to potential submission of an NDA for INN-202. If the safety study cannot be completed for
technical or other reasons, or provides results that the FDA determines to be concerning, this may cause a delay or failure in
obtaining approval for INN-202. We are conducting pre-clinical work for INN-217 in NASH and INN-289 in Crohn’s disease
to prepare for future clinical proof-of-concept trials.
We may make formulation changes to INN-108 that would simplify the dosing in pediatric patients. While this change is
expected by us to reduce studies and/or other documentation requirements, the regulatory agencies may require additional
clinical or nonclinical studies prior to approval, even if current clinical studies are deemed successful, which could require us
to expend substantial additional resources and significantly extend the timeline for clinical development of INN-108.
We intend to prepare INN-329, secretin, for additional testing in its Phase 3 clinical trial, the success of which will be
needed for FDA approval to market INN-329 in the United States for MRCP procedures. While significant communication
with the FDA on the Phase 3 study design has occurred in the past, we will be required to initiate communication with the
FDA to finalize the study design and to seek its approval for the additional Phase 3 trial design. Even if the Phase 3 clinical
study meets all of its statistical goals and protocol end points, the FDA may not view the results as robust and convincing.
The FDA may require additional clinical studies and/or other costly studies, which could require us to expend substantial
additional resources and could significantly extend the timeline for clinical development prior to market approval.
Additionally, we are required by the FDA to conduct a long-term safety study on INN-329. The results of this study will not
be known until a short time prior to potential submission of an NDA for INN-329. If the safety study cannot be completed for
technical or other reasons, or provides results that the FDA determines to be concerning, this may cause a delay or failure in
obtaining approval for INN-329.
Significant uncertainty exists with respect to the regulatory approval process for any investigational new drug, including
INN-202, INN-217, INN-108, INN-289 and INN-329. Regardless of any guidance the FDA or foreign regulatory agencies
may provide a drug’s sponsor during its development, the FDA or foreign regulatory agencies retain complete discretion in
deciding whether to accept an NDA or the equivalent foreign regulatory approval submission for filing or, if accepted,
approve an NDA. There are many components to an NDA or marketing authorization application submission in addition to
clinical study data. For example, the FDA or foreign regulatory agencies will review the sponsor’s internal systems and
processes, as well as those of its CROs, CMOs and other vendors, related to development of its product candidates, including
those pertaining to its clinical studies and manufacturing processes. Before accepting an NDA for review or before approving
the NDA, the FDA or foreign regulatory agencies may request that we provide additional information that may require
significant resources and time to generate and there is no guarantee that its product candidates will be approved for any
indication for which we may apply. The FDA or foreign regulatory agencies may choose not to approve an NDA for any of a
variety of reasons, including a decision related to the safety or efficacy data, manufacturing controls or systems, or for any
other issues that the agency may identify related to the development of its product candidates. Even if one or more Phase 3
clinical studies are successful in providing statistically significant evidence of the efficacy and safety of the investigational
drug, the FDA or foreign regulatory agencies may not consider efficacy and safety data from the submitted studies adequate
scientific support for a conclusion of effectiveness and/or safety and may require one or more additional Phase 3 or other
studies prior to granting marketing approval. If this were to occur, the overall development cost for the product candidate
would be substantially greater and our competitors may bring products to market before we do, which could impair our
ability to generate revenues from the product candidates, or even seek approval, if blocked by a competitor’s Orphan Drug
exclusivity, which would have a material adverse effect on our business, financial condition and results of operations.
Further, development of our product candidates and/or regulatory approval may be delayed for reasons beyond our
control. For example, a U.S. federal government shut-down or budget sequestration, such as ones that occurred during 2013,
2018 and 2019, may result in significant reductions to the FDA’s budget, employees and operations, which may lead to
slower response times and longer review periods, potentially affecting our ability to progress development of our product
candidates or obtain regulatory approval for our product candidates.
54
Even if the FDA or foreign regulatory agencies grant approvals for our product candidates, the conditions or scope of the
approval(s) may limit successful commercialization of the product candidates and impair our ability to generate substantial
sales revenue. The FDA or foreign regulatory agencies may also only grant marketing approval contingent on the
performance of costly post-approval nonclinical or clinical studies, or subject to warnings or contraindications that limit
commercialization. Additionally, even after granting approval, the manufacturing processes, labeling, packaging, distribution,
adverse event reporting, storage, advertising, promotion and recordkeeping for our products will be subject to extensive and
ongoing regulatory requirements. These requirements include submissions of safety and other post-marketing information
and reports, registration and continued compliance with cGMP, good clinical practices, regulations of the International
Council for Harmonization of Technical Requirements for Pharmaceuticals for Human Use and good laboratory practices,
which are regulations and guidelines that are enforced by the FDA or foreign regulatory agencies for all of our clinical
development and for any clinical studies that we conduct post-approval. The FDA or foreign regulatory agencies may decide
to withdraw approval, add warnings or narrow the approved indications in the product label, or establish risk management
programs that could restrict distribution of our products. These actions could result from, among other things, safety
concerns, including unexpected side effects or drug-drug interaction problems, or concerns over misuse of a product. If any
of these actions were to occur following approval, we may have to discontinue commercialization of the product, limit our
sales and marketing efforts, implement risk minimization procedures and/or conduct post-approval studies, which in turn
could result in significant expense and delay or limit our ability to generate sales revenues.
Regulations may be changed prior to submission of an NDA that require higher hurdles than currently anticipated. These
may occur as a result of drug scandals, recalls, or a political environment unrelated to our products.
Even if we receive regulatory approval for a product candidate, we may face regulatory difficulties that could materially
and adversely affect our business, financial condition and results of operations.
Even if initial regulatory approval is obtained, as a condition to the initial approval the FDA or a foreign regulatory
agency may impose significant restrictions on a product’s indicated uses or marketing or impose ongoing requirements for
potentially costly post-approval studies or marketing surveillance programs, any of which would limit the commercial
potential of the product. Our product candidates also will be subject to ongoing FDA requirements related to the
manufacturing processes, labeling, packaging, storage, distribution, advertising, promotion, record-keeping and submission
of safety and other post-market information regarding the product. For instance, the FDA may require changes to approved
drug labels, require post-approval clinical studies and impose distribution and use restrictions on certain drug products. In
addition, approved products, manufacturers and manufacturers’ facilities are subject to continuing regulatory review and
periodic inspections. If previously unknown problems with a product are discovered, such as adverse events of unanticipated
severity or frequency, or problems with the facility where the product is manufactured, the FDA may impose restrictions on
that product or us, including requiring withdrawal of the product from the market. If one of our CMOs or we fail to comply
with applicable regulatory requirements, a regulatory agency may:
•
•
•
•
•
•
•
•
•
issue warning letters or untitled letters;
impose civil or criminal penalties;
suspend or terminate any ongoing clinical studies;
close the facilities of a CMO;
refuse to approve pending applications or supplements to approved applications;
suspend or withdraw regulatory approval;
exclude our product from reimbursement under government healthcare programs, including Medicaid or Medicare;
impose restrictions or affirmative obligations on our or our CMOs’ operations, including costly new manufacturing
requirements; or
seize or detain products or require a product recall.
If any of our product candidates for which we receive regulatory approval fails to achieve significant market acceptance
among the medical community, patients or third-party payers, the revenue we generate from our sales will be limited and
our business may not be profitable.
Our success will depend in substantial part on the extent to which our product candidates, if approved, are accepted by
the medical community and patients and reimbursed by third-party payers, including government payers. We cannot predict
with reasonable accuracy whether physicians, patients, healthcare insurers or health maintenance organizations, or the
medical community in general, will accept or utilize any of our products, if approved. If our product candidates are approved
but do not achieve an adequate level of acceptance by these parties, we may not generate sufficient revenue to become or to
55
remain profitable. In addition, our efforts to educate the medical community and third-party payers regarding the benefits of
our products may require significant resources and may never be successful.
The degree of market acceptance with respect to each of our approved products, if any, will depend upon a number of
factors, including:
•
•
•
•
•
•
•
•
•
•
•
•
the safety and efficacy of our product as demonstrated in clinical studies;
acceptance in the medical and patient communities of our product as a safe and effective treatment;
the perceived advantages of our product over alternative treatments, including with respect to the incidence and
severity of any adverse side effects and the cost of treatment;
the indications for which our product is approved;
claims or other information (including limitations or warnings) in our product’s approved labeling;
reimbursement and coverage policies of government and other third-party payers;
smaller than expected market size due to lack of disease awareness of a rare disease, or the patient population with
a specific rare disease being smaller than anticipated;
availability of alternative treatments;
pricing and cost-effectiveness of our product relative to alternative treatments;
inappropriate diagnostic efforts due to limited knowledge and/or resources among clinicians;
the prevalence of off-label substitution of chemically equivalent products or alternative treatments; and
the resources we devote to marketing our product and restrictions on promotional claims we can make with respect
to the product.
If we determine that a product candidate may not achieve adequate market acceptance or that the potential market size
does not justify additional expenditure on the program, we may reduce our expenditures on the development and/or the
process of seeking regulatory approval of the product candidate while we evaluate whether and on what timeline to move the
program forward.
Even if we receive regulatory approval to market one or more of our product candidates in the United States, we may
never receive approval or commercialize our products outside of the United States, which would limit our ability to realize
the full commercial potential of our product candidates.
In order to market products outside of the United States, we must establish and comply with the numerous and varying
regulatory requirements of other countries regarding safety and efficacy. Approval procedures vary among countries and can
involve additional product testing and validation and additional administrative review periods. The time required to obtain
approval in other countries generally differs from that required to obtain FDA approval. The regulatory approval process in
other countries may include all of the risks detailed above regarding FDA approval in the United States, as well as other risks.
Regulatory approval in one country does not ensure regulatory approval in another, but a failure or delay in obtaining
regulatory approval in one country may have a negative effect on the regulatory process in others. Failure to obtain regulatory
approval in other countries or any delay or setback in obtaining such approval could have the same adverse effects detailed
above regarding FDA approval in the United States. As described above, such effects include the risks that our product
candidates may not be approved for all indications requested, which could limit the uses of our product candidates and have
an adverse effect on product sales, and that such approval may be subject to limitations on the indicated uses for which the
product may be marketed or require costly, post-marketing follow-up studies.
Conversely, even if our product candidates receive approval outside the United States in the future, we may still be
unable to meet the FDA requirements necessary for approval in the United States.
We must comply with the U.S. Foreign Corrupt Practices Act and similar foreign anti-corruption laws.
The U.S. Foreign Corrupt Practices Act, to which we are subject, prohibits corporations and individuals from engaging in
certain activities to obtain or retain business or to influence a person working in an official capacity. It is illegal to pay, offer
to pay or authorize the payment of anything of value to any foreign government official, government staff member, political
party or political candidate in an attempt to obtain or retain business or to otherwise influence a person working in an official
capacity. Other countries, such as the United Kingdom, have similar laws with which we must comply. We face the risk that
an employee or agent could be accused of violating one or more of these laws, particularly in geographies where significant
overlap exists between local government and healthcare industries. Such an accusation, even if unwarranted, could prove
disruptive to our developmental and commercialization efforts.
56
We may expend our limited resources to pursue a particular product candidate or indication in lieu of other opportunities
and fail to capitalize on product candidates or indications that may be more profitable or for which there is a greater
likelihood of success.
Because we have limited financial and managerial resources, we intend to focus on developing product candidates for
specific indications that we identify as most likely to succeed, in terms of their potential both to gain regulatory approval and
to achieve commercialization. As a result, we may forego or delay pursuit of opportunities with other product candidates or in
other indications with greater commercial potential. We currently intend to focus our limited financial and managerial
resources on developing our lead program, INN-202, for the treatment of celiac disease and INN-217 for the treatment of
NASH. As a result, we may allocate fewer resources to the other product candidates in our pipeline, including INN-108, and
we will be required to seek additional sources of financing to pursue further development of such other product candidates.
Our resource allocation decisions may cause us to fail to capitalize on viable commercial products or profitable market
opportunities. Our spending on current and future research and development programs and product candidates for specific
indications may not yield any commercially viable product candidates. If we do not accurately evaluate the commercial
potential or target market for a particular product candidate, we may relinquish valuable rights to that product candidate
through collaboration, licensing or other royalty arrangements in cases in which it would have been more advantageous for us
to retain sole development and commercialization rights to the product candidate.
Risks Related to Our Intellectual Property
Our success will depend in part on obtaining and maintaining effective patent and other intellectual property protection
for our product candidates and proprietary technology.
We rely on patents and other intellectual property to maintain exclusivity for our product candidates. INN-202 and
INN-108 are covered by several issued patents in the U.S., issued patents outside the U.S. and with patent applications
pending in several jurisdictions. INN-329 is not protected by patents. Intellectual property relating to the INN-202 program is
exclusively licensed from Alba Therapeutics Corp. Intellectual property relating to INN-108 program is exclusively licensed
from Seachaid Pharmaceuticals Inc. There are two pending patent applications relating to INN-217 based on Innovate’s
internal developments.
Our success will depend in part on our ability to:
obtain and maintain patents and other exclusivity with respect to our products;
prevent third parties from infringing upon our proprietary rights;
•
•
• maintain proprietary know-how and trade secrets;
•
•
operate without infringing upon the patents and proprietary rights of others; and
obtain and maintain appropriate licenses to patents or proprietary rights held by third parties if infringement would
otherwise occur or if necessary to secure exclusive rights to them, both in the United States and in foreign
countries.
The patent and intellectual property positions of biopharmaceutical companies generally are highly uncertain, involve
complex legal and factual questions and have been and continue to be the subject of much litigation. There is no guarantee
that we have or will develop or obtain the rights to products or processes that are patentable, that patents will issue from any
pending applications or that claims issued will be sufficient to protect the technology we develop or have developed or that is
used by us, our CMOs or our other service providers. In addition, any patents that are issued and/or licensed to us may be
limited in scope or challenged, invalidated, infringed or circumvented, including by our competitors and any rights we have
under issued and/or licensed patents may not provide competitive advantages to us. If competitors can develop and
commercialize technology and products similar to ours, our ability to successfully commercialize our technology and
products may be impaired.
Patent applications in the United States are confidential for a period of time until they are published, and publication of
discoveries in scientific or patent literature typically lags actual discoveries by several months. As a result, we cannot be
certain that the inventors listed in any patent or patent application owned or licensed by us were the first to conceive of the
inventions covered by such patents and patent applications (for U.S. patent applications filed before March 16, 2013), or that
57
such inventors were the first to file patent applications for such inventions outside the United States and, after March 15,
2013, in the United States. In addition, changes in or different interpretations of patent laws in the United States and foreign
countries may affect our patent rights and limit the patents we can obtain, which could permit others to use our discoveries or
to develop and to commercialize our technology and products without any compensation to us.
We also rely on unpatented know-how and trade secrets and continuing technological innovation to develop and maintain
our competitive position, which we seek to protect, in part, through confidentiality agreements with employees, consultants,
collaborators and others. We also have invention or patent assignment agreements with our employees and certain
consultants. The steps we have taken to protect our proprietary rights, however, may not be adequate to preclude
misappropriation of or otherwise protect our proprietary information or prevent infringement of our intellectual property
rights, and we may not have adequate remedies for any such misappropriation or infringement. In addition, it is possible that
inventions relevant to our business could be developed by a person not bound by an invention assignment agreement with us
or independently discovered by a competitor.
We also intend to rely on regulatory exclusivity for protection of our product candidates, if approved for commercial
sale. Implementation and enforcement of regulatory exclusivity, which may consist of regulatory data protection and market
protection, varies widely from country to country. Failure to qualify for regulatory exclusivity, or failure to obtain or to
maintain the extent or duration of such protections that we expect for our product candidates, if approved, could affect our
decision on whether to market the products in a particular country or countries or could otherwise have an adverse impact on
our revenue or results of operations.
We may rely on trademarks, trade names and brand names to distinguish our products, if approved for commercial sale,
from the products of our competitors. However, our trademark applications may not be approved. Third parties may also
oppose our trademark applications or otherwise challenge our use of the trademarks, in which case we may expend
substantial resources to defend our proposed or approved trademarks and may enter into agreements with third parties that
may limit our use of our trademarks. In the event that our trademarks are successfully challenged, we could be forced to
rebrand our products, which could result in loss of brand recognition and could require us to devote significant resources to
advertising and marketing these new brands. Further, our competitors may infringe our trademarks or we may not have
adequate resources to enforce our trademarks.
If we fail to comply with our obligations under any license, collaboration or other agreements, we could lose intellectual
property rights that are necessary for developing and commercializing our product candidates.
Our intellectual property relating to the INN-202 program is licensed from Alba Therapeutics Corp. Our intellectual
property relating to the INN-108 program is licensed from Seachaid Pharmaceuticals Inc. Our license agreements with Alba
and Seachaid impose, and any future licenses or collaboration agreements we enter into are likely to impose, various
development, commercialization, funding, milestone, royalty, diligence, sublicensing, patent prosecution and enforcement
and other obligations on us. These type of agreements and related obligations are complex and subject to contractual disputes.
If we breach any of these imposed obligations, or use the intellectual property licensed to us in an unauthorized manner, we
may be required to pay damages or the licensor may have the right to terminate the license, which could result in our loss of
the intellectual property rights and us being unable to develop, manufacture and sell drugs that are covered by the licensed
technology.
Our success depends on our ability to prevent competitors from duplicating or developing and commercializing equivalent
versions of our product candidates, and intellectual property protection may not be sufficient or effective to exclude this
competition.
We have patent protection in the United States and other countries to cover the composition of matter, formulation and
method of use for INN-202 and INN-108. However, these patents may not provide us with significant competitive
advantages, because the validity, scope, term, or enforceability of the patents may be challenged and, if instituted, one or
more of the challenges may be successful. Patents may be challenged in the United States under post-grant review
proceedings, inter partes reexamination, ex parte reexamination, or challenged in district court. Any patents issued in foreign
jurisdictions may be subjected to comparable proceedings lodged in various foreign patent offices or courts. These
proceedings could result in either loss of the patent or loss or reduction in the scope of one or more of the claims of the
patent. Even if a patent issues, and is held valid and enforceable, competitors may be able to design around our patent rights,
such as by using pre-existing or newly developed technology, in which case competitors may not infringe our issued claims
and may be able to market and sell products that compete directly with ours before and after our patents expire.
58
Further, the INN-202 primary end point is a proprietary patient reported outcome measure (CeD PRO) that is protected
by copyright until 2106. However, copyright protection may not be sufficient to exclude others from developing products that
compete with INN-202.
The patent prosecution process is expensive and time-consuming. We, and any future licensors and licensees, may not
apply for or prosecute patents on certain aspects of our product candidates at a reasonable cost, in a timely fashion, or at all.
We may not have the right to control the preparation, filing and prosecution of some patent applications related to our product
candidates or technologies. As a result, these patents and patent applications may not be prosecuted and enforced in a manner
consistent with our best interests. It is also possible that we or any future or present licensors or licensees will fail to identify
patentable aspects of inventions made in the course of development and commercialization activities before it is too late to
obtain patent protection on them. Further, it is possible that defects of form in the preparation or filing of our patent
applications may exist, or may arise in the future, such as with respect to proper priority claims, inventorship, assignment,
term or claim scope. If there are material defects in the form or preparation of our patents or patent applications, such patents
or applications may be invalid or unenforceable. In addition, one or more parties may independently develop similar
technologies or methods, duplicate our technologies or methods, or design around the patented aspects of our products,
technologies or methods. Any of these circumstances could impair our ability to protect our products, if approved, in ways
which may have an adverse impact on our business, financial condition and operating results.
Furthermore, the issuance of a patent is not conclusive as to its inventorship, scope, validity or enforceability and our
owned and licensed patents may be challenged in the courts or patent offices in and outside of the United States. Such
challenges may result in loss of exclusivity or freedom to operate or in patent claims being narrowed, invalidated or held
unenforceable, in whole or in part, which could limit our ability to use our patents to stop others from using or
commercializing similar or identical products or technology, or to limit the duration of the patent protection of our technology
and drugs. Given the amount of time required for the development, testing and regulatory review of new drug candidates,
patents protecting such candidates might expire before or shortly after such candidates are commercialized. As a result, our
owned and licensed patent portfolio may not provide us with sufficient rights to exclude others from commercializing drugs
similar to or identical to ours.
Enforcement of intellectual property rights in certain countries outside the United States, including China in particular,
has been limited or non-existent. Future enforcement of patents and proprietary rights in many other countries will likely be
problematic or unpredictable. Moreover, the issuance of a patent in one country does not assure the issuance of a similar
patent in another country. Claim interpretation and infringement laws vary by nation, so the extent of any patent protection is
uncertain and may vary in different jurisdictions.
Obtaining and maintaining patent protection depends on compliance with various procedural, document submission, fee
payment and other requirements imposed by governmental patent agencies, and our patent protection could be reduced or
eliminated for non-compliance with these requirements.
Periodic maintenance fees, renewal fees, annuity fees and various other governmental fees on patents and applications
are required to be paid to the United States Patent and Trademark Office (“USPTO”) and various governmental patent
agencies outside of the United States in several stages over the lifetime of the patents and applications. The USPTO and
various non-U.S. governmental patent agencies require compliance with a number of procedural, documentary, fee payment
and other similar provisions during the patent application process and after a patent has issued. There are situations in which
non-compliance can result in decreased patent term or in abandonment or lapse of the patent or patent application, leading to
partial or complete loss of patent rights in the relevant jurisdiction.
Third parties may claim that our products, if approved, infringe on their proprietary rights and may challenge the
approved use or uses of a product or our patent rights through litigation or administrative proceedings, and defending
such actions may be costly and time consuming, divert management attention away from our business and result in an
unfavorable outcome that could have an adverse effect on our business.
Our commercial success depends on our ability and the ability of our CMOs and component suppliers to develop,
manufacture, market and sell our products and product candidates and use our proprietary technologies without infringing the
proprietary rights of third parties. Numerous U.S. and foreign issued patents and pending patent applications, which are
owned by third parties, exist in the fields in which we are or may be developing products. Because patent applications can
take many years to publish and issue, there currently may be pending applications, unknown to us, that may later result in
59
issued patents that our products, product candidates or technologies infringe, or that the process of manufacturing our
products or any of our respective component materials, or the component materials themselves, infringe, or that the use of our
products, product candidates or technologies infringe.
We, our CMOs and/or our component material suppliers may be exposed to, or threatened with, litigation by third parties
alleging that our products, product candidates and/or technologies infringe their patents and/or other intellectual property
rights, or that one or more of the processes for manufacturing our products or any of our respective component materials, or
the component materials themselves, or the use of our products, product candidates or technologies, infringe their patents
and/or other intellectual property rights. If a third-party patent or other intellectual property right is found to cover our
products, product candidates, technologies or uses, or any of the underlying manufacturing processes or components, we
could be required to pay damages and could be unable to commercialize our products or to use our technologies or methods
unless we are able to obtain a license to the patent or intellectual property right. A license may not be available to us in a
timely manner or on acceptable terms, or at all. In addition, during litigation, the third party alleging infringement could
obtain a preliminary injunction or other equitable remedy that could prohibit us from making, using, selling or importing our
products, technologies or methods.
There generally is a substantial amount of litigation involving patent and other intellectual property rights in the
industries in which we operate and the cost of such litigation may be considerable. We can provide no assurance that our
product candidates or technologies will not infringe patents or rights owned by others, licenses to which may not be available
to us in a timely manner or on acceptable terms, or at all. If a third party claims that we or our CMOs or component material
suppliers infringe its intellectual property rights, we may face a number of issues, including, but not limited to:
•
•
•
•
•
infringement and other intellectual property claims which, with or without merit, may be expensive and time
consuming to litigate and may divert management’s time and attention from our core business;
substantial damages for infringement, including the potential for treble damages and attorneys’ fees, which we may
have to pay if it is determined that the product and/or its use at issue infringes or violates the third party’s rights;
a court prohibiting us from selling or licensing the product unless the third-party licenses its intellectual property
rights to us, which it may not be required to do;
if a license is available from the third party, we may have to pay substantial royalties, fees and/or grant cross-
licenses to the third party; and
redesigning our products or processes so they do not infringe, which may not be possible or may require substantial
expense and time.
No assurance can be given that patents do not exist, have not been filed, or could not be filed or issued, which contain
claims covering our products, product candidates or technology or those of our CMOs or component material suppliers or the
use of our products, product candidates or technologies. Because of the large number of patents issued and patent
applications filed in the industries in which we operate, there is a risk that third parties may allege they have patent rights
encompassing our products, product candidates or technologies, or those of our CMOs or component material suppliers, or
uses of our products, product candidates or technologies.
In the future, it may be necessary for us to enforce our proprietary rights, or to determine the scope, validity and
unenforceability of other parties’ proprietary rights, through litigation or other dispute proceedings, which may be costly and,
to the extent we are unsuccessful, adversely affect our rights. In these proceedings, a court or administrative body could
determine that our claims, including those related to enforcing patent rights, are not valid or that an alleged infringer has not
infringed our rights. The uncertainty resulting from the mere institution and continuation of any patent- or other proprietary
rights-related litigation or interference proceeding could have a material and adverse effect on our business prospects,
operating results and financial condition.
Risks Related to Our Industry
We are subject to uncertainty relating to healthcare reform measures and reimbursement policies that, if not favorable to
our products, could hinder or prevent our products’ commercial success, if any of our product candidates are approved.
The unavailability or inadequacy of third-party payer coverage and reimbursement could negatively affect the market
acceptance of our product candidates and the future revenues we may expect to receive from our products. The commercial
success of our product candidates, if approved, will depend in part on the extent to which the costs of such products will be
60
covered by third-party payers, such as government health programs, commercial insurance and other organizations. Third-
party payers are increasingly challenging the prices and examining the medical necessity and cost-effectiveness of medical
products and services, in addition to their safety and efficacy. If these third-party payers do not consider our products to be
cost-effective compared to other therapies, we may not obtain coverage for our products after approval as a benefit under the
third-party payers’ plans or, even if we do, the level of coverage or payment may not be sufficient to allow us to sell our
products on a profitable basis.
Significant uncertainty exists as to the reimbursement status for newly approved drug products, including coding,
coverage and payment. There is no uniform policy requirement for coverage and reimbursement for drug products among
third-party payers in the United States; therefore coverage and reimbursement for drug products can differ significantly from
payer to payer. The coverage determination process is often a time-consuming and costly process that will require us to
provide scientific and clinical support for the use of our products to each payer separately, with no assurance that coverage
and adequate payment will be applied consistently or obtained. The process for determining whether a payer will cover and
how much it will reimburse a product may be separate from the process of seeking approval of the product or for setting the
price of the product. Even if reimbursement is provided, market acceptance of our products may be adversely affected if the
amount of payment for our products proves to be unprofitable for healthcare providers or less profitable than alternative
treatments or if administrative burdens make our products less desirable to use. Third-party payer reimbursement to providers
of our products, if approved, may be subject to a bundled payment that also includes the procedure of administering our
products or third-party payers may require providers to perform additional patient testing to justify the use of our products. To
the extent there is no separate payment for our product(s), there may be further uncertainty as to the adequacy of
reimbursement amounts.
The continuing efforts of governments, private insurance companies and other organizations to contain or to reduce costs
of healthcare may adversely affect:
•
•
•
•
•
our ability to set an appropriate price for our products;
the rate and scope of adoption of our products by healthcare providers;
our ability to generate revenue or achieve or maintain profitability;
the future revenue and profitability of our potential customers, suppliers and collaborators; and
our access to additional capital.
Our ability to successfully commercialize our products will depend in part on the extent to which governmental
authorities, private health insurers and other organizations establish what we believe are appropriate coverage and
reimbursement for our products. The containment of healthcare costs has become a priority of federal, state and foreign
governments and the prices of drug products have been a focus in this effort. For example, there have been several recent
U.S. Congressional inquiries and proposed bills designed to, among other things, bring more transparency to drug pricing,
review the relationship between pricing and manufacturer patient programs and reform government program reimbursement
methodologies for drugs and the Trump administration has stated that reducing drug pricing is a priority. We expect that
federal, state and local governments in the United States, as well as governments in other countries, will continue to consider
legislation directed at lowering the total cost of healthcare. In addition, in certain foreign markets, the pricing of drug
products is subject to government control and reimbursement may in some cases be unavailable or insufficient. It is uncertain
whether and how future legislation, whether domestic or abroad, could affect prospects for our product candidates or what
actions governmental or private payers for healthcare treatment and services may take in response to any such healthcare
reform proposals or legislation. Adoption of price controls and cost-containment measures, and adoption of more restrictive
policies in jurisdictions with existing controls and measures, may prevent or limit our ability to generate revenue, attain
profitability or commercialize our product candidates, especially in light of our plans to price our product candidates at a high
level.
Furthermore, the U.S. Congress may again attempt to pass reform measures, including the possible repeal and
replacement of the Patient Protection and Affordable Care Act, which the Trump administration has stated is a priority. These
potential courses of action are unpredictable and the potential impact of new legislation on our operations and financial
position is uncertain, but may result in more rigorous coverage criteria, lower reimbursement and additional downward
pressure on the price we may receive for an approved product. Any reduction in reimbursement from Medicare or other
government-funded programs may result in a similar reduction in payments from private payers. The implementation of cost
containment measures or other healthcare reforms may prevent us from being able to generate revenue, attain profitability or
commercialize our products, if approved.
61
We expect competition in the marketplace for our product candidates, should any of them receive regulatory approval.
Larazotide acetate has issued patents for composition of matter, method of use and formulation in the United States, our
primary targeted market. INN-202 has either been issued patents or is prosecuting patent applications in numerous countries
outside the United States. The barrier to entry for any company developing larazotide acetate for celiac disease is very high.
We believe that INN-202 is the first drug entering into Phase 3 clinical trials for celiac disease. Additionally, if larazotide
acetate is the first drug granted FDA approval for celiac disease, competitors may need to license or to seek approval from us
for the usage of our CeD PRO as an endpoint in subsequent celiac disease trials.
We have received Orphan Drug Designation from the FDA for INN-108 for pediatric ulcerative colitis. Orphan Drug
Designation may provide market exclusivity in the U.S. for seven years if (1) INN-108 receives market approval before a
competitor using the same active compound for the same indication, (2) we are able to produce sufficient supply to meet
demand in the marketplace, and (3) another product with the same active ingredient(s) is not deemed clinically superior.
INN-329, secretin, has received Orphan Drug Designation from the FDA. Orphan Drug Designation may provide market
exclusivity in the U.S. for seven years if (1) INN-329 receives market approval before a competitor using a similar peptide
for the same indication, (2) we are able to produce sufficient supply to meet demand in the marketplace, and (3) another
product with the same active ingredient is not deemed clinically superior.
The industries in which we operate are highly competitive and subject to rapid and significant changes. Developments by
others may render potential application of any of our product candidates in a particular indication obsolete or noncompetitive,
even prior to completion of our development and approval for that indication.
If successfully developed and approved, we expect our product candidates will face competition. We may not be able to
compete successfully against organizations with competitive products, particularly large pharmaceutical companies. Many of
our potential competitors have significantly greater financial, technical and human resources than we do, and may be better
equipped to develop, manufacture, market and distribute products. Many of these companies operate large, well-funded
research, development and commercialization programs, have extensive experience in nonclinical and clinical studies,
obtaining FDA and other regulatory approvals and manufacturing and marketing products and have multiple products that
have been approved or are in late-stage development. These advantages may enable them to receive approval from the FDA
or any foreign regulatory agency before us and prevent us from competing due to their orphan drug protections. Smaller
companies may also prove to be significant competitors, particularly through collaborative arrangements with large
pharmaceutical and biotechnology companies. Furthermore, heightened awareness on the part of academic institutions,
government agencies and other public and private research organizations of the potential commercial value of their
inventions have led them to actively seek to commercialize the technologies they develop, which increases competition for
investment in our programs. Competitive products may be more effective, easier to dose, or more effectively marketed and
sold, which would have a material adverse effect on our ability to generate revenue.
We face potential product liability exposures, and if successful claims are brought against us, we may incur substantial
liability for a product or product candidate and may have to limit its commercialization. In the future, we anticipate that
we will need to obtain additional or increased product liability insurance coverage and we are uncertain whether such
increased or additional insurance coverage can be obtained on commercially reasonable terms, if at all.
Our business (in particular, the use of our product candidates in clinical studies and the sale of any products for which we
obtain marketing approval) will expose us to product liability risks. Product liability claims may be brought against us by
patients, healthcare providers, pharmaceutical companies or others selling or involved in the use of our products. If we cannot
successfully defend ourselves against any such claims, we will incur substantial liabilities. Regardless of merit or eventual
outcome, liability claims may result in:
•
•
•
•
•
•
•
•
significant costs of related litigation;
decreased demand for our products and loss of revenue;
impairment of our business reputation;
a “clinical hold,” suspension or termination of a clinical study or amendments to a study design;
delays in enrolling patients to participate in our clinical studies;
withdrawal of clinical study participants;
substantial monetary awards to patients or other claimants; and
the inability to commercialize our products and product candidates.
62
We maintain limited product liability insurance for our clinical studies and our insurance coverage may not reimburse us
or may not be sufficient to reimburse us for all expenses or losses we may suffer. Moreover, insurance coverage is becoming
increasingly expensive, and in the future, we may not be able to maintain insurance coverage at a reasonable cost or in
sufficient amounts to protect us against losses.
We expect that we will expand our insurance coverage to include the sale of commercial products if we obtain marketing
approval for any of our product candidates, but we may be unable to obtain product liability insurance on commercially
acceptable terms or may not be able to maintain such insurance at a reasonable cost or in sufficient amounts to protect us
against potential losses. Large judgments have been awarded in class action lawsuits based on drug products that had
unanticipated side effects. A successful product liability claim or series of claims brought against us, if judgments exceed our
insurance coverage, could materially decrease our cash and adversely affect our business.
Our relationships with investigators, healthcare professionals, institutional providers, consultants, third-party payors and
customers are subject to applicable anti-kickback, fraud and abuse and other healthcare laws and regulations, which
could expose us to penalties, including without limitation, civil, criminal and administrative penalties, damages, monetary
fines, disgorgement, possible exclusion from participation in Medicare, Medicaid and other federal healthcare programs,
contractual damages, reputational harm, diminished profits and future earnings and the curtailment or restructuring of
our operations.
Healthcare providers, physicians and others play a primary role in the recommendation and prescribing of any product
candidates for which we may obtain marketing approval. In the United States, our current business operations and future
arrangements with investigators, healthcare professionals, institutional providers, consultants, third-party payors and
customers, may expose us to broadly applicable fraud and abuse and other healthcare laws and regulations. These laws may
constrain the business or financial arrangements and relationships through which we research, market, sell and distribute our
products that obtain marketing approval. Restrictions under applicable federal, state and foreign healthcare laws and
regulations, include, but are not limited to, the following:
•
•
•
•
•
the federal healthcare program anti-kickback statute prohibits, among other things, persons or entities from
knowingly and willfully soliciting, offering, receiving or paying any remuneration (including any kickback, bribe,
or rebate), directly or indirectly, overtly or covertly, in cash or in kind, to induce or in return for purchasing,
leasing, ordering, or arranging for or recommending the purchase, lease, or order of any good, facility, service or
item for which payment is made, in whole or in part, under a federal healthcare program;
the federal civil and criminal false claims laws and civil monetary penalties laws, including civil whistleblower or
qui tam actions, prohibit, among other things, individuals or entities from knowingly presenting, or causing to be
presented, to the federal government, claims for payment or approval that are false or fraudulent or from knowingly
making a false statement to improperly avoid, decrease or conceal an obligation to pay money to the federal
government;
the federal Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), as amended by the Health
Information Technology for Economic and Clinical Health Act (“HITECH”), and its implementing regulations, and
as amended again by the final HIPAA omnibus rule, Modifications to the HIPAA Privacy, Security, Enforcement
and Breach Notification Rules Under HITECH and the Genetic Information Nondiscrimination Act; Other
Modifications to HIPAA, published in January 2013, imposes certain obligations, including mandatory contractual
terms, with respect to safeguarding the privacy, security and transmission of individually identifiable health
information without appropriate authorization by entities subject to the omnibus rule, such as health plans,
clearinghouses and healthcare providers and their associates;
HIPAA, imposes criminal liability for, among other things, knowingly and willfully executing, or attempting to
execute, a scheme to defraud any healthcare benefit program or to obtain, by means of false or fraudulent pretenses,
representations, or promises, any of the money or property owned by, or under the custody or control of, any
healthcare benefit program regardless of the payor (e.g., public or private) and knowingly or willfully falsifying,
concealing, or covering up by any trick, scheme or device a material fact or making any materially false statement
in connection with the delivery of, or payment for, healthcare benefits, items or services relating to healthcare
matters;
the federal transparency law, enacted as part of the Patient Protection and Affordable Care Act, as amended by the
Health Care and Education Reconciliation Act (collectively, the “ACA”), and its implementing regulations, require
manufacturers of drugs, devices, biologicals and medical supplies to report to the U.S. Department of Health and
63
•
•
Human Services information related to payments and other transfers of value made to physicians and teaching
hospitals, as well as ownership and investment interests held by physicians and their immediate family members;
analogous state laws and regulations, including but not limited to: state anti-kickback and false claims laws, which
may apply to our business practices, including but not limited to, research, distribution, sales and marketing
arrangements and claims involving healthcare items or services reimbursed by state governmental and non-
governmental third-party payors, including private insurers; state laws that require pharmaceutical companies to
comply with the pharmaceutical industry’s voluntary compliance guidelines and the relevant compliance guidance
promulgated by the federal government; and state laws and regulations that require manufacturers to file reports
relating to pricing and marketing information, which requires tracking gifts and other remuneration and items of
value provided to healthcare professionals and entities; and
European Union (“EU”), data protection regulations, which may require member states of the EU to impose
minimum restrictions on the collection and use of personal data that, in many respects, are more stringent and
impose more significant burdens on subject businesses, than current privacy standards in the United States.
Efforts to ensure that our business arrangements with third parties will comply with applicable healthcare laws and
regulations will involve substantial costs. It is possible that governmental authorities will conclude that our business practices
may not comply with current or future statutes, regulations, agency guidance or case law involving applicable fraud and
abuse or other healthcare laws and regulations. If our operations are found to be in violation of any of these or any other
health regulatory laws or any other governmental regulations that may apply to us, we may be subject to penalties, including
without limitation, civil, criminal and administrative penalties, damages, monetary fines, disgorgement, enhanced
government reporting and oversight under a corporate integrity agreement or other similar arrangement, possible exclusion
from participation in Medicare, Medicaid and other federal healthcare programs, contractual damages, reputational harm,
diminished profits and future earnings and the curtailment or restructuring of our operations. Any action against us for
violation of these laws, even if we successfully defend against it, could cause us to incur significant legal expenses or divert
our management’s attention from the operation of our business. If any of the physicians or other providers or entities with
whom we expect to do business are found to be not in compliance with applicable healthcare laws, they also may be subject
to similar penalties.
Risks Related to Our Common Stock
The market price of our common stock has been and will likely in the future be volatile.
The stock market in general and the market for pharmaceutical companies in particular have experienced extreme
volatility that has often been unrelated to the operating performance of particular companies. For example, since our stock
began trading under the symbol “INNT” on February 1, 2018, through March 13, 2019, the price thereof has ranged from a
low of $1.70 per share to a high of $50.50 per share. Companies like us with a lower number of shares comprising their
public floats and limited trading activity may experience greater volatility in their stock prices. The market price of our
common stock may be highly volatile and could be subject to wide fluctuations in response to various factors, some of which
are beyond our control, including:
•
•
•
•
•
•
regulatory or legal developments in the United States and foreign countries;
results from or delays in clinical trials of our product candidates;
announcements of regulatory approval or disapproval of, or delays in clinical trials for, INN-202 (for celiac disease),
INN-217 (for NASH), INN-289 (for Crohn’s disease), INN-108 (for ulcerative colitis) and INN-329 (for magnetic
resonance cholangiopancreatography or MRCP) or any future product candidates, including ASH;
commercialization of our product candidates;
•
• FDA or other U.S. or foreign regulatory actions affecting us or our industry;
•
introductions and announcements of new products by us, any commercialization partners or our competitors and the
timing of these introductions and announcements;
variations in our financial results or those of companies that are perceived to be similar to us;
changes in the structure of healthcare payment systems;
announcements by us or our competitors of significant acquisitions, licenses, strategic partnerships, joint ventures or
capital commitments;
• market conditions in the pharmaceutical and biopharmaceutical sectors and issuance of securities analysts’ reports or
recommendations;
actual or anticipated quarterly variations in our results of operations or those of our competitors;
•
64
•
•
•
•
•
•
•
•
changes in financial estimates or guidance, including our ability to meet our future revenue and operating profit or
loss estimates or guidance;
our liquidity position and ability to raise additional capital;
sales of substantial amounts of our stock by insiders and other stockholders, or the expectation that such sales might
occur;
general economic, industry and market conditions;
additions or departures of key personnel;
intellectual property, product liability or other litigation against us;
expiration or termination of our potential relationships with strategic partners; and
the other factors described in this section entitled “Risk Factors” section.
If securities or industry analysts do not publish research or publish unfavorable research about our business, our
common stock price and trading volume could decline.
Equity research analysts do not currently provide research coverage of our common stock. In particular, as a smaller
company, it may be difficult for us to attract the interest of equity research analysts. A lack of research coverage may
adversely affect the liquidity of and market price of our common stock. To the extent we obtain equity research analyst
coverage, we will not have any control of the analysts or the content and opinions included in their reports. The market price
of our stock could decline if one or more equity research analysts begin coverage of our common stock and downgrade our
common stock or issue other unfavorable commentary or research on us. If one or more equity research analysts ceases
coverage of us in the future, or fails to publish reports on us regularly, demand for our common stock could decrease, which
in turn could cause the market price of our common stock or trading volume to decline.
Sales of substantial amounts of our common stock in the public markets, or the perception that such sales might occur,
could cause the market price of our common stock to drop significantly, even if our business is doing well.
If we or our existing stockholders sell, or indicate an intent to sell, substantial amounts of our common stock in the
public markets, the trading price of our common stock could decline significantly. On March 15, 2018, we filed a shelf
registration statement, or the Shelf Registration Statement, which was declared effective on July 13, 2018. Under the Shelf
Registration Statement, we may, from time to time, subject to certain eligibility requirements, sell our common stock in one
or more offerings up to an aggregate dollar amount of $175.0 million (of which up to an aggregate of $40 million may be
sold in an “at-the-market” offering as defined in Rule 415 of the Securities Act). In addition, the selling stockholders included
in the Shelf Registration Statement may from time to time sell up to an aggregate amount of approximately 13.99 million
shares of our common stock (including up to approximately 2.1 million shares issuable upon exercise of warrants) in one or
more offerings. On October 26, 2018, we filed a prospectus supplement in connection with an “at-the-market” offering under
the Shelf Registration Statement in which we may sell shares up to an aggregate of $40 million. As of December 31, 2018,
we had 26.1 shares of common stock outstanding and exercisable options and warrants to purchase approximately 5.3 million
shares of common stock, excluding out-of-the-money options and warrants. In addition, the Convertible Note may be
converted into shares of our common stock at any time at various conversion prices, and in March 2019, we entered into an
agreement for the issuance of up to 6.9 million warrants to purchase shares of our common stock, with registration rights for
the underlying shares, of which warrants to purchase up to 4.3 million would be exercisable immediately. Therefore, sales of
common stock by us or our stockholders under the Shelf Registration Statement or otherwise (including sales pursuant to
Rule 144) may represent a significant percentage of our common stock currently outstanding. If we or our stockholders sell,
or the market perceives that we or our stockholders intend to sell, substantial amounts of our common stock under the Shelf
Registration Statement or otherwise, the market price of our common stock could decline significantly. For example, our
closing stock price on July 13, 2018, prior to the Shelf Registration Statement being declared effective, was $23.70 per share,
and our closing stock price on July 16, 2018, after the Registration Statement was declared effective, was $8.08 per share.
The issuance of additional shares of common stock may cause substantial dilution to our existing stockholders and reduce
the trading price of our common stock.
We presently have outstanding and exercisable options and warrants that if exercised would result in the issuance of 5.3
million shares of our common stock as of December 31, 2018, excluding out-of-the-money stock options and warrants. In
addition, the Convertible Note may be converted into shares of our common stock at any time at various conversion prices
and in March 2019, we entered into an agreement for the issuance of up to 4.3 million shares of our common stock and up to
6.9 million warrants to purchase shares of our common stock, of which warrants to purchase up to 4.3 million would be
65
exercisable immediately. The issuance of shares upon exercise of warrants and options or conversion of the Convertible Note
may result in dilution to the interests of other stockholders and may reduce the trading price of our common stock.
We may from time to time issue additional shares of our common stock at a discount from the then-current trading price.
As a result, our stockholders would experience immediate dilution upon the purchase of any shares of such common stock
sold at such discount. In addition, as opportunities present themselves, we may enter into financing or similar arrangements
in the future, including the issuance of debt securities, preferred stock or common stock. If we issue common stock or
securities convertible into common stock, our common stockholders would experience additional dilution and, as a result, the
market price of our common stock may decline.
Claims for indemnification by our directors and officers may reduce our available funds to satisfy successful third-party
claims against us and may reduce the amount of money available to us.
Our certificate of incorporation and restated bylaws provide that we will indemnify our directors and officers, in each
case to the fullest extent permitted by Delaware law.
To the extent that a third party brings a claim against us and/or any of our officers or directors, whether successful or not,
a claim for indemnification brought by any of our directors or officers would reduce the amount of funds available for use in
our business.
Concentration of ownership of our common stock among our existing principal stockholders may effectively limit the
voting power of other stockholders.
Our executive officers, directors and current beneficial owners of 5% or more of our common stock, in aggregate,
beneficially own approximately 47.7% of our outstanding common stock as of December 31, 2018. Accordingly, these
stockholders, acting together, will continue to be able to significantly influence all matters requiring stockholder approval,
including the election and removal of directors and any merger or other significant corporate transactions. These stockholders
may therefore delay or prevent a change of control, even if such a change of control would benefit the other stockholders.
The significant concentration of stock ownership may adversely affect the market price of our common stock due to
investors’ perception that conflicts of interest may exist or arise.
Anti-takeover provisions in our corporate charter documents and under Delaware law could make an acquisition of us
more difficult, which could discourage takeover attempts and lead to management entrenchment, and the market price of
our common stock may be lower as a result.
Certain provisions in our certificate of incorporation and bylaws may make it difficult for a third party to acquire, or
attempt to acquire, control of our company, even if a change in control was considered favorable by the stockholders. For
example, our board of directors (“the Board”) has the authority to issue up to 10,000,000 shares of preferred stock. The Board
can fix the price, rights, preferences, privileges and restrictions of the preferred stock without any further vote or action by
our stockholders. The issuance of shares of preferred stock may delay or prevent a change in control transaction. As a result,
the market price of our common stock and the voting and other rights of our stockholders may be adversely affected. An
issuance of shares of preferred stock may result in the loss of voting control to other stockholders.
Our organizational documents also contain other provisions that could have an anti-takeover effect, including provisions
that:
•
•
•
•
•
•
•
provide for a classified Board
provide that vacancies on the Board may be filled only by a majority of directors then in office, even though less
than a quorum;
eliminate cumulative voting in the election of directors;
authorize the Board to issue shares of preferred stock and determine the price and other terms of those shares,
including preferences and voting rights, without stockholder approval;
prohibit director removal without cause and to allow removal with cause, and to allow amendment of certain
provisions of our amended and restated certificate of incorporation and our bylaws, only by the vote of the holders
of at least two-thirds of all then-outstanding shares of common stock of the Company;
grant the Board the exclusive authority to increase or decrease the size of the Board;
permit stockholders to only take actions at a duly called annual or special meeting and not by written consent;
66
•
•
•
prohibit stockholders from calling a special meeting of stockholders;
require that stockholders give advance notice to nominate directors or submit proposals for consideration at
stockholder meetings; and
authorize the Board, by a majority vote, to amend the bylaws.
In addition, we are subject to the anti-takeover provisions of Section 203 of the Delaware General Corporation Law,
which limits the ability of stockholders owning in excess of 15% of our outstanding voting stock to merge or combine with
us. These provisions could discourage potential acquisition proposals and could delay or prevent a change in control
transaction. They could also have the effect of discouraging others from making tender offers for our common stock,
including transactions that may be in your best interests. These provisions may also prevent changes in our management or
limit the price that certain investors are willing to pay for our stock.
We may be subject to litigation related to our status as a public company, which is expensive and could divert management
attention.
The market price of our common stock may be volatile, and in the past companies that have experienced volatility in the
market price of their stock have been subject to securities related litigation, including class action litigation. We may be the
target of this type of litigation, or other litigation related to our status as a public company, in the future. For example, a claim
has been filed against us in the Superior Court of the State of Delaware by one of our former consultants who received
compensatory stock options, demanding damages of up to approximately $3.6 million plus punitive damages in connection
with a delay in his ability and timing to exercise his options and sell the underlying shares of our common stock related to
past consulting services. Securities litigation against us could result in substantial costs and divert our management’s
attention from other business concerns, which could seriously harm our business.
We have not paid cash dividends in the past and do not expect to pay dividends in the future. Any return on investment
may be limited to the value of our common stock.
We have never paid cash dividends on our common stock and do not anticipate paying cash dividends in the near future.
The payment of dividends on our common stock will depend on earnings, financial condition and other business and
economic factors affecting us at such time as our board of directors may consider relevant. If we do not pay dividends, our
common stock may be less valuable because a return on investment will only occur if our stock price appreciates.
We will continue to seek additional funds through equity offerings, debt financings, or other capital sources, which may
impose restrictions on our business.
In order to raise additional funds to support our operations, we will continue to seek additional funds through equity
offerings, debt financings or other capital sources, which may impose restrictive covenants that adversely impact our
business. The incurrence of indebtedness would result in increased fixed payment obligations and could also result in
restrictive covenants, such as limitations on our ability to incur additional debt, limitations on our ability to acquire, sell or
license intellectual property rights and other operating restrictions that could adversely impact our ability to conduct our
business. If we are unable to expand our operations or otherwise capitalize on our business opportunities due to such
restrictions, our business, financial condition and results of operations could be materially adversely affected.
Our ability to use our net operating loss carryforwards and certain other tax attributes to offset future taxable income may
be subject to certain limitations.
We have U.S. federal net operating loss carryforwards, or NOLs, which expire in various years if not utilized. In
addition, we have federal research and development credit carryforwards. The federal research and development credit
carryforwards expire in various years if not utilized. Under Sections 382 and 383 of Internal Revenue Code of 1986, as
amended, or the Code, if a corporation undergoes an “ownership change,” the corporation’s ability to use its pre-change
NOLs and other pre-change tax attributes, such as research tax credits, to offset its future post-change income and taxes may
be limited. In general, an “ownership change” occurs if there is a cumulative change in our ownership by “5% shareholders”
that exceeds 50 percentage points over a rolling three-year period. Similar rules may apply under state tax laws. We have not
performed a formal study to determine whether any of our NOLs are subject to these limitations. We have recorded deferred
tax assets for our NOLs and research and development credits and have recorded a full valuation allowance against these
deferred tax assets. In the event that it is determined that we have in the past experienced additional ownership changes, or if
we experience one or more ownership changes as a result of future transactions in our stock, then we may be further limited
67
in our ability to use our NOLs and other tax assets to reduce taxes owed on the net taxable income that we earn in the event
that we attain profitability. Any such limitations on the ability to use our NOLs and other tax assets could adversely impact
our business, financial condition and operating results in the event that we attain profitability.
We must comply with laws, regulations and standards applicable to public companies, including evaluating our internal
controls under Section 404 of the Sarbanes-Oxley Act of 2002, which requires significant cost and management attention,
and any failure to comply with or adverse results from our compliance with such laws, regulations and standards could
impact investor confidence and materially harm our business.
As a public company in the United States, and increasingly after we are no longer an “emerging growth company,” we
are subject to laws, regulations and standards relating to corporate governance and public disclosure, including the Sarbanes-
Oxley Act and regulations implemented by the SEC and Nasdaq, that are subject to varying interpretations and may evolve
over time as new guidance is provided by regulatory and governing bodies. We have invested and intend to continue to invest
resources to comply with such laws, regulations and standards, which may divert management’s time and attention from
revenue-generating activities to compliance activities. If notwithstanding our efforts to comply with applicable laws,
regulations and standards, we fail to comply, regulatory authorities may initiate legal proceedings against us and our business
may be harmed.
As a public company in the United States, we are required, pursuant to Section 404 of the Sarbanes-Oxley Act of 2002,
or Section 404, to furnish a report by management on, among other things, the effectiveness of our internal control over
financial reporting. We are required to disclose any material weaknesses identified by our management in our internal control
over financial reporting, and, when we are no longer an “emerging growth company,” we may need to provide a statement
that our independent registered public accounting firm has issued an opinion on our internal control over financial reporting.
The controls and other procedures are designed to ensure that information required to be disclosed by us in the reports
that we file with the SEC is disclosed accurately and is recorded, processed, summarized and reported within the time periods
specified in SEC rules and forms. We have developed internal control procedures designed to comply with the requirements
of Section 404, but our controls may not be adequate because of changes in conditions or the degree of compliance with our
policies or procedures may deteriorate, or material weaknesses in our internal control over financial reporting may be
discovered. We may err in the design or operation of our controls, and all internal control systems, no matter how well
designed and operated, can provide only reasonable assurance that the objectives of the control system are met. If we are
unable, or are perceived as unable, to produce reliable financial reports due to internal control deficiencies, investors could
lose confidence in our reported financial information and operating results, which could result in a negative market reaction.
Furthermore, remediation of any identified material weaknesses, such as a requirement to issue a financial statement
restatement, may cause delays in our filing of quarterly or annual financial results, which could limit our ability to raise
capital, and may create a significant strain on our internal resources, increase our costs, cause management distraction and
significantly affect our stock price in an adverse manner.
To fully comply with Section 404, we will need to retain additional employees to supplement our current finance staff,
and we may not be able to do so in a timely manner, or at all. In addition, in the process of evaluating our internal control
over financial reporting, we expect that certain of our internal control practices will need to be updated to comply with the
requirements of Section 404 and the regulations promulgated thereunder, and we may not be able to do so on a timely basis,
or at all. In the event that we are not able to demonstrate compliance with Section 404 in a timely manner, or are unable to
produce timely or accurate financial statements, we may be subject to sanctions or investigations by regulatory authorities,
such as the SEC or the stock exchange on which our stock is listed, and investors may lose confidence in our operating
results and the price of our common stock could decline. Furthermore, if we are unable to certify that our internal control
over financial reporting is effective and in compliance with Section 404, we may be subject to sanctions or investigations by
regulatory authorities, such as the SEC or stock exchanges, and we could lose investor confidence in the accuracy and
completeness of our financial reports, which could hurt our business, the price of our common stock and our ability to access
the capital markets.
We are an “emerging growth company,” and the reduced disclosure requirements applicable to emerging growth
companies could make our common stock less attractive to investors.
We are an “emerging growth company,” as defined in the Jumpstart Our Business Startups, or JOBS, Act enacted in
April 2012, and may remain an “emerging growth company” for up to five years following the completion of our initial
public offering, although, if we have more than $1.07 billion in annual revenue, we are deemed to be a large accelerated filer
68
under the rules of the SEC, or we issue more than $1.0 billion of non-convertible debt over a three-year period before the end
of that five-year period, we would cease to be an “emerging growth company” as of the following December 31. For as long
as we remain an “emerging growth company,” we are permitted and intend to rely on exemptions from certain disclosure
requirements that are applicable to other public companies that are not “emerging growth companies.” These exemptions
include:
•
•
•
•
•
being permitted to provide only two years of audited financial statements, in addition to any required unaudited
interim financial statements, with correspondingly reduced “management’s discussion and analysis of financial
condition and results of operations” disclosure;
not being required to comply with the auditor attestation requirements in the assessment of our internal control over
financial reporting;
not being required to comply with any requirement that may be adopted by the Public Company Accounting
Oversight Board regarding mandatory audit firm rotation or a supplement to the auditor’s report providing additional
information about the audit and the financial statements;
reduced disclosure obligations regarding executive compensation; and
exemptions from the requirements of holding a nonbinding advisory vote on executive compensation and
shareholder approval of any golden parachute payments not previously approved.
In addition, the JOBS Act provides that an emerging growth company can take advantage of an extended transition
period for complying with new or revised accounting standards, delaying the adoption of these accounting standards until
they would apply to private companies. We have irrevocably elected not to avail ourselves of this exemption. We cannot
predict whether investors will find our common stock less attractive as a result of our reliance on these exemptions. If some
investors find our common stock less attractive as a result, there may be a less active trading market for our common stock
and the market price of our common stock may be reduced or more volatile.
Item 1B. Unresolved Staff Comments.
Not applicable.
Item 2. Properties.
Our main office is located in Raleigh, North Carolina, where we lease approximately 2,480 square feet of office space under
a lease that expires on September 30, 2020. The lease contains a two-year renewal option.
We believe that our existing facilities are adequate to support our near-term needs. We believe that suitable alternative space
would be available if required in the future on commercially reasonable terms.
Item 3. Legal Proceedings.
In November 2018, we received a letter and draft complaint regarding a former consultant of ours who was compensated
in cash and stock options for his services, demanding damages of up to approximately $3.6 million plus punitive damages in
connection with a delay in such consultant’s ability and timing to exercise options and sell shares of the Company’s common
stock related to past consulting services. On January 8, 2019, M. Scott Harris and Middleburg Consultants, Inc. (collectively,
“Harris”) filed the claim in the Superior Court of the State of Delaware (the “Delaware Action”). As previously disclosed, we
strongly deny any wrongdoing alleged in the threatened litigation and firmly believe the allegations in the complaint are
entirely without merit and intend to defend against them vigorously. On February 25, 2019, we filed a motion to dismiss the
Delaware Action. If the motion is not granted, we intend to dispute the factual basis of Harris’ claims and also intend to assert
affirmative defenses and counterclaims against Harris.
Other than as described above, we are not currently a party to any legal or governmental regulatory proceedings, nor is
our management aware of any pending or threatened legal or government regulatory proceedings proposed to be initiated
against us that would have a material adverse effect on our business, financial condition or operating results.
69
Item 4. Mine Safety Disclosures.
Not applicable.
PART II
Item 5. Market for the Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity
Securities.
Market Information
Monster’s common stock originally began trading on the Nasdaq Capital Market on July 7, 2016, under the trading symbol
“MSDI.” Prior to July 7, 2016, there was no public market for Monster’s common stock. On January 29, 2018, Monster and
Private Innovate completed the Merger, further described in Note 1—Summary of Significant Accounting Policies. In connection
with the Merger, Private Innovate became a wholly owned subsidiary of Monster and we changed Monster’s name to Innovate
Biopharmaceuticals, Inc. and changed the trading symbol for the common stock to “INNT.”
Holders
As of March 13, 2019, there were approximately 310 holders of record of our common stock. Holders of record are defined
as those stockholders whose shares are registered in their names in our stock records and do not include beneficial owners of
common stock whose shares are held in the names of brokers, dealers or clearing agencies.
Dividend Policy
We historically have not, and do not anticipate in the future, paying dividends on our common stock. We currently intend
to retain any future earnings to finance our operations and for the development and growth of our business. The declaration of
any future cash dividend, if any, would be at the discretion of our Board of Directors and would depend upon our earnings, if
any, our capital requirements and financial position, general economic conditions and other factors that our Board of Directors
consider to be relevant.
Recent Sales of Unregistered Securities
On January 29, 2018, we entered into a Note Purchase Agreement and Senior Note (the “Note”) with a lender. The principal
amount of the Note was $4.8 million. On October 4, 2018, we entered into an Amendment and Exchange Agreement (“Exchange
Agreement”) with the noteholder exchanging the Note for a new Senior Convertible Note (the “New Note”), in reliance upon
the exemption from registration provided by Section 3(a)(9) of the Securities Act. The principal amount of the New Note is
approximately $5.2 million and bears interest at a rate of eight percent (8%) per annum payable quarterly in cash, maturing on
October 4, 2020. The New Note contains certain redemption features, conversion options, restrictions on specific transactions,
non-financial covenants and penalties to us in the case of an event of default, as defined in the New Note.
All amounts due under the New Note are convertible at any time, in whole or in part, at the option of the noteholder into
shares of our common stock at a fixed conversion price equal to $8.02 (the “Conversion Price”), with such Conversion Price
adjusted downward to the price of any future issuances of our common stock or other securities convertible or exercisable into
our common stock, or units of common stock and other security (excluding certain equity compensation issuances). This
Conversion Price is also subject to adjustment for stock splits, combinations or similar events. In addition, all amounts due under
the New Note are alternatively convertible at any time, in whole or in part, at the option of the noteholder, into shares of our
common stock at an alternate conversion price equal to the greater of (a) $3.08, (the “Floor Price”) or (b) the lower of (I) the
Conversion Price or (II) 93% of the average volume weighted average price (the “VWAP”) of our common stock for the 10
trading days preceding the conversion, provided, that if we default then the noteholder is entitled to convert the New Note subject
to an event of default redemption, in whole or in part, at the noteholder's option, at the value of such portion of the New Note
subject to a potential event of default redemption (i.e., one hundred twenty-five percent (125%)) of the amount then outstanding
under the New Note.
70
During January 2019, the noteholder of New Note issued a redemption notice and we repaid the noteholder $1.1 million of
principal and accrued interest. The principal balance of the New Note after this redemption was $4.1 million. In addition, we
entered into an Option Agreement with the noteholder during January 2019, further described in Note 6—Debt and Note 12—
Subsequent Events. During March 2019, we exercised our repurchase rights from the Option Agreement and paid the noteholder
of the New Note approximately $5.3 million, which was the full purchase amount, including interest, of the New Note pursuant
to the terms of the Option Agreement. There are no further amounts outstanding under the New Note and the New Note has
been canceled.
On March 8, 2019, we entered into a Securities Purchase Agreement (the “Purchase Agreement”) with a Convertible
Noteholder. Pursuant to the Purchase Agreement, we issued the Convertible Noteholder an unsecured Convertible Promissory
Note (the “Convertible Note”) in the principal amount of $5,500,000. The Convertible Noteholder may elect to convert all or a
portion of the Convertible Note at any time and from time to time into our common stock at a conversion price of $3.25 per
share, subject to adjustment for stock splits, dividends, combinations and similar events. We may prepay all or a portion of the
Convertible Note at any time for an amount equal to 115% of any then outstanding obligations or the portion of the obligations
we are prepaying. The purchase price of the Convertible Note was $5,000,000, and the Convertible Note carries an original
issuance discount of $500,000, which is included in the principal amount of the Convertible Note. In addition, we agreed to
pay $20,000 of transaction expenses, which were netted out of the purchase price of the Convertible Note.
The Convertible Note bears interest at the rate of 10% (which will increase to 18% upon and during the continuance of an
event of default) per annum, compounding on a daily basis. All principal and accrued interest on the Convertible Note is due
on the second-year anniversary of the Convertible Note’s issuance.
At any time after the six month anniversary of the issuance of the Convertible Note, (i) if the average volume weighted
average price over twenty trading dates exceeds $10.00 per share, we may generally require that the Convertible Note convert
into shares of its common stock at the $3.25 (as adjusted) conversion price, and (ii) the Convertible Noteholder may elect to
require all or a portion of the Convertible Note be redeemed by us. If the Convertible Noteholder requires a redemption, we, at
our discretion, may pay the redeemed portion of the Convertible Note in cash or in our common stock at a conversion rate equal
to the lesser of (i) the $3.25 (as adjusted) conversion rate or (ii) 80% of the average of the five lowest volume weighted average
price of our Common Stock over the preceding twenty trading days. The Convertible Noteholder may not redeem more than
$500,000 per calendar month during the period between the six months anniversary of the date of issuance until the first year
anniversary of the date of issuance and $750,000 per calendar month thereafter. The obligation or right of us to deliver our shares
upon the conversion or redemption of the Convertible Note is subject to a 19.99% cap and subject to a floor price trading price
of $3.25 (unless waived by us). Any amounts redeemed or converted once the cap is reached or if the market price is less than
the $3.25 floor price must be paid in cash.
If there is an Event of Default under the Convertible Note, the Convertible Noteholder may accelerate our obligations or
elect to increase the outstanding obligations under the Convertible Note. The amount of the increase ranges from 5% to 15%
depending on the type of default (as defined in the Convertible Note). In addition, the Convertible Note obligations will be
increased if there are delays in our delivery requirements for the shares or cash issuable upon the conversion or redemption of
the Convertible Note in certain circumstances.
If we issue convertible debt in the future with any terms, including conversion terms, that are more favorable to the terms
of the Convertible Note, the Convertible Noteholder may elect to incorporate the more favorable terms into the Convertible
Note.
Item 6. Selected Financial Data.
Not applicable.
71
Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations
Except as otherwise noted or where the context otherwise requires, as used in this report, the words “we,” “us,” “our,”
the “Company” and “Innovate” refer to Innovate Biopharmaceuticals, Inc. as of and following the closing of the Merger on
January 29, 2018, and, where applicable, the business of Private Innovate prior to the Merger. All references to “Monster”
refer to Monster Digital, Inc. prior to the closing of the Merger.
The following analysis reflects the historical financial results of Private Innovate prior to the Merger and that of Innovate
following the Merger and does not include the historical financial results of Monster. All share and per share disclosures have
been retroactively adjusted to reflect the exchange of shares in the Merger.
The following discussion of our financial condition and results of operations should be read in conjunction with our audited
financial statements and the related notes thereto included elsewhere in this Annual Report on Form 10-K. In addition to historical
information, the following discussion contains forward-looking statements that involve risks, uncertainties and assumptions.
Our actual results could differ materially from those anticipated by the forward-looking statements due to important factors and
risks including, but not limited to, those set forth in the “Risk Factors” in Part I, Item 1A of this report.
Company Overview
We are a clinical-stage biopharmaceutical company developing novel medicines for autoimmune and inflammatory diseases
with unmet medical needs, including drug candidates for celiac disease, nonalcoholic steatohepatitis (NASH), alcoholic
steatohepatitis (ASH), Crohn’s disease and ulcerative colitis (UC). Our lead drug candidate, larazotide acetate or larazotide
(INN-202) for the treatment of celiac disease (CeD) is entering Phase 3 clinical trials, targeted for the first half of 2019, subject
to the receipt of financing, and has the potential to be the first-to-market therapeutic for celiac disease, an unmet medical need,
which affects an estimated 1% of the North American population or approximately 3 million individuals. Celiac patients have
no treatment alternative other than a strict lifelong adherence to a gluten-free diet, which is difficult to maintain and can be
deficient in key nutrients. In celiac disease, larazotide is the only drug which has successfully met its primary endpoint with
statistical significance in a Phase 2b efficacy trial, which was comprised of 342 patients. Innovate completed the End of Phase
2 meeting with the FDA for the treatment of celiac disease with larazotide and received Fast Track designation. Larazotide has
been shown to be safe and effective after being tested in several clinical trials involving more than 600 patients, most recently
in the Phase 2b trial for celiac disease.
We are also developing larazotide for the treatment of NASH (INN-217), a smaller subset of liver disease stemming from
the most common liver disease in the world, fatty liver disease. NASH is an unmet medical need affecting approximately 5%
to 6% of the U.S. adult population. We are developing a proprietary formulation of larazotide for NASH for efficient delivery
to the intestine. INN-217 has the potential to reduce the transport of bacterial toxins and immunogenic antigens, including
lipopolysaccharide (LPS). There are currently a number of drugs in development for NASH; however, to our knowledge, no
others have larazotide’s mechanism of action.
INN-108 is a novel oral small molecule therapeutic for UC, which plagues up to 1.4 million individuals in the U.S. alone.
With the combination of an immunomodulator, INN-108 could lead to a more efficacious drug than the current 5-ASA/mesalamine
formations being used to treat UC today. We successfully completed a Phase 1 trial in the U.S. with 24 subjects. We expect to
enter Phase 2 trials for mild to moderate UC and an adult orphan indication, subject to the receipt of financing.
Building on previous research that showed a type of permeability known as “leaky gut” that may cause microbial translocation
of toxic products into circulation of the bloodstream, we are expanding our work in liver disease. Initial in-vitro data suggests
the potential use of larazotide in alcoholic liver diseases. We recently entered into a research collaboration with Massachusetts
General Hospital to explore larazotide in animal models for the treatment of ASH.
Merger
On January 29, 2018, Monster Digital, Inc. (“Monster”) and privately held Innovate Biopharmaceuticals Inc. (“Private
Innovate”) completed a reverse recapitalization in accordance with the terms of the Agreement and Plan of Merger and
Reorganization, dated July 3, 2017, as amended (the “Merger Agreement”), by and among Monster, Monster Merger Sub, Inc.
(“Merger Sub”) and Private Innovate. In connection with the transaction, Private Innovate changed its name to IB Pharmaceuticals
Inc. (“IB Pharmaceuticals”). Pursuant to the Merger Agreement, Merger Sub merged with and into IB Pharmaceuticals with IB
Pharmaceuticals surviving as the wholly owned subsidiary of Monster (the “Merger”). Immediately following the Merger,
72
Monster changed its name to Innovate Biopharmaceuticals, Inc. (“Innovate”). On March 29, 2018, IB Pharmaceuticals was
merged into Innovate and ceased to exist.
The Merger is further described in “Note 1—Summary of Significant Accounting Policies” and “Note 3—Merger and
Financing” to the accompanying financial statements included in this Annual Report on Form 10-K.
Financial Overview
Since our inception, we have focused our efforts and resources on identifying and developing our research and development
programs. We have not had any products approved for commercial sale and have incurred operating losses in each year since
inception. Substantially all of our operating losses resulted from expenses incurred in connection with our research and
development programs and from general and administrative costs associated with our operations. As of December 31, 2018, we
had an accumulated deficit of $43.5 million. We incurred net losses of $24.2 million and $11.6 million for the years ended
December 31, 2018 and 2017, respectively. We expect to continue to incur significant expenses and increase our operating
losses for the foreseeable future, which may fluctuate significantly between periods. We anticipate that our expenses will increase
substantially as we:
•
continue research and development, including preclinical and clinical development of our existing and future product
candidates;
•
•
potentially seek regulatory approval for our product candidates;
commercialize any product candidates for which we obtain regulatory approval;
• maintain and protect our intellectual property rights;
•
•
add operational, financial and management information systems and personnel; and
continue to incur additional legal, accounting, regulatory, tax-related and other expenses required to operate as a public
company.
As such, we will need substantial additional funding to support our operating activities. Adequate funding may not be
available to us on acceptable terms, or at all. We currently anticipate that we will seek to fund our operations through public or
private equity or debt financings, strategic alliances or licensing arrangements, or other sources of financing. Our failure to
obtain sufficient funds on acceptable terms could have a material adverse effect on our business, results of operations and
financial condition.
Recent Developments
Corporate Updates
In February 2019, we strengthened our clinical development team by appointing Patrick Griffin, M.D., F.A.C.P. to Chief
Medical Officer. Dr. Griffin has several decades of clinical development experience in gastroenterology, autoimmune and
metabolic diseases and has overseen multiple phase 3 clinical trials.
In February 2019, Christopher P. Prior, Ph.D., our Chief Executive Officer and a member of the Board of Directors at that
time, resigned as Chief Executive Officer and as a director of the Company. In connection with Dr. Prior’s resignation, on
February 19, 2019, we entered into a Separation and Release Agreement (the “Separation Agreement”) with Dr. Prior pursuant
to which Dr. Prior will (subject to his not revoking the Separation Agreement and continued compliance with existing
confidentiality and non-compete obligations) be entitled to the severance payments set forth in his amended and restated
employment agreement, dated March 11, 2018, including an amount equal to 12 months of his current base salary and certain
health care reimbursement benefits, and, additionally, continued vesting of his outstanding time-based equity awards for the 12-
month period following the separation.
On February 18, 2019, the Board appointed our current Executive Chairman, Sandeep Laumas, M.D., to the additional
position of Chief Executive Officer of the Company, effective upon the resignation of Dr. Prior. Dr. Laumas will not be entitled
to any additional compensation as a result of his appointment as Chief Executive Officer.
In November 2018, the employment of June S. Almenoff, M.D., Ph.D., F.A.C.P., then the Chief Operating Officer and Chief
Medical Officer, was terminated, and as previously disclosed, she is entitled under severance agreement to the severance payments
73
set forth in her employment agreement, dated March 9, 2018, including an amount equal to 12 months of her current base salary
and certain health care reimbursement benefits. Additionally, she was granted an extension to the exercise period for her vested
options to a period of six months from the separation date.
In June 2018, we appointed Saira Ramasastry to the board of directors to further strengthen the public company background
of our board.
Shelf Registration
On March 15, 2018, we filed a shelf registration statement that was declared effective on July 13, 2018. Under the shelf
registration statement, we may, from time to time, sell our common stock in one or more offerings up to an aggregate dollar
amount of $175 million (of which up to an aggregate of $40 million may be sold in an “at-the-market” offering as defined in
Rule 415 of the Securities Act). As of March 13, 2019, we had sold 723,290 shares under the “at-the-market” offering for net
proceeds of approximately $1.7 million. In addition, the selling stockholders included in the shelf registration statement may
from time to time sell up to an aggregate amount of 13,990,403 shares of our common stock (including up to 2,051,771 shares
issuable upon exercise of warrants) in one or more offerings.
Securities Purchase Agreement
On March 17, 2019, we entered into a Securities Purchase Agreement (the “SPA”) to offer up to 4,291,845 shares of our
common stock at a price of $2.33 per share. In a concurrent private placement, we offered warrants to purchase up to an
aggregate of 6,866,952 shares of our common stock. Under the terms of the SPA, each purchaser is eligible to receive a long-
term warrant and a short-term warrant to purchase up to a number of shares of our common stock equal to 60% of the number
of common shares purchased and equal to 100% of the number of common shares purchased by such purchaser, respectively.
The long-term warrants issued will be exercisable commencing on the six-month anniversary of March 18, 2019
(“Closing Date”) and have an expiration date of March 18, 2024. Any long-term warrant that has not been exercised by the
expiration date are automatically exercised via cashless exercise. The exercise price of the long-term warrants is equal to the
greater of (i) 125% of the volume weighted average price of our common stock during the twenty-day trading period
immediately prior to the Closing Date and (ii) the closing price of our common stock on the trading day immediately prior to
the Closing Date, subject to adjustment as specified in the SPA. The short-term warrants are exercisable as of the Closing
Date, have an expiration date of March 18, 2020 and have an exercise price of $4.00, provided that the exercise price may be
higher under certain circumstances to conform to Nasdaq Capital Market rules. If at any time after March 18, 2019, the
weighted-average price of our common stock exceeds $5.25 for ten consecutive trading days, we may call the outstanding
short-term warrants and require that they be exercised in cash, except to the extent that such exercise would surpass the
beneficial ownership limitations, as specified in the SPA.
If we sell all of the shares offered in the prospectus supplement filed with the SEC on March 18, 2019 (the “March 2019
Offering”), the gross proceeds received prior to deduction of offering expenses would be $10.0 million. However, there can
be no assurance that we will sell all or any of the securities being offered.
Amendment to the 2012 Omnibus Incentive Plan
On December 4, 2018, our stockholders approved an amendment to the 2012 Omnibus Incentive Plan (the “Amended
Omnibus Plan”) to provide for an additional 3,000,000 shares of common stock to be issued pursuant to the Amended Omnibus
Plan and an evergreen provision to automatically increase the number of shares issuable pursuant to the plan on an annual basis
for the period commencing January 1, 2019 and ending on January 1, 2022. The plan will automatically terminate on April 30,
2022.
74
Senior Convertible Note
On October 4, 2018, we entered into an Amendment and Exchange Agreement and Senior Convertible Note (“New Note”).
The New Note is convertible into shares of our common stock at certain conversion prices depending on certain factors, which
include the volume weighted average price (“VWAP”) of our common stock for a period of time prior to conversion. In addition,
the New Note is redeemable by the noteholder or by us under certain qualifying conditions. The principal balance of the New
Note is $5.2 million with a stated interest rate of 8.0% per annum and a maturity date of October 4, 2020. In January 2019, the
noteholder issued a redemption notice and the Company repaid the noteholder $1.1 million of principal and accrued interest.
The principal balance of the New Note after this redemption was $4.1 million. During January 2019, we entered into an Option
to Purchase Senior Convertible Note (“Option Agreement”) with the noteholder. The Option Agreement provides us with the
ability to repay the New Note prior to March 31, 2019 and prevents the noteholder from exercising certain redemption options
from the New Note until after March 31, 2019. During March 2019, the Company exercised its repurchase rights from the
Option Agreement and paid the noteholder of the New Note approximately $5,260,000, which was the full purchase amount,
including interest, of the New Note pursuant to the terms of the Option Agreement. There are no further amounts outstanding
under the New Note and the New Note has been canceled. See “Note 6—Debt” and “Note 12—Subsequent Events” to the
accompanying financial statements included in this Annual Report on Form 10-K.
Unsecured Convertible Promissory Note
On March 8, 2019, we entered into a Securities Purchase Agreement and an unsecured Convertible Promissory Note, or the
Convertible Note, in the principal amount of $5.5 million. The holder of the Convertible Note, or the Convertible Noteholder,
may elect to convert all or a portion of the Convertible Note at any time and from time to time into our common stock at a
conversion price of $3.25 per share, subject to adjustment for stock splits, dividends, combinations and similar events. We may
prepay all or a portion of the Convertible Note at any time for an amount equal to 115% of then outstanding obligations or the
portion of the obligations we are prepaying. The purchase price of the Convertible Note was $5.0 million and the Convertible
Note carries an original issuance discount of $0.5 million, which is included in the principal amount of the Convertible Note.
See “Liquidity and Capital Resources” below and “Note 12—Subsequent Events” to the accompanying financial statements
included in this Annual Report on Form 10-K for further details regarding the terms of the Convertible Note.
Research and Development
In preparation for the Phase 3 clinical trials for INN-202, we are performing key study start-up activities, including study
site identification and study of adult patients with celiac disease who have persistent abdominal symptoms while on a gluten
free diet. We anticipate that our first Phase 3 trial will have approximately 900 subjects, with three treatment groups (two different
doses of larazotide and a placebo group).
Recent research and development milestones include:
•
•
•
•
•
•
•
•
completion of an initial feasibility review of over 200 potential investigative sites and pre-selected 122 potential
investigational sites to participate in the upcoming Phase 3 clinical trials for celiac disease;
execution of agreement with clinical research organization to facilitate completion of start-up activities for our Phase
3 clinical trials for celiac disease;
execution of agreement with Amarex Clinical Research to provide data management and biostatistics in our Phase 3
clinical trials for celiac disease;
continuation of pre-clinical work in NASH by studying larazotide in both ex-vivo and animal models;
continued research collaboration with Dr. Anthony Blikslager of North Carolina State University to explore life-cycle
extension of our lead molecule larazotide acetate;
initiation of research collaboration with Dr. O. Colin Stine of University of Maryland at Baltimore to study larazotide’s
corrective effect on the dysfunctional intestinal barrier and the dysfunctional microbiome in various diseases;
initiation of research collaboration with Dr. James Nataro of the University of Virginia, Charlottesville to study
larazotide’s effect on Environmental Enteric Dysfunction; and
initiation of a research collaboration with Jay Luther, MD and Raymond Chung, MD at the Gastroenterology Unit at
Massachusetts General Hospital in order to research the effects of larazotide on certain forms of alcoholic liver disease,
such as ASH.
75
Results of Operations
Comparison of the Years Ended December 31, 2018 and 2017
The following table sets forth the key components of our results of operations for the years ended December 31, 2018
and 2017:
Operating expenses:
Research and development
General and administrative
Total operating expenses
Loss from operations
Total other expense, net
Year Ended December 31,
2018
2017
$ Change
% Change
$ 7,559,077
10,664,991
18,224,068
$ 4,007,911
7,161,612
11,169,523
$ 3,551,166
3,503,379
7,054,545
89 %
49 %
63 %
(18,224,068)
(5,938,211)
(11,169,523)
(436,294)
(7,054,545)
(5,501,917)
(63)%
(1,261)%
Net loss
$(24,162,279) $(11,605,817) $(12,556,462)
(108)%
Research and Development Expense
Research and development expense for the year ended December 31, 2018 increased approximately $3.6 million, or 89%,
as compared to the year ended December 31, 2017. The increase was driven primarily by: (i) an increase of approximately $2.3
million associated with preparation for our Phase 3 clinical trials in INN-202; (ii) an increase of approximately $0.8 million in
compensation costs related to an increase in research and development personnel, (iii) an increase of approximately $0.4 million
in non-cash share-based compensation expense primarily due to an increase in stock option awards granted to our research and
development personnel during the year ended December 31, 2018; and (iv) an increase of approximately $0.1 million related
to manufacturing, consulting and further development of our product candidate pipeline.
General and Administrative Expense
General and administrative expense for the year ended December 31, 2018 increased approximately $3.5 million, or 49%,
as compared to the year ended December 31, 2017. The increase was driven primarily by: (i) an increase of approximately $1.3
million in accounting and legal fees associated with the Merger, SEC filings and outsourced accounting personnel; (ii) an increase
of approximately $1.0 million in transaction advisory fees associated with the Merger; (iii) an increase of approximately $1.1
million for increased costs associated with operating as a public company, including directors’ and officers’ liability insurance
premiums, investor relations costs and regulatory fees and services associated with maintaining compliance with Nasdaq
exchange listing and SEC regulations; (iv) an increase of $1.5 million in compensation costs for our general and administrative
personnel, (v) an increase of approximately $0.2 million in board compensation; and (vi) an increase of approximately $1.0
million for market research and business development, patent protection of our intellectual property and other general corporate
costs. These increases were offset by a decrease of approximately $2.6 million in non-cash stock compensation expense. The
decrease in stock compensation expense is primarily due to the fact that the majority of the stock options granted in 2017 were
fully vested as of December 31, 2017, and there was a decrease in the number of stock options granted in 2018.
76
Other income (expense), net
Other expense, net, for the year ended December 31, 2018, increased by approximately $5.5 million, or (1,261)%, as
compared to the year ended December 31, 2017. The increase was primarily due to: (i) a non-cash charge of $3.1 million for
the beneficial conversion feature that was triggered when our convertible debt and accrued interest were converted to common
stock at a 25% discount on January 29, 2018; (ii) non-cash interest expense of approximately $2.5 million for the amortization
of debt discount; and (iii) $0.2 million in cash interest expense associated with our Senior Note Payable issued on January 29,
2018. The interest expense increases were offset by an increase of $0.1 million associated with the change in fair value of the
derivative liability and an increase of $0.2 million in interest income on our money market account due to an increase in our
cash balance as a result of the equity financing in January 2018.
Liquidity and Capital Resources
Sources of Liquidity
As of December 31, 2018, we had cash and cash equivalents of approximately $5.7 million, compared to approximately
$0.4 million as of December 31, 2017. The increase in cash was primarily due to the net proceeds from the Equity Issuance and
the issuance of convertible debt, net of expenditures for business operations, research and development and clinical trial
preparations, further described below. We expect to incur substantial expenditures in the foreseeable future for the continued
development and clinical trials of our product candidates. We will continue to require additional financing to develop our product
candidates and fund operations for the foreseeable future. We plan to seek funds through debt or equity financings, strategic
alliances and licensing arrangements, and other collaborations or sources of financing. However, there can be no assurance that
we will be able to raise the additional capital needed to complete our pipeline of research and development programs on terms
acceptable to us, on a timely basis or at all. If we are unable to raise additional funds when needed, our ability to develop our
product candidates will be impaired. We may also be required to delay, reduce, or terminate some or all of our development
programs and clinical trials.
March 2019 Offering
On March 17, 2019, we entered into a Securities Purchase Agreement (the “SPA”) to offer up to 4,291,845 shares of our
common stock at a price of $2.33 per share. In a concurrent private placement, we offered warrants to purchase up to an aggregate
of 6,866,952 shares of our common stock. Under the terms of the SPA, each purchaser is eligible to receive a long-term warrant
and a short-term warrant to purchase up to a number of shares of our common stock equal to 60% of the number of common
shares purchased and equal to 100% of the number of common shares purchased by such purchaser, respectively. For additional
terms of the agreement, see “Recent Development—Corporate Updates” above.
If the Company sells all of the shares offered in the March 2019 Offering, the gross proceeds received prior to deduction
of offering expenses would be $10.0 million. However, there can be no assurance that the Company will sell all or any of the
securities being offered. We estimate the total expenses incurred in the March 2019 Offering will be $0.1 million.
January 2018 Equity Issuance
Immediately prior to the closing of the Merger, accredited investors purchased shares of Private Innovate common stock
in a private placement for gross proceeds of approximately $18.1 million, or $16.5 million, net of approximately $1.5 million
in placement agent fees and $80,000 in non-accountable expense costs (the “Equity Issuance”). Additionally, Private Innovate
issued five-year warrants to each cash purchaser of common stock, or an aggregate of approximately 1.4 million warrants, with
an exercise price of $3.18 per share after giving effect to the Exchange Ratio. Private Innovate also issued 349,555 five-year
warrants with an exercise price of $2.54 per share and 279,862 five-year warrants with an exercise price of $3.18 per share (after
giving effect of the Exchange Ratio) to the respective placement agents and their affiliates.
Concurrently with the Equity Issuance, convertible promissory notes issued by Private Innovate in the aggregate principal
amount of approximately $8.6 million plus accrued interest of $0.6 million were converted into shares of Private Innovate
common stock at an exercise price per share of $0.72, prior to the Exchange Ratio (the “Conversion”), which reflected a 25%
discount relative to the shares issued pursuant to the Equity Issuance (the “Conversion Discount”). The Conversion Discount
represented a beneficial conversion feature of approximately $3.1 million which was recorded as a charge to interest expense
and a credit to additional paid-in capital.
77
H.C. Wainwright & Co., LLC (“HCW”) and GP Nurmenkari Inc. (“GPN”) were retained as the placement agents for the
Equity Issuance. HCW was paid a flat fee of $0.3 million, a cash fee of $0.3 million (equal to 10% of the gross proceeds of the
Equity Issuance up to a certain cap) and non-accountable expense allowance of approximately $30,000. GPN was paid a cash
fee of $0.9 million (equal to 10% of the gross proceeds of certain investors in the Equity Issuance) and non-accountable expense
allowance of $50,000. IB Pharmaceuticals issued to affiliates of HCW five-year warrants to purchase 209,951 shares of common
stock with an exercise price per share equal to $3.18 (after giving effect to the Exchange Ratio). IB Pharmaceuticals issued to
GPN five-year warrants to purchase 349,555 shares of common stock with an exercise price per share equal to $2.54 and five-
year warrants to purchase 69,911 shares of common stock with an exercise price of $3.18 (after giving effect to Exchange Ratio).
Upon the closing of the Merger, the outstanding shares of IB Pharmaceuticals’ common stock were exchanged for shares of
common stock of Monster at an exchange ratio of one share of IB Pharmaceuticals common stock to 0.37686604 shares of
Monster common stock (the “Exchange Ratio”). Immediately following the closing of the Merger, after giving effect to the
Equity Issuance and applying the Exchange Ratio, Monster’s securityholders owned approximately 5.8% of our outstanding
common stock on a fully-diluted basis and IB Pharmaceuticals’ securityholders owned approximately 94.2% of our outstanding
common stock.
Senior Convertible Note and Exchange Agreement
On January 29, 2018, we entered into a Note Purchase Agreement and Senior Note Payable (“Note”) with a lender. The
principal amount of the Note was $4.8 million. The Note was issued at a discount of $1.8 million and net of financing costs, for
total proceeds of $3.0 million. Interest on the Note accrued from January 29, 2018, at a rate of 12.5% per annum and quarterly
payments of interest only were due beginning on March 30, 2018 and compounded quarterly. The Note was scheduled to mature
on September 30, 2018 (“Maturity Date”). We entered into a Waiver Agreement with the noteholder that extended the Maturity
Date until October 4, 2018. On October 4, 2018, we entered into an Amendment and Exchange Agreement (“Exchange
Agreement”) with the noteholder exchanging the Note for a new Senior Convertible Note (the “New Note”).
The principal amount of the New Note is $5.2 million and bears interest at a rate of eight percent (8%) per annum payable
quarterly in cash, maturing on October 4, 2020. The New Note contains certain redemption features, conversion options,
restrictions on specific transactions, non-financial covenants and penalties to us in the case of an event of default, as defined in
the New Note. If an event of default occurs, the noteholder may require us to redeem all or any portion of the New Note (including
all accrued and unpaid interest thereon), in cash, at a price equal to the greater of (i) up to 125% of the amount being redeemed,
depending on the nature of the default, or (ii) the intrinsic value of the shares of Common Stock then issuable upon conversion
of the New Note. The interest rate shall automatically increase if there is an event of default to 18% per annum during the default
period.
All amounts due under the New Note are convertible at any time, in whole or in part, at the option of the noteholder into
shares of our common stock at a fixed conversion price equal to $8.02 (the “Conversion Price”), with such Conversion Price
adjusted downward to the price of any future issuances of our common stock. This Conversion Price is also subject to adjustment
for stock splits, combinations or similar events. In addition, all amounts due under the New Note are alternatively convertible
at any time, in whole or in part, at the option of the noteholder, into shares of our common stock at an alternate conversion price
equal to the greater of (a) $3.08, (the “Floor Price”) or (b) the lower of (I) the Conversion Price or (II) 93% of the volume
weighted average price (the “VWAP”) of our common stock for the 10 days preceding the conversion, provided, that if we
default then the noteholder is entitled to convert the New Note subject to an event of default redemption, in whole or in part, at
the noteholder's option, at the value of such portion of the New Note subject to a potential event of default redemption (i.e., one
hundred twenty percent (120%) of the amount then outstanding under the New Note.
The various conversion and redemption features contained in the New Note are embedded derivative instruments, which
are recorded as a debt discount and derivative liability at their estimated fair value of $0.4 million. During 2018, the VWAP of
our common stock was lower than the Floor price for more than ten consecutive days. As such the noteholder had the right to
require us to redeem the New Note prior to December 31, 2018, at its option. Therefore, we have amortized the entire debt
discount to interest expense through the triggering of the redemption option, which occurred in 2018. Amortization of the debt
discount recorded as interest expense for the Note and the New Note totaled approximately $2.5 million for the year ended
December 31, 2018. Based on the conversion features, redemption features and subjective acceleration clauses contained in the
New Note, we recorded the New Note as a short-term obligation on the accompanying balance sheet as of December 31, 2018.
For further details describing our debt obligation, see “Note 6—Debt” and “Note 12—Subsequent Events” to the accompanying
financial statements included in this Annual Report on Form 10-K.
78
On January 7, 2019, we entered into an Option to Purchase Senior Convertible Note (“Option Agreement”) with the
noteholder. Immediately prior to entering into the Option Agreement, the noteholder issued a redemption notice requiring us to
repay the noteholder $1.1 million of principal and accrued interest. The principal balance of the New Note was reduced to $4.1
million as a result of this repayment. We paid the noteholder $0.3 million in consideration for the noteholder entering into the
Option Agreement with us. The Option Agreement provides us with the ability to repay (purchase) the outstanding principal
and accrued interest of the New Note any time from January 7, 2019 until March 31, 2019 (“Option Period”). The purchase
amount of the New Note under the terms of the Option agreement is $5.2 million (as reduced proportionally for any principal
converted under the New Note during the Option Period), plus any accrued interest on such amount of 8% per annum to the
date of exercise. On March 11, 2019, we exercised our repurchase rights from the Option Agreement and paid the noteholder
of the New Note approximately $5.3 million, which was the full purchase amount, including accrued interest, of the New Note
pursuant to the terms of the Option Agreement. There are no further amounts outstanding under the New Note and the New Note
has been canceled.
Unsecured Convertible Promissory Note
On March 8, 2019, we entered into a Securities Purchase Agreement (the “Purchase Agreement”) with a new noteholder
(the “Convertible Noteholder”). Pursuant to the Purchase Agreement, we issued the Convertible Noteholder an unsecured
Convertible Promissory Note (the “Convertible Note”) in the principal amount of $5,500,000. The Convertible Noteholder may
elect to convert all or a portion of the Convertible Note at any time and from time to time into our common stock at a conversion
price of $3.25 per share, subject to adjustment for stock splits, dividends, combinations and similar events. We may prepay all
or a portion of the Convertible Note at any time for an amount equal to 115% of any then outstanding obligations or the portion
of the obligations we are prepaying. The purchase price of the Convertible Note was $5,000,000, and the Convertible Note
carries an original issuance discount of $500,000, which is included in the principal amount of the Convertible Note. In addition,
we agreed to pay $20,000 of transaction expenses, which were netted out of the purchase price of the Convertible Note.
The Convertible Note bears interest at the rate of 10% (which will increase to 18% upon and during the continuance of an
event of default) per annum, compounding on a daily basis. All principal and accrued interest on the Convertible Note is due
on the second-year anniversary of the Convertible Note’s issuance.
At any time after the six-month anniversary of the issuance of the Convertible Note, (i) if the average volume weighted
average price over twenty trading dates exceeds $10.00 per share, we may generally require that the Convertible Note convert
into shares of its common stock at the $3.25 (as adjusted) conversion price, and (ii) the Convertible Noteholder may elect to
require all or a portion of the Convertible Note be redeemed by us. If the Convertible Noteholder requires a redemption, we, at
our discretion, may pay the redeemed portion of the Convertible Note in cash or in our common stock at a conversion rate equal
to the lesser of (i) the $3.25 (as adjusted) conversion rate or (ii) 80% of the average of the five lowest volume weighted average
price of our Common Stock over the preceding twenty trading days. The Convertible Noteholder may not redeem more than
$500,000 per calendar month during the period between the six-month anniversary of the date of issuance until the first year
anniversary of the date of issuance and $750,000 per calendar month thereafter. The obligation or right of us to deliver our shares
upon the conversion or redemption of the Convertible Note is subject to a 19.99% cap and subject to a floor price trading price
of $3.25 (unless waived by us). Any amounts redeemed or converted once the cap is reached or if the market price is less than
the $3.25 floor price must be paid in cash.
If there is an Event of Default under the Convertible Note, the Convertible Noteholder may accelerate our obligations or
elect to increase the outstanding obligations under the Convertible Note. The amount of the increase ranges from 5% to 15%
depending on the type of default (as defined in the Convertible Note). In addition, the Convertible Note obligations will be
increased if there are delays in our delivery requirements for the shares or cash issuable upon the conversion or redemption of
the Convertible Note in certain circumstances.
If we issue convertible debt in the future with any terms, including conversion terms, that are more favorable to the terms
of the Convertible Note, the Convertible Noteholder may elect to incorporate the more favorable terms into the Convertible
Note.
At-the-market Offering
On October 26, 2018, we entered into a stock sales agreement with H.C. Wainwright & Co., LLC and Ladenburg Thalmann
& Co. Inc. and filed a prospectus with the Securities and Exchange Commission (“SEC”) related to such offering. We previously
filed a Form S-3 that became effective on July 13, 2018 that included the registration of $40 million of our shares of common
79
stock in connection with a potential “at-the-market” offering. Pursuant to the sales agreement, we may issue and sell shares
having an aggregate gross sales price of up to $40 million. As of March 13, 2019, we had sold 723,290 shares under the “at the
market” offering for net proceeds of approximately $1.7 million.
Cash Flows
The following table sets forth the primary sources and uses of cash for the years ended December 31, 2018 and 2017:
Net cash (used in) provided by:
Operating activities
Investing activities
Financing activities
Net increase (decrease) in cash and cash equivalents
Operating Activities
Year Ended December 31,
2017
2018
$
$
(15,169,330) $
(13,943)
20,556,610
5,373,337
$
(5,096,546)
(38,727)
5,130,025
(5,248)
For the year ended December 31, 2018, net cash used in operating activities of approximately $15.2 million primarily
consisted of a net loss of $24.2 million, offset by adjustments for non-cash share-based compensation of approximately $3.8
million, beneficial conversion feature of $3.1 million, non-cash interest expense of approximately $2.8 million offset by the
change in fair value of derivative liability of $0.1 million and a net change totaling approximately $0.7 million due to increases
in prepaid expense and other current assets and accounts payable and decreases in accrued expenses.
For the year ended December 31, 2017, net cash used in operating activities of approximately $5.1 million primarily consisted
of a net loss of $11.6 million, offset by adjustments for non-cash share-based compensation of approximately $6.0 million, non-
cash interest expense of approximately $0.4 million and a net increase in prepaid expense, accounts payable and accrued expenses
of less than $0.1 million.
Investing Activities
For the year ended December 31, 2018, net cash used in investing activities of approximately $14,000 represented the
purchase of office furniture and computer equipment of approximately $14,000. In addition, we received loan payments from
a related party of $75,000 which was offset by an investment in a certificate of deposit of $75,000. Net cash used in investing
activities for the year ended December 31, 2017 represented the purchase of office furniture, computer equipment and leasehold
improvements.
Financing Activities
For the year ended December 31, 2018, net cash provided by financing activities of approximately $20.6 million primarily
consisted of: (i) the proceeds of $18.1 million received from the sale of our common stock and warrants in the Equity Issuance;
(ii) $3.0 million from the issuance of a note payable; (iii) $0.9 million from the exercise of warrants and (iv) $0.2 million in
proceeds from the exercise of stock options. These increases were offset by approximately $1.5 million in stock issuance costs
and $0.2 million in payment of deferred offering costs.
For the year ended December 31, 2017, net cash provided by financing activities of approximately $5.1 million primarily
consisted of borrowings from convertible debt.
Capital Requirements
We have not generated any revenue from product sales or any other activities. We do not expect to generate significant
revenue unless and until we obtain regulatory approval of and commercialize, or out license, one or more of our product candidates
and do not know when, or if, these will occur. In addition, we expect our expenses to increase in connection with our ongoing
development activities, particularly as we continue the research, development and clinical trials of, and seek regulatory approval
for, our product candidates. In addition, subject to obtaining regulatory approval of our product candidates, we expect to incur
80
significant commercialization expenses for product sales, marketing, manufacturing and distribution. We anticipate that we will
need substantial additional funding in connection with our continuing operations, including increased costs associated with being
a public company.
The accompanying financial statements have been prepared on a basis which assumes that we will continue as a going
concern, which contemplates the realization of assets and the satisfaction of liabilities and commitments in the normal course
of business. Based on our limited operating history and recurring operating losses, there is substantial doubt that we will continue
as a going concern for at least one year following the date of this Annual Report on Form 10-K, without additional financing.
Management’s plans with regard to these matters include entering into strategic partnerships or seeking additional debt or equity
financing arrangements or a combination of these activities. The failure to obtain sufficient financing or strategic partnerships
could adversely affect our ability to achieve our business objectives and continue as a going concern. The accompanying financial
statements do not include any adjustments that might be necessary should we be unable to continue as a going concern.
Contractual Obligations and Commitments
In October 2017, we entered into a three-year lease agreement for office space that expires on September 30, 2020 and
includes a two-year renewal option. Base annual rent is less than $0.1 million. The first twelve months of rent were paid in
advance during 2017. Beginning in October 2018, we began paying monthly rent of $5,000 due in advance of the first day of
each month for the remaining term. A security deposit of approximately $5,000 was paid in October 2017 and is included in
other assets on the accompanying balance sheets included elsewhere in this Annual Report on Form 10-K.
We are obligated to make future payments to third parties under in-license agreements, including sublicense fees, royalties
and payments that become due and payable on the achievement of certain development and commercialization milestones. As
the amount and timing of sub-license fees and the achievement and timing of these milestones are not probable and estimable,
such commitments have not been included on the accompanying balance sheets.
We also enter into agreements in the normal course of business with contract research organizations and other third parties
with respect to services for clinical trials, clinical supply manufacturing and other operating purposes that are generally terminable
by us with thirty to ninety days advance notice.
For further details, see “Note 11—Commitments and Contingencies” in the accompanying financial statements included
in this Annual Report on Form 10-K.
Off-Balance Sheet Arrangements
As of December 31, 2018, we had no off-balance sheet arrangements as defined in Item 303(a)(4) of Regulation S-K as
promulgated by the SEC.
Critical Accounting Policies and Use of Estimates
Our management’s discussion and analysis of financial condition and results of operations is based on our financial
statements, which have been prepared in accordance with accounting principles generally accepted in the United States. The
preparation of our financial statements requires us to make estimates and assumptions that affect the reported amounts of
assets and liabilities and the disclosure of contingent assets and liabilities at the date of the financial statements, as well as the
reported expenses incurred during the reporting periods. Our estimates are based on our historical experience and on various
other assumptions that we believe are reasonable under the circumstances, the results of which form the basis for making
judgments about the carrying value of assets and liabilities that are not readily apparent from other sources. Changes in
estimates are reflected in reported results for the period in which they become known. Actual results may differ materially
from these estimates under different assumptions or conditions.
While our significant accounting policies are more fully described in the notes to our financial statements included
elsewhere in this Annual Report on Form 10-K, we believe that the following accounting policies are critical to the process of
making significant judgments and estimates in the preparation of our financial statements and understanding and evaluating
our reported financial results.
81
Areas of the financial statements where estimates may have the most significant effect include fair value measurements,
accrued expenses and share-based compensation. Changes in the facts or circumstances underlying these estimates could
result in material changes and actual results could differ from these estimates.
Fair Value Measurements
We account for derivative instruments in accordance with Accounting Standards Codification (“ASC”) 815, Derivative and
Hedging, which establishes accounting and reporting standards for derivative instruments, including certain derivative
instruments embedded in other financial instruments or contracts and requires recognition of all derivatives on the balance sheet
at fair value. Our derivative financial instrument consists of an embedded option in our convertible debt. The embedded derivative
includes provisions that provide the noteholders with certain conversion and put rights at various conversion or redemption
values as well as certain call options for us.
The fair value of the embedded derivative issued in connection with the convertible debt financing was determined by using
a Monte Carlo simulation technique (“MCS”) to value the embedded derivative. As part of the MCS valuation a discounted cash
flow (“DCF”) model is used to value the debt on a stand-alone basis and determine the discount rate to utilize in both the DCF
and MCS models. The significant estimates used in the DCF model include the time to maturity of the convertible debt and
calculated discount rate, which includes an estimate of our specific risk premium. The discount rate utilized was 13.1% and
13.6% as of October 4, 2018 and December 31, 2018, respectively. The MCS methodology calculates the theoretical value of
an option based on certain parameters, including: (i) the threshold of exercising the option, (ii) the price of the underlying security,
(iii) the time to expiration, (iv) the expected volatility of the underlying security, (v) the risk-free rate and (vi) the number of
paths. The volatility, risk-free interest rate and time to expiration utilized as of October 4, 2018 were 98.2%, 2.9% and 24 months,
respectively. The volatility, risk-free interest rate and time to expiration utilized as of December 31, 2018 were 105.6%, 2.5%
and 21 months, respectively. We recognized a gain of 0.1 million for the change in derivative liability during the year ended
December 31, 2018.
This valuation technique involves management’s estimates and judgment based on unobservable inputs and is classified in
Level 3. Changes to estimates and assumptions used in estimating the fair value of an instrument may produce materially different
values and could have a material impact to our reported net losses in future periods. See “Note 1—Summary of Significant
Accounting Policies” and “Note 6—Debt” to the accompanying financial statements included in this Annual Report on Form
10-K for additional details regarding the accounting policy and fair value assumptions used in accounting for our fair value
instruments.
Accrued Expenses
We incur periodic expenses such as cost associated with clinical trials and non-clinical activities, manufacturing of
pharmaceutical active ingredients and drug products, regulatory fees and activities, fees paid to external service providers and
consultants, salaries and related employee benefits and professional fees. We are required to estimate our accrued expenses
which involves reviewing quotations and contracts, identifying services that have been performed on our behalf and
estimating the level of service performed and the associated cost incurred for the service when we have not been invoiced or
otherwise notified of the actual cost. The majority of our service providers invoice monthly in arrears for services performed
or when contractual milestones are met. We estimate accrued expenses as of each balance sheet date based on facts and
circumstances known at that time. We periodically confirm the accuracy of our estimates with the service providers and make
adjustments if necessary.
Costs incurred in research and development of products are charged to research and development expense as incurred.
Costs for preclinical studies and clinical trial activities are recognized based on an evaluation of the vendors’ progress
towards completion of specific tasks, using data such as patient enrollment, clinical site activations or information provided
by vendors regarding the actual costs incurred. Payments for these activities are based on the terms of individual contracts
and payment timing may differ significantly from the period in which services are performed. We determine accrual estimates
through reports from and discussions with applicable personnel and outside service providers as to the progress or state of
clinical trials, or the services completed. Nonrefundable advance payments for goods or services that will be used in future
research and development activities are expensed when the activity is performed or when the goods have been received,
rather than when payment is made. The estimates of accrued expenses as of each balance sheet date are based on the facts and
circumstances known at the time. Although we do not expect our estimates to be materially different from those actually
incurred, our estimates and assumptions could differ significantly from actual costs, which could result in increases or
decreases in research and development expenses in future periods when actual results are known.
82
Share-based Compensation
We account for share-based compensation using the fair value method of accounting which requires all such
compensation to employees, including the grant of employee stock options, to be recognized in the statements of operations
based on its fair value at the grant date. The expense associated with share-based compensation is recognized on a straight-
line basis over the requisite service period of each award; however, the amount of compensation expense recognized at any
date must be at least equal to the portion of the grant-date value of the award that is vested at that date. For share-based
compensation granted to non-employees, the measurement date is generally considered to be the date when all services have
been rendered or the date that options are fully vested. Share-based compensation expense for stock options granted to non-
employees is adjusted each reporting period for changes in the fair value of our common stock until the measurement date.
We estimate the fair value of our stock-based awards to employees and non-employees using the Black-Scholes option
pricing model, which requires the input of valuation assumptions, some of which are highly subjective. Key valuation
assumptions include:
•
•
•
•
Expected dividend yield: the expected dividend is assumed to be zero as we have never paid dividends and have no
current plans to pay any dividends on our common stock.
Expected stock price volatility: due to our limited historical trading data as a public company, the expected volatility
is derived from the average historical volatilities of publicly traded companies within the same industry that we
consider to be comparable to our business over a period approximating the expected term. In evaluating comparable
companies, we consider factors such as industry, stage of life cycle, financial leverage, size and risk profile.
Risk-free interest rate: the risk-free interest rate is based on the U.S. Treasury yield in effect at the time of grant for
zero coupon U.S. Treasury notes with maturities approximately equal to the expected term.
Expected term: the expected term represents the period that the stock-based awards are expected to be outstanding.
Our historical stock option exercise data does not provide a reasonable basis upon which to estimate an expected
term for employees due to a lack of sufficient data. Therefore, we estimate the expected term by using the simplified
method provided by the SEC. The simplified method calculates the expected term as the average of the time-to-
vesting and the contractual life of options. The expected term for non-employees is the remaining contractual life of
the option.
In preparing our financial statements for the year ended December 31, 2018, we determined that an immaterial error was
made in the amount of share-based compensation expense recorded in our financial statements for the three months ended March
31, 2018. The error resulted in an overstatement of share-based compensation expense of approximately $1.2 million for the
first quarter of 2018. In addition, share-based compensation expense was overstated for this same amount for the six months
and nine months ended June 30, 2018 and September 30, 2018, respectively. The error did not impact our financial statements
for the three months ended June 30, 2018 or the three months ended September 30, 2018. We assessed the materiality of this
misstatement in the 2018 interim period financial statements in accordance with the Securities and Exchange Commission
(“SEC”) Staff Accounting Bulletin (“SAB”) No. 99, Materiality, codified in Accounting Standards Codification No. 250,
Presentation of Financial Statements, and concluded that the misstatement was not material to any interim period. We have
corrected the financial statements for the year ended December 31, 2018. There was no impact to stockholders’ equity or cash
flows. For further details, see Note 1—Summary of Significant Accounting Policies.
Income Taxes
No provision for federal and state income tax expense has been recorded for the years ended December 31, 2018 and 2017
due to the valuation allowance recorded against the net deferred tax asset and recurring losses. Deferred income taxes reflect
the net tax effects of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes
and the amounts used for income tax purposes.
On December 22, 2017, the Tax Cuts and Jobs Act was enacted into law, which reduced the federal corporation income tax
rate to 21% for tax years beginning after December 31, 2017. As a result of the new enacted tax rate, we adjusted our deferred
tax assets as of December 31, 2017 by applying the new 21% rate, which resulted in a decrease to the deferred tax assets and
corresponding decrease to the valuation allowance of approximately $2.2 million.
83
As of December 31, 2018, we have net operating loss carryforwards for federal and state income tax purposes of
approximately $18,918,000 and $18,322,400, respectively. Federal loss carryforwards of $3,551,900 begin to expire in 2034
and $15,366,100 of the federal losses carryforward indefinitely. The state loss carryforwards begin to expire in 2029. As of
December 31, 2018, we have contribution carryforwards of approximately $10,700, which begin to expire in 2020. In addition,
we have federal research and development credits of $224,900, which begin to expire in 2038.
The Internal Revenue Code of 1986, as amended, contains provisions which limit the ability to utilize the net operating loss
and tax credit carryforwards in the case of certain events, including significant changes in ownership interests. If our net operating
loss and tax credit carryforwards are limited, and we have taxable income which exceeds the permissible yearly net operating
loss and tax credit carryforwards, we would incur a federal income tax liability even though net operating loss and tax credit
carryforwards would be available in future years.
Recent Accounting Pronouncements
For details of recent accounting pronouncements that we have adopted and our evaluation of their adoption on our financial
statements, see “Note 1—Summary of Significant Accounting Policies—Recently Issued Accounting Standards” to the
accompanying financial statements included in this Annual Report on Form 10-K.
Item 7A. Quantitative and Qualitative Disclosures About Market Risk.
Not applicable.
Item 8. Financial Statements and Supplementary Data.
The information required by this item appears beginning on page F-1 of this Annual Report on Form 10-K.
Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure.
None.
Item 9A. Controls and Procedures.
Evaluation of Disclosure Controls and Procedures
Our management, with the participation of our principal executive officer and principal financial officer, evaluated the
effectiveness of our disclosure controls and procedures as of December 31, 2018. The term “disclosure controls and procedures,”
as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act, means controls and other procedures of a company that
are designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the
Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms.
Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information
required to be disclosed by a company in the reports that it files or submits under the Exchange Act is accumulated and
communicated to the company’s management, including its principal executive and principal financial officers, or persons
performing similar functions, as appropriate, to allow timely decisions regarding required disclosure. Based on such evaluation,
our principal executive officer and principal financial officer concluded that, as of December 31, 2018, our disclosure controls
and procedures were not effective as a result of the material weakness in our internal control over financial reporting described
below.
Management’s Report on Internal Control over Financial Reporting
Our management is responsible for establishing and maintaining adequate internal control over financial reporting, as such
term is defined in Exchange Act Rules 13a-15(f) and 15d-15(f). Internal control over financial reporting is a process to provide
reasonable assurance regarding the reliability of our financial reporting and the preparation of financial statements for external
84
purposes in accordance with GAAP. Internal control over financial reporting includes maintaining records that in reasonable
detail accurately and fairly reflect our transactions; providing reasonable assurance that transactions are recorded as necessary
for preparation of our financial statements; providing reasonable assurance that receipts and expenditures of our assets are made
in accordance with management’s authorization; and providing reasonable assurance that unauthorized acquisition, use or
disposition of our assets that could have a material effect on our financial statements would be prevented or detected on a timely
basis. Because of its inherent limitations, internal control over financial reporting is not intended to provide absolute assurance
that a misstatement of our financial statements would be prevented or detected.
In making the assessment of internal control over financial reporting, our management used the criteria issued by the
Committee of Sponsoring Organizations of the Treadway Commission (COSO) in Internal Control-Integrated Framework
(2013). Based on that assessment and those criteria, management determined that our internal control over financial reporting
was not effective as of December 31, 2018 due to our limited resources available to address our internal controls and procedures
and our reliance on part-time consultants to assist us with our financial accounting and compliance obligations. In connection
with the preparation of our audited financial statements for the year ended December 31, 2017, our independent auditors advised
management that a material weakness existed in internal control over financial reporting due to its inability to adequately
segregate duties as a result of its limited number of accounting personnel and management has been advised that this material
weakness remains at December 31, 2018.
Although we are committed to continuing to improve our internal control processes and intend to implement a plan to
remediate our material weakness, we cannot be certain of the effectiveness of such plan or that, in the future, additional material
weaknesses or significant deficiencies will not exist or otherwise be discovered. If we are unable to maintain proper and effective
internal controls, we may not be able to produce timely and accurate financial statements and prevent fraud. In addition, if we
are unable to successfully remediate the material weakness in our internal controls or if we are unable to produce accurate and
timely financial statements, our stock price may be adversely affected and we may be unable to maintain compliance with
applicable stock exchange listing requirements.
Our independent registered public accounting firm has not assessed the effectiveness of our internal control over financial
reporting and, under the JOBS Act, will not be required to provide an attestation report on the effectiveness of our internal control
over financial reporting so long as we qualify as an “emerging growth company.”
Changes in Internal Control Over Financial Reporting
As of December 31, 2018, there were no other material changes in our internal control over financial reporting that materially
affected, or are reasonably likely to materially affect, our internal control over financial reporting.
Item 9B. Other Information.
None
PART III
Item 10. Directors, Executive Officers and Corporate Governance.
The information required by Items 401, 405 and 407(c)(3), (d)(4) and (d)(5) of Regulation S-K is incorporated herein by
reference to our definitive proxy statement, which will be filed with the SEC within 120 days after the end of our 2018 fiscal
year pursuant to Regulation 14A under the Exchange Act under the headings “Executive Officers and Directors,” “Section 16a
Beneficial Ownership Reporting Compliance.”
We have adopted a code of ethics and business conduct that applies to our officers, directors and employees. The full text
of our code of ethics and business conduct can be found on our website (http://www.innovatebiopharma.com) under the
“Corporate Governance” heading on the “Investors” page. We intend to disclose on our website, or file an 8-K as may be required,
any amendment to, or waivers from, our code of ethics and business conduct that are required to be disclosed pursuant to the
rules of the SEC and Nasdaq.
85
Item 11. Executive Compensation
The information required by Item 402 and paragraph (e)(4) and (e)(5) of Item 407 of Regulation S-K is incorporated herein
by reference to our definitive proxy statement, which will be filed with the SEC within 120 days after the end of our 2018 fiscal
year pursuant to Regulation 14A under the Exchange Act under the heading “Executive Compensation.”
Item 12. Security Ownership of Certain Beneficial Owners and Management
The information required by Item 201(d) and Item 403 of Regulation S-K is incorporated herein by reference to our
definitive proxy statement, which will be filed with the SEC within 120 days after the end of our 2018 fiscal year pursuant to
Regulation 14A under the Exchange Act under the heading “Security Ownership of Certain Beneficial Owners and Management.”
Item 13. Certain Relationships and Related Transactions, and Director Independence.
The information required by Items 404 and 407(a) of Regulation S-K is incorporated herein by reference to our definitive
proxy statement, which will be filed with the SEC within 120 days after the end of our 2018 fiscal year pursuant to Regulation
14A under the Exchange Act under the heading “Certain Relationships and Related Party Transactions.”
Item 14. Principal Accountant Fees and Services.
The information required by Item 9(e) of Schedule 14A is incorporated herein by reference to our definitive proxy statement,
which will be filed with the SEC within 120 days after the end of our 2018 fiscal year pursuant to Regulation 14A under the
Exchange Act under the heading “Principal Accounting Fees and Services.”
86
PART IV
Item 15. Exhibits, Financial Statement Schedules.
(a)(1) Financial Statements
The financial statements required by this item are submitted in a separate section beginning on page F-1 of this annual
report.
(a)(2)
Financial Statement Schedules
Financial statement schedules have been omitted because they are either not required, not applicable, or the information
is otherwise included.
(a)(3)
Exhibits
EXHIBIT INDEX
EXHIBIT
NO.
DESCRIPTION
HEREWITH FORM FILE NO.
EXHIBIT
FILING DATE
FILED
INCORPORATED BY REFERENCE
2.1
+ Agreement and Plan of Merger and
8-K
001-37797
2.1
July 6, 2017
Reorganization by and among Monster
Digital, Inc., Merger Sub and Innovate
Biopharmaceuticals Inc., dated July 3,
2017
Amendment, dated January 3, 2018, to
Agreement and Plan of Merger and
Reorganization by and among Monster
Digital, Inc., Merger Sub and Innovate
Biopharmaceuticals Inc., dated July 3,
2017
Form of Support Agreement, by and
between Monster Digital, Inc. and
certain directors, officers and
stockholders of Innovate
Biopharmaceuticals Inc. (now IB
Pharmaceuticals Inc.)
Form of Support Agreement, by and
between Innovate Biopharmaceuticals
Inc. and the directors and executive
officers and certain stockholders of
Monster Digital, Inc. (now IB
Pharmaceuticals)
Certificate of Incorporation of the
Company, as amended
Amended and Restated Bylaws of the
Company
Form of Share Certificate
Form of Warrant
Senior Note dated January 29, 2018
Subscription Agreement dated January
29, 2018
Form of Warrant Certificate
2.2
2.3
2.4
3.1
3.2
4.1
4.2
4.3
4.4
4.5
8-K
001-37797
2.1
January 5, 2018
8-K
001-37797
2.2
July 6, 2017
8-K
001-37797
2.3
July 6, 2017
8-K
001-37797
10-K
001-37797
8-K
8-K
8-K
001-37797
001-37797
001-37797
3.1
4.1
4.1
4.2
December 10,
2018
March 14, 2018
February 2, 2018
February 2, 2018
10.1
February 2, 2018
S-1/A
333-207938
4.2
June 24, 2016
X
87
EXHIBIT
NO.
4.6
DESCRIPTION
Form of Warrant Agreement by and
between Monster Digital, Inc. and
Corporate Stock Transfer, Inc.
INCORPORATED BY REFERENCE
FILED
HEREWITH FORM FILE NO.
333-207938
S-1/A
EXHIBIT
4.3
FILING DATE
June 24, 2016
10.1
† Sublicense Agreement, dated February
10-K/A
001-33797
10.1
June 29, 2018
19, 2016, between Innovate
Biopharmaceuticals Inc. (now IB
Pharmaceuticals Inc.) and Alba
Therapeutics Corporation
10.2
† License Agreement, dated February 26,
10-K/A
001-33797
10.2
June 29, 2018
2016, between Innovate
Biopharmaceuticals Inc. (now IB
Pharmaceuticals Inc.) and Alba
Therapeutics Corporation
10.3
† Asset Purchase Agreement, dated
10-K
001-37797
10.3
March 14, 2018
December 23, 2014, between Innovate
Biopharmaceuticals Inc. (now IB
Pharmaceuticals Inc.) and Repligen
Corporation
10.4
† Apaza License Agreement, dated April
10-K
001-37797
10.4
March 14, 2018
19, 2013, between Innovate
Biopharmaceuticals Inc. (now IB
Pharmaceuticals Inc.) and Seachaid
Pharmaceuticals, Inc., as amended
† Master Services Agreement by and
between the Company and Amarex
Clinical Research, LLC, dated as of
August 20, 2018
Note Purchase Agreement dated
January 29, 2018
Amendment and Exchange Agreement
by and between the Company and
Gustavia Capital Partners, LLC, dated
as of October 4, 2018
Senior Convertible Note by and
between the Company and Gustavia
Capital Partners, LLC
10.5
10.6
10.7
10.8
10.9
# Form of Director Indemnification
Agreement
10.10
# 2012 Innovate Omnibus Incentive Plan,
as amended
10.11
# Form of Option Agreement and Option
Grant Notice under the 2012 Omnibus
Incentive Plan
Agreement and Notice of Grant of
Restricted Stock Award under the 2012
Omnibus Incentive Plan
# Form of Restricted Stock Unit Award
Agreement and Notice of Grant of
Restricted Stock Unit Award under
2012 Omnibus Incentive Plan
# Innovate Biopharmaceuticals Inc. 2015
Stock Incentive Plan, as amended
# Form of Incentive Stock Option
Agreement under the 2015 Stock
Incentive Plan
# Form of Nonstatutory Stock Option
Agreement under the 2015 Stock
Incentive Plan
10.13
10.14
10.15
10.16
10-Q
001-37797
10.1
November 13,
2018
8-K
8-K
001-37797
001-37797
10.2
10.1
February 2, 2018
October 5, 2018
8-K
001-37797
10.2
October 5, 2018
8-K
8-K
001-37797
001-37797
S-1
333-207938
10.3
10.1
10.2
S-1
333-207938
10.4
February 2, 2018
December 10,
2018
November 10,
2015
November 10,
2015
November 10,
2015
10-K
001-37797
10.11
March 14, 2018
10-K
001-37797
10.12
March 14, 2018
10-K
001-37797
10.13
March 14, 2018
88
10.12
# Form of Restricted Stock Award
S-1
333-207938
10.3
EXHIBIT
NO.
10.17
DESCRIPTION
# Form of Restricted Stock Purchase
Agreement under the 2015 Stock
Incentive Plan
10.18
# Consulting Agreement, dated May 7,
2015, by and between the Company
and David Clarke
INCORPORATED BY REFERENCE
FILED
HEREWITH FORM FILE NO.
001-37797
10-K
EXHIBIT
10.14
FILING DATE
March 14, 2018
S-1
333-207938
10.11
November 10,
2015
10.19
# Separation Agreement and Release of
10-K
001-37797
10.17
March 14, 2018
10.20
10.21
10.22
10.23
Claims, dated January 26, 2018, by and
between the Company and David Olert
Consulting Agreement, dated February
17, 2018, by and between the Company
and David Olert
# Executive Employment Agreement,
dated November 2, 2015, by and
between Innovate Biopharmaceuticals
Inc. (now IB Pharmaceuticals Inc.) and
Christopher Prior, as amended
# Executive Employment Agreement,
dated October 28, 2015, by and
between Innovate Biopharmaceuticals
Inc. (now IB Pharmaceuticals Inc.) and
Sandeep Laumas, as amended
# Executive Employment Agreement,
dated October 28, 2015, by and
between Innovate Biopharmaceuticals
Inc. (now IB Pharmaceuticals Inc.) and
Jay Madan, as amended
10-K
001-37797
10.18
March 14, 2018
10-K
001-37797
10.20
March 14, 2018
10-K
001-37797
10.21
March 14, 2018
10-K
001-37797
10.22
March 14, 2018
10.24
# Executive Employment Agreement,
10-K
001-37797
10.23
March 14, 2018
dated March 9, 2018, by and between
the Company and June Almenoff
10.25
# Non-Employee Director Compensation
Policy dated as of September 21, 2018
10-Q
001-37797
10.2
November 13,
2018
10.26
# Amended and Restated Executive
10-K
001-37797
10.25
March 14, 2018
10.27
Employment Agreement, dated March
11, 2018, by and between the Company
and Sandeep Laumas
# First Amendment, dated February 19,
2019, to Amended and Restated
Executive Employment Agreement,
dated March 11, 2018, by and between
the Company and Sandeep Laumas
10.28
# Amended and Restated Executive
Employment Agreement, dated March
11, 2018, by and between the Company
and Christopher Prior
# Separation Agreement, dated February
19, 2019, by and between the Company
and Christopher Prior
# Consulting Agreement, dated February
19, 2019, by and between the Company
and Christopher Prior
10.29
10.30
X
X
X
10-K
001-37797
10.26
March 14, 2018
10.31
# Amended and Restated Executive
10-K
001-37797
10.27
March 14, 2018
10.32
Employment Agreement, dated March
11, 2018, by and between the Company
and Jay Madan
Common Stock Sales Agreement by
and among the Company and H.C.
Wainwright & Co., LLC and
Ladenburg Thalmann & Co. Inc. dated
as of October 26, 2018
89
8-K
001-37797
10.1
October 29, 2018
EXHIBIT
NO.
10.33
DESCRIPTION
# Separation Agreement, dated
10.34
10.35
23.1
31.1
31.2
32.1
32.2
101.INS
101.SCH
101.CAL
101.DEF
101.LAB
101.PRE
November 16, 2018, by and between
the Company and June Almenoff
Convertible Promissory Note by and
between the Company and Atlas
Sciences, LLC
Securities Purchase Agreement by and
between the Company and Atlas
Sciences, LLC
Consent of Mayer Hoffman McCann
P.C.
Certification of Principal Executive
Officer pursuant to Exchange Act
Rules 13a-14(a) and 15d-14(a), as
adopted pursuant to Section 302 of the
Sarbanes-Oxley Act of 2002
Certification of Principal Financial
Officer pursuant to Exchange Act
Rules 13a-14(a) and 15d-14(a), as
adopted pursuant to Section 302 of the
Sarbanes-Oxley Act of 2002
Certification of Principal Executive
Officer pursuant to 18 U.S.C. Section
1350, as adopted pursuant to Section
906 of the Sarbanes-Oxley Act of 2002
Certification of Principal Financial
Officer pursuant to 18 U.S.C. Section
1350, as adopted pursuant to Section
906 of the Sarbanes-Oxley Act of 2002
XBRL Instance Document
XBRL Taxonomy Extension Schema
Document
XBRL Taxonomy Extension
Calculation Linkbase Document
XBRL Taxonomy Extension Definition
Document
XBRL Taxonomy Extension Label
Linkbase Document
XBRL Taxonomy Extension
Presentation Linkbase Document
INCORPORATED BY REFERENCE
FILED
HEREWITH FORM FILE NO.
EXHIBIT
FILING DATE
8-K
001-37797
4.1
March 13, 2019
8-K
001-37797
10.1
March 13, 2019
X
X
X
X
X
X
X
X
X
X
X
X
+
†
#
Pursuant to Regulation S-K Item 601(b)(2), certain schedules (or similar attachments) to this exhibit have not been filed herewith.
A list of omitted schedules (or similar attachments) is included in the agreement. The Company agrees to furnish supplementally
a copy of any such schedule (or similar attachment) to the Securities and Exchange Commission upon request; provided,
however, that the Company may request confidential treatment of omitted items.
Portions of this exhibit (indicated by asterisks) have been omitted pursuant to a request for confidential treatment pursuant to
Rule 24b-2 under the Securities Exchange Act of 1934.
Indicates management contract or compensatory plan or arrangement.
Item 16. Form 10-K Summary.
None
90
SIGNATURES
Pursuant to the requirements of the Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly
caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
Date: March 18, 2019
Innovate Biopharmaceuticals, Inc.
By:
/s/ Sandeep Laumas
Name: Sandeep Laumas, M.D.
Title: Chief Executive Officer
Signature
Title
/s/ Sandeep Laumas
Sandeep Laumas, M.D.
Executive Chairman, Chief Executive Officer and Director
(Principal Executive Officer)
Date
March 18, 2019
/s/ Jay P. Madan
Jay P. Madan, M.S.
/s/ Lorin K. Johnson
Lorin K. Johnson, Ph.D.
/s/ Anthony E. Maida III
Anthony E. Maida III, Ph.D.,
M.A., M.B.A.
/s/ Roy Proujansky
Roy Proujansky, M.D.
/s/ Saira Ramasastry
Saira Ramasastry, M.S.,
M.Phil.
President, Chief Business Officer, Interim Principal Financial
Officer, Interim Principal Accounting Officer and Director
(Principal Financial Officer and Principal Accounting Officer)
March 18, 2019
Director
Director
Director
Director
March 18, 2019
March 18, 2019
March 18, 2019
March 18, 2019
91
INNOVATE BIOPHARMACEUTICALS, INC.
TABLE OF CONTENTS
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
BALANCE SHEETS AS OF DECEMBER 31, 2018 AND 2017
STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS FOR THE YEARS ENDED
DECEMBER 31, 2018 AND 2017
STATEMENTS OF STOCKHOLDERS’ EQUITY (DEFICIT) FOR THE YEARS ENDED DECEMBER
31, 2018 AND 2017
STATEMENTS OF CASH FLOWS FOR THE YEAR ENDED DECEMBER 31, 2018 AND 2017
NOTES TO FINANCIAL STATEMENTS
F-2
F-3
F-4
F-5
F-6
F-7
F-1
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
To the Board of Directors and Stockholders of Innovate Biopharmaceuticals, Inc.
Opinion on the Financial Statements
We have audited the accompanying balance sheets of Innovate Biopharmaceuticals, Inc. (the “Company”) as of December 31,
2018 and 2017, and the related statements of operations and comprehensive loss, stockholders’ deficit, and cash flows for each
of the two years in the period ended December 31, 2018, and the related notes (collectively referred to as the “financial
statements”). In our opinion, the financial statements present fairly, in all material respects, the financial position of the Company
as of December 31, 2018 and 2017, and the results of its operations and its cash flows for each of the two years in the period
ended December 31, 2018, in conformity with accounting principles generally accepted in the United States of America.
Going Concern Uncertainty
The accompanying financial statements have been prepared assuming that the Company will continue as a going concern. As
discussed in Note 2 to the financial statements, the Company has incurred recurring operating losses and is dependent on
additional financing to fund operations. These conditions raise substantial doubt about the Company’s ability to continue as a
going concern. Management’s plans in regard to these matters are described in Note 2 to the financial statements. The financial
statements do not include any adjustments to reflect the possible future effects on the recoverability and classification of assets
or the amounts and classification of liabilities that may result from the outcome of this uncertainty.
Basis for Opinion
These financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on
the Company’s financial statements based on our audits. We are a public accounting firm registered with the Public Company
Accounting Oversight Board (United States) ("PCAOB") and are required to be independent with respect to the Company in
accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange
Commission and the PCAOB.
We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the
audit to obtain reasonable assurance about whether the financial statements are free of material misstatement, whether due to
error or fraud. The Company is not required to have, nor were we engaged to perform, an audit of its internal control over
financial reporting. As part of our audits we are required to obtain an understanding of internal control over financial reporting
but not for the purpose of expressing an opinion on the effectiveness of the Company’s internal control over financial reporting.
Accordingly, we express no such opinion.
Our audits included performing procedures to assess the risks of material misstatement of the financial statements, whether due
to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis,
evidence regarding the amounts and disclosures in the financial statements. Our audits also included evaluating the accounting
principles used and significant estimates made by management, as well as evaluating the overall presentation of the financial
statements. We believe that our audits provide a reasonable basis for our opinion.
/s/ Mayer Hoffman McCann P.C.
Orange County, California
March 18, 2019
We have served as the Company's auditor since 2014.
F-2
INNOVATE BIOPHARMACEUTICALS, INC.
BALANCE SHEETS
Assets
Current assets:
Cash and cash equivalents
Restricted deposit
Prepaid expenses and other current assets
Deferred offering costs
Due from related party
Total current assets
Property and equipment, net
Other assets
Total assets
Liabilities and Stockholders’ Deficit
Current liabilities:
Accounts payable
Accrued expenses
Convertible note payable
Derivative liability
Convertible promissory notes, net
Convertible promissory notes, related party, net
Accrued interest
Total liabilities
Commitments and contingencies (Note 11)
Stockholders’ deficit:
December 31,
2018
2017
$
5,728,900
$
355,563
75,000
504,907
104,706
—
6,413,513
35,095
5,580
6,454,188
$
$
—
161,844
159,795
75,000
752,202
40,707
5,580
798,489
$
3,618,634
$
2,658,637
826,327
5,196,667
370,000
—
—
101,624
1,180,225
—
—
8,329,045
244,816
560,380
10,113,252
12,973,103
Preferred stock $0.0001 par value as of December 31, 2018, 10,000,000 shares
authorized as of December 31, 2018; 0 shares issued and outstanding as of December 31,
2018 and 2017
Common stock $0.0001 and $0.001 par value as of December 31, 2018 and 2017,
respectively, 350,000,000 and 250,000,000 shares authorized as of December 31, 2018
and 2017, respectively; 26,088,820 and 11,888,240 shares issued and outstanding as of
December 31, 2018 and 2017, respectively
Additional paid-in capital
Accumulated deficit
Total stockholders’ deficit
—
—
2,609
11,888
39,854,297
(43,515,970)
(3,659,064)
7,167,189
(19,353,691)
(12,174,614)
Total liabilities and stockholders’ deficit
$
6,454,188
$
798,489
See accompanying notes to these financial statements.
F-3
INNOVATE BIOPHARMACEUTICALS, INC.
STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS
Operating expenses:
Research and development
General and administrative
Total operating expenses
Year Ended December 31,
2018
2017
$
7,559,077
10,664,991
18,224,068
$
4,007,911
7,161,612
11,169,523
Loss from operations
(18,224,068)
(11,169,523)
Other income (expense):
Interest income
Interest expense
Change in fair value of derivative liability
Total other expense, net
163,832
(6,152,043)
50,000
(5,938,211)
—
(436,294)
—
(436,294)
Loss before income taxes
Benefit from (provision for) income taxes
(24,162,279)
—
(11,605,817)
—
Net loss
$ (24,162,279) $ (11,605,817)
Net loss per common share, basic and diluted*
$
(0.98) $
(0.98)
Weighted-average common shares, basic and diluted*
24,762,151
11,888,240
* Common shares adjusted for the exchange ratio from the reverse recapitalization
See accompanying notes to these financial statements.
F-4
INNOVATE BIOPHARMACEUTICALS, INC.
STATEMENTS OF STOCKHOLERS’ EQUITY (DEFICIT)
Common Stock*
Shares
Amount
Additional
Paid-in
Capital
Accumulated
Deficit
Stock
Subscription
Receivable
Total
Balance as of December 31, 2016
11,888,240
$ 11,888
$ 1,148,457
$ (7,747,874) $
(25) $ (6,587,554)
Payment of stock subscription
receivable
Share-based compensation
Net loss
—
—
—
—
—
— 6,018,732
—
—
25
—
25
6,018,732
—
— (11,605,817)
— (11,605,817)
Balance as of December 31, 2017
11,888,240
11,888
7,167,189
(19,353,691)
— (12,174,614)
Change in par value from $0.001 to
$0.0001
Issuance of shares as a result of
reverse recapitalization
Issuance of common stock
Warrants issued with common
stock
Warrants issued to placement
agents
Stock issuance costs
Conversion of convertible debt and
accrued interest
Beneficial conversion feature
Share-based compensation
Exercise of stock options
Exercise of warrants, net of
issuance costs
Net loss
— (10,699)
10,699
1,864,808
186
(978,860)
7,129,207
713
16,181,289
—
—
—
— 1,995,000
—
913,000
— (2,569,659)
4,827,001
483
9,229,336
—
—
87,706
291,858
—
— 3,077,887
— 3,805,000
182,419
840,997
9
29
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
(978,674)
— 16,182,002
—
—
1,995,000
913,000
— (2,569,659)
—
—
—
—
9,229,819
3,077,887
3,805,000
182,428
841,026
— (24,162,279)
— (24,162,279)
Balance as of December 31, 2018
26,088,820
$ 2,609
$39,854,297
$ (43,515,970) $
— $ (3,659,064)
* Common shares adjusted for the exchange ratio from the reverse recapitalization
See accompanying notes to these financial statements.
F-5
INNOVATE BIOPHARMACEUTICALS, INC.
STATEMENTS OF CASH FLOWS
Cash flows from operating activities
Net loss
Adjustments to reconcile net loss to net cash used in operating activities:
Year Ended December 31,
2017
2018
$
(24,162,279) $
(11,605,817)
Share-based compensation
Accrued interest on convertible promissory notes
Amortization of debt discount
Depreciation
Beneficial conversion feature
Change in fair value of derivative liability
Changes in operating assets and liabilities:
Prepaid expenses and other assets
Accounts payable
Accrued expenses
Net cash used in operating activities
Cash flows from investing activities
Purchase of property and equipment
Purchase of restricted deposit
Loan payments from related party
Net cash used in investing activities
Cash flows from financing activities
Borrowings from note payable
Payments of note payable issuance costs
Borrowings from convertible promissory notes
Principal payments of convertible promissory notes
Proceeds from issuance of common stock and warrants
Payment of stock issuance costs
Payment of deferred offering costs
Proceeds from exercise of stock options
Proceeds from exercise of warrants
Payment of stock subscription receivable
Net cash provided by financing activities
Net increase (decrease) in cash and cash equivalents
Cash and cash equivalents as of beginning of period
Cash and cash equivalents as of end of period
Supplemental disclosure of cash flow information
Cash paid during the period for interest
Supplemental disclosure of noncash financing activities
Conversion of convertible notes and accrued interest to common stock
Assumption of liabilities from reverse recapitalization transaction
Warrants issued to placement agents
Commissions owed and accrued for exercise of warrants
Accrued interest converted to convertible note payable
Non-cash addition of derivative liability
Non-cash addition of deferred offering costs
Deferred offering costs reclassified to additional paid-in capital
3,805,000
280,394
2,513,475
19,555
3,077,887
(50,000)
(298,724)
86,412
(441,050)
(15,169,330)
(13,943)
(75,000)
75,000
(13,943)
3,000,000
(50,000)
345,000
(275,000)
18,132,661
(1,496,862)
(209,795)
182,428
928,178
—
20,556,610
5,373,337
355,563
5,728,900
$
6,018,732
396,769
39,525
5,787
—
—
(155,339)
746,797
(543,000)
(5,096,546)
(38,727)
—
—
(38,727)
—
—
5,130,000
—
—
—
—
—
—
25
5,130,025
(5,248)
360,811
355,563
280,287
$
—
9,229,819
978,674
913,000
87,152
156,667
420,000
54,706
159,795
$
$
$
$
$
$
$
$
—
—
—
—
—
—
159,795
—
$
$
$
$
$
$
$
$
$
$
See accompanying notes to these financial statements.
F-6
INNOVATE BIOPHARMACEUTICALS, INC.
NOTES TO FINANCIAL STATEMENTS
NOTE 1: SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Business Description
Innovate Biopharmaceuticals, Inc. (the “Company” or “Innovate”) is a clinical-stage biopharmaceutical company developing
novel medicines for autoimmune and inflammatory diseases with unmet medical needs. The Company’s pipeline includes drug
candidates for celiac disease, nonalcoholic steatohepatitis (NASH), alcoholic steatohepatitis (ASH), Crohn’s disease and
ulcerative colitis.
On January 29, 2018, Monster Digital, Inc. (“Monster”) and privately held Innovate Biopharmaceuticals Inc. (“Private
Innovate”) completed a reverse recapitalization in accordance with the terms of the Agreement and Plan of Merger and
Reorganization, dated July 3, 2017, as amended (the “Merger Agreement”), by and among Monster, Monster Merger Sub, Inc.
(“Merger Sub”) and Private Innovate. In connection with the transaction, Private Innovate changed its name to IB Pharmaceuticals
Inc. (“IB Pharmaceuticals”). Pursuant to the Merger Agreement, Merger Sub merged with and into IB Pharmaceuticals with IB
Pharmaceuticals surviving as the wholly owned subsidiary of Monster (the “Merger”). Immediately following the Merger,
Monster changed its name to Innovate Biopharmaceuticals, Inc. (“Innovate”). On March 29, 2018, IB Pharmaceuticals was
merged into Innovate and ceased to exist.
Monster, a Delaware corporation (formed in November 2010), and its subsidiary SDJ Technologies, Inc. (“SDJ”), was an
importer of high-end memory storage products, flash memory and action sports cameras marketed and sold under the Monster
Digital brand name acquired under a long-term licensing agreement with Monster, Inc. In September 2017, Monster incorporated
MD Holding Co, Inc. (“MDH”), a Delaware corporation, and transferred all of the businesses and assets of Monster, including
all shares of SDJ and those liabilities of Monster not assumed by Innovate pursuant to the Merger to MDH. In January 2018,
the name of MDH was changed to NLM Holding Co., Inc.
On January 29, 2018, prior to the Merger, Private Innovate completed an equity financing (the “Equity Issuance”). See Note
3—Merger and Financing.
Basis of Presentation
The accompanying financial statements have been prepared in accordance with accounting principles generally accepted
in the United States of America (“U.S. GAAP”). The Company’s financial position, results of operations and cash flows are
presented in U.S. Dollars.
Upon the closing of the Merger, the outstanding shares of Private Innovate were exchanged for shares of common stock of
Monster at an exchange ratio of one share of Private Innovate common stock to 0.37686604 shares of Monster common stock
(the “Exchange Ratio”). All common share amounts and per share amounts have been adjusted to reflect this Exchange Ratio,
which was effected upon the Merger.
The Merger has been accounted for as a reverse recapitalization. Prior to the Merger, Monster spun-out all of its pre-merger
business assets and liabilities before it acquired Private Innovate. The owners and management of Private Innovate have actual
or effective voting and operating control of the combined company. In the Merger transaction, Monster is the accounting acquiree
and Private Innovate is the accounting acquirer. A reverse recapitalization is equivalent to the issuance of stock by the private
operating company for the net monetary assets of the accounting acquiree accompanied by a recapitalization with accounting
similar to that resulting from a reverse acquisition, except that no goodwill or intangible assets are recorded.
Immediately prior to the effective time of the Merger, Monster effected a reverse stock split at a ratio of one new share for
every ten shares of its common stock outstanding. In connection with the Merger, 1,864,808 shares of the Company’s common
stock were transferred to the existing Monster stockholders and the Company assumed approximately $1.0 million in liabilities
from Monster for certain transaction costs and tail insurance coverage for its directors and officers, which were recorded as a
reduction of additional paid-in capital. In addition, warrants to purchase up to 154,403 shares of the Company’s common stock
remained outstanding after completion of the Merger. These warrants have a weighted-average exercise price of $55.31 per
share and expire in 2021 and 2022.
F-7
The accompanying financial statements and related notes reflect the historical results of Private Innovate prior to the Merger
and of the combined company following the Merger, and do not include the historical results of Monster prior to the completion
of the Merger. These financial statements and related notes should be read in conjunction with Monster’s audited consolidated
financial statements and related notes thereto for the year ended December 31, 2017, included in the Company’s Annual Report
on Form 10-K for the year ended December 31, 2017, filed with the SEC on March 14, 2018, as amended.
Shelf Registration Filing
On March 15, 2018, the Company filed a shelf registration statement that was declared effective on July 13, 2018. Under
the shelf registration statement, the Company may, from time to time, sell its common stock in one or more offerings up to an
aggregate dollar amount of $175 million (of which up to an aggregate of $40 million may be sold in an “at-the-market” offering
as defined in Rule 415 of the Securities Act). In addition, the selling stockholders included in the shelf registration statement
may from time to time sell up to an aggregate amount of 13,990,403 shares of the Company’s common stock (including up to
2,051,771 shares issuable upon exercise of warrants) in one or more offerings.
Business Risks
The Company faces risks associated with biopharmaceutical companies whose products are in the early stages of
development. These risks include, among others, the Company’s need for additional financing to achieve key development
milestones, the need to defend intellectual property rights and the dependence on key members of management.
Use of Estimates
The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and
assumptions that affect the amounts reported in the financial statements and disclosures made in the accompanying notes to the
financial statements. Areas of the financial statements where estimates may have the most significant effect include accrued
expenses, share-based compensation, valuation of the derivative liability, valuation allowance for income tax assets and
management’s assessment of the Company’s ability to continue as a going concern. Changes in the facts or circumstances
underlying these estimates could result in material changes and actual results could differ from these estimates.
Concentration of Credit Risk
Financial instruments which potentially subject the Company to concentration of credit risk consists of cash and cash
equivalents. While cash held by financial institutions may at times exceed federally insured limits, management believes that
no material credit or market risk exposure exists due to the high quality of the financial institutions. The Company has not
experienced any losses on such accounts.
Cash and Cash Equivalents
The Company considers all highly liquid investments with a maturity of three months or less at the date of purchase to be
cash and cash equivalents. Cash equivalents are stated at cost and consist primarily of money market accounts.
Restricted Deposit
The Company maintains a certificate of deposit (“CD”) with a bank, which matures on October 17, 2019 and pays interest
at a rate of 2.39% per annum. The CD serves as collateral for the Company’s credit cards.
Property and Equipment
The Company records property and equipment at cost. Improvements and betterments that add new functionality or extend
the useful life of the asset are capitalized, while general repairs and maintenance are expensed as incurred. The Company
depreciates its property and equipment over the estimated useful lives of the assets, typically three years, using the straight-line
method. Leasehold improvements are amortized over the lesser of their estimated useful lives or the lives of the underlying
leases, whichever is shorter. Depreciation and amortization expense for property and equipment and leasehold improvements
has been included in general and administrative expenses in the accompanying statements of operations and comprehensive
loss.
F-8
Accrued Expenses
The Company incurs periodic expenses such as research and development, licensing fees, salaries and benefits and
professional fees. The Company is required to estimate its expenses resulting from obligations under contracts with clinical
research organizations, vendors and consulting agreements that have been incurred by the Company prior to them being invoiced.
This process involves reviewing quotations and contracts, identifying services that have been performed on the Company’s
behalf and estimating the level of service performed and the associated cost incurred for the service when the Company has not
yet been invoiced or otherwise notified of the actual cost. The majority of the Company’s service providers invoice monthly in
arrears for services performed or when contractual milestones are met. The Company estimates accrued expenses as of each
balance sheet date based on facts and circumstances known at that time.
Accrued expenses consisted of the following:
Accrued compensation and benefits
Other accrued expenses
Total
Derivative Liability
December 31,
2018
2017
$
$
697,334
128,993
826,327
$
$
1,065,225
115,000
1,180,225
The Company accounts for derivative instruments in accordance with Accounting Standards Codification (“ASC”) 815,
Derivative and Hedging, which establishes accounting and reporting standards for derivative instruments, including certain
derivative instruments embedded in other financial instruments or contracts and requires recognition of all derivatives on the
balance sheet at fair value. The Company’s derivative financial instrument consists of an embedded option in the Company’s
convertible debt. The embedded derivative includes provisions that provide the noteholder with certain conversion and put rights
at various conversion or redemption values as well as certain call options for the Company. See Note 6—Debt for further details.
Research and Development
Research and development expenses consist of costs incurred to further the Company’s research and development activities
and include salaries and related employee benefits, manufacturing of pharmaceutical active ingredients and drug products, costs
associated with clinical trials, nonclinical activities, regulatory activities, research-related overhead expenses and fees paid to
expert consultants, external service providers and contract research organizations which conduct certain research and
development activities on behalf of the Company. Costs incurred in the research and development of products are charged to
research and development expense as incurred.
Costs for preclinical studies and clinical trial activities are recognized based on an evaluation of the vendors’ progress
towards completion of specific tasks, using data such as patient enrollment, clinical site activations or information provided by
vendors regarding their actual costs incurred. Payments for these activities are based on the terms of individual contracts and
payment timing may differ significantly from the period in which the services were performed. The Company determines accrual
estimates through reports from and discussions with applicable personnel and outside service providers as to the progress or
state of completion of trials, or the services completed. The estimates of accrued expenses as of each balance sheet date are
based on the facts and circumstances known at the time. Although the Company does not expect its estimates to be materially
different from amounts incurred, the Company’s estimates and assumptions for clinical trial costs could differ significantly from
actual costs incurred, which could result in increases or decreases in research and development expenses in future periods when
actual results are known.
Nonrefundable advance payments for goods and services that will be used in future research and development activities are
expensed when the goods have been received or when the activity is performed, rather than when payment is made.
Share-Based Compensation
The Company recognizes share-based compensation expense for grants of stock options to employees and non-employee
members of the Company’s board of directors based on the grant-date fair value of those awards using the Black-Scholes option-
F-9
pricing model. Share-based compensation expense is generally recognized on a straight-line basis over the requisite service
period for awards expected to vest.
Share-based compensation expense related to stock options granted to non-employees, other than non-employee directors,
is adjusted each reporting period for changes in the fair value of the Company’s stock until the measurement date. The measurement
date is generally considered to be the date when all services have been rendered or the date that options are fully vested. Share-
based compensation expense for both employees and non-employees includes an estimate, which is made at the time of grant,
of the number of awards that are expected to be forfeited. This estimate is revised, if necessary, in subsequent periods if actual
forfeitures differ from those estimates.
Under the Black-Scholes option-pricing model, fair value is calculated based on assumptions with respect to:
• Expected dividend yield. The expected dividend yield is assumed to be zero as the Company has never paid dividends
and has no current plans to pay any dividends on the Company’s common stock.
• Expected stock price volatility. Due to limited trading history as a public company, the expected volatility is derived from
the average historical volatilities of publicly traded companies within the Company’s industry that the Company considers
to be comparable to the Company’s business over a period approximately equal to the expected term. In evaluating
comparable companies, the Company considers factors such as industry, stage of life cycle, financial leverage, size and
risk profile.
• Risk-free interest rate. The risk-free interest rate is based on the U.S. Treasury yield in effect at the time of grant for zero
coupon U.S. Treasury notes with maturities approximately equal to the expected term.
• Expected term. The expected term represents the period that the stock-based awards are expected to be outstanding. Due
to limited history of stock option exercises, the Company estimates the expected term of employee stock options based
on the simplified method, which calculates the expected term as the average of the time-to-vesting and the contractual
life of the options. The expected term for non-employees is the remaining contractual life of the option.
Share-based Compensation Adjustment to Prior Period Results
In preparing the Company’s financial statements for the year ended December 31, 2018, the Company determined that an
immaterial error was made in the amount of share-based compensation expense recorded in the Company’s financial statements
for the three months ended March 31, 2018. The error resulted in an overstatement of share-based compensation expense of
approximately $1.2 million for the first quarter of 2018. In addition, share-based compensation expense was overstated for this
same amount for the six months and nine months ended June 30, 2018 and September 30, 2018, respectively. The error did not
impact the Company’s financial statements for the three months ended June 30, 2018 or the three months ended September 30,
2018. The Company assessed the materiality of this misstatement in the 2018 interim period financial statements in accordance
with the Securities and Exchange Commission (“SEC”) Staff Accounting Bulletin (“SAB”) No. 99, Materiality, codified in
Accounting Standards Codification No. 250, Presentation of Financial Statements, and concluded that the misstatement was not
material to any interim period. The Company has corrected the financial statements for the year ended December 31, 2018.
There was no impact to stockholders’ deficit or cash flows.
Additionally, the Company will adjust its previously filed financial statements for the impact on the first, second and third quarter
2018 information when it is presented in future Exchange Act reports.
F-10
Reconciliation Between Amounts Previously Reported and Corrected Amounts
The impact of the share-based compensation correction on the financial statements line items is presented below (unaudited):
Three Months Ended
March 31, 2018
Six Months Ended
June 30, 2018
Nine Months Ended
September 30, 2018
As
Originally
Reported
Adjustment
As
Corrected
As
Originally
Reported
Adjustment
As
Corrected
As
Originally
Reported
Adjustment
As
Corrected
$ 6,358,004 $ (1,196,000) $ 5,162,004
$ 7,601,225 $ (1,196,000) $ 6,405,225
$ 5,815,580 $ (1,196,000) $ 4,619,580
$(12,524,617) $
1,196,000 $(11,328,617)
$(15,900,688) $
1,196,000 $(14,704,688)
$(15,681,035) $ 1,196,000 $(14,485,035)
$(16,155,744) $
1,196,000 $(14,959,744)
$(20,371,296) $
1,196,000 $(19,175,296)
$(21,147,226) $ 1,196,000 $(19,951,226)
$
(0.76) $
0.06 $
(0.70)
$
(0.87) $
0.05 $
(0.82)
$
(0.87) $
0.05 $
(0.82)
As of
March 31, 2018
As of
June 30, 2018
As of
September 30, 2018
As
Originally
Reported
Adjustment
As
Corrected
As
Originally
Reported
Adjustment
As
Corrected
As
Originally
Reported
Adjustment
As
Corrected
$ 43,353,122 $ (1,196,000) $ 42,157,122
$ 43,181,593 $ (1,196,000) $ 41,985,593
$ 40,879,119 $ (1,196,000) $ 39,683,119
$(35,509,435) $
1,196,000 $(34,313,435)
$(39,724,987) $
1,196,000 $(38,528,987)
$(40,500,917) $ 1,196,000 $(39,304,917)
General and
administrative
expense
Loss from
operations
Net loss and
comprehensive
loss
Net earnings (loss)
per share, basic
and diluted
Additional paid-in
capital
Accumulated
deficit
Income Taxes
The Company accounts for income taxes under the asset and liability method, which requires the recognition of deferred
tax assets and liabilities for the expected future tax consequences of events that have been included in the financial statements.
Under this method, deferred tax assets and liabilities are determined based on the differences between the financial statements
and the tax basis of assets and liabilities using the enacted tax rates in effect for the year in which the differences are expected
to reverse.
Net deferred tax assets are recognized to the extent the Company’s management believes these assets will more likely than
not be realized. In making such determination, management considers all positive and negative evidence, including reversals of
existing temporary differences, projected future taxable income, tax planning strategies and recent financial operations. A
valuation allowance is recorded to reduce the deferred tax assets reported if, based on the weight of the evidence, it is more
likely than not that some portion or all of the deferred tax assets will not be realized. Management periodically reviews its
deferred tax assets for recoverability and its estimates and judgments in assessing the need for a valuation allowance.
The Company recognizes a tax benefit from uncertain positions when it is more likely than not that the position will be
sustained upon examination, including resolutions of any related appeals or litigation processes, based on the technical merits
of the position. Income tax positions must meet a more-likely-than-not recognition threshold to be recognized.
F-11
Fair Value of Financial Instruments
Fair value is defined as the price that would be received for sale of an asset or paid for transfer of a liability, in an orderly
transaction between market participants at the measurement date. U.S. GAAP establishes a three-tier fair value hierarchy, which
prioritizes the inputs used in measuring fair value. The hierarchy gives the highest priority to unadjusted quoted prices in active
markets for identical assets or liabilities (Level 1 measurements) and the lowest priority to unobservable inputs (Level 3
measurements). Financial instruments recorded in the accompanying consolidated balance sheets are categorized based on the
inputs to valuation techniques as follows:
•
•
•
Level 1 — defined as observable inputs based on unadjusted quoted prices for identical instruments in active markets;
Level 2 — defined as inputs other than Level 1 that are either directly or indirectly observable in the marketplace for
identical or similar instruments in markets that are not active; and
Level 3 — defined as unobservable inputs in which little or no market data exists where valuations are derived from
techniques in which one or more significant inputs are unobservable.
The fair value of the embedded derivative issued in connection with the convertible debt financing was determined by using
a Monte Carlo simulation technique (“MCS”) to value the embedded derivative. As part of the MCS valuation a discounted cash
flow (“DCF”) model is used to value the debt on a stand-alone basis and determine the discount rate to utilize in both the DCF
and MCS models. The significant estimates used in the DCF model include the time to maturity of the convertible debt and
calculated discount rate, which includes an estimate of the Company’s specific risk premium. The discount rate utilized was
13.1% and 13.6% as of October 4, 2018 and December 31, 2018, respectively. The MCS methodology calculates the theoretical
value of an option based on certain parameters, including: (i) the threshold of exercising the option, (ii) the price of the underlying
security, (iii) the time to expiration, (iv) the expected volatility of the underlying security, (v) the risk-free rate and (vi) the
number of paths. The volatility, risk-free interest rate and time to expiration utilized as of October 4, 2018 were 98.2%, 2.9%
and 24 months, respectively. The volatility, risk-free interest rate and time to expiration utilized as of December 31, 2018 were
105.6%, 2.5% and 21 months, respectively.
This valuation technique involves management’s estimates and judgment based on unobservable inputs and is classified in
Level 3. The following table summarizes the changes in fair value of the derivative liability classified in Level 3. Gains and
losses reported in this table include changes in fair value that are attributable to unobservable inputs.
Year Ended
December 31, 2018
Beginning balance as of December 31, 2017
Addition to derivative liability for embedded derivative issued in
connection with convertible debt
Change in fair value of derivative liability
Ending balance as of December 31, 2018
The amount of total gain (losses) for the period included in earnings
attributable to the change in unrealized gains (losses) relating to the
derivative liability still held at the reporting date
$
$
$
—
420,000
(50,000)
370,000
50,000
The change in derivative liability of $50,000 for the year ended December 31, 2018 is included in other expense in the
statements of operations and comprehensive loss.
ASC 820, Fair Value Measurement and Disclosures requires all entities to disclose the fair value of financial instruments,
both assets and liabilities, for which it is practicable to estimate fair value. As of December 31, 2018 and 2017, the recorded
values of cash and cash equivalents, restricted deposit, accounts payable, accrued expenses and convertible promissory notes
approximate their fair values due to the short-term nature of the instruments.
F-12
Deferred Offering Costs
Deferred offering costs consist principally of legal, accounting and underwriters’ fees related to offerings or the Company’s
shelf registration. Offering costs incurred prior to an offering are initially capitalized and then subsequently reclassified to
additional paid-in capital upon completion of the offering. Deferred offering costs associated with the shelf registration will be
charged to additional paid-in capital on a pro-rata basis in the event the Company completes an offering under the Shelf
Registration. Offering costs incurred in relation to the Equity Issuance were charged to additional paid-in capital upon completion
of the offering on January 29, 2018.
Patent Costs
Costs associated with the submission of patent applications are expensed as incurred given the uncertainty of the future
economic benefits of the patents. Patent and patent related legal and administrative costs included in general and administrative
expenses were approximately $513,000 and $409,000 for the years ended December 31, 2018 and 2017, respectively.
Net Loss Per Share
The Company calculates net loss per share as a measurement of the Company’s performance while giving effect to all
potentially dilutive shares that were outstanding during the reporting period. Because the Company had a net loss for all periods
presented, the inclusion of common stock options or other similar instruments would be anti-dilutive. Therefore, the weighted
average shares outstanding used to calculate both basic and diluted net loss per share are the same. For the years ended December
31, 2018 and 2017, 9.0 million and 6.8 million potentially dilutive securities related to warrants and stock options issued and
outstanding have been excluded from the computation of diluted weighted average shares outstanding because the effect would
be anti-dilutive. The potentially dilutive securities consisted of the following:
Year Ended December 31,
2018
2017
Options outstanding under the Private Innovate
Plan
6,340,871
6,843,296
Options and warrants outstanding under the
Amended Omnibus Plan
Warrants issued at a weighted-average exercise
price of $55.31
Warrants issued at an exercise price of $2.54
Warrants issued at an exercise price of $3.18
Total
776,131
1,683
154,403
349,555
1,410,358
9,031,318
—
—
—
6,844,979
Comprehensive Loss
Comprehensive loss is defined as the change in equity during a period from transactions and other events and circumstances
from non-owner sources. The Company is required to record all components of comprehensive loss in the financial statements
in the period in which they are recognized. Net loss and other comprehensive loss, including unrealized gains and losses on
investments are reported, net of their related tax effect, to arrive at a comprehensive loss. For the years ended December 31,
2018 and 2017, comprehensive loss was equal to net loss.
Segments
Operating segments are defined as components of an enterprise engaging in business activities for which discrete financial
information is available and regularly reviewed by the chief operating decision maker in deciding how to allocate resources and
in assessing performance. The Company operates and manages its business as one operating segment and all of the Company’s
operations are in North America.
F-13
Recently Issued Accounting Standards
Accounting Pronouncements Adopted
In August 2016, the Financial Accounting Standards Board (“FASB”) issued ASU 2016-15, Statement of Cash Flows (Topic
230) - Classification of Certain Cash Receipts and Cash Payments. The provisions of ASU 2016-15 address eight specific cash
flow issues and how those certain cash receipts and cash payments are presented and classified in the statement of cash flows.
The Company adopted this standard effective January 1, 2018, and the adoption of this standard did not have a material impact
on the Company’s financial statements.
In May 2017, the FASB issued ASU 2017-09, Compensation-Stock Compensation (Topic 718): Scope of Modification Accounting,
which clarifies when to account for a change to the terms or conditions of a share-based payment award as a modification. Under
this new guidance, entities will apply modification accounting if the fair value, vesting conditions or classification of the award
(as equity or liability) changes as a result of a change in terms or conditions. The Company adopted this standard effective
January 1, 2018, and the adoption of this standard did not have a material impact on the Company’s financial statements.
Accounting Pronouncements Being Evaluated
In February 2016, the FASB issued ASU 2016-02, Leases (Topic 842). This standard revises the principles for the recognition,
measurement, presentation and disclosure of leases for both lessees and lessors. The new standard requires lessees to apply a
dual approach, classifying leases as either finance or operating leases based on the principle of whether or not the lease is
effectively a financed purchase by the lessee. This classification will determine whether lease expense is recognized based on
an effective interest method or on a straight-line basis over the term of the lease. A lessee is also required to record a right-of-
use asset and a lease liability for all leases with a term of greater than 12 months regardless of their classification. Leases with
a term of 12 months or less may be accounted for in a similar manner as leases under existing guidance for operating leases.
ASU 2016-02 supersedes the previous lease standard, Leases (Topic 840). In 2018 and 2019, the FASB has issued and incorporated
several additional ASUs to provide clarifying guidance associated with the application of certain principles within Topic 842.
These ASUs are effective for public companies with annual periods and interim periods within those annual periods beginning
after December 15, 2018. These standards are effective for the Company as of January 1, 2019. Management has conducted an
initial assessment of the impact that the implementation of this standard will have on the Company’s financial statements and
does not expect the standard to have a material impact.
In June 2018, the FASB issued ASU 2018-07, Compensation-Stock Compensation (Topic 718): Improvements to Non-
employee Share-Based Payment Accounting. ASU 2018-07 expands the scope of Topic 718 to include share-based payment
transactions for acquiring goods and services from non-employees. The standard is effective for the Company as of January 1,
2019, with early adoption permitted. Management has conducted the initial assessment of the impact that the implementation
of this standard will have on the Company’s financial statements and does not expect the standard to have a material impact.
Beginning in the first quarter of 2019, the Company changed its expense recognition for share-based payments to non-employees
to an amount determined at the grant or modification date instead of a variable amount to be re-measured each reporting period.
In August 2018, the FASB issued ASU 2018-13, Fair Value Measurement (Topic 820): Disclosure Framework - Changes
to the Disclosure Requirements for Fair Value Measurement. This standard no longer requires public companies to disclose
transfers between Level 1 and Level 2 of the fair value hierarchy and adds additional disclosure requirements about the range
and weighted average used to develop significant unobservable inputs for Level 3 fair value measurements. The guidance is
effective for fiscal years beginning after December 15, 2019, and for interim periods within those fiscal years. Early adoption
is permitted and the Company is currently evaluating the impact this standard will have on the Company’s financial statements.
NOTE 2: LIQUIDITY AND GOING CONCERN
The accompanying financial statements have been prepared assuming that the Company will continue as a going concern,
which contemplates the realization of assets and the satisfaction of liabilities and commitments in the normal course of business.
The Company has concluded that the prevailing conditions and ongoing liquidity risks faced by the Company raise substantial
doubt about the Company’s ability to continue as a going concern for at least one year following the date these financial statements
are issued. Based on the Company’s limited operating history and recurring operating losses, the Company will need substantial
additional funding to support its planned and future operating activities, including progression of research and development
programs. Management’s plans with regard to these matters include entering into strategic partnerships or licensing arrangements
F-14
INNOVATE BIOPHARMACEUTICALS, INC.
NOTES TO FINANCIAL STATEMENTS
or seeking additional debt or equity financing arrangements or a combination of these activities. There can be no assurance that
the Company will be able to obtain additional capital on terms acceptable to the Company, on a timely basis or at all. The failure
to obtain sufficient additional funding could adversely affect the Company’s ability to achieve its business objectives and product
development timelines and could have a material adverse effect on the Company’s results of operations. The accompanying
financial statements do not include any adjustments that might be necessary should the Company be unable to continue as a
going concern.
NOTE 3: MERGER AND FINANCING
As noted above, on January 29, 2018, Private Innovate and Monster completed the Merger in accordance with the terms of
the Merger Agreement. Pursuant to the Merger Agreement, Merger Sub merged with and into IB Pharmaceuticals, with IB
Pharmaceuticals surviving as the wholly owned subsidiary of Monster. Immediately following the Merger, Monster changed its
name to Innovate Biopharmaceuticals, Inc. On March 29, 2018, IB Pharmaceuticals was merged into Innovate and ceased to
exist.
Immediately prior to the closing of the Merger, accredited investors purchased shares of common stock of Private Innovate
in a private placement for gross proceeds of approximately $18.1 million, or $16.5 million, net of approximately $1.6 million
in placement agent fees and expenses (the “Equity Issuance”). Additionally, Private Innovate issued five-year warrants to each
cash purchaser of common stock, or an aggregate of approximately 1.4 million warrants, with an exercise price of $3.18 after
giving effect to the Exchange Ratio. The Company calculated the fair value of the warrants issued utilizing the Black-Scholes
option pricing model with the following assumptions: expected dividend yield of 0.0%, expected stock price volatility of 84.8%,
risk free rate of 2.5% and term of 5.0 years. The proceeds were allocated between common stock and warrants utilizing the
relative fair value method with the allocated warrant value of approximately $2.0 million recorded as additional paid-in capital.
Private Innovate also issued 349,555 five-year warrants with an exercise price of $2.54 and 279,862 five-year warrants with
an exercise price of $3.18 (after giving effect to the Exchange Ratio) to the respective placement agents and their affiliates. The
Company calculated the fair value of the warrants issued utilizing the Black-Scholes option pricing model with the following
assumptions: expected dividend yield of 0.0%, expected stock price volatility of 84.8%, risk free rate of 2.5% and term of 5.0
years. The total value for these warrants approximated $913,000 and was recorded as stock issuance costs and additional paid-
in capital.
Concurrently with the Equity Issuance, convertible promissory notes issued by Private Innovate in the aggregate principal
amount of approximately $8.6 million plus accrued interest of $582,000 were converted into shares of Private Innovate common
stock at a price per share of $0.72, prior to the Exchange Ratio (the “Conversion”), which reflected a 25% discount relative to
the shares issued pursuant to the Equity Issuance (the “Conversion Discount”). The Conversion Discount represented a beneficial
conversion feature of approximately $3.1 million which was recorded as a charge to interest expense and a credit to additional
paid-in capital.
NOTE 4: PROPERTY AND EQUIPMENT
Property and equipment consisted of the following as of December 31, 2018 and 2017:
Furniture and fixtures
Computer equipment
Leasehold improvements
Property and equipment, gross
Less: Accumulated depreciation
Property and equipment, net
December 31,
2018
2017
$
$
$
11,552
22,245
27,446
61,243
(26,148)
35,095
$
$
$
9,382
12,971
24,947
47,300
(6,593)
40,707
F-15
INNOVATE BIOPHARMACEUTICALS, INC.
NOTES TO FINANCIAL STATEMENTS
Depreciation expense for property and equipment was approximately $20,000 and $6,000 for the years ended
December 31, 2018 and 2017, respectively.
NOTE 5: RELATED PARTY TRANSACTIONS
As of December 31, 2017, there was approximately $195,000 of convertible promissory notes and approximately $25,000
of accrued interest owed to certain executives of the Company. The notes and accrued interest were converted into shares of the
Company’s common stock in January 2018 for a total of 308,021 shares.
As of December 31, 2017, there was $75,000 included in due from related party for a note receivable owed to the Company
that was repaid in full in February 2018. In addition, certain relatives of the Company’s former chief executive officer held
convertible promissory notes totaling approximately $50,000 as of December 31, 2017. These convertible promissory notes
were converted into shares of the Company’s common stock in January 2018.
The Company obtains legal services from a law firm that owns a minority portion of the Company’s common stock. During
the years ended December 31, 2018 and 2017, the Company incurred expenses with this law firm of approximately $21,000 and
$143,000, respectively. As of December 31, 2018 and 2017, approximately $1,000 and $143,000, respectively, was owed to this
law firm and included in accounts payable on the accompanying balance sheets.
NOTE 6: DEBT
The Company’s debt consisted of the following as of December 31:
December 31,
2018
2017
Senior convertible note
Convertible promissory notes
Convertible promissory notes, related party
Less debt discount
Total
$
$
5,196,667 $
—
—
—
5,196,667 $
—
8,331,937
245,399
(3,475)
8,573,861
Senior Convertible Note (“New Note”)
On January 29, 2018, the Company entered into a Note Purchase Agreement and Senior Note Payable (the “Note”) with a
lender. The principal amount of the Note was $4.8 million (“Original Principal”). The Note was issued at a discount of $1.8
million and net of $20,000 for financing costs, for total proceeds of $3.0 million. The discount and additional repayment premium
were amortized to interest expense using the effective interest method through the scheduled maturity date of September 30,
2018 (“Maturity Date”). Interest on the Note accrued from January 29, 2018, at a rate of 12.5% per annum and quarterly payments
of interest only were due beginning on March 30, 2018 and compounded quarterly. The repayment amount was to be 105% of
the Original Principal plus any accrued and unpaid interest. The Company entered into a Waiver Agreement with the noteholder
that extended the Maturity Date until October 4, 2018. On October 4, 2018, the Company entered into an Amendment and
Exchange Agreement (“Exchange Agreement”) with the noteholder exchanging the Note for a new Senior Convertible Note
(the “New Note”).
The principal amount of the New Note is $5.2 million, and bears interest at a rate of eight percent (8%) per annum payable
quarterly in cash, maturing on October 4, 2020. The New Note contains certain redemption features, conversion options,
restrictions on specific transactions, non-financial covenants and penalties to the Company in the case of an event of default, as
defined in the New Note. If an event of default occurs, the noteholder may require the Company to redeem all or any portion
of the New Note (including all accrued and unpaid interest thereon), in cash, at a price equal to the greater of (i) up to 125% of
the amount being redeemed, depending on the nature of the default, or (ii) the intrinsic value of the shares of Common Stock
then issuable upon conversion of the New Note. The interest rate shall automatically increase if there is an event of default to
18% per annum during the default period. The Company evaluated the Exchange Agreement and the New Note and determined
that the amendment to the Note constituted an extinguishment of debt, in accordance with authoritative guidance. The Company
F-16
determined that there was no difference between the reacquisition price of the new debt and the net carrying amount of the
extinguished debt and thus there was no gain or loss from the extinguishment. The Company incurred $30,000 of legal fees
associated with the New Note, which were recorded as debt issuance costs and are included in the amortization of debt discount
disclosed below.
All amounts due under the New Note are convertible at any time, in whole or in part, at the option of the noteholder into
shares of the Company’s common stock at a fixed conversion price equal to $8.02 (the “Conversion Price”), with such Conversion
Price adjusted downward to the price of any future issuances of the Company’s common stock. This Conversion Price is also
subject to adjustment for stock splits, combinations or similar events. In addition, all amounts due under the New Note are
alternatively convertible at any time, in whole or in part, at the option of the noteholder, into shares of the Company’s common
stock at an alternate conversion price equal to the greater of (a) $3.08, (the “Floor Price”) or (b) the lower of (I) the Conversion
Price or (II) 93% of the volume weighted average price (the “VWAP”) of the Company’s common stock for the 10 days preceding
the conversion, provided, that if the Company defaults then the noteholder is entitled to convert the New Note subject to an
event of default redemption, in whole or in part, at the noteholder's option, at the value of such portion of the New Note subject
to a potential event of default redemption (i.e., one hundred twenty percent (120%) of the amount then outstanding under the
New Note).
If the VWAP of the Company’s common stock is greater than $10.00 for ten consecutive days, subject to a 15-trading day
written notice to the noteholder immediately thereafter and the satisfaction of certain equity conditions, the Company may, at
its option, require the conversion, in whole or in part, of the New Note.
At any time the VWAP of the Company’s common stock is greater than the Floor Price for ten consecutive days, subject to
a 25 trading day written notice to the noteholder immediately thereafter and the satisfaction of certain equity conditions, the
Company may, at its option, redeem all, but not less than all, of the New Note (including all accrued and unpaid interest thereon)
or portion of the New Note still outstanding, in cash, at a price equal to 120% of the amount being redeemed.
In the event of transactions involving a change of control, the noteholder will have the right to require the Company to
redeem all or any portion of the New Note it holds (including all accrued and unpaid interest thereon) at a price equal to the
greater of 120% of the amount of the New Note being redeemed and the intrinsic value of the shares of the Company’s common
stock then issuable upon conversion of the portion of the New Note being redeemed.
If the VWAP of the Company’s common stock is less than the Floor Price, unless the Company lowers the Floor Price, for
ten consecutive days, the noteholder may, at any time at its option, require the Company to redeem all or any portion of the New
Note (including all accrued and unpaid interest thereon), in cash, at a price equal to 100% of the amount being redeemed.
On January 7, 2019, the Company entered into an Option to Purchase Senior Convertible Note (“Option Agreement”) with
the noteholder. Immediately prior to entering into the Option Agreement, the noteholder issued a redemption notice to the
Company requiring the Company to repay the noteholder $1,049,167 of principal and $1,399 of accrued interest. The principal
balance of the New Note was reduced to $4,147,500 as a result of this repayment. The Company paid the noteholder $250,000
in consideration for the noteholder entering into the Option Agreement with the Company. The Option Agreement provides the
Company with the ability to repay (purchase) the outstanding principal and accrued interest of the New Note any time from
January 7, 2019 until March 31, 2019 (“Option Period”). The purchase amount of the New Note under the terms of the Option
agreement is $5,196,667 (as reduced proportionally for any principal converted under the New Note during the Option Period),
plus any accrued interest on such amount of 8% per annum to the date of exercise.
The Option Agreement also restricts the noteholder’s ability to exercise the original redemption rights under the New Note
during the Option Period. The noteholder may exercise its conversion rights under the Option Period but the noteholder is unable
to require the Company to redeem the New Note in cash as a result of the VWAP of the Company’s common stock being less
than the Floor Price for ten consecutive days. The noteholder is able to force redemption under certain change of control,
bankruptcy or other similar transactions as defined in the New Note and Exchange Agreement.
The various conversion and redemption features contained in the New Note are embedded derivative instruments, which
were recorded as a debt discount and derivative liability at their estimated fair value of $420,000. During 2018, the VWAP of
the Company’s common stock was lower than the Floor price for more than ten consecutive days. As such, the noteholder had
the right to require the Company to redeem the New Note prior to December 31, 2018, at its option. Therefore, the Company
has amortized the entire debt discount to interest expense through the triggering of the redemption option, which occurred in
2018.
F-17
Amortization of the debt discount recorded as interest expense for the Note and New Note totaled approximately $2,510,000
for the year ended December 31, 2018.
Based on the conversion features, redemption features and subjective acceleration clauses contained in the New Note, the
Company has recorded the New Note as a short-term obligation as of December 31, 2018. The Company is currently in compliance
with the covenants of the New Note.
Convertible Promissory Notes
As of January 1, 2017, the Company had issued convertible promissory notes to investors and related parties totaling $3.4
million (the “2016 Notes”). The 2016 Notes bore interest at a rate of seven percent per annum with a maturity date of January
22, 2018. The 2016 Notes convert at 75% of the price paid per share upon a certain financing amount. The 2016 Notes included
a debt discount for a modification of the embedded conversion feature of those notes. The debt discount was amortized to interest
expense using the effective interest method over the term of the 2016 Notes through their maturity date of January 22, 2018.
During 2017, the Company issued $2.5 million of additional 2016 Notes.
During 2017, the Company issued new convertible promissory notes (the “2017 Notes”) to investors totaling $2.7 million.
The 2017 Notes bore interest at a rate of seven percent per annum with a maturity date of June 30, 2018. The 2017 Notes convert
at 75% of the price paid per share upon a certain financing amount.
During 2018, preceding the Equity Issuance, the Company issued additional 2016 Notes in the aggregate amount of $345,000
to investors and repaid certain investors $275,000 in outstanding principal and approximately $26,000 in accrued interest. The
2016 Notes and 2017 Notes and accrued interest were converted into shares of common stock as part of the Equity Issuance
(see Note 3—Merger and Financing).
The amortization of debt discount recorded as interest expense for the convertible promissory notes totaled approximately
$3,000 and $40,000 for the years ended December 31, 2018 and 2017, respectively.
NOTE 7: LICENSE AGREEMENTS
During 2016, the Company entered into a license agreement (the “Alba License”) with Alba Therapeutics Corporation
(“Alba”) to obtain the rights to certain intellectual property relating to larazotide acetate and related compounds. The Company’s
initial area of focus for these assets relates to the treatment of celiac disease. These assets are now referred to as INN-202 by
the Company.
Upon execution of the Alba License, the Company paid Alba a non-refundable license fee of $0.5 million. In addition, the
Company is required to make milestone payments to Alba upon the achievement of certain clinical and regulatory milestones
totaling up to $1.5 million and payments upon regulatory approval and commercial sales of a licensed product totaling up to
$150 million, which is based on sales ranging from $100 million to $1.5 billion.
Upon the Company paying Alba $2.5 million for the first commercial sale of a licensed product, the Alba License becomes
perpetual and irrevocable. Upon the achievement of net sales in a year exceeding $1.5 billion, the Alba License also becomes
free of milestone fees. The Alba License provides Alba with certain termination rights, including failure of the Company to use
Commercially Reasonable Efforts to develop the licensed products.
During 2013, the Company entered into an exclusive license agreement with Seachaid Pharmaceuticals, Inc. (the “Seachaid
Agreement”) to further develop and commercialize the licensed product, the compound known as APAZA. This product is now
referred to as INN-108 by the Company. The agreement shall continue in effect on a country-by-country basis, unless terminated
sooner in accordance with the termination provisions of the agreement, until the expiration of the royalty term for such product
and such country. The royalty term for each such product and such country shall continue until the earlier of the expiration of
certain patent rights (as defined in the agreement) or the date that the sales for one or more generic equivalents makes up a
certain percentage of sales in an applicable country during a calendar year.
F-18
The Company was required to make an initial, non-refundable payment under the Seachaid Agreement in the amount of
$0.2 million. The agreement also calls for milestone payments totaling up to $6.0 million to be paid when certain clinical and
regulatory milestones are met. There are also commercialization milestone payments ranging from $1.0 million to $2.5 million
depending on net sales of the products in a single calendar year, followed by royalty payments in the single digits based on net
product sales.
During 2014, the Company entered into an Asset Purchase Agreement with Repligen Corporation (“Repligen”) to acquire
Repligen’s RG-1068 program for the development of Secretin for the Pancreatic Imaging Market and Magnetic Resonance
Cholangiopancreatography. This program is now referred to as INN-329 by the Company. As consideration for the Asset Purchase
Agreement, the Company agreed to make a non-refundable cash payment on the date of the agreement and future royalty
payments consisting of a percentage between five and fifteen of annual net sales, with the royalty payment percentage increasing
as annual net sales increase. The royalty payments are made on a product-by-product and country-by-country basis and the
obligation to make the payments expires with respect to each country upon the later of (i) the expiration of regulatory exclusivity
for the product in that country or (ii) 10 years after the first commercial sale in that country. The royalty amount is subject to
reduction in certain situations, such as the entry of generic competition in the market.
There were no milestone or royalty fees incurred during the years ended December 31, 2018 and 2017.
NOTE 8: STOCKHOLDERS’ EQUITY
In conjunction with the Merger in January 2018, the Company further amended its amended certificate of incorporation
and restated its bylaws. The amendment provides for 360,000,000 authorized shares of capital stock, par value 0.0001 per share,
of which 350,000,000 shares are designated as common stock and 10,000,000 shares are designated as preferred stock.
Prior to the Merger, the Company was authorized to issue 250,000,000 shares of capital stock, which were designated as
$0.001 par value common stock.
Preferred Stock
The Company’s amended and restated certificate of incorporation authorizes the Company’s board of directors to issue
preferred stock in one or more classes or one or more series within any class from time to time. Voting powers, designations,
preferences, qualifications, limitations, restrictions or other rights will be determined by the board of directors at that time. There
were no shares of preferred stock issued and outstanding as of December 31, 2018 and 2017.
Common Stock
The holders of the Company’s common stock (i) have equal ratable rights to dividends from funds legally available, therefore,
when, as and if declared by the Company’s board of directors; (ii) are entitled to share in all the Company’s assets available for
distribution to holders of common stock upon liquidation, dissolution or winding up of the Company’s affairs; (iii) do not have
preemptive, subscription or conversion rights and there are no redemption or sinking fund provisions or rights; and (iv) are
entitled to one non-cumulative vote per share on all matters on which stockholders may vote.
The Company has 350,000,000 shares of authorized $0.0001 par value common stock. There were 26,088,820 and 11,888,240
shares of common stock outstanding as of December 31, 2018 and 2017, respectively. The Company had reserved shares of
common stock for future issuance as follows:
F-19
INNOVATE BIOPHARMACEUTICALS, INC.
NOTES TO FINANCIAL STATEMENTS
Outstanding stock options
Warrants to purchase common stock
Shares issuable upon conversion of convertible debt
For possible future issuance under Private Innovate Plan
For possible future issuance under Amended Omnibus Plan
Total common shares reserved for future issuance
December 31,
2018
2017
7,117,002
1,914,316
1,720,224
—
2,230,057
12,981,599
6,844,979
—
—
694,025
4,505
7,543,509
On October 26, 2018, the Company entered into a common stock sales agreement with H.C. Wainwright & Co., LLC and
Ladenburg Thalmann & Co. Inc. and filed a prospectus with the Securities and Exchange Commission relating to such offering.
The Company previously filed a Form S-3 that became effective July 13, 2018 that included the registration of $40 million of
its shares of common stock in connection with a potential “at-the-market” (“ATM”) offering. Pursuant to the sales agreement,
the Company may issue and sell shares having an aggregate gross sales price of up to $40 million. The Company will pay the
sales agents commissions of 3.0% of the gross sales price per share sold. As of December 31, 2018, the Company had sold
17,576 shares under the ATM for total net proceeds of approximately $43,000. The proceeds were received in January 2019
and were included in prepaids and other assets as of December 31, 2018.
NOTE 9: SHARE-BASED COMPENSATION
Upon consummation of the Merger, the Company had two stock option plans in existence, the Monster Digital, Inc. 2012
Omnibus Incentive Plan (the “Omnibus Plan”) and the Innovate 2015 Stock Incentive Plan (the “Private Innovate Plan”). Effective
September 7, 2018, the Company’s board of directors approved an amendment to the Omnibus Plan to, among other things,
formally change the name of the Omnibus Plan to the Innovate Biopharmaceuticals, Inc. 2012 Omnibus Incentive Plan (the
“Amended Omnibus Plan”) and increase the number of shares authorized for issuance under the Amended Omnibus Plan to
3,000,000 shares. The stockholders approved this amendment on December 4, 2018.
The terms of the option agreements are determined by the Company’s board of directors. The Company’s stock options vest
based on the terms in the stock option agreements and typically vest over a period of three to four years. These stock options
typically have a maximum term of ten years.
Private Innovate Plan
As of December 31, 2018, there were 6,340,871 stock options outstanding under the Private Innovate Plan. Following
completion of the Merger, the Company does not intend to issue any additional awards from the Private Innovate Plan.
The range of assumptions used in estimating the fair value of the options granted or re-measured under the Private Innovate
Plan using the Black-Scholes option pricing model for the periods presented were as follows:
Expected dividend yield
Expected stock-price volatility
Risk-free interest rate
Expected term of options (in years)
Year Ended December 31,
2018
0%
66% - 72%
2.6% - 3.1%
8.2 - 9.9
2017
0%
73% - 76%
1.3% - 2.4%
5.0 - 10.0
F-20
INNOVATE BIOPHARMACEUTICALS, INC.
NOTES TO FINANCIAL STATEMENTS
The following table summarizes stock option activity under the Private Innovate Plan:
Outstanding at December 31, 2017
Options granted
Options forfeited
Options exercised
Outstanding at December 31, 2018
Exercisable at December 31, 2018
Vested and expected to vest at December 31, 2018
Number of
Shares
6,843,296
—
(414,719)
(87,706)
6,340,871
5,569,790
6,300,501
Weighted-
Average
Exercise
Price
$
$
1.56
—
2.03
2.08
1.53
1.44
1.52
Aggregate
Intrinsic
Value
$ 6,617,433
—
—
—
4,978,205
4,835,693
$ 4,970,269
Weighted-
Average
Remaining
Contractual
Life
(in years)
9.0
—
—
—
7.7
7.7
7.7
The weighted-average grant date fair value of options granted under the Private Innovate Plan was $1.59 during the year
ended December 31, 2017. There were no options granted during the year ended December 31, 2018. The total intrinsic value
of options exercised was $378,367 during the year ended December 31, 2018. There were no options exercised during the year
ended December 31, 2017.
The total fair value of the stock option awards vested under the Private Innovate Plan was approximately $702,000 and
$5,942,000 during the years ended December 31, 2018 and 2017, respectively. As of December 31, 2018, there was approximately
$1.1 million of total unrecognized compensation cost related to unvested stock-based compensation arrangements under the
Private Innovate Plan. This cost is expected to be recognized over a weighted average period of 2.3 years.
The Private Innovate Plan provides for accelerated vesting under certain change-of-control transactions, if approved by the
Company’s board of directors.
Amended Omnibus Plan
As of December 31, 2018, there were options and warrants to purchase 776,131 shares of Innovate common stock outstanding
under the Amended Omnibus Plan and 2,230,057 shares available for future grants under the Amended Omnibus Plan.
The range of assumptions used in estimating the fair value of the options granted or re-measured under the Amended
Omnibus Plan for the periods presented were as follows:
Expected dividend yield
Expected stock-price volatility
Risk-free interest rate
Expected term of options (in years)
Year Ended December 31,
2018
0%
65% - 73%
2.7% - 3.1%
5.0 - 10.0
F-21
INNOVATE BIOPHARMACEUTICALS, INC.
NOTES TO FINANCIAL STATEMENTS
The following table summarizes stock option activity under the Amended Omnibus Plan:
Outstanding at December 31, 2017
Options granted
Options forfeited
Options exercised
Outstanding at December 31, 2018
Exercisable at December 31, 2018
Vested and expected to vest at December 31, 2018
Weighted-
Average
Exercise
Price
Aggregate
Intrinsic
Value
Weighted-
Average
Remaining
Contractual
Life
(in years)
45.00
5.83
6.02
—
5.79
6.41
5.81
$
—
—
—
7.4
4.1
7.3
Number of
Shares
1,683
1,302,843
(528,395)
—
776,131
326,830
741,097
$
$
The weighted-average grant date fair value of options granted under the Amended Omnibus Plan was $3.76 during the year
ended December 31, 2018. There were no options granted during the year ended December 31, 2017.
The total fair value of stock option awards vested under the Amended Omnibus Plan was approximately $1,032,000 during
the year ended December 31, 2018. As of December 31, 2018, there was approximately $0.9 million of total unrecognized
compensation cost related to unvested stock-based compensation arrangements under the Amended Omnibus Plan. This cost is
expected to be recognized over a weighted average period of 3.1 years.
The Amended Omnibus Plan provides for accelerated vesting under certain change-of-control transactions, if approved by
the Company’s board of directors.
Share-based compensation expense recognized in the Company’s financial statements was as follows:
Research and development
General and administrative
Total share-based compensation
Year Ended December 31,
2018
2,445,000
1,360,000
3,805,000
$
$
2017
2,088,000
3,931,000
6,019,000
$
$
NOTE 10: INCOME TAXES
No provision for federal and state income tax expense has been recorded for the years ended December 31, 2018 and 2017
due to the valuation allowance recorded against the net deferred tax asset and recurring losses.
Deferred income taxes reflect the net tax effects of temporary differences between the carrying amounts of assets and
liabilities for financial reporting purposes and the amounts used for income tax purposes. Significant components of the
Company’s deferred tax assets and deferred tax liabilities are as follows:
F-22
INNOVATE BIOPHARMACEUTICALS, INC.
NOTES TO FINANCIAL STATEMENTS
December 31,
Tax loss and contribution carryforwards
Tax credits
Share-based compensation
Intangible assets
Accrued expenses
Other
Valuation allowance
$
2018
4,336,800
224,900
2,377,400
1,677,600
151,800
4,500
(8,773,000)
Total deferred tax assets, noncurrent
$
— $
2017
$
865,600
—
1,396,300
1,588,700
—
1,400
(3,852,000)
—
The Company has established a valuation allowance against its deferred tax assets due to the uncertainty surrounding the
realization of such assets. During the years ended December 31, 2018 and 2017, the valuation allowance increased by $4,921,000
and $1,544,300, respectively.
The reasons for the difference between actual income tax expense (benefit) for the years ended December 31, 2018 and
2017, and the amount computed by applying the statutory federal income tax rate to losses before income tax (benefit) are as
follows:
2018
2017
Income tax benefit at statutory rate
State income taxes, net of federal tax benefit
Non-deductible expenses
Credits
Change in federal tax rate
Change in state tax rate
Other
Change in valuation allowance
Income tax benefit
Amount
$ (5,074,100)
(477,200)
333,600
(224,900)
—
(82,300)
603,900
4,921,000
$
—
% of Pretax
Earnings
Amount
% of Pretax
Earnings
—
(21.0)% $ (3,946,000)
(157,700)
(2.0)%
342,400
1.4 %
(0.9)%
— %
(0.3)%
2.5 %
20.3 %
0.0 % $
83,200
(101,000)
1,544,300
2,234,800
—
(34.0)%
(1.4)%
3.0 %
— %
19.3 %
0.7 %
(0.9)%
13.3 %
— %
On December 22, 2017, the Tax Cuts and Jobs Act was enacted into law, which reduced the federal corporation income tax
rate to 21% for tax years beginning after December 31, 2017. As a result of the new enacted tax rate, the Company adjusted its
deferred tax assets as of December 31, 2017 by applying the new 21% rate, which resulted in a decrease to the deferred tax
assets and corresponding decrease to the valuation allowance of approximately $2.2 million.
As of December 31, 2018, the Company had net operating loss carryforwards for federal and state income tax purposes of
$18,918,000 and $18,322,400, respectively. Federal loss carryforwards of $3,551,900 begin to expire in 2034 and $15,366,100
of the federal losses carryforward indefinitely. The state loss carryforwards begin to expire in 2029. As of December 31, 2018,
the Company had contribution carryforwards of $10,700, which begin to expire in 2020. In addition, the Company has federal
research and development credits of $224,900 which begin to expire in 2038.
The Internal Revenue Code of 1986, as amended, contains provisions which limit the ability to utilize the net operating loss
and tax credit carryforwards in the case of certain events, including significant changes in ownership interests. If the Company’s
net operating loss and tax credit carryforwards are limited, and the Company has taxable income which exceeds the permissible
yearly net operating loss and tax credit carryforwards, the Company would incur a federal income tax liability even though net
operating loss and tax credit carryforwards would be available in future years.
As of December 31, 2018 and 2017, the Company had no unrecognized tax benefits and does not anticipate a significant
change in total unrecognized tax benefits within the next 12 months.
F-23
INNOVATE BIOPHARMACEUTICALS, INC.
NOTES TO FINANCIAL STATEMENTS
The Company is subject to United States federal income tax and income tax in multiple state jurisdictions. The Company
has analyzed its filing positions in all federal and state jurisdictions where it is required to file income tax returns, as well as
open tax years in these jurisdictions. The Company is subject to United States federal, state and local tax examinations by tax
authorities for all years of operation. No income tax returns are under examination by taxing authorities at this time.
The Company’s policy for recording interest and penalties is to record them as a component of interest expense and
general and administrative expenses, respectively. During December 31, 2018 and 2017, the Company did not record any
interest and penalties related to uncertain tax positions.
NOTE 11: COMMITMENTS AND CONTINGENCIES
Clinical Trial Agreement
From time to time, the Company enters into agreements with contract research organizations and other service providers.
In August 2018, the Company entered into such an agreement for its planned Phase 3 trial for the treatment of celiac disease.
Under this agreement, the Company expects to pay approximately $1.1 million for data management over the course of the
Phase 3 celiac disease trial for data management and biostatistics services.
Employment Agreements
Prior to March 11, 2018, the Company was party to employment agreements with certain executives of the Company. Under
the terms of these agreements, the Company agreed to pay the executives certain payments upon the achievement of financial
milestone events. These milestone events were based on total debt or equity funding received by the Company. During the year
ended December 31, 2017, the initial funding milestone was reached and the executives in the aggregate were paid $145,000 in
accordance with the terms of these agreements. During January 2018, additional financial milestone events were achieved
through the Merger and Equity Issuance events and the Company paid these executives approximately $1.1 million in accordance
with the agreements, which was included in accrued expenses as of December 31, 2017.
On March 11, 2018, the Company entered into amended and restated executive employment agreements with the executives
and new executive employment agreements with certain new executives (the “Executive Agreements”). The Executive
Agreements provide an annual base salary and the opportunity to participate in the Company’s equity compensation, employee
benefit and bonus plans once they are established and approved by the Company’s board of directors. The Executive Agreements
contain severance provisions if the executives are terminated under certain conditions that would provide the executive with 12
months of their base salary and up to 12 months of continuation of health insurance benefits.
In November 2018, the Company entered into a separation and general release agreement with a former executive of the
Company that included separation benefits consistent with the former executive’s employment agreement. The Company
recognized severance expense totaling $320,000 during the year ended December 31, 2018. In addition, the severance agreement
extended the period under which the former executive’s vested stock options could be exercised for an additional six months
from the date of separation. As a result of the modification to the executive’s stock option agreement, an additional $154,000
in stock compensation expense was recorded in research and development expense during the year ended December 31, 2018.
There were no severance-related expenses incurred during the year ended December 31, 2017.
Office Lease
In October 2017, the Company entered into a three-year lease for office space that expires on September 30, 2020. Base
annual rent is $60,000, or $5,000 per month. The first two months of rent were paid in advance upon lease signing and the next
ten months of rent were paid in advance on November 30, 2017. Beginning in October 2018, monthly payments of $5,000 are
due and payable over the remaining 24-month term. A security deposit of $5,000 was paid in October 2017. The lease contains
a two-year renewal option.
Legal
In November 2018, the Company received a letter and draft complaint regarding a former consultant of the Company
who was compensated in cash and stock options for his services, demanding damages of up to approximately $3.6 million
plus punitive damages in connection with a delay in such consultant’s ability and timing to exercise options and sell shares of
F-24
INNOVATE BIOPHARMACEUTICALS, INC.
NOTES TO FINANCIAL STATEMENTS
the Company’s common stock related to past consulting services. On January 8, 2019, M. Scott Harris and Middleburg
Consultants, Inc. (collectively, “Harris”) filed the claim in the Superior Court of the State of Delaware (the “Delaware
Action”). As previously disclosed, the Company strongly denies any wrongdoing alleged in the threatened litigation and
firmly believes the allegations in the complaint are entirely without merit and intends to defend against them vigorously. On
February 25, 2019, the Company filed a motion to dismiss the Delaware Action. If the motion is not granted, the Company
intends to dispute the factual basis of Harris’ claims and also intends to assert affirmative defenses and counterclaims against
Harris.
From time to time, the Company could become involved in disputes and various litigation matters that arise in the normal
course of business. These may include disputes and lawsuits related to intellectual property, licensing, contract law and employee
relations matters. Periodically, the Company reviews the status of significant matters, if any exist, and assesses its potential
financial exposure. If the potential loss from any claim or legal claim is considered probable and the amount can be estimated,
the Company accrues a liability for the estimated loss. Legal proceedings are subject to uncertainties, and the outcomes are
difficult to predict; therefore, accruals are based on the best information available at the time. As additional information becomes
available, the Company reassesses the potential liability related to pending claims and litigation.
F-25
INNOVATE BIOPHARMACEUTICALS, INC.
NOTES TO FINANCIAL STATEMENTS
NOTE 12: SUBSEQUENT EVENTS
Senior Convertible Note
During January 2019, the noteholder of the Company’s senior convertible note issued a redemption notice and the Company
repaid the noteholder $1,049,167 of principal and accrued interest of $1,399. The principal balance of the senior convertible
note after this redemption was $4,147,500. In addition, the Company and the noteholder entered into an Option Agreement
during January 2019, further described in Note 6—Debt. During March 2019, the Company exercised its repurchase rights from
the Option Agreement and paid the noteholder of the New Note approximately $5,260,000, which was the full purchase amount,
including interest, of the New Note pursuant to the terms of the Option Agreement. There are no further amounts outstanding
under the New Note and the New Note has been canceled.
Unsecured Convertible Promissory Note
On March 8, 2019, the Company entered into a Securities Purchase Agreement (the “Purchase Agreement”) with a
Convertible Noteholder. Pursuant to the Purchase Agreement, the Company issued the Convertible Noteholder an unsecured
Convertible Promissory Note (the “Convertible Note”) in the principal amount of $5,500,000. The Convertible Noteholder may
elect to convert all or a portion of the Convertible Note at any time and from time to time into the Company’s common stock at
a conversion price of $3.25 per share, subject to adjustment for stock splits, dividends, combinations and similar events. The
Company may prepay all or a portion of the Convertible Note at any time for an amount equal to 115% of any then outstanding
obligations or the portion of the obligations the Company is prepaying. The purchase price of the Convertible Note was
$5,000,000, and the Convertible Note carries an original issuance discount of $500,000, which is included in the principal amount
of the Convertible Note. In addition, the Company agreed to pay $20,000 of transaction expenses, which were netted out of the
purchase price of the Convertible Note.
The Convertible Note bears interest at the rate of 10% (which will increase to 18% upon and during the continuance of an
event of default) per annum, compounding on a daily basis. All principal and accrued interest on the Convertible Note is due
on the second-year anniversary of the Convertible Note’s issuance.
At any time after the six month anniversary of the issuance of the Convertible Note, (i) if the average volume weighted
average price over twenty trading dates exceeds $10.00 per share, the Company may generally require that the Convertible Note
convert into shares of its common stock at the $3.25 (as adjusted) conversion price, and (ii) the Convertible Noteholder may
elect to require all or a portion of the Convertible Note be redeemed by the Company. If the Convertible Noteholder requires a
redemption, the Company, at its discretion, may pay the redeemed portion of the Convertible Note in cash or in the Company’s
common stock at a conversion rate equal to the lesser of (i) the $3.25 (as adjusted) conversion rate or (ii) 80% of the average
of the five lowest volume weighted average price of the Company’s Common Stock over the preceding twenty trading days.
The Convertible Noteholder may not redeem more than $500,000 per calendar month during the period between the six months
anniversary of the date of issuance until the first year anniversary of the date of issuance and $750,000 per calendar month
thereafter. The obligation or right of the Company to deliver its shares upon the conversion or redemption of the Convertible
Note is subject to a 19.99% cap and subject to a floor price trading price of $3.25 (unless waived by the Company). Any amounts
redeemed or converted once the cap is reached or if the market price is less than the $3.25 floor price must be paid in cash.
If there is an Event of Default under the Convertible Note, the Convertible Noteholder may accelerate the Company’s
obligations or elect to increase the outstanding obligations under the Convertible Note. The amount of the increase ranges from
5% to 15% depending on the type of default (as defined in the Convertible Note). In addition, the Convertible Note obligations
will be increased if there are delays in the Company’s delivery requirements for the shares or cash issuable upon the conversion
or redemption of the Convertible Note in certain circumstances.
If the Company issues convertible debt in the future with any terms, including conversion terms, that are more favorable
to the terms of the Convertible Note, the Convertible Noteholder may elect to incorporate the more favorable terms into the
Convertible Note.
Stock Issued under At-the-Market Sales Agreement
During 2019, the Company issued 705,714 shares of common stock under the “at-the-market” offering for net proceeds of
approximately $1.7 million.
F-26
INNOVATE BIOPHARMACEUTICALS, INC.
NOTES TO FINANCIAL STATEMENTS
Severance Agreement
In February 2019, the Company entered into a separation and general release agreement with a former executive of the
Company that included separation benefits consistent with the former executive’s employment agreement of $300,000. In
addition, all of the former executive’s unvested stock options that would have vested in the twelve-month period following the
separation date will continue to vest in accordance with the vesting terms set forth in the original grant agreement, so long as
the former executive remains a consultant to the Company.
Securities Purchase Agreement
On March 17, 2019, the Company entered into a Securities Purchase Agreement (the “SPA”) to offer up to 4,291,845
shares of the Company’s common stock at a price of $2.33 per share. In a concurrent private placement, the Company offered
warrants to purchase up to an aggregate of 6,866,952 shares of common stock. Under the terms of the SPA, each purchaser is
eligible to receive a long-term warrant and a short-term warrant to purchase up to a number of shares of the Company’s
common stock equal to 60% of the number of common shares purchased and equal to 100% of the number of common shares
purchased by such purchaser, respectively.
The long-term warrants issued will be exercisable commencing on the six-month anniversary of March 18, 2019
(“Closing Date”) and have an expiration date of March 18, 2024. Any long-term warrant that has not been exercised by the
expiration date are automatically exercised via cashless exercise. The exercise price of the long-term warrants is equal to the
greater of (i) 125% of the volume weighted average price of the Company’s common stock during the twenty-day trading
period immediately prior to the Closing Date and (ii) the closing price of the Company’s common stock on the trading day
immediately prior to the Closing Date, subject to adjustment as specified in the SPA. The short-term warrants are exercisable
as of the Closing Date, have an expiration date of March 18, 2020 and have an exercise price of $4.00, provided that the
exercise price may be higher under certain circumstances to conform to Nasdaq Capital Market rules. If at any time after
March 18, 2019, the weighted-average price of the Company’s common stock exceeds $5.25 for ten consecutive trading days,
the Company may call the outstanding short-term warrants and require that they be exercised in cash, except to the extent that
such exercise would surpass the beneficial ownership limitations, as specified in the SPA.
If the Company sells all of the shares offered in the prospectus supplement filed with the SEC on March 18, 2019, the
gross proceeds received prior to deduction of offering expenses would be $9,999,999. However, there can be no assurance
that the Company will sell all or any of the securities being offered.
F-27
CORPORATE INFORMATION
EXECUTIVE OFFICERS
Corporate Headquarters
Innovate Biopharmaceuticals, Inc.
8480 Honeycutt Road, Suite 120
Raleigh, NC 27615
Phone: (919) 275-1933
www.innovatebiopharma.com
Stock Information
Traded on the Nasdaq Capital Market
under the symbol INNT
Investor Relations
Phone: (919) 275-1933
Email: investor.relations@innovatebiopharma.com
Transfer Agent and Registrar
Corporate Stock Transfer, Inc.
3200 Cherry Creek South Drive, Suite 430
Denver, CO 80209
Phone: (303) 282-4800
Independent Registered Public Accounting Firm
Mayer Hoffman McCann P.C.
Irvine, CA
Stockholder Information
A copy of our Annual Report on Form 10-K, as amended,
including the exhibits thereto, as filed with the Securities and
Exchange Commission, is available on our website,
www.innovatebiopharma.com under Investors > Financial
Information. A printed copy is also available without charge
upon written request to:
Innovate Biopharmaceuticals, Inc.
Attn: Corporate Secretary
8480 Honeycutt Road, Suite 120
Raleigh, NC 27615
Annual Meeting of Stockholders
The 2019 Annual Meeting of Stockholders will be held on
Friday, May 31, 2019, at 11:00 a.m. Eastern Time at:
150 Fayetteville Street, Suite 2300
Raleigh, NC 27601
Sandeep Laumas, M.D.
Executive Chairman, Chief Executive Officer and Director
Jay Madan, M.S.
President, Chief Business Officer,
Interim Principal Financial Officer,
Interim Principal Accounting Officer and Director
BOARD OF DIRECTORS
Sandeep Laumas, M.D.
Executive Chairman, Chief Executive Officer and Director
Jay Madan, M.S.
President, Chief Business Officer,
Interim Principal Financial Officer,
Interim Principal Accounting Officer and Director
Lorin K. Johnson, Ph.D.
Founder and Chief Scientist of Glycyx PharmaVentures, Ltd.
Anthony E. Maida III, Ph.D., M.A., M.B.A.
Senior Vice President - Clinical Research for
Northwest Biotherapeutics, Inc.
Roy Proujansky, M.D.
Executive Vice President and Chief Executive of Nemours
Delaware Valley Operations
Saira Ramasastry, M.S., M.Phil.
Managing Partner of Life Sciences Advisory, LLC