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Acura Pharmaceuticals, Inc.

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FY2019 Annual Report · Acura Pharmaceuticals, Inc.
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 10-K

(Mark One)

☒

☐

ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE
ACT OF 1934 FOR THE FISCAL YEAR ENDED DECEMBER 31, 2019

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 1-10113

ACURA PHARMACEUTICALS, INC.
(Exact name of registrant as specified in its charter)

New York
(State or other jurisdiction of Incorporation or organization)

11-0853640
(I.R.S. Employer Identification No.)

616 N. North Court, Suite 120, Palatine, Illinois
(Address of principal administrative office)

60067
(Zip code)

Registrant’s telephone number, including area code: 847 705 7709

Securities registered pursuant to section 12(b) of the Act:
None

Name of each exchange on which registered:
N/A

Securities registered pursuant to section 12(g) of the Act:
Common Stock, par value $0.01 per share

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.
Yes ☐ No ☒

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act.
Yes ☐ No ☒

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

Indicate by check mark whether the registrant has submitted electronically 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 ☒ No ☐

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K (§229.405 of this chapter is not contained herein, and will
not be contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K
or any amendment to this Form 10-K. ☐

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

☐ Large Accelerated Filer
☒ Non-Accelerated Filer

☐ Accelerated Filer
☒ Smaller Reporting Company.
☐ Emerging Growth Company

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

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

Based  on  the  last  sale  price  on  the  OTCQB  Market  of  the  Common  Stock  of  $0.1410  on  June  28,  2019  (the  last  business  day  of  the  registrant’s  most
recently completed second fiscal quarter), the aggregate market value of the voting stock held by non-affiliates of the registrant was approximately $1.0
million.

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

Title of each class

Common Stock, $0.01 par value

Ticker symbol(s)

ACUR

Name of each exchange on which registered

OTCQB Market

As of March 30, 2020, the registrant had 21,650,294 shares of Common Stock, par value $0.01, outstanding.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
DOCUMENTS INCORPORATED BY REFERENCE: None.

 
 
 
 
Acura Pharmaceuticals, Inc.

Form 10-K

For the Fiscal Year Ended December 31, 2019

Table of Contents

PART I

Item 1.
Item 1A.
Item 1B.
Item 2.
Item 3.
Item 4.

Item 5.
Item 6.
Item 7.
Item 7A.
Item 8.
Item 9.
Item 9A.
Item 9B.

Item 10.
Item 11.
Item 12.
Item 13.
Item 14.

Item 15.
Item 16.

Business
Risk Factors
Unresolved Staff Comments
Properties
Legal Proceedings
Mine Safety Disclosures

PART II

Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities
Selected Financial Data
Management’s Discussion and Analysis of Financial Condition and Results of Operations
Quantitative and Qualitative Disclosures About Market Risk
Financial Statements and Supplementary Data
Changes in and Disagreement with Accountants on Accounting and Financial Disclosure
Controls and Procedures
Other Information

Directors, Executive Officers and Corporate Governance
Executive Compensation
Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
Certain Relationships and Related Transactions, and Director Independence
Principal Accounting Fees and Services

PART III

Exhibits, Financial Statement Schedules
Form 10-K Summary

PART IV

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Forward-Looking Statements

Certain statements in this Report constitute “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. Such
forward-looking  statements  involve  known  and  unknown  risks,  uncertainties  and  other  factors  which  may  cause  our  actual  results,  performance  or
achievements to be materially different from any future results, performance, or achievements expressed or implied by such forward-looking statements.
Forward-looking statements may include, but are not limited to:

· our  ability  to  obtain  funding  for  our  continuing  operations,  including  the  development  of  our  products  utilizing  our  LIMITx™  and  Impede®

·

technologies;
the  expected  results  of  clinical  studies  relating  to  LTX-03,  a  LIMITx  hydrocodone  bitartrate  and  acetaminophen  combination  product,  or  any
successor product candidate, the date by which such studies will be complete and the results will be available and whether LTX-03 will ultimately
receive FDA approval;

· our  business  could  be  adversely  affected  by  health  epidemics  in  regions  where  third  parties  for  which  we  rely,  as  in  CROs  or  CMOs,  have
concentrations of clinical trial sites or other business operations, and could cause significant disruption in the operations of third-party manufacturers
and CROs upon whom we rely;

· whether LIMITx will retard the release of opioid active ingredients as dose levels increase;
· whether the extent to which products formulated with the LIMITx Technology deter abuse or overdose will be determined sufficient by the FDA to

support approval or labelling describing safety and/or abuse deterrent features;

· whether our LIMITx Technology can be expanded into extended-release formulations;
· our  and  our  licensee’s  ability  to  successfully  launch  and  commercialize  our  products  and  technologies,  including  Oxaydo®  Tablets  and  our

the market acceptance of, timing of commercial launch and competitive environment for any of our products;

Nexafed® products;
the pricing and price discounting that may be offered by Zyla Life Sciences’ or Zyla (formerly known as Egalet Corporation) for Oxaydo;
the results of our development of our LIMITx Technology;

·
·
· our or our licensees’ ability to obtain necessary regulatory approvals and commercialize products utilizing our technologies;
·
· expectations regarding potential market share for our products;
· our ability to develop and enter into additional license agreements for our product candidates using our technologies;
· our exposure to product liability and other lawsuits in connection with the commercialization of our products;
·
·
·

the increasing cost of insurance and the availability of product liability insurance coverage;
the ability to avoid infringement of patents, trademarks and other proprietary rights of third parties;
the ability of our patents to protect our products from generic competition and our ability to protect and enforce our patent rights in any paragraph IV
patent infringement litigation;

·

· whether the FDA will agree with or accept the results of our studies for our product candidates;
·

the ability to fulfill the FDA requirements for approving our product candidates for commercial manufacturing and distribution in the United States,
including,  without  limitation,  the  adequacy  of  the  results  of  the  laboratory  and  clinical  studies  completed  to  date,  the  results  of  laboratory  and
clinical studies we may complete in the future to support FDA approval of our product candidates and the sufficiency of our development process to
meet over-the-counter (“OTC”) Monograph standards, as applicable;
the adequacy of the development program for our product candidates, including whether additional clinical studies will be required to support FDA
approval of our product candidates;
· changes in regulatory requirements;
· adverse safety findings relating to our commercialized products or product candidates in development;
· whether the FDA will agree with our analysis of our clinical and laboratory studies;
· whether further studies of our product candidates will be required to support FDA approval;
· whether or when we are able to obtain FDA approval of labeling for our product candidates for the proposed indications and whether we will be able

to promote the features of our technologies; and

· whether  Oxaydo  or  our  Aversion,  Impede  and  LIMITx  products  will  ultimately  deter  abuse  in  commercial  settings  and  whether  our  Nexafed

products and Impede Technology product candidates will disrupt the processing of pseudoephedrine into methamphetamine.

1

 
 
 
 
 
In some cases, you can identify forward-looking statements by terms such as “anticipate,” “believe,” “continue,” “could,” “estimate,” “expect,” “indicate,”
“intend,” “look forward to,” “may,” “plan,” “potential,” “predict,” “project,” “should,” “suggest,” “target,” “will,” “would,” and other similar expressions
intended to identify forward-looking statements. These statements reflect our current views with respect to future events and are based on assumptions and
subject to known and unknown risks and uncertainties. Given these uncertainties, you should not place undue reliance on these forward-looking statements.
We discuss many of these risks in greater detail in Item 1A of this Report. In light of these risks, uncertainties and assumptions, the forward-looking events
and circumstances discussed in this Report may not occur and actual results could differ materially and adversely from those anticipated or implied in the
forward-looking statements.

Unless  required  by  law,  we  undertake  no  obligation  to  update  or  revise  any  forward-looking  statements  to  reflect  new  information  or  future  events  or
developments.  Accordingly,  you  should  not  assume  that  our  silence  over  time  means  that  actual  events  are  bearing  out  as  expressed  or  implied  in  such
forward-looking statements.

PART I

ITEM 1. BUSINESS

Overview

We are an innovative drug delivery company engaged in the research, development and commercialization of technologies and products intended to address
safe use of medications. We have discovered or are developing three proprietary platform technologies which can be used to develop multiple products.
Our  LIMITx™  Technology  is  being  developed  to  minimize  the  risks  associated  with  drug  overdose,  our  Aversion®  Technology  is  intended  to  address
methods  of  abuse  associated  with  opioid  analgesics  while  our  Impede®  Technology  is  directed  at  minimizing  the  extraction  and  conversion  of
pseudoephedrine, or PSE, into methamphetamine.

Our LIMITx Technology is development stage technology designed to retard the release of active drug ingredients when too many tablets are accidentally
or purposefully ingested by neutralizing stomach acid with buffer ingredients but deliver efficacious amounts of drug when taken as a single tablet with a
nominal  buffer  dose.  This  is  accomplished  by  binding  the  active  ingredient  in  an  acid  soluble  micro-particle  and  combining  the  micro-particles  with  a
buffering  (antacid)  agent  into  a  tablet.  As  more  tablets  are  introduced  into  the  GI  tract,  the  stomach  pH  is  increased  and  the  dissolution  of  the  micro-
particles is compromised. FDA draft guidance on opioids specifically highlights the benefits of the risk mitigation of opioid overdose which we believe our
LIMITx  technology  addresses.  We  have  completed  four  clinical  studies  of  various  product  formulations  utilizing  the  LIMITx  Technology  which  have
demonstrated proof-of-concept for the LIMITx Technology and will allow us to advance a product to development for a New Drug Application, or NDA.
Study AP-LTX-400, or Study 400, and Study AP-LTX-401, or Study 401, both utilizing our LTX-04 hydromorphone formulation demonstrated the mean
maximum drug concentration in blood, or Cmax, was reduced in healthy adult fasted subjects by 50% to 65% when excessive buffer levels were ingested
or a situation consistent with over-ingestion of tablets. Study AP-LTX-301, or Study 301 demonstrated drug Cmax from LTX-03, a LIMITx hydrocodone
bitartrate and acetaminophen combination product, in healthy adult fasted subjects trended toward bioequivalence in test formulations A through E and
showed an increasing reduction in Cmax for formulations F through H; in which formulations A though H had increasing incremental amounts of buffer
starting with no buffer in formulation A. We believe the results of Study 301 demonstrated that LTX-03 is a formulation that optimizes the balance between
effective blood levels of drug for pain relief at a single tablet dose while retarding bioavailability of drug when multiple tablets are ingested. The FDA
designated the development program for LTX-04 as Fast Track, which is designed to facilitate the development, and expedite the review of drugs to treat
serious conditions and fill an unmet medical need. We intend to advance LTX-03, which combines the hydrocodone micro-particles, acetaminophen and
buffer ingredients into a single tablet, as our lead LIMITx product candidate due to its larger market size and its known prevalence of oral excessive tablet
abuse, and we voluntarily placed the Investigational New Drug Application, or IND, for LTX-04 on inactive status. We submitted an IND for LTX-03 to
the FDA in the first quarter of 2018 in order to advance to NDA development, which became effective in April 2018.

On  June  28,  2019,  we  entered  into  License,  Development  and  Commercialization  Agreement  with  Abuse  Deterrent  Pharma,  LLC,  a  Kentucky  limited
liability company (“AD Pharma”), a special purpose company representing a consortium of investors that will finance Acura’s operations and completion
of development of LTX-03. The Agreement grants AD Pharma exclusive commercialization rights in the United States to LTX-03.

2

 
 
 
 
 
 
 
 
 
 
All opioids are labeled for respiratory depression/death risk of overdose. According to the CDC, suicide deaths in the US increased 25% to 45,000 from
1999  to  2016  with  over  half  having  no  prior  mental  health  symptoms.  Approximately  15%  of  suicides  are  due  to  poisoning,  which  includes  opioid
overdosing. The prevalence of chronic pain in suicide decedents topped 10% in 2014. Forensic data for hydrocodone deaths indicates the median blood
level  at  the  time  of  death  is  16  fold  the  maximum  blood  level  (Cmax)  for  a  10mg  hydrocodone  dose.  The  physiology  of  opioid  induced  respiratory
depression has been described in animal models. The correlation between Cmax and respiratory depression and death has not been documented although
Acura has completed a small animal study demonstrating an association between opioid Cmax and onset of acute respiratory depression which increases
the probability of death.

Oxaydo Tablets (oxycodone HCl, CII), which utilizes our Aversion Technology, is the first FDA approved immediate-release oxycodone product in the
United States with abuse deterrent labeling. On January 7, 2015, we entered into a Collaboration and License Agreement with Egalet US, Inc. and Egalet
Ltd., each a subsidiary of Egalet Corporation (now known as Zyla Life Sciences), or collectively Zyla, pursuant to which we exclusively licensed to Zyla
worldwide  rights  to  manufacture  and  commercialize  Oxaydo.  Oxaydo  is  currently  approved  by  the  U.  S.  Food  and  Drug Administration,  or  FDA,  for
marketing  in  the  United  States  in  5mg  and  7.5mg  strengths.  Zyla  launched  Oxaydo  in  the  United  States  late  in  the  third  quarter  of  2015  and  we  are
receiving royalties on net sales. We are not actively developing product candidates utilizing our Aversion Technology.

According to the 2017 CDC Drug Surveillance Report, opioid analgesics are one of the largest prescription drug markets in the United States with 214
million  prescriptions  dispensed  in  2016.  Prescription  opioids  are  also  the  most  widely  abused  drugs  with  12  million  people  abusing  or  misusing  these
products annually. According to IMS Health, in 2016, sales in the immediate-release opioid product segment, where our products are expected to compete,
were approximately 194 million prescriptions, of which approximately 95% was attributable to generic products with no known safety features.

Nexafed, our first Impede Technology product, was launched into the United States market in December 2012 and Nexafed Sinus Pressure + Pain product
was  introduced  in  February  2015.  On  March  16,  2017,  we  and  MainPointe  Pharmaceuticals,  LLC,  or  MainPointe,  entered  into  a  License,
Commercialization and Option Agreement, or the MainPointe Agreement, pursuant to which we granted MainPointe an exclusive license to our Impede
Technology in the U.S. and Canada to commercialize our Nexafed products. The MainPointe Agreement also grants MainPointe the option to expand the
licensed  territory  to  the  European  Union,  Japan  and  South  Korea  and  to  add  additional  pseudoephedrine-containing  products  utilizing  our  Impede
Technology. MainPointe is controlled by John Schutte (Mr. Schutte), who became our largest shareholder pursuant to a private placement completed in July
2017. On January 1, 2020, MainPointe assigned to AD Pharma, all of its right, title and interest in the Agreement between MainPointe and Acura dated
March 16, 2017. We understand MainPointe continues to market the Nexafed products for AD Pharma. We are not actively developing product candidates
utilizing our Impede Technology.

In  2014,  the  United  States  retail  market  for  over-the-counter  market,  or  OTC,  cold  and  allergy  products  containing  the  pseudoephedrine  oral  nasal
decongestant  was  approximately  $0.7  billion.  In  2014,  the  DEA  reported  9,339  laboratory  incidents  involving  the  illegal  use  of  OTC  pseudoephedrine
products  to  manufacture  the  highly  addictive  drug  methamphetamine,  or  meth.  According  to  the  Substance  Abuse  and  Mental  Health  Services
Administration, users of methamphetamine surged in 20167 to 774,000 people up from 440,000 people in 2012.

We conduct research, development, laboratory, non-commercial manufacturing, and warehousing activities at our operations facility in Culver, Indiana and
lease an administrative office in Palatine, Illinois. In addition to internal capabilities and activities, we engage numerous clinical research organizations, or
CROs, with expertise in regulatory affairs, clinical trial design and monitoring, clinical data management, biostatistics, medical writing, laboratory testing
and  related  services.  Our  Supply  Agreements  with  two  third-party  pharmaceutical  product  manufacturers  and  packagers  to  supply  our  commercial
requirements for our Nexafed and Nexafed Sinus Pressure + Pain products were assigned to MainPointe in accordance with the MainPointe Agreement.

3

 
 
 
 
 
 
 
 
Our Strategy

Our goal is to become a leading specialty pharmaceutical company focused on addressing the safe use of pharmaceuticals by developing a broad portfolio
of technologies and products with enhanced safety features and benefits. Specifically, we intend to:

· Capitalize  on  our  experience  and  expertise  in  the  research  and  development  of  innovative  drug  delivery  technologies  that  address  medication
safety. We have one FDA approved product containing our Aversion Technology commercially launched in the United States by our licensee, and
two products commercially launched containing our Impede Technology. We are currently devoting our efforts to product candidates utilizing our
LIMITx Technology, which we believe will offer a significant measure of safety to those who would intentionally or otherwise ingest excessive
number of tablets.

· Leverage our technologies by developing a full line of pharmaceutical products which utilize our proprietary technologies. Medication abuse and
misuse  is  not  limited  to  single  drugs  but  often  pervades  entire  drug  categories.  We  intend  to  develop  or  collaborate  with  strategically  focused
pharmaceutical  companies  to  develop  multiple  products  with  our  technologies,  and  are  seeking  licensing  partners  for  products  in  development
utilizing our LIMITx Technology.

· Commercialize  our  products  by  licensing  to  strategically  focused  companies  in  the  United  States  and  other  geographic  territories.  We  have
licensed our Oxaydo product to Zyla for commercialization, have licensed our Aversion Technology to KemPharm for use in certain of its prodrug
products,  have  licensed  our  Nexafed  products  utilizing  our  Impede  Technology  to  MainPointe/AD  Pharma  for  commercialization  (and  granted
MainPointe  and  AD  Pharma  options  to  other  Impede  products),  and  we  entered  into  an  agreement  with AD  Pharma  that  will  finance  Acura’s
operations, provide for the completion of development of LTX-03 and grants them exclusive commercialization rights in the United States to LTX-
03. Additionally, we are seeking other licensing partners for other product candidates utilizing our LIMITx, Aversion and Impede technologies.

· Maintain  an  efficient  internal  cost  structure.  Our  internal  cost  structure  is  focused  on  discovering  new  technologies  and  developing  product
formulations using those technologies. We outsource many high cost elements of development and commercialization, such as clinical trials and
commercial manufacturing that minimize required fixed overhead and capital investment and thereby reduces our business risk.

Misuse or Abuse of Prescription Opioid Products and Development of Risk Mitigation Formulations

Prescription opioids drugs, such as morphine and oxycodone, have a long history of use for the management of pain. Because they are highly effective,
they are one of the largest prescribed drug categories in the U.S. However, a side effect of high doses of opioids is euphoria, or “a high”. For these reasons,
opioids are the most misused or abused prescription drugs in the U.S. Opioids are offered in a variety of dosages including immediate-release tablets (or
capsules),  extended-release  tablets  (or  capsules),  patches  and  other  formats.  Those  who  misuse  or  abuse  drugs  will  often  do  so  in  one  of  the  following
manners:

· Oral Excessive Tablet Abuse (ETA). Generally recognized as the most prevalent route of administration by abusers, the abuser simply orally ingests

more tablets (or capsules) than is recommended for pain relief.

· Oral Manipulated Tablet Abuse (MTA). Extended-release tablets or patches are sometimes crushed, chewed or otherwise physically or chemically

manipulated to defeat the extended-release mechanism and provide an immediate-release of the opioid for oral ingestion.

· Nasal snorting. Crushed tablets are insufflated for absorption of the drug through the nasal tissues.

·

Injection. The opioid is physically or chemically removed from the dosage and injected into the vein using a syringe.

· Poly-pharmacy. Opioids are sometimes used in conjunction with alcohol, methamphetamine, or other drugs to accentuate the high.

· Overdose. Drug abusers may accidentally introduce excessive quantities of drugs in their systems or combine drugs that may heighten the chance of

adverse effects of drugs, Some patients may over ingest drugs accidentally or with the express intent of suicide.

4

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Safe  use  technology  formulations  incorporate  physical  and/or  chemical  barriers  or  functionality  in  the  products  to  prevent  or  discourage  a  user  from
inappropriately administering the product. The extent and manner in which any of the features of these formulations may be described in the FDA approved
label for our pipeline products will be dependent on the results of and the acceptance by the FDA of our and our licensees’ studies for each product.

Development of safe use products typically require one or more studies. These studies may include in vitro laboratory studies (which may include but not
be limited to: syringeability of the formulation, extractability of the active ingredient, and particle size of the crushed product) animal studies (which may
include  but  not  be  limited  to:  respiratory  depression),  and  human  clinical  studies  (which  may  include  but  not  be  limited  to:  human  abuse  liability,
respiratory depression studies) comparing the benefits of our product candidates to currently marketed products. Because our products use known active
ingredients  in  approved  dosage  strengths,  the  safety  and  efficacy  of  the  opioid  will  need  to  be  established  by  a  series  of  pharmacokinetic  studies
demonstrating: (a) bioequivalence to an approved reference drug, (b) food effect of our formulations, (c) dose proportionality of our formulation, and (d)
other external impacts to our unique formulations. A product candidate that does not achieve satisfactory pharmacokinetic results may require a phase III
clinical efficacy study.

Further  development  will  likely  also  entail  additional  safety  and/or  efficacy  assessment  as  may  be  identified  by  the  FDA  for  each  specific  formulation
during the Investigational New Drug application, or IND, or NDA phase of development. In accordance with the FDA’s 2015 Guidance, we will likely have
a post-approval requirement for each of our opioid products, if approved, to perform an epidemiology study to assess the in-market impact on abuse of our
formulation and most approved opioid products are subject to an FDA approved risk evaluation and mitigations strategy (REMS).

Overdose Risk Mitigation - Products and Development

Any drug may initiate severe unwanted side effects when overdosed. For example, a known and FDA labelled side effect of the overdose of opioids is
respiratory depression. High doses of opioids can affect the respiratory center of the brain resulting in a slowing and/or shallowing of the breathing which
increases carbon dioxide (CO2) in the blood stream. Opioids also impact ancillary CO2 monitoring of the blood preventing the body from taking corrective
action. The increased CO2 and resulting decrease in oxygen in the blood systematically shuts down body systems and may result in death.

Abusers as well as legitimate pain patients are at risk of overdose. In some cases, overdose is accidental but anecdotal reports indicate suicide rates among
pain patient are increasing presumably due to their inability to access the pain medications they need to manage their condition.

In  June  2019,  FDA  issued  a  draft  for  public  comment  guidance  on  a  Benefit-Risk  Assessment  Framework  for  Opioid  Analgesic  Drugs.  The  guidance
indicates FDA will “consider the public health risks of the [opioid] drug related to misuse, abuse, opioid use disorder, accidental exposure, and overdose in
both patients and nonpatients, as well as any properties of the drug that may mitigate such risks. We intend to develop our LIMITx Technology products
consistent  with  this  pending  guidance  and  perform  studies  to  demonstrate  our  drug  candidates  have  properties  to  mitigate  the  risk  of  overdose.  Further
development will likely also entail additional safety and/or efficacy assessment as may be identified by the FDA for each specific formulation during the
Investigational New Drug application, or IND, or NDA phase of development.

LIMITx™ Technology

LIMITx Technology is intended to address the accidental or intentional consumption of multiple tablets and provide a margin of safety against respiratory
depression.  We  believe  these  benefits  for  opioids  are  consistent  with  FDA’s  proposed  direction  to  require  all  newly  approved  opioid  products  to  have
features of benefits that provide safety or efficacy benefits over existing available opioid therapies.

LIMITx Technology Products in Development

We have the following products in development utilizing our LIMITx Technology:

5

 
 
 
 
 
 
 
 
 
 
 
 
 
Immediate-release hydrocodone bitartrate with acetaminophen (LTX-03)

Initial buffer dose ranging study completed October 2017

LIMITx Technology Products

Status

Immediate-release oxycodone HCl (LTX-01) & (LTX-02)
Immediate-release non-opioid drug (LTX-09)
Immediate-release hydromorphone HCI (LTX-04)

Study 400

Follow on dose ranging study completed in January 2018

Manufacturing scale-up initiated. Formulation and manufacturing process
optimized for commercial scale. Certain ancillary manufacturing equipment
is on order.
Formulation development in process
Formulation development in process
Two Phase I exploratory pharmacokinetic studies completed. IND no longer
active.

Study 400 was a two cohort, open label, crossover design pharmacokinetic study of LTX-04 in healthy adult subjects. Study 400 measured the rate and
extent of absorption of the active drug ingredient into the bloodstream with the maximum concentration, or Cmax, typically associated with an increase in
drug abuse. Cohort 1 enrolled 30 subjects who were randomized into three subgroups of 10 taking either 1, 2 or 3 tablets. Each subgroup subject orally
swallowed the planned number of tablets in a randomized manner taking single doses of two different test formulations of LTX-04 (designated as LTX-04P
and LTX-04S and distinguished by their respective acid neutralizing capacity) and Purdue Pharma’s marketed drug Dilaudid® as a comparator. The 1, 2
and 3 tablets subgroups in Cohort 1 completed 8, 10 and 8 subjects, respectively.

Cohort 2 enrolled 30 subjects who were randomized into three subgroups of 10 taking either 4, 6 or 8 tablets. Each subgroup subject orally swallowed the
planned number of tablets in a randomized manner taking single doses of LTX-04P and the marketed drug Dilaudid as a comparator. The 4, 6 and 8 tablets
subgroups in Cohort 2 completed 8, 9 and 8 subjects, respectively.

All tablets contained 2mg of hydromorphone hydrochloride. All subjects received doses of naltrexone and there was a one week washout between doses.
Blood samples were taken at pre-designated time-points after dosing and were subsequently analyzed for the concentration of hydromorphone contained in
the sample. All subjects in Cohort 1 had continuous pH (a measure of acid concentration) monitoring of their gastric fluid. The objective of Cohort 1 was to
determine  if  adequate  active  drug  entered  the  blood  stream  when  one  or  two  LIMITx  tablets  were  swallowed  and  to  begin  assessing  the  ability  of  the
LIMITx Technology to start retarding the release of active ingredients when three tablets are ingested. The objective of Cohort 2 was to further explore the
extent the release of the hydromorphone active ingredient from LTX-04P tablets is retarded as the dose level increases to abusive levels.

The topline results from Study 400 demonstrated that a single tablet dose delivered a Cmax of 45% and 50% lower than the reference drug for LTX-04S
and LTX-04P, respectively. For an 8 tablet dose, the Cmax for LTX-04P was 59% lower than the reference drug. Doses between 1 and 8 tablets had similar
reduction in Cmax compared to the reference. The extent of drug absorption, measure by area under the curve (AUC) was consistent between the LIMITx
products and the reference.

On December 14, 2016, we announced that we had received advice from the FDA on the continued development of LTX-04 following the FDA’s review of
summary data from Study 400. The FDA confirmed our intention to reformulate LTX-04 to provide increased drug levels following an intended 1 or 2
tablet  dose,  noting  that  a  scientific  bridge  of  bioequivalence  to  the  reference  product  will  support  a  finding  of  safety  and  efficacy.  The  FDA  also
recommended  that  we  identify  studies  to  measure  the  clinical  impact  on  abuser  behavior  and  overdose  outcome  (such  as  drug  liking  and  respiratory
depression) associated with the reduction in Cmax when three or more LTX-04 tablets were ingested. The FDA’s advice also identified longer term studies
necessary for submitting a NDA for LTX-04, including in vitro extraction studies, drug interaction studies, additional pharmacokinetic studies assessing the
impact of food and beverages, and a category 3 abuse liability study.

6

 
 
 
 
 
 
 
 
 
 
 
Study 401

Study 401, completed in June 2017, also was a two cohort, open label, crossover design pharmacokinetic study in fasted, health adult subjects. Study 401
utilized a modified LTX-04 formulation containing micro-particles intended to improve drug delivery with one and two tablet dosing (LTX-04P3). Study
401 measured the rate and extent of absorption of the active drug ingredient into the blood stream with the Cmax typically associated with an increase in
drug abuse. 27 subjects completed Cohort 1 swallowing a single dose tablet of LTX-04 compared to a generic hydromorphone tablet. 13 subjects completed
Cohort 2 swallowing 7 LTX-04 and generic tablets doses. 15 subjects followed an undisclosed, exploratory protocol.

All  tablets  contained  2  mg  of  hydromorphone  hydrochloride.  All  subjects  received  dosages  of  naltrexone  and/or  naloxone  and  there  was  a  one  week
washout between dosages. Blood samples were taken at pre-designated time-points after dosing and were subsequently analyzed for the concentration of
hydromorphone contained in the sample. The objective of Cohort 1 was to determine if adequate active drug entered the bloodstream when one LIMITx
tablet  was  swallowed.  The  objective  of  Cohort  2  was  to  explore  the  extent  to  which  the  release  of  the  hydromorphone  active  ingredient  from  LTX-04
tablets  is  retarded  at  a  seven  tablet  dose  (oral  excess  abuse  levels).  A  safety  assessment  of  LIMITx  hydromorphone  would  be  made  from  both  study
cohorts.

The topline results from Study 401 demonstrated that Cmax for a one tablet LTX-04P3 dose was approximately 50% less than the active comparator. The
Cmax for the 7 tablet LTX-04P3 dose was 65% below the comparator. Study 401 also included a 7 tablet dose of LTX-04P3 taken simultaneously with an
agent  known  to  increase  gastric  emptying  time  (i.e.  increase  retention  time  of  the  ingredients  in  the  stomach)  which  demonstrated  an  increase  in  Tmax
(time of Cmax) of over 1 hour compared to LTX-04P3 taken without this agent. Since the micro-particles used in Study 401 release drug much faster than
the micro-particles used in Study 400, we have concluded that the buffer levels used in both studies were excessive and is retarding the release of drug even
with a single dose. Also, given that manipulating the duration of stomach acidity with a gastric emptying agent produced a significant increase in Tmax
which  is  indicative  of  a  delayed  release  of  drug  from  LTX-04P3,  we  concluded  the  LIMITx  micro-particles  are  working  as  designed  in  that  when  we
neutralize the stomach acid we are slowing the release of drug and subsequent absorption of drug into the blood stream.

We believe the results from Study 400 and 401 indicate the micro-particle are working as designed but that we used too much buffer for even a single tablet
and did not achieve full release of the drug at a 1 tablet dose.

Study 301

Study  301  was  an  open-label,  parallel  design  pharmacokinetic  study  testing  our  LIMITx  formulation  LTX-03  in  72  fasted  healthy  adult  subjects
randomized into 9 groups (8 subjects per group). One group swallowed a single Norco® 10/325mg tablet, the marketed comparator or reference drug. The
remaining  8  groups  swallowed  a  single  LTX-03  tablet  with  increasing  buffering  amounts  starting  with  no  buffer,  LTX-03  formulations  A  through  H,
respectively.  All  72  subjects  completed  the  study  and  the  doses  were  generally  well  tolerated  with  no  serious  adverse  events.  One  subject  in  the
Formulation E group was not analyzed due to emesis. LTX-03 is a combination of hydrocodone bitartrate and acetaminophen.

In Study 301 bioequivalence (BE) was examined to generate information for future registration studies. Results demonstrated a trend toward BE for both
active ingredients in LTX-03 formulations A through E. Formulation E had BE ratios (log transformed) for hydrocodone of 0.89 and 0.97 for Cmax and
Area Under the Curve (AUC), respectively. In this small sample size study both hydrocodone BE confidence intervals were below the acceptable lower BE
range of 0.80 at 0.74 and 0.79 for Cmax and AUC, respectively. For acetaminophen, Formulation E’s BE Ratios were 1.15 and 1.03 for Cmax and AUC,
respectively. While the acetaminophen AUC’s met the BE standards, the Cmax upper confidence interval of 1.61 was above the acceptable upper BE range
of  1.25.  We  believe  that  bioequivalence  of  this  formulation  may  be  achieved  by  reducing  data  variability  that  can  be  achieved  through  an  adequately
powered  crossover  study  design  with  sufficient  numbers  of  subjects  in  the  study.  For  LTX-03  Formulations  F  though  H,  the  higher  buffer  level  tablets,
Study 301 demonstrated a progressively increasing reduction in hydrocodone Cmax culminating in a 34% Cmax reduction associated with Formulation H,
the highest level evaluated. The Cmax for acetaminophen did not decline in Formulations F through H in Study 301.

7

 
 
 
 
 
 
 
 
 
 
We believe that Study 301 identified a formulation that optimizes the balance between providing therapeutic blood levels of drug for pain relief at a single
tablet dose while retarding the bioavailability of drug when higher buffer levels are ingested.

Non-clinical Study APT-RDR-300

Study APT-RDR-300 was a non-clinical study of respiratory depression in which five groups of 11 Sprague-Dawley rats were orally administered doses of
hydrocodone ranging from 100mg of drug per kg of body weight (mg/kg) up to 300 mg/kg. 8 subjects in each group were measured for opioid induced
respiratory depression (OIRD) assessing peripheral oxygen saturation (SpO2) of the blood over a 4 hour observation period. 36 subjects were analyzed as
successfully completing the dosing. The additional 3 subjects in each group provided blood samples analyzed for hydrocodone at .5, 1, 2 and 4 hours post-
dosing.

In Study APT-RDR-300 all doses above 100 mg/kg demonstrated with statistical significance (p<.05) SpO2 measured OIRD at all time points post-dosing.
The 100 mg/kg dose was not statistically significant for OIRD at any time point post-dosing. The mortality rate was correlated with higher doses. In all
animals exhibiting OIRD, OIRD was acutely evident within 30 minutes of dosing which was consistent with the Cmax of the hydrocodone dose. Increased
Cmax was generally associated with an increased prevalence of acute OIRD (SpO2 ≤70%). Approximately 50% of animals reaching this acute OIRD level
resulted in death. Due to a high variability in the pharmacokinetics and pharmacodynamics observed in the study, no further associations were possible.
Acura believes the results of this study generally support the development of opioid products with a reduction in Cmax in overdose situations.

We  intend  to  advance  LTX-03  to  clinical  development  for  a  New  Drug  Application  (NDA).  Therefore,  we  submitted  an  Investigational  New  Drug
Application,  or  IND  with  respect  to  LTX-03,  to  the  FDA  in  the  first  quarter  of  2018,  which  became  effective  in  April  2018.  We  have  completed  a
manufacturing  formulation  and  manufacturing  process  optimization  study  for  LTX-03.  We  are  currently  conducting  the  scale-up  of  the  commercial
manufacturing process as to-be-marketed formulations are required for all NDA development work. We are currently awaiting delivery of certain ancillary
equipment  for  use  in  manufacturing  the  drug  micro-particles  before  scale-up  work  can  commence.  Among  other  things,  we  believe  we  will  have  to
demonstrate a scientific link between Cmax reductions and a reduction in the risk of respiratory depression.

AD Pharma Agreement covering LTX-03

On June 28, 2019 we announced a License, Development and Commercialization Agreement (the "Agreement") with Abuse Deterrent Pharma, LLC (“AD
Pharma”), a special purpose company representing a consortium of investors that will finance Acura’s operations and completion of development of LTX-
03  (hydrocodone  bitartrate  with  acetaminophen)  immediate-release  tablets  utilizing  Acura’s  patented  LIMITx™  technology  which  addresses  the
consequences of excess oral administration of opioid tablets, the most prevalent route of opioid overdose and abuse. AD Pharma retains commercialization
rights from which Acura will be entitled to receive royalties and potential sales related milestones.

The  Agreement  grants  AD  Pharma  exclusive  commercialization  rights  in  the  United  States  to  LTX-03.  Financial  arrangements  include  monthly  license
payments by AD Pharma of $350,000 up to the earlier of November 30, 2020 or FDA’s acceptance of a New Drug Application (“NDA”) for LTX-03 and
reimbursement by AD Pharma of Acura’s LTX-03 outside development expenses. Upon commercialization of LTX-03, Acura receives stepped royalties on
sales and is eligible for certain sales related milestones.

AD  Pharma  may  terminate  the  Agreement  at  any  time.  Additionally,  if  the  NDA  for  LTX-03  is  not  accepted  by  the  FDA  by  November  30,  2020,  AD
Pharma has the option to terminate the Agreement and take ownership of the LIMITx intellectual property. Should AD Pharma choose not to exercise this
option to terminate and the NDA for LTX-03 is subsequently accepted by the FDA, such option expires.

8

 
 
 
 
 
 
 
 
 
 
 
We also granted authority to MainPointe Pharmaceuticals, LLC (MainPointe) to assign to AD Pharma the option and the right to add, as an Option Product
to  the  Nexafed®  Agreement,  a  Nexafed®  12-hour  dosage  (an  extended-release  pseudoephedrine  hydrochloride  product  utilizing  the  IMPEDE®
Technology in 120mg dosage strength). In March 2017, we granted MainPointe an exclusive license to our IMPEDE ® Technology to commercialize our
Nexafed® and Nexafed® Sinus Pressure + Pain Products in the United States and Canada. On January 1, 2020, MainPointe assigned to AD Pharma, with
Acura’s consent, all of its right, title and interest in the MainPointe Agreement between MainPointe and Acura dated March 16, 2017. We understand that
MainPointe continues to market the Nexafed products.

Mr.  Schutte  is  our  largest  shareholder  and  directly  owns  approximately  47.5%  of  our  common  stock  (after  giving  effect  to  the  exercise  of  warrants  he
holds). Mr. Schutte also controls MainPointe and is an investor in AD Pharma.

Aversion Technology

Aversion Technology incorporates gelling ingredients and irritants into tablets to discourage abuse by snorting and provide barriers to abuse by injection.
Our  Aversion Technology  and  related  opioid  products,  like  Oxaydo,  are  covered  by  claims  in  six  issued  U.S.  patents,  which  expire  between  November
2023 and March 2025. Our Aversion Technology products are intended to provide the same therapeutic benefits of the active drug ingredient as currently
marketed products containing the same active pharmaceutical ingredient.

Oxaydo Tablets

Oxaydo (oxycodone HCI tablets) is a Schedule II narcotic indicated for the management of acute and chronic moderate to severe pain where the use of an
opioid analgesic is appropriate. On January 7, 2015, we entered into a Collaboration and License Agreement with Zyla pursuant to which we exclusively
licensed to Zyla worldwide rights to manufacture and commercialize Oxaydo. Oxaydo is approved in 5mg and 7.5mg strengths. Zyla commenced shipping
Oxaydo in the United States in October 2015.

The  2017  market  for  immediate-release  oxycodone  products  was  approximately  30  million  dispensed  prescriptions  or  1.7  billion  tablets.  The  current
market  is  predominately  serviced  by  generic  formulations  that  contain  no  abuse  deterrent  features  and  sell  for  approximately  $0.10  to  $0.40  per  tablet,
depending  on  strength.  Immediate-release  opioids  are  prescribed  by  a  broad  cross-section  of  healthcare  providers  including  primary  care  physicians,
surgeons  and  pain  specialists.  We  believe  Oxaydo,  given  its  differentiated  label  compared  to  generic  products,  can  offer  an  alternative  for  opioid
prescribing physicians concerned with the abuse or diversion for abuse of their prescriptions even at premium pricing to generics

The  safety  and  efficacy  of  Oxaydo  5mg  and  7.5mg  tablets  was  established  by  demonstrating  bioequivalence  to  commercially  available  oxycodone
immediate-release  tablets  in  the  fasted  state.  Oxaydo  differs  from  oxycodone  tablets  when  taken  with  a  high  fat  meal  though  these  differences  are  not
considered clinically relevant, and Oxaydo can be taken without regard to food. The FDA-approved label for Oxaydo describes elements unique to our
Aversion Technology, which differs from current commercially available oxycodone immediate-release tablets. The label for Oxaydo includes the results
from  a  clinical  study  that  evaluated  the  effects  of  nasally  snorting  crushed  Oxaydo  and  commercially  available  oxycodone  tablets,  and  limitations  on
exposing Oxaydo tablets to water and other solvents and administration through feeding tubes. The clinical study evaluated 40 non-dependent recreational
opioid users, who self-administered the equivalent of 15mg of oxycodone. After accounting for a first sequence effect, the study demonstrated:

·

·
·

·

30% of subjects exposed to Oxaydo responded that they would not take the drug again compared to 5% of subjects exposed to immediate-release
oxycodone;
subjects taking Oxaydo reported a higher incidence of nasopharyngeal and facial adverse events compared to immediate-release oxycodone;
a decreased ability to completely insufflate two crushed Oxaydo tablets within a fixed time period (21 of 40 subjects), while all subjects were able
to completely insufflate the entire dose of immediate-release oxycodone; and
small numeric differences in the median and mean drug liking scores, which were lower in response to Oxaydo than immediate-release oxycodone.

9

 
 
 
 
 
 
 
 
 
 
 
Although  we  believe  these  abuse  deterrent  characteristics  differentiate  Oxaydo  from  immediate-release  oxycodone  products  currently  on  the  market,
consistent with FDA guidance which requires epidemiology studies to support a claim of abuse deterrence, the clinical significance of the difference in
drug liking and difference in response to taking the drug again in this study has not been established. There is no evidence that Oxaydo has a reduced abuse
liability compared to immediate release oxycodone. We and Zyla have a post-approval commitment with the FDA to perform an epidemiology study to
assess the actual impact on abuse of Oxaydo tablets.

Further, the Oxaydo product label guides patients not to crush and dissolve the tablets or pre-soak, lick or otherwise wet the tablets prior to administration.
Similarly, caregivers are advised not to crush and dissolve the tablets or otherwise use Oxaydo for administration via nasogastric, gastric or other feeding
tubes as it may cause an obstruction.

Zyla Agreement Covering Oxaydo

On January 7, 2015, we and Egalet US, Inc. and Egalet Ltd., each a subsidiary of Egalet Corporation, now known as Zyla Life Sciences or Zyla, entered
into a Collaboration and License Agreement, or the Zyla Agreement, to commercialize Oxaydo tablets containing our Aversion® Technology. Oxaydo is
approved by the FDA for marketing in the United States in 5 mg and 7.5 mg strengths. Under the terms of the Zyla Agreement, we transferred the approved
NDA for Oxaydo to Zyla and Zyla is granted an exclusive license under our intellectual property rights for development and commercialization of Oxaydo
worldwide, or the Territory, in all strengths, subject to our right to co-promote Oxaydo in the United States.

In accordance with the Zyla Agreement, we and Zyla formed a joint steering committee to oversee commercialization strategies and the development of
product line extensions. Zyla pays a significant portion of the expenses relating to (i) annual NDA PDUFA program fees, (ii) expenses of the FDA required
post-marketing study for Oxaydo and (iii) expenses of clinical studies for product line extensions (additional strengths) of Oxaydo for the United States and
pays all of the expenses of development and regulatory approval of Oxaydo for sale outside the United States. Zyla is responsible for all manufacturing and
commercialization  activities  in  the  Territory  for  Oxaydo.  Subject  to  certain  exceptions,  Zyla  has  final  decision  making  authority  with  respect  to  all
development  and  commercialization  activities  for  Oxaydo,  including  pricing,  subject  to  our  co-promotion  right.  Zyla  may  develop  Oxaydo  for  other
countries and in additional strengths, in its discretion.

Zyla paid us an upfront payment of $5.0 million upon signing of the Zyla Agreement and a $2.5 million milestone in October 2015 in connection with the
launch of Oxaydo. In addition, we will be entitled to a one-time $12.5 million milestone payment when worldwide Oxaydo net sales reach $150.0 million
in a calendar year. In addition, we are entitled to receive from Zyla a stepped royalty at percentage rates ranging from mid-single digits to double-digits on
net sales during a calendar year based on Oxaydo net sales during such year (excluding net sales resulting from our co-promotion efforts). In any calendar
year in which net sales exceed a specified threshold, we will receive a double digit royalty on all Oxaydo net sales in that year (excluding net sales resulting
from our co-promotion efforts). If we exercise our co-promotion rights, we will receive a share of the gross margin attributable to incremental Oxaydo net
sales from our co-promotion activities. Zyla’s royalty payment obligations commenced on the first commercial sale of Oxaydo and expire, on a country-by-
country basis, upon the expiration of the last to expire valid patent claim covering Oxaydo in such country (or if there are no patent claims in such country,
then upon the expiration of the last valid claim in the United States or the date when no valid and enforceable listable patent in the FDA’s Orange Book
remains with respect to the Product). Royalties will be reduced upon the entry of generic equivalents, as well as for payments required to be made by Zyla
to acquire intellectual property rights to commercialize Oxaydo, with an aggregate minimum floor.

The Zyla Agreement expires upon the expiration of Zyla’s royalty payment obligations in all countries. Either party may terminate the Zyla Agreement in
its entirety if the other party breaches a payment obligation, or otherwise materially breaches the Zyla Agreement, subject to applicable cure periods, or in
the  event  the  other  party  makes  an  assignment  for  the  benefit  of  creditors,  files  a  petition  in  bankruptcy  or  otherwise  seeks  relief  under  applicable
bankruptcy laws. We also may terminate the Zyla Agreement with respect to the U.S. and other countries if Zyla materially breaches its commercialization
obligations. Zyla may terminate the Zyla Agreement for convenience on 120 days prior written notice, which termination may not occur prior to the second
anniversary of Zyla’s launch of Oxaydo. Termination does not affect a party’s rights accrued prior thereto, but there are no stated payments in connection
with  termination  other  than  payments  of  obligations  previously  accrued.  For  all  terminations  (but  not  expiration),  the  Zyla  Agreement  provides  for  the
transition of development and marketing of Oxaydo from Zyla to us, including the conveyance by Zyla to us of the trademarks and all regulatory filings
and approvals relating to Oxaydo, and for Zyla’s supply of Oxaydo for a transition period.

10

 
 
 
 
 
 
 
 
 
KemPharm Agreement Covering Opioid Prodrugs

On October 13, 2016, we and KemPharm Inc., or KemPharm, entered into a worldwide License Agreement, or the KemPharm Agreement, pursuant to
which  we  licensed  our  Aversion®  Technology  to  KemPharm  for  its  use  in  the  development  and  commercialization  of  three  products  using  2  of
KemPharm’s  prodrug  candidates.  KemPharm  has  also  been  granted  an  option  to  extend  the  KemPharm  Agreement  to  cover  two  additional  prodrug
candidates.  KemPharm  is  responsible  for  all  development,  manufacturing  and  commercialization  activities,  although  we  may  provide  initial  technical
assistance.

Upon  execution  of  the  KemPharm  Agreement,  KemPharm  paid  us  an  upfront  payment  of  $3.5  million.  If  KemPharm  exercises  its  option  to  use  our
Aversion  Technology  with  more  than  the  2  prodrugs  licensed,  then  KemPharm  will  pay  us  up  to  $1.0  million  for  each  additional  prodrug  license.  In
addition,  we  will  receive  from  KemPharm  a  low  single  digit  royalty  on  commercial  sales  by  KemPharm  of  products  developed  using  our  Aversion
Technology  under  the  KemPharm  Agreement.  KemPharm’s  royalty  payment  obligations  commence  on  the  first  commercial  sale  of  a  product  using  our
Aversion Technology and expire, on a country-by-country basis, upon the expiration of the last to expire patent claim of the Aversion Technology covering
a product in such country, at which time the license for the particular product and country becomes fully paid and royalty free. As of December 31, 2019
we are unaware of KemPharm’s use of our Aversion technology under the KemPharm Agreement.

The  KemPharm  Agreement  expires  upon  the  expiration  of  KemPharm’s  royalty  payment  obligations  in  all  countries.  Either  party  may  terminate  the
KemPharm  Agreement  in  its  entirety  if  the  other  party  materially  breaches  the  KemPharm  Agreement,  subject  to  applicable  cure  periods.  Acura  or
KemPharm may terminate the KemPharm Agreement with respect to the U.S. and other countries if the other party challenges the patents covering the
licensed products. KemPharm may terminate the KemPharm Agreement for convenience on ninety (90) days prior written notice. Termination does not
affect a party’s rights accrued prior thereto, but there are no stated payments in connection with termination other than payments of obligations previously
accrued. For all terminations (but not expiration), the KemPharm Agreement provides for termination of our license grant to KemPharm.

Aversion Technology Development Opioid Products

We have suspended further development of our Aversion hydrocodone/APAP product candidate, in order to focus our time and available resources on the
development of our LIMITx Technology product candidates. We currently have 6 additional opioids at various stages of formulation development using the
Aversion Technology which are not being actively developed.

Abuse of Pseudoephedrine Products

The  chemical  structure  of  pseudoephedrine,  or  PSE,  is  very  similar  to  methamphetamine,  facilitating  a  straight-forward  chemical  conversion  to
methamphetamine.  OTC  PSE  products  are  sometimes  purchased  and  used  for  this  conversion.  There  are  multiple  known  processes  to  convert  PSE  to
methamphetamine,  all  of  which  are  not  complex  and  do  not  require  specialized  equipment;  however,  many  do  require  readily  available  but  uncommon
ingredients. Two of the three most popular processes follow two general processing steps: (1) dissolving the PSE tablets in a solvent to isolate, by filtration,
purified PSE and (2) a chemical reduction of the PSE into methamphetamine for drying into crystals. The third method, or the “one-pot” method, involves
the direct chemical reduction of the PSE to methamphetamine in the presence of the tablet’s inactive ingredients. All the solvents used are ultimately dried
off or otherwise removed, so a wide range of solvents are amenable to the process.

11

 
 
 
 
 
 
 
 
 
 
Impede Technology Products

Our  initial  Impede  1.0  Technology  being  used  in  Nexafed  Sinus  Pressure  +  Pain  contains  a  proprietary  mixture  of  inactive  ingredients,  prevents  the
extraction of PSE from tablets using known extraction methods and disrupts the direct conversion of PSE from tablets into methamphetamine.

We have developed a next generation Impede 2.0 Technology with additional inactive ingredients to improve the meth-resistance of our technology which
is currently used in Nexafed Tablets. One-pot, direct conversion meth testing performed by our CRO on the following commercially available products
resulted in:

Product/Formulation
Sudafed® 30mg Tablets
Nexafed 30mg Technology
Zephrex-D® 30mg Pills
Nexafed 120mg Extended-release tablets

62%
65%
51%
34%
1 Total methamphetamine HCl recovered from the equivalent of 100 PSE 30mg tablets divided by the maximum theoretical yield of 2.7 grams.
2 Total methamphetamine HCl recovered from the equivalent of 100 PSE 30mg tablets divided by the total weight of powder recovered.

67%   
38%   
28%   
17%   

Impede® 1.0

Impede® 2.0

  Tarex®

  None

Meth Resistant 
Technology

  Meth Recovery1 

Purity2

We have previously demonstrated in a pilot clinical study the bioequivalence of a formulation of our Nexafed extended release tablets utilizing our Impede
2.0 Technology to Sudafed® 12-hour Tablets.

Nexafed Products and the MainPointe Agreement

Nexafed and Nexafed Sinus Pressure + Pain, consist of immediate release tablets. Nexafed is a 30mg pseudoephedrine tablet which until the third quarter
of  2017  incorporated  our  patented  Impede  1.0  Technology  and  commencing  in  such  quarter  incorporated  our  Impede  2.0  Technology.  Nexafed  Sinus
Pressure + Pain is a 30/325mg pseudoephedrine and acetaminophen tablet which incorporates our Nexafed 1.0 Technology. PSE is a widely-used nasal
decongestant available in many non-prescription and prescription cold, sinus and allergy products. While the 30mg PSE tablet is not the largest selling PSE
product on the market, we believe it is the most often used product to make meth due to: (a) its relatively low selling price and (b) its simpler formulation
provides better meth yields.

We  have  demonstrated  that  our  Nexafed  30mg  tablets  are  bioequivalent  to  Johnson  &  Johnson’s  Sudafed  30mg  Tablets  when  a  single  2  tablet  dose  is
administered.  Commencing  in  2006,  the  CMEA,  required  all  non-prescription  PSE  products  to  be  held  securely  behind  the  pharmacy  counter,  has  set
monthly consumer purchase volume limits, and has necessitated consumer interaction with pharmacy personnel to purchase PSE-containing products.

On  March  16,  2017,  we  and  MainPointe  entered  into  a  License,  Commercialization  and  Option  Agreement,  or  the  MainPointe  Agreement,  pursuant  to
which we granted MainPointe an exclusive license to our Impede Technology to commercialize our Nexafed products in the U.S. and Canada. We also
conveyed  to  MainPointe  our  existing  inventory  and  equipment  relating  to  our  Nexafed  products.  MainPointe  is  responsible  for  all  development,
manufacturing and commercialization activities with respect to products covered by the Agreement and controls the marketing and sale of our Nexafed
products.

On signing the MainPointe Agreement, MainPointe paid us an upfront licensing fee of $2.5 million plus approximately $425 thousand for inventory and
equipment  being  transferred.  The  MainPointe  Agreement  also  provides  for  our  receipt  of  a  7.5%  royalty  on  net  sales  of  licensed  products.  The  royalty
payment for each product will expire on a country-by-country basis when the Impede® patent rights for such country have expired or are no longer valid;
provided that if no Impede patent right exists in a country, then the royalty term for that country will be the same as the royalty term for the United States.
After  the  expiration  of  a  royalty  term  for  a  country,  MainPointe  retains  a  royalty  free  license  to  our  Impede®  Technology  for  products  covered  by  the
Agreement in such country.

12

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
MainPointe has the option to expand the licensed territory beyond the United States and Canada to the European Union (and the United Kingdom), Japan
and  South  Korea  for  payments  of  $1.0  million,  $500  thousand  and  $250  thousand,  respectively.  In  addition,  MainPointe  has  the  option  to  add  to  the
MainPointe Agreement certain additional products, or Option Products, containing PSE and utilizing the Impede Technology for a fee of $500 thousand per
product (for all product strengths), including the product candidate Loratadine with pseudoephedrine. MainPointe has assigned and transferred its option
rights to a Nexafed 12-hour formulation to AD Pharma. If the territory has been expanded prior to the exercise of a product option, the option fee will be
increased to $750 thousand per product. If the territory is expanded after the payment of the $500 thousand product option fee, a one-time $250 thousand
fee will be due for each product. If a third party is interested in developing or licensing rights to an Option Product, MainPointe must exercise its option for
that product or its option rights for such product will terminate. On June 28, 2019, we granted authority to MainPointe to assign to AD Pharma the option
and the right to add, as an Option Product to the Nexafed® Agreement, a Nexafed® 12-hour dosage (an extended-release pseudoephedrine hydrochloride
product utilizing the IMPEDE® Technology in 120mg dosage strength) and waived the $500 thousand option fee.

The MainPointe Agreement may be terminated by either party for a material breach of the other party, or by Acura if MainPointe challenges certain of its
patents.  Upon  early  termination  of  the  MainPointe  Agreement,  MainPointe’s  licenses  to  the  Impede  Technology  and  all  products  will  terminate.  Upon
termination,  at  Acura’s  request  the  parties  will  use  commercially  reasonable  efforts  to  transition  the  Nexafed®  and  Nexafed®  Sinus  Pressure  +  Pain
products back to Acura.

On January 1, 2020, MainPointe assigned to AD Pharma, with Acura’s consent, all of its right, title and interest in the MainPointe Agreement between
MainPointe and Acura dated March 16, 2017.

Other Impede Technology Products

Given  the  fragmented  nature  of  the  PSE  market  with  products  containing  multiple  active  ingredients,  we  have  developed  additional  products  for  our
Nexafed franchise:

Impede Technology Products

Status

Extended-release formulation utilizing Impede 2.0 Technology

Extended-release combination products
Loratadine with pseudoephedrine

Pilot pharmacokinetic testing demonstrated bioequivalence to
Sudafed® 12-hour Tablets.
Pre-IND meeting held with the FDA
No imminent development planned
No imminent development planned
No imminent development planned

In July 2015, we had a pre-IND meeting with the FDA to discuss the results from our pharmacokinetic and meth-resistance testing studies to determine the
development  path  for  our  extended-release  development  product.  The  FDA  acknowledged  the  potential  value  of  the  development  of  risk-mitigating
strategies  for  new  formulations  of  pseudoephedrine  products  while  also  recognizing  an  approved  “meth-deterrent”  extended  release  pseudoephedrine
product would be novel in the over-the-counter (OTC) setting. The FDA did not make a formal determination whether “meth-resistant” claims would be
appropriate but is open to consider such an appropriately worded, evidence-based claim directed to the consumer and/or retailer. As recommended by the
FDA, we have submitted additional “meth-resistant” testing information to the FDA for review prior to submitting an IND. In October 2016, we received
FDA recommendations on our meth-resistant testing protocols for our Nexafed extended release tablets. We can now scale-up our manufacture batch size at
a contract manufacturer which allows us to submit an IND to the FDA for our Nexafed extended release tablets, however, we have not yet committed to
that level of development.

In March 2017, we completed a pilot pharmacokinetic study for the PSE and loratadine combination product using our Impede 1.0 Technology. The study
in  24  healthy  adult  subjects  demonstrated  sufficient,  but  not  bioequivalent  blood  levels  of  PSE  to  the  comparator  while  the  second  active  ingredient
achieved bioequivalence. Based on the product profile, we believe this formulation can be moved into final development for a 505(b)(2) NDA submission.
The Company has upgraded a portion of this formulation with its Impede 2.0 Technology.

13

 
 
 
 
 
 
 
 
 
 
U.S. Market Opportunity for Impede PSE Products

PSE is a widely-used nasal decongestant available in many non-prescription and prescription cold, sinus and allergy products. PSE is sold in products as
the only active ingredient in both immediate and extended-release products. In addition, PSE is combined with other cold, sinus and allergy ingredients
such as pain relievers, cough suppressants and antihistamines. PSE also competes against phenylephrine, an alternate nasal decongestant available in non-
prescription products. In 2014, a data service reported approximately $0.7 billion in retail sales of non-prescription products containing PSE. The top retail
selling PSE OTC cold/allergy products in 2014 were:

Reference
Brand1

Brand Company

Active
Ingredient(s)

2014 Retail Sales
($ Millions)

Claritin-D
Allegra-D
Zyrtec-D
Advil Sinus
Sudafed 12 Hour
Sudafed 30mg
1 Branded product only. Does not include store brand sales.
2 Extended release PSE formulations

  Bayer
  Chattem
  Pfizer
  Pfizer
J&J
J&J

  PSE & Loraditine2
  PSE & Fexofenadine2
  PSE & Ceterizine2
  PSE & Ibuprofen
  PSE2
  PSE

  $
  $
  $
  $
  $
  $

208.0 
101.3 
101.7 
58.4 
82.3 
70.4 

The  2014  market  for  30mg  PSE  tablets,  including  store  brands  was  approximately  470  million  tablets  or  19  million  boxes  of  24  tablets.  MainPointe
controls the price of Nexafed and Nexafed Sinus under the terms of the MainPointe Agreement. The market for cold, sinus and allergy products is highly
competitive and many products have strong consumer brand recognition and, in some cases, prescription drug heritage. Category leading brands are often
supported  by  national  mass  marketing  and  promotional  efforts.  Consumers  often  have  a  choice  to  purchase  a  less  expensive  store  brand.  Store  brands
contain the same active ingredients as the more popular national brands but are not supported by large marketing campaigns and are offered at a lower
price. Non-prescription products are typically distributed through retail outlets including drug store chains, food store chains, independent pharmacies and
mass merchandisers. The distribution outlets for PSE products are highly consolidated. According to Chain Drug Review, the top 50 drug, food and mass
merchandising chains operate approximately 40,000 pharmacies in the U.S., of which 58% are operated by the four largest chains. Stocking decisions and
pharmacists recommendations for these chain pharmacies are often centralized at the corporate headquarters.

Product Labeling for Impede Technology Products

Nexafed and Nexafed Sinus Pressure + Pain products are marketed pursuant to the FDA’s OTC Monograph regulations, which require that our products
have labeling as specified in the regulations. Marketing for the Nexafed products includes advertising the extraction characteristics and methamphetamine-
resistant benefits of these products which is supported by our published research studies.

We expect that any of our other Impede Technology products that are marketed pursuant to an NDA or ANDA will be subject to a label approved by the
FDA. We expect that such a label will require submission of our scientifically derived abuse liability data and we intend to seek descriptions of our abuse
liability studies in the FDA approved product label, although there can be no assurance that this will be the case.

U.S. Market Opportunity for Opioid Analgesic Products

The misuse and abuse of opioid analgesics continues to constitute a dynamic and challenging threat to the United States and is the nation’s fastest growing
drug problem. During 2017, the US Government declared opioid abuse as an epidemic and national health emergency. According to the 2017 Centers on
Disease Control Drug Surveillance Report, 11.8 million Americans aged 12 and over abused or misused prescription opioids in 2016. Further, this Report
calculates  that,  on  average,  115  Americans  die  every  day  from  an  opioid  overdose.  The  majority  of  drug  overdose  deaths  (66%)  involve  an  opioid.
Immediate release, or IR, opioid products comprise the vast majority of this abuse compared with extended release, or ER, opioid products.

It  is  estimated  that  more  than  75  million  people  in  the  United  States  suffer  from  pain  and  the  FDA  estimates  more  than  61  million  people  receive  a
prescription for the opioid hydrocodone annually. For many pain sufferers, opioid analgesics provide their only pain relief. As a result, opioid analgesics
are  among  the  largest  prescription  drug  classes  in  the  United  States  with  over  214  million  tablet  and  capsule  prescriptions  dispensed  in  2016  of  which
approximately 194 million were for IR opioid products and 204 million were for ER opioid products. However, physicians and other health care providers
at times are reluctant to prescribe opioid analgesics for fear of misuse, abuse, and diversion of legitimate prescriptions for illicit use.

14

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
We  expect  our  Aversion  and  LIMITx  Technology  opioid  products,  to  compete  primarily  in  the  IR  opioid  product  segment  of  the  United  States  opioid
analgesic  market.  Because  IR  opioid  products  are  used  for  both  acute  and  chronic  pain,  a  prescription,  on  average,  contains  66  tablets  or  capsules.
According to IMS Health, in 2016, sales in the IR opioid product segment were approximately $2.7 billion, of which ~98% was attributable to generic
products. Due to fewer identified competitors and the significantly larger market for dispensed prescriptions for IR opioid products compared to ER opioid
products,  we  have  initially  focused  on  developing  IR  opioid  products  utilizing  our  Aversion  and  LIMITx  Technologies.  A  summary  of  the  IR  opioid
product prescription data for 2016 is provided below:

IR Opioid
Products(1)

Hydrocodone
Oxycodone
Tramadol
Codeine
4 Others

Total

2016  US 
Prescriptions 
(Millions)(2)
90
55
43
15
5
208

% 
of Total

43%
26%
21%
7%
3%
100%

1 Includes all salts and esters of the opioid and opioids in combination
with other active ingredients such as acetaminophen.
2 IMS Health, 2016

Despite  considerable  publicity  regarding  the  abuse  of  OxyContin®  extended-release  tablets  and  other  ER  opioid  products,  U.S.  government  statistics
suggest that far more people have used IR opioid products non-medically than ER opioid products. These statistics estimate that nearly four times as many
people  have  misused  the  IR  opioid  products  Vicodin®,  Lortab®  and  Lorcet®  (hydrocodone  bitartrate/acetaminophen  brands  and  generics)  than
OxyContin®.

Product Labeling for Products Using Our Technologies

We  or  our  licensee  may  seek  to  include  descriptions  of  studies  that  characterize  the  safety  features  of  our  technologies  in  the  label  for  our  products  in
development. Zyla has committed to undertake FDA required epidemiological studies to assess the actual consequences of abuse of Oxaydo in the market
for which we share a minority portion of appropriate fees and expenses. The extent to which a description of the results of epidemiological or other studies
will be added to or included in the FDA approved product label for our products in development will be the subject of our discussions with the FDA as part
of  the  NDA  review  process.  Further,  because  the  FDA  closely  regulates  promotional  materials,  even  if  FDA  initially  approves  labeling  that  includes  a
description  of  the  properties  of  the  product,  the  FDA’s  Office  of  Prescription  Drug  Promotion,  or  OPDP,  will  continue  to  review  the  acceptability  of
promotional labeling claims and product advertising campaigns for our marketed products.

In April 2015, the FDA published guidance for industry on the evaluation and labeling of abuse-deterrent opioids and in June 2019, FDA issued a draft for
public comment guidance on a Benefit-Risk Assessment Framework for Opioid Analgesic Drugs which may be beneficial to use in the development and
labeling of our product candidates.

15

 
 
 
 
 
 
 
   
 
   
 
   
 
   
 
   
 
   
 
 
 
 
 
Patents and Patent Applications

We have the following issued patents covering, among other things, our LIMITx Technology:

Patent No. (Jurisdiction) 
9,101,636 (US)

9,320,796 (US)

9,662,393 (US)

10,441,657 (US)

2,892,908 (CAN)

5,922,851 (JAPAN)

ZL201380062421.0
(CHN)
2,925,304 (EUR)

2015124694 (RUS)

2013352162 (AUS)

366159 (MEX)

238713 (ISR)

Subject matter

Abuse deterrent products wherein the release of active ingredient is retarded when 3 or
more doses are consumed
Abuse deterrent products wherein the release of active ingredient is retarded when 3 or
more doses are consumed
Abuse deterrent products wherein the release of active ingredient is retarded when 3 or
more doses are consumed
Abuse deterrent products wherein the release of active ingredient is retarded when 3 or
more doses are consumed
Abuse deterrent products wherein the release of active ingredient is retarded when
excessive doses are consumed
Abuse deterrent products wherein the release of active ingredient is retarded when
excessive doses are consumed
Abuse deterrent products wherein the release of active ingredient is retarded when
excessive doses are consumed
Abuse deterrent products wherein the release of active ingredient is retarded when
excessive doses are consumed
Abuse deterrent products wherein the release of active ingredient is retarded when
excessive doses are consumed
Abuse deterrent products wherein the release of active ingredient is retarded when
excessive doses are consumed
Abuse deterrent products wherein the release of active ingredient is retarded when
excessive doses are consumed
Abuse deterrent products wherein the release of active ingredient is retarded when
excessive doses are consumed

We have the following issued patents covering, among other things, Oxaydo and our Aversion Technology:

Patent No. (Jurisdiction) 
7,201,920 (US)

Subject Matter
Pharmaceutical compositions including a mixture of functional inactive ingredients and
specific opioid analgesics

7,510,726 (US)
7,981,439 (US)
8,409,616 (US)
8,637,540 (US)
9,492,443 (US)

  A wider range of compositions than those described in the 7,201,920 Patent
  Pharmaceutical compositions including any water soluble drug susceptible to abuse
  Pharmaceutical compositions of immediate-release abuse deterrent dosage forms
  Pharmaceutical compositions of immediate-release abuse deterrent opioid products
  Pharmaceutical compositions of immediate-release abuse deterrent opioid products

We have the following additional issued patents relating to our Aversion Technology:

Patent No. (Jurisdiction) 
8,822,489 (US)

Subject Matter
Pharmaceutical compositions of certain abuse deterrent products that contain polymers,
surfactant and polysorb 80

2,004,294,953 (AUS)
2,010,200,979 (AUS)
2,547,334 (CAN)
2,647,360 (CAN)
175,863 (ISR)
221,018 (ISR)
1694260 (EUR)

  Abuse deterrent pharmaceuticals
  Abuse deterrent pharmaceuticals
  Abuse deterrent pharmaceuticals
  Abuse deterrent pharmaceuticals
  Abuse deterrent pharmaceuticals
  Abuse deterrent pharmaceuticals
  Abuse deterrent pharmaceuticals

16

Issued
Aug. 2015

Expires
Nov. 2033

Apr. 2016

Nov. 2033

May 2017

Nov. 2033

Sept. 2019

Nov. 2033

Apr. 2016

Nov. 2033

Apr. 2016

Nov. 2033

Jul. 2018

Nov. 2033

Sep. 2018

Nov. 2033

Nov. 2018

Nov. 2033

Dec. 2018

Nov. 2033

Jul. 2019

Nov. 2033

Jul. 2019

Nov. 2033

Issued
Apr. 2007

Mar. 2009
July 2011
Apr. 2013
Jan. 2014
Nov. 2016  

Issued
July 2014

Apr. 2010
Aug. 2010  
Aug. 2010  
May 2012
Nov. 2004  
Nov. 2004  
Nov. 2004  

Expires
Mar. 2025

Nov. 2023
Aug. 2024
Nov. 2023
Nov. 2023
Nov. 2023

Expires
Nov. 2023

Nov. 2024
Nov. 2024
Nov. 2024
Apr. 2027
Nov. 2024
Nov. 2024
Nov. 2024

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
We have the following issued patents covering, among other things, our Nexafed product line and Impede 1.0 and 2.0 technologies:

Patent No. (Jurisdiction) 
8,901,113 (US)

9,757,466 (US)

10,004,699 (US)

2010300641 (AUS)

2,775,890 (CAN)

2,488,029 (EUR)

218533 (ISR)

2015274936 (AUS)

13102020.5 (HK)

Subject Matter
Pharmaceutical compositions suitable for reducing the chemical conversion of precursor
compounds
Pharmaceutical compositions suitable for reducing the chemical conversion of precursor
compounds
Methods and compositions for interfering with extraction or conversion of a drug
susceptible to abuse
Pharmaceutical compositions suitable for reducing the chemical conversion of precursor
compounds
Pharmaceutical compositions suitable for reducing the chemical conversion of precursor
compounds
Pharmaceutical compositions suitable for reducing the chemical conversion of precursor
compounds
Pharmaceutical compositions suitable for reducing the chemical conversion of precursor
compounds
Methods and compositions for interfering with extraction or conversion of a drug
susceptible to abuse
Pharmaceutical compositions suitable for reducing the chemical conversion of precursor
compounds

Issued
Dec. 2014

Expires
Feb. 2032

Sept. 2017

Feb. 2032

June 2018

Dec. 2035

June 2016

Sept. 2030

June 2016

Sept. 2030

Mar. 2016

Sept. 2030

Jan. 2016

Sept. 2030

Sept. 2018

June 2035

Oct. 2016

Sept. 2030

In addition to our issued patents listed above and additional unlisted issued patents, we have filed multiple U.S. patent applications and international patent
applications  relating  to  compositions  containing  abusable  active  pharmaceutical  ingredients  as  well  as  applications  covering  our  Impede  1.0  and  2.0
Technologies  and  filed  U.S.  patent  applications  for  our  LIMITx  Technology.  Except  for  the  rights  granted  in  the  Zyla  Agreement,  the  KemPharm
Agreement, the MainPointe Agreement, and the AD Pharma Agreement and in the patent infringement settlement agreements described below, we have
retained all intellectual property rights to our Aversion Technology, Impede Technology, LIMITx Technology and related product candidates.

Between  October,  2013  and  May,  2014  we  settled  on  an  individual  basis,  patent  infringement  suits  we  brought  against  generic  manufacturers  Par
Pharmaceuticals, Inc., Impax Laboratories, Inc. Sandoz Inc. and Ranbaxy Inc. initiated by their seeking to market generic versions of Oxaydo. Principally,
the settlements grant to Par a royalty bearing license to use our Aversion Technology patents in an immediate-release oxycodone product starting in January
2022, or sooner depending on other generic competition. None of such settlements impacted the validity or enforceability of our Patents. Reference is made
to the Risk Factors contained in this report under Item 1A.

On May 20, 2016, we, Purdue Pharma L.P. and Zyla settled patent infringement actions initiated by Purdue against Oxaydo and an Intes Parties Review
initiated by us against a Purdue patent. The parties dismissed or withdrew the actions, requested that the USPTO terminate the IPR Review and exchanged
mutual releases. No payments were made by the parties under the settlement agreement. The settlement provides that Acura will not, in the future, assert
certain Acura U.S. Aversion Technology patents against selected Purdue immediate and extended-release products. In addition, Purdue has certain rights to
negotiate to exclusively distribute an authorized generic version of certain Zyla products, including, in some circumstances, Oxaydo® and other products
using Acura’s Aversion® Technology if licensed to Zyla. Reference is made to the Risk Factors contained in this report under Item 1A.

Research and Manufacturing

We conduct research, development, manufacture of laboratory clinical trial supplies, and warehousing activities at our operations facility in Culver, Indiana
and lease an administrative office in Palatine, Illinois. The 25,000 square foot Culver facility is registered with the DEA to perform research, development
and manufacture of certain DEA-scheduled active pharmaceutical ingredients and finished dosage form products. We have obtained quotas for supply of
DEA-scheduled active pharmaceutical ingredients from the DEA and develop finished dosage forms in our Culver facility. We manufacture clinical trial
supplies of drug products in our Culver facility. In addition to internal capabilities and activities, we engage numerous clinical research organizations, or
CROs, with expertise in regulatory affairs, clinical trial design and monitoring, clinical data management, biostatistics, medical writing, laboratory testing
and  related  services.  Zyla  is  responsible  for  commercial  manufacture  of  Oxaydo  under  the  Zyla  Agreement.  We  expect  that  future  opioid  product
candidates developed and licensed by us will be commercially manufactured by our licensees or other qualified third party contract manufacturers.

17

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Prior  to  our  entering  into  the  MainPointe  Agreement,  we  relied  on  two  contract  manufacturers  to  manufacture,  package  and  supply  our  commercial
quantities of Nexafed and Nexafed Sinus Pressure + Pain products. We assigned our existing supply agreement to MainPointe in accordance with the terms
of  the  MainPointe  Agreement.  Although  we  believe  there  are  alternate  sources  of  supply  that  can  satisfy  MainPointe’s  anticipated  commercial
requirements, replacing or adding a contract manufacturer may cause an interruption in supply and could adversely impact our royalties from MainPointe
on the net sales of the Nexafed products.

Competition

Our products and technologies will, if marketed, compete to varying degrees against both brand and generic products offering similar therapeutic benefits
and  being  developed  and  marketed  by  small  and  large  pharmaceutical  (for  prescription  products)  and  consumer  packaged  goods  (for  OTC  products)
companies. Many of our competitors have substantially greater financial and other resources and are able to expend more funds and effort than us and our
licensees  in  research,  development  and  commercialization  of  their  competitive  technologies  and  products.  Prescription  generic  products  and  OTC  store
brand products will offer cost savings to third party payers and/or consumers that will create pricing pressure on our or our licensed products. Also, these
competitors  may  have  a  substantial  sales  volume  advantage  over  our  products,  which  may  result  in  our  costs  of  manufacturing  being  higher  than  our
competitors’ costs.

We believe potential competitors may be developing opioid abuse deterrent technologies and products. Such potential competitors include, but may not be
limited to, Pfizer Inc., Purdue Pharma, Atlantic Pharmaceuticals, KemPharm, Shionogi, Nektar Therapeutics, Signature Therapeutics, QRx Pharma, Tris
Pharma, Pisgah Labs, Teva Pharmaceuticals, Sun Pharmaceuticals, Ensysce Biopharma, Inspirion Delivery Sciences and Collegium Pharmaceuticals.

Our Impede Technology products containing PSE will compete in the highly competitive market for cold, sinus and allergy products generally available to
the consumer without a prescription. Some of our competitors will have multiple consumer product offerings both within and outside the cold, allergy and
sinus category providing them with substantial leverage in dealing with a highly consolidated pharmacy distribution network. The competing products may
have well established brand names and may be supported by national or regional advertising. Nexafed will compete primarily with Johnson & Johnson’s
Sudafed® brand and Nexafed Sinus Pressure + Pain with Pfizer’s Advil® Cold and Sinus, as well as generic/store brand formulations of such products
manufactured by Perrigo Company and others. A competing product from Perrigo is being marketed with claims of methamphetamine-resistance.

In  addition  to  our  license  agreement  with  MainPointe/AD  Pharma,  we  may  consider  licensing  our  Impede  Technology  or  other  products  utilizing  such
technology for commercialization.

Government Regulation

All pharmaceutical firms, including us, are subject to extensive regulation by the federal government, principally by the FDA under the Federal Food, Drug
and Cosmetic Act, or the FD&C Act, and, to a lesser extent, by state and local governments. Before our prescription products and some OTC products may
be  marketed  in  the  U.S.,  they  must  be  approved  by  the  FDA  for  commercial  distribution.  Certain  OTC  products  must  comply  with  applicable  FDA
regulations,  known  as  OTC  Monographs,  in  order  to  be  marketed,  but  do  not  require  FDA  review  and  approval  before  marketing.  Additionally,  we  are
subject  to  extensive  regulation  by  the  DEA  under  the  Controlled  Substances  Act,  the  Combat  Methamphetamine  Act  of  2005,  and  related  laws  and
regulations  for  research,  development,  manufacturing,  marketing  and  distribution  of  controlled  substances  and  certain  other  pharmaceutical  active
ingredients that are regulated as Listed Chemicals. Extensive FDA, DEA, and state regulation of our products and commercial operations continues after
drug product approvals, and the requirements for our continued marketing of our products may change even after initial approval. We are also subject to
regulation  under  federal,  state  and  local  laws,  including  requirements  regarding  occupational  safety,  laboratory  practices,  environmental  protection  and
hazardous  substance  control,  and  may  be  subject  to  other  present  and  future  local,  state,  federal  and  foreign  regulations,  including  possible  future
regulations of the pharmaceutical industry. We cannot predict the extent to which we may be affected by legislative and other regulatory developments
concerning our products and the healthcare industry in general.

18

 
 
 
 
 
 
 
 
 
 
The  FD&C  Act,  the  Controlled  Substances Act  and  other  federal  statutes  and  regulations  govern  the  testing,  manufacture,  quality  control,  export  and
import, labeling, storage, record keeping, approval, pricing, advertising, promotion, sale and distribution of pharmaceutical products. Noncompliance with
applicable requirements both before and after approval, can subject us, our third party manufacturers and other collaborative partners to administrative and
judicial sanctions, such as, among other things, warning letters, fines and other monetary payments, recall or seizure of products, criminal proceedings,
suspension  or  withdrawal  of  regulatory  approvals,  interruption  or  cessation  of  clinical  trials,  total  or  partial  suspension  of  production  or  distribution,
injunctions,  limitations  on  or  the  limitation  of  claims  we  can  make  for  our  products,  and  refusal  of  the  government  to  enter  into  supply  contracts  for
distribution directly by governmental agencies, or delay in approving or refusal to approve new drug applications. The FDA also has the authority to revoke
or withhold approvals of new drug applications.

FDA  approval  is  required  before  any  “new  drug,”  can  be  marketed.  A  “new  drug”  is  one  not  generally  recognized,  by  experts  qualified  by  scientific
training and experience, as safe and effective for its intended use. Our products not subject to and in compliance with an OTC Monograph are new drugs
and require prior FDA approval. Such approval must be based on extensive information and data submitted in a NDA, including but not limited to adequate
and well controlled laboratory and clinical investigations to demonstrate the safety and effectiveness of the drug product for its intended use(s) as well as
the  manufacturing  suitability  of  the  product.  In  addition  to  providing  required  safety  and  effectiveness  data  for  FDA  approval,  a  drug  manufacturer’s
practices  and  procedures  must  comply  with  current  Good  Manufacturing  Practices  (“cGMPs”),  which  apply  to  manufacturing,  receiving,  holding  and
shipping, and include, among other things, demonstration of product purity, consistent manufacturing and quality and at least six months of data supporting
product  expiration  dating  based  on  clinical  registration  batches.  Accordingly,  manufacturers  must  continue  to  expend  time,  money  and  effort  in  all
applicable areas relating to quality assurance and regulatory compliance, including production and quality control to comply with cGMPs. Failure to so
comply risks delays in approval of drug products and possible FDA enforcement actions, such as an injunction against shipment of products, the seizure of
non-complying products, criminal prosecution and/or any of the other possible consequences described above. We are subject to periodic inspection by the
FDA and DEA, which inspections may or may not be announced in advance.

The FDA Drug Approval Process

The process of drug development is complex and lengthy. The activities undertaken before a new pharmaceutical product may be marketed in the U.S.
generally  include,  but  are  not  limited  to,  preclinical  studies;  submission  to  the  FDA  of  an  Investigational  New  Drug  application,  or  IND,  which  must
become active before human clinical trials may commence; adequate and well-controlled human clinical trials to establish the safety and efficacy of the
product; submission to the FDA of an NDA; acceptance for filing of the NDA by FDA; satisfactory completion of an FDA pre-approval inspection of the
clinical trial sites and manufacturing facility or facilities at which both the active ingredients and finished drug product are produced to assess compliance
with,  among  other  things,  patient  informed  consent  requirements,  the  clinical  trial  protocols,  current  Good  Clinical  Practices,  or  GCP,  and  cGMPs;  and
FDA review and approval of the NDA prior to any commercial sale and distribution of the product in the U.S.

Preclinical studies include laboratory evaluation of product chemistry and formulation, and in some cases, animal studies and other studies to preliminarily
assess the potential safety and efficacy of the product candidate. The results of preclinical studies together with manufacturing information, analytical data,
and detailed information including protocols for proposed human clinical trials are then submitted to the FDA as a part of an IND. An IND must become
effective,  and  approval  must  be  obtained  from  an  Institutional  Review  Board,  or  IRB,  prior  to  the  commencement  of  human  clinical  trials.  The  IND
becomes effective 30 days following its receipt by the FDA unless the FDA objects to, or otherwise raises concerns or questions and imposes a clinical
hold.  We,  the  FDA  or  the  IRB  may  suspend  or  terminate  a  clinical  trial  at  any  time  after  it  has  commenced  due  to  safety  or  efficacy  concerns  or  for
commercial reasons. In the event that FDA objects to the IND and imposes a clinical hold, the IND sponsor must address any outstanding FDA concerns or
questions to the satisfaction of the FDA before clinical trials can proceed or resume. There can be no assurance that submission of an IND will result in
FDA authorization to commence clinical trials.

19

 
 
 
 
 
 
 
Human clinical trials are typically conducted in three phases that may sometimes overlap or be combined:

Phase 1: This phase is typically the first involving human participants, and involves the smallest number of human participants (typically, 20-50).
The  investigational  drug  is  initially  introduced  into  healthy  human  subjects  or  patients  and  tested  for  safety,  dosage  tolerance,  absorption,  metabolism,
distribution and excretion. In addition, it is sometimes possible to gain a preliminary indication of efficacy.

Phase 2: Once the preliminary safety and tolerability of the drug in humans is confirmed during phase 1, phase 2 involves studies in a somewhat
larger  group  of  study  subjects.  Unlike  phase  1  studies,  which  typically  involve  healthy  subjects,  participants  in  phase  2  studies  may  be  affected  by  the
disease or condition for which the product candidate is being developed. Phase 2 studies are intended to identify possible adverse effects and safety risks, to
evaluate the efficacy of the product for specific targeted diseases, and to determine appropriate dosage and tolerance.

Phase 3: Phase 3 trials typically involve a large numbers of patients affected by the disease or condition for which the product candidate is being
developed. Phase 3 clinical trials are undertaken to evaluate clinical efficacy and safety under conditions resembling those for which the product will be
used in actual clinical practice after FDA approval of the NDA. Phase 3 trials are typically the most costly and time-consuming of the clinical phases.

Phase 4 or Post-Marketing Requirements: Phase 4 trials may be required by FDA after the approval of the NDA for the product, as a condition
of the approval, or may be undertaken voluntarily by the sponsor of the trial. The purpose of phase 4 trials is to continue to evaluate the safety and efficacy
of the drug on a long-term basis and in a much larger and more diverse patient population than was included in the prior phases of clinical investigation.

After clinical trials have been completed, and if they were considered successful, the sponsor may submit a NDA or Abbreviated New Drug Application, or
ANDA, to the FDA including the results of the preclinical and clinical testing, together with, among other things, detailed information on the chemistry,
manufacturing, quality controls, and proposed product labeling. There are two types of NDAs; a 505(b)(1) NDA and a 505(b)(2) NDA. A 505(b)(1) NDA
is also known as a “full NDA” and is described by section 505(b)(1) of the FD&C Act as an application containing full reports of investigations of safety
and effectiveness, in addition to other information. The data in a full NDA is either owned by the applicant or are data for which the applicant has obtained
a right of reference. A 505(b)(2) application is one described under section 505(b)(2) of the FD&C Act as an application for which information, or one or
more  of  the  investigations  relied  upon  by  the  applicant  for  approval,  “were  not  conducted  by  or  for  the  applicant  and  for  which  the  applicant  has  not
obtained  a  right  of  reference  or  use  from  the  person  by  or  for  whom  the  investigations  were  conducted”.  This  provision  permits  the  FDA  to  rely  for
approval of an NDA on data not developed by the applicant, such as published literature or the FDA’s finding of safety and effectiveness of a previously
approved drug. 505(b)(2) applications are submitted under section 505(b)(1) of the FD&C Act and are therefore subject to the same statutory provisions
that govern 505(b)(1) applications that require among other things, “full reports” of safety and effectiveness.

The 505(b)(2) NDAs must include one of several different types of patent certifications to each patent that is listed in the FDA publication known as the
Orange Book in connection with any previously approved drug, the approval of which is relied upon for approval of the 505(b)(2) NDA. Depending on the
type  of  certification  made,  the  approval  of  the  505(b)(2)  NDA  may  be  delayed  until  the  relevant  patent(s)  expire,  or  in  the  case  of  a  Paragraph  IV
Certification may lead to patent litigation against the applicant and a potential automatic approval delay of 30 months or more.

Under the Prescription Drug User Fee Amendments of 2017, PDUFA VI, the FDA collects two types of fees associated with NDAs – (i) a fee collected at
the  time  applications  are  submitted,  and  (ii)  prescription  drug  program  fees  (accounting  for  80%  of  the  total),  which  are  collected  annually  for  certain
prescription drugs. Exceptions to the application fee include previously filed applications and applications for drugs designated as orphan drugs for a rare
disease.

20

 
 
 
 
 
 
 
 
 
 
 
According to FDA’s fee schedule, posted on August 2, 2019, for the 2020 fiscal year, the user fee for an application fee requiring clinical data, such as an
NDA is $2,942,965. The FDA adjusts PDUFA user fees on an annual basis. A written request can be submitted for a waiver of the application fee for the
first human drug application that is filed by a small business. Where we are subject to these fees, they are significant expenditures that may be incurred in
the future and must be paid at the time of submission of each application to FDA.

After an NDA is submitted by an applicant, and if it is accepted for filing by the FDA, the FDA will then review the NDA and, if and when it determines
that the data submitted are adequate to show that the product is safe and effective for its intended use, the FDA will approve the product for commercial
distribution in the U.S. There can be no assurance that any of our products in development will receive FDA approval or that even if approved, they will be
approved with labeling that includes descriptions of its abuse deterrent features. Moreover, even if our products in development are approved with labeling
that includes descriptions of the abuse deterrent features of our products, advertising and promotion for the products will be limited to the specific claims
and descriptions in the FDA approved product labeling.

In terms of program fees, subject to certain exceptions, each sponsor is required to pay the annual fee for each new prescription drug approved as of 1
October  of  each  fiscal  year  (for  2020  such  fee  is  $325,424  per  product  strength),  but  applicants  may  not  be  assessed  more  than  five  prescription  drug
program fees for a fiscal year, for prescription drugs identified in a single application. For example, an applicant that has 10 drug products identified in an
approved NDA for 10 different strengths of tablet dosage form products is eligible for an assessment for a maximum of 5 program fees. PDUFA VI also
eliminated fees for drug application supplements and establishment fees.

The  FDA  requires  drug  manufacturers  to  establish  and  maintain  quality  control  procedures  for  manufacturing,  processing  and  holding  drugs  and
investigational products, and products must be manufactured in accordance with defined specifications. Before approving an NDA, the FDA usually will
inspect the facility(ies) at which the active pharmaceutical ingredients and finished drug product is manufactured, and will not approve the product unless it
finds that cGMP compliance at those facility(ies) are satisfactory. If the FDA determines the NDA is not acceptable, the FDA may outline the deficiencies
in  the  NDA  and  often  will  request  additional  information,  thus  delaying  the  approval  of  a  product.  Notwithstanding  the  submission  of  any  requested
additional testing or information, the FDA ultimately may decide that the application does not satisfy the criteria for approval. After a product is approved,
changes  to  the  approved  product,  such  as  adding  new  indications,  manufacturing  changes,  or  changes  in  or  additions  to  the  approved  labeling  for  the
product, may require submission of a new NDA or, in some instances, an NDA amendment, for further FDA review. Post-approval marketing of products
in  larger  or  different  patient  populations  than  those  that  were  studied  during  development  can  lead  to  new  findings  about  the  safety  or  efficacy  of  the
products. This information can lead to a product sponsor’s requesting approval for and/or the FDA requiring changes in the labeling of the product or even
the withdrawal of the product from the market.

The  Best  Pharmaceuticals  for  Children  Act,  or  BPCA,  became  law  in  2002  and  was  subsequently  reauthorized  and  amended  by  FDAAA.  The
reauthorization of BPCA provides an additional six months of market exclusivity beyond the expiration date of existing market exclusivities or eligible
patents to NDA applicants that conduct acceptable pediatric studies of new and currently-marketed drug products for which pediatric information would be
beneficial, as identified by FDA in a Pediatric Written Request. The FD&C Act, as amended by the Pediatric Research Equity Act, or PREA, requires that
most  applications  for  drugs  and  biologics  include  a  pediatric  assessment  (unless  waived  or  deferred)  to  ensure  the  drugs’  and  biologics’  safety  and
effectiveness  in  children.  Such  pediatric  assessment  must  contain  data,  gathered  using  appropriate  formulations  for  each  age  group  for  which  the
assessment  is  required,  that  are  adequate  to  assess  the  safety  and  effectiveness  of  the  drug  or  the  biological  product  for  the  claimed  indications  in  all
relevant pediatric subpopulations, and to support dosing and administration for each pediatric subpopulation for which the drug or the biological product is
safe and effective. The pediatric assessments can only be deferred provided there is a timeline for the completion of such studies. FDA may waive (partially
or fully) the pediatric assessment requirement for several reasons, including if the applicant can demonstrate that reasonable attempts to produce a pediatric
formulation necessary for that age group have failed. The FDA has indicated our Oxaydo product is exempt from the pediatric studies requirement of the
PREA.

21

 
 
 
 
 
 
 
The terms of approval of any NDA for our product candidates, including the indication and product labeling (and, consequently permissible advertising and
promotional claims we can make) may be more restrictive than what is sought in the NDA or what is desired by us. Additionally, the FDA conditioned
approval of our Oxaydo product on our commitment to conduct Phase 4 epidemiological studies to assess the actual abuse levels of Oxaydo in the market.
The testing and FDA approval process for our product candidates requires substantial time, effort, and financial resources, and we cannot be sure that any
approval will be granted on a timely basis, if at all.

Further,  drug  products  approved  by  FDA  may  be  subject  to  continuing  obligations  intended  to  assure  safe  use  of  the  products.  Specifically,  under  the
FD&C Act, as amended by the Food and Drug Administration Amendments Act of 2007, or FDAAA, FDA may require Risk Evaluation and Mitigation
Strategies, or REMS, to manage known or potential serious risks associated with drugs or biological products. If FDA finds, at the time of approval or
afterward, that a REMS is necessary to ensure that the benefits of our products outweigh the risks associated with the products, FDA will require a REMS
and,  consequently,  that  we  take  additional  measures  to  ensure  safe  use  of  the  product.  Components  of  a  REMS  may  include,  but  are  not  limited  to,  a
Medication  Guide  and/or  Patient  Package  Insert,  a  marketing  and  sales  communication  plan  for  patients  or  healthcare  providers  concerning  the  drug,
Elements To Assure Safe Use, or ETASUs such as, but not limited to, patient, prescriber, and pharmacy registries, and restrictions on the extent or methods
of distribution, a REMS implementation system, and a timetable for assessment of the effectiveness of the REMS. Currently, all extended-release or long-
acting (ERLA) opioid products approved by the FDA are subject to a class-wide REMS program. The FDA has determined that a REMS is necessary for
immediate release opioid analgesics and has begun the process of incorporating immediate-release opioids into this class-wide REMS program.

In addition, we, our suppliers and our licensees are required to comply with extensive FDA requirements both before and after approval. For example, we
or  our  licensees  are  required  to  report  certain  adverse  reactions  and  production  problems,  if  any,  to  the  FDA,  and  to  comply  with  certain  requirements
concerning  the  advertising  and  promotion  of  our  products,  which,  as  discussed  above,  may  significantly  affect  the  extent  to  which  we  can  include
statements or claims referencing our abuse deterrent technology in product labeling and advertising. Also, quality control and manufacturing procedures
must continue to conform to cGMP after approval to avoid the product being rendered misbranded and/or adulterated under the FD&C Act as a result of
manufacturing  problems.  In  addition,  discovery  of  any  material  safety  issues  may  result  in  changes  to  product  labeling  or  restrictions  on  a  product
manufacturer, potentially including removal of the product from the market.

Whether or not FDA NDA approval in the U.S. has been obtained, approvals from comparable governmental regulatory authorities in foreign countries
must be obtained prior to the commencement of commercialization of our drug products in those countries. The approval procedure varies in complexity
from country to country, and the time required may be longer or shorter than that required for FDA approval.

FDA’s OTC Monograph Process

The  FDA  regulates  certain  non-prescription  drugs  using  an  OTC  Monograph  which,  when  final,  is  published  in  the  Code  of  Federal  Regulations  at  21
C.F.R. Parts 330-358. For example, 21 C.F.R. Part 341 sets forth the products, such as pseudoephedrine hydrochloride, that may be marketed as an OTC
cold, cough, allergy, bronchodilator, or antiasthmatic drug product in a form suitable for oral, inhalant, or topical administration and is generally recognized
as safe and effective and is not misbranded. Such products that meet each of the conditions established in the OTC Monograph regulations and the other
applicable regulations may be marketed without prior approval by the FDA.

The general conditions set forth for OTC Monograph products include, among other things:

the product is manufactured at FDA registered establishments and in accordance with cGMPs;

the product label meets applicable format and content requirements including permissible “Indications” and all required dosing instructions and
limitations, warnings, precautions and contraindications that have been established in an applicable OTC Monograph;

the product contains only permissible active ingredients in permissible strengths and dosage forms;

·

·

·

22

 
 
 
 
 
 
 
 
 
 
 
 
·

·

the product contains only suitable inactive ingredients which are safe in the amounts administered and do not interfere with the effectiveness of the
preparation; and

the product container and container components meet FDA’s requirements.

The advertising for OTC drug products is regulated by the Federal Trade Commission, or FTC, which generally requires that advertising claims be truthful,
not misleading, and substantiated by adequate and reliable scientific evidence. False, misleading, or unsubstantiated OTC drug advertising may be subject
to FTC enforcement action and may also be challenged in court by competitors or others under the federal Lanham Act or similar state laws. Penalties for
false or misleading advertising may include monetary fines or judgments as well as injunctions against further dissemination of such advertising claims.

A product marketed pursuant to an OTC Monograph must be registered with the FDA and have a National Drug Code listing which is required for all
marketed  drug  products.  After  marketing,  the  FDA  may  test  the  product  or  otherwise  investigate  the  manufacturing  and  development  of  the  product  to
ensure compliance with the OTC Monograph. Should the FDA determine that a product is not marketed in compliance with the OTC Monograph or is
advertised outside of its regulations, the FDA may require corrective action up to and including market withdrawal and market recall.

DEA Regulation

Our Oxaydo product is, and several of our products in development, if approved and marketed, will be, regulated as “controlled substances” as defined in
the  CSA,  which  establishes  registration,  security,  recordkeeping,  reporting,  storage,  distribution  and  other  requirements  administered  by  the  DEA.  The
DEA is concerned with the loss and diversion of potentially abused drugs into illicit channels of commerce and closely monitors and regulates handlers of
controlled substances, and the equipment and raw materials used in their manufacture and packaging.

The DEA designates controlled substances as Schedule I, II, III, IV or V or as List I Chemicals. Schedule I substances by definition have no established
medicinal use, and may not be marketed or sold in the United States. A pharmaceutical product may be listed as Schedule II, III, IV or V, with Schedule II
substances  considered  to  present  the  highest  risk  of  abuse  and  Schedule  V  substances  the  lowest  relative  risk  of  abuse  among  such  substances.  List  I
Chemicals are used to regulate potentially abused raw materials, such as pseudoephedrine HCl. We believe all of our products will receive DEA Scheduling
consistent with current DEA Scheduling standards. For example, Oxaydo Tablets are listed as a Schedule II controlled substances under the CSA, the same
as all other oxycodone HCl products. Consequently, their manufacture, shipment, storage, sale and use will be subject to a high degree of regulation. For
example, generally, all Schedule II drug prescriptions must be signed by a physician, physically presented to a pharmacist and may not be refilled without a
new prescription.

Annual DEA registration is required for any facility that manufactures, tests, distributes, dispenses, imports or exports any controlled substance or List I
Chemical. Except for certain DEA defined co-incidental activities, each registration is specific to a particular location and activity. For example, separate
registrations are needed for import and manufacturing, and each registration must specify which schedules of controlled substances are authorized.

The  DEA  typically  inspects  a  facility  to  review  its  security  measures  prior  to  issuing  a  registration  and,  thereafter,  on  a  periodic  basis.  Security
requirements  vary  by  controlled  substance  schedule,  with  the  most  stringent  requirements  applying  to  Schedule  I  and  Schedule  II  substances.  Required
security measures include, among other things, background checks on employees and physical control of inventory through measures such as vaults, cages,
surveillance cameras and inventory reconciliations. Records must be maintained for the handling of all controlled substances and List I Chemicals, and
periodic reports made to the DEA, for example distribution reports for Schedule I and II controlled substances, Schedule III substances that are narcotics,
and other designated substances. Reports must also be made for thefts or significant losses of any controlled substance and List I Chemicals, and to obtain
authorization to destroy any controlled substance and List I Chemicals. In addition, special authorization, notification and permit requirements apply to
imports and exports.

23

 
 
 
 
 
 
 
 
 
 
 
In  addition,  a  DEA  quota  system  controls  and  limits  the  availability  and  production  of  controlled  substances  in  Schedule  I  or  II  and  List  I  Chemicals.
Distributions of any Schedule I or II controlled substance must also be accomplished using special order forms, with copies provided to the DEA. Because
Oxaydo Tablets are Schedule II they are subject to the DEA’s production and procurement quota scheme. The DEA establishes annually an aggregate quota
for  how  much  oxycodone  active  ingredient  may  be  produced  in  total  in  the  United  States  based  on  the  DEA’s  estimate  of  the  quantity  needed  to  meet
legitimate scientific and medicinal needs. This limited aggregate amount of oxycodone that the DEA allows to be produced in the United States each year
is allocated among individual companies, who must submit applications annually to the DEA for individual production and procurement quotas. We or our
licensees must receive an annual quota from the DEA in order to produce or procure any Schedule I or Schedule II substance and List I Chemicals. The
DEA may adjust aggregate production quotas and individual production and procurement quotas from time to time during the year, although the DEA has
substantial  discretion  in  whether  or  not  to  make  such  adjustments.  Our  or  our  licensees’  quota  of  an  active  ingredient  may  not  be  sufficient  to  meet
commercial demand or complete the manufacture or purchase of material required for clinical trials. Any delay or refusal by the DEA in establishing our or
our licensees’ quota for controlled substances or List I Chemicals could delay or stop our clinical trials or product launches, or interrupt commercial sales
of our products which could have a material adverse effect on our business, financial position and results of operations.

The DEA also regulates Listed Chemicals, which are chemicals that may be susceptible to abuse, diversion, and use in the illicit manufacture of controlled
substances.  Some  Listed  Chemicals,  including  pseudoephedrine,  are  used  in  various  prescription  and  OTC  drug  products.  DEA  and  state  laws  and
regulations impose extensive recordkeeping, security, distribution, and reporting requirements for companies that handle, manufacture, or distribute Listed
Chemicals, including lawful drug products containing Listed Chemicals. In particular, OTC drug products containing certain Listed Chemicals, including
pseudoephedrine, are required to be secured behind the pharmacy counter and dispensed to customers directly by a pharmacist only in limited quantities.
Pharmacists must obtain proof of identity from customers, and must keep detailed records and make reports to the DEA regarding sales of such products.
Individual states may, and in some cases have, imposed stricter requirements on the sale of drug products containing Listed Chemicals, including requiring
a doctor’s prescription prior to dispensing such products to a customer.

The  DEA  conducts  periodic  inspections  of  registered  establishments  that  handle  controlled  substances  and  Listed  Chemicals.  Failure  to  maintain
compliance with applicable requirements, particularly as manifested in loss or diversion, can result in enforcement action that could have a material adverse
effect on our business, results of operations and financial condition. The DEA may seek civil penalties, refuse to renew necessary registrations, or initiate
proceedings to revoke those registrations. In certain circumstances, violations could lead to criminal prosecution.

Individual  states  also  regulate  controlled  substances  and  List  I  Chemicals,  and  we  or  our  licensees  are  subject  to  such  regulation  by  several  states  with
respect to the manufacture and future distribution of these products.

Pharmaceutical Coverage, Pricing and Reimbursement

In  the  United  States,  the  commercial  success  of  our  product  candidates  will  depend,  in  part,  upon  the  availability  of  coverage  and  reimbursement  from
third-party  payers  at  the  federal,  state  and  private  levels.  Government  payer  programs,  including  Medicare  and  Medicaid,  private  health  care  insurance
companies and managed care plans may deny coverage or reimbursement for a product or therapy in whole or in part if they determine that the product or
therapy  is  not  medically  appropriate  or  necessary.  Also,  third-party  payers  have  attempted  to  control  costs  by  limiting  coverage  and  the  amount  of
reimbursement  for  particular  procedures  or  drug  treatments.  The  United  States  Congress  and  state  legislatures  from  time  to  time  propose  and  adopt
initiatives aimed at cost containment, which could impact our ability to sell our products profitably.

24

 
 
 
 
 
 
 
 
For  example,  in  March  2010,  President  Obama  signed  into  law  the  Patient  Protection  and  Affordable  Care  Act,  as  amended  by  the  Health  Care  and
Education  Reconciliation  Act,  which  we  refer  to  collectively  as  the  Health  Care  Reform  Law,  a  sweeping  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
healthcare and health insurance industries, impose new taxes and fees on the health industry and impose additional health policy reforms. Among other cost
containment measures, the Healthcare Reform Law establishes:

·
·

·

An annual, nondeductible fee on any entity that manufactures or imports certain branded prescription drugs and biologic agents;
A new Medicare Part D coverage gap discount program, in which pharmaceutical manufacturers who wish to have their drugs covered
under Part D must offer discounts to eligible beneficiaries during their coverage gap period (the “donut hole”); and
A new formula that increases the rebates a manufacturer must pay under the Medicaid Drug Rebate Program.

Many  of  the  Healthcare  Reform  Law’s  most  significant  reforms  were  implemented  in  2014,  with  others  thereafter,  and  their  details  will  be  shaped
significantly  by  implementing  regulations,  some  of  which  have  yet  to  be  finalized.  If  such  reforms  result  in  an  increase  in  the  proportion  of  uninsured
patients who are prescribed products resulting from our proprietary or partnered programs, this could adversely impact future sales of our products and our
business and results of operations. Where patients receive insurance coverage under any of the new options made available through the Healthcare Reform
Law,  the  possibility  exists  that  manufacturers  may  be  required  to  pay  Medicaid  rebates  on  that  resulting  drug  utilization,  a  decision  that  could  impact
manufacturer revenues. In addition, the Administration has also announced delays in the implementation of key provisions of the Healthcare Reform Law.
The implications of these delays for our sales, business and financial condition, if any, are not yet clear.

Although it is too early to determine the effect of the Health Care Reform Law, the new law appears likely to continue the pressure on pharmaceutical
pricing,  especially  under  government  programs,  and  may  also  increase  our  or  our  licensees’  regulatory  burdens  and  operating  costs.  Moreover,  in  the
coming years, additional changes could be made to governmental healthcare programs that could significantly impact the success of our products.

The cost of pharmaceuticals continues to generate substantial governmental and third-party payer interest. We expect that the pharmaceutical industry will
experience pricing pressures due to the trend toward managed healthcare, the increasing influence of managed care organizations and additional legislative
proposals. In addition to the Healthcare Reform Law, there will continue to be proposals by legislators at both the federal and state levels, regulators and
third-party payers to keep healthcare costs down while expanding individual healthcare benefits. Economic pressure on state budgets may result in states
increasingly seeking to achieve budget savings through mechanisms that limit coverage or payment for drugs. State Medicaid programs are increasingly
requesting manufacturers to pay supplemental rebates and requiring prior authorization by the state program for use of any drug for which supplemental
rebates  are  not  being  paid.  Managed  care  organizations  continue  to  seek  price  discounts  and,  in  some  cases,  to  impose  restrictions  on  the  coverage  of
particular drugs. Government efforts to reduce Medicaid expenses may lead to increased use of managed care organizations by Medicaid programs. This
may result in managed care organizations influencing prescription decisions for a larger segment of the population and a corresponding constraint on prices
and  reimbursement  for  our  products.  Certain  of  these  changes  could  limit  the  prices  that  can  be  charged  for  drugs  we  develop  or  the  amounts  of
reimbursement  available  for  these  products  from  governmental  agencies  or  third-party  payers,  or  may  increase  the  tax  obligations  on  pharmaceutical
companies, or may facilitate the introduction of generic competition with respect to products we are able to commercialize. In short, our or our licensees’
results of operations could be adversely affected by current and future healthcare reforms.

25

 
 
 
 
 
 
 
Since its enactment, there have been judicial and Congressional challenges to certain aspects of the Healthcare Reform Law, and we expect there will be
additional challenges and amendments to the Healthcare Reform Law in the future. The Trump administration and members of the U.S. Congress have
indicated that they may continue to seek to modify, repeal, or otherwise invalidate all, or certain provisions of, the Healthcare Reform Law. Most recently,
the  Tax  Cuts  and  Jobs  Acts  was  enacted,  which,  among  other  things,  removes  penalties  for  not  complying  with  the  individual  mandate  to  carry  health
insurance.  It  is  uncertain  the  extent  to  which  any  such  changes  may  impact  our  business  or  financial  condition.  In  addition,  we  cannot  predict  the
likelihood, nature or extent of government regulation that may arise from future legislation or administrative or executive action, either in the United States
or abroad. For example, certain policies of the Trump administration may impact our business and industry. Namely, the Trump administration has taken
several executive actions, including the issuance of a number of Executive Orders, that could impose significant burdens on, or otherwise materially delay,
the  FDA’s  ability  to  engage  in  routine  regulatory  and  oversight  activities  such  as  implementing  statutes  through  rulemaking,  issuance  of  guidance  and
review  and  approval  of  marketing  applications.  Notably,  on  January  30,  2017,  President  Trump  issued  an  Executive  Order,  applicable  to  all  executive
agencies, including the FDA, which requires that for each notice of proposed rulemaking or final regulation to be issued in fiscal year 2017, the agency
shall identify at least two existing regulations to be repealed, unless prohibited by law. These requirements are referred to as the “two-for-one” provisions.
This Executive Order includes a budget neutrality provision that requires the total incremental cost of all new regulations in the 2017 fiscal year, including
repealed regulations, to be no greater than zero, except in limited circumstances. For fiscal years 2018 and beyond, the Executive Order requires agencies
to identify regulations to offset any incremental cost of a new regulation and approximate the total costs or savings associated with each new regulation or
repealed regulation. In interim guidance issued by the Office of Information and Regulatory Affairs within the Office of Management and Budget, or OMB,
on February 2, 2017, the administration indicates that the “two-for-one” provisions may apply not only to agency regulations, but also to significant agency
guidance documents. In addition, on February 24, 2017, President Trump issued an executive order directing each affected agency to designate an agency
official as a “Regulatory Reform Officer” and establish a “Regulatory Reform Task Force” to implement the two-for-one provisions and other previously
issued executive orders relating to the review of federal regulations, however it is difficult to predict how these requirements will be implemented, and the
extent to which they will impact the FDA’s ability to exercise its regulatory authority. If these executive actions impose constraints on the FDA’s ability to
engage in oversight and implementation activities in the normal course, our business may be negatively impacted.

In international markets, reimbursement and healthcare payment systems vary significantly by country, and many countries have instituted price ceilings on
specific  products  and  therapies.  There  can  be  no  assurance  that  our  products  will  be  considered  medically  reasonable  and  necessary  for  a  specific
indication, that our products will be considered cost-effective by third-party payers, that an adequate level of coverage or payment will be available so that
the third-party payers’ reimbursement policies will not adversely affect our ability to sell our products profitably.

Other Healthcare Laws and Compliance Requirements

We and our licensees that commercialize our products are subject to various federal and state laws targeting fraud and abuse in the healthcare industry. For
example, the federal Anti-Kickback Statute prohibits persons from knowingly and willfully soliciting, receiving, offering or paying remuneration, directly
or indirectly, to induce either the referral of an individual, or the furnishing, recommending, or arranging for a good or service, for which payment may be
made under a federal healthcare program, such as the Medicare and Medicaid programs. The reach of the Anti-Kickback Statute was broadened by the
Health Care Reform Law, which, among other things, amends the intent requirement of the statute so that a person or entity no longer needs to have actual
knowledge  of  this  statute  or  specific  intent  to  violate  it  in  order  to  have  committed  a  violation.  The  Healthcare  Reform  Law  also  provides  that  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  civil  False  Claims  Act  or  the  civil  monetary  penalties  statute.  The  civil  False  Claims  Act  imposes  liability  on  any
person who, among other things, knowingly presents, or causes to be presented, a false or fraudulent claim for payment by a federal healthcare program.
The “qui tam” provisions of the False Claims Act allow a private individual to bring civil actions on behalf of the federal government alleging that the
defendant has submitted a false claim to the federal government, and to share in any monetary recovery. Violations of these laws or any other federal or
state  fraud  and  abuse  laws  may  subject  our  licensees  to  civil  and  criminal  penalties,  including  fines,  imprisonment  and  exclusion  from  participation  in
federal healthcare programs, which could harm the commercial success of our products and materially affect our business, financial condition and results of
operations.

Segment Reporting

We  operate  in  one  business  segment;  the  research,  development  and  manufacture  of  innovative  abuse  deterrent,  orally  administered  pharmaceutical
products.

Environmental Compliance

We are subject to regulation under federal, state and local environmental laws and believe we are in material compliance with such laws. We incur the usual
waste disposal cost associated with a pharmaceutical research, development and manufacturing operation.

26

 
 
 
 
 
 
 
 
 
 
Employees

We have 12 full-time employees and 1 part-time employee, 9 of whom are engaged in the research, development and manufacture of product candidates
utilizing our proprietary Aversion, Impede, and LIMITx Technologies. The remaining employees are engaged in administrative, legal, accounting, finance,
market  research,  and  business  development  activities.  All  of  our  senior  management  and  most  of  our  other  employees  have  prior  experience  in
pharmaceutical or biotechnology companies. None of our employees are covered by collective bargaining agreements. We believe that our relations with
our employees are good.

ITEM 1A. RISK FACTORS

Our  future  operating  results  may  vary  substantially  from  anticipated  results  due  to  a  number  of  factors,  many  of  which  are  beyond  our  control.  The
following discussion highlights some of these factors and the possible impact of these factors on future results of operations. If any of the following factors
actually occur, our business, financial condition or results of operations could be materially harmed. In that case, the value of our common stock could
decline substantially and you may lose all or part of your investment.

Risks Related to Our Business and Industry

We have a history of operating losses and may not be able to generate a positive return on shareholders’ investment; there is substantial doubt as to
our ability to continue as a going concern.

We had a net loss of $3.8 million, $3.8 million, and $5.7 million for the years ended December 31, 2019, 2018 and 2017, respectively. As of March 30,
2020  we  had  approximately  $1.2  million  of  cash.  The  Agreement  with  AD  Pharma  provides  us  monthly  license  payments  of  $350,000  from  July  2019
through  November  2020  as  well  as  reimbursement  for  all  outside  development  costs  for  LTX-03.  However,  AD  Pharma  has  the  right  to  terminate  the
Agreement  at  any  time  for  convenience  and  such  action  would  substantially  and  adversely  affect  our  ability  to  fund  continuing  operations.  Our  future
viability will depend on several factors, including:

·

·

the receipt of monthly license payments from AD Pharma for the entire18 month period ending November 30, 2020; and

our receipt of royalties relating to Zyla’s sale of Oxaydo, of which no assurance can be given; and

· MainPointe’s  successful  marketing  and  sale  of  our  Nexafed  products  and  other  products  utilizing  our  Impede  Technology,  and  market

acceptance, increased demand for and sales of our Nexafed products, of which no assurance can be given; and

·

·

our receipt of milestone payments and royalties relating to our LIMITx Technology products in development from future licensees, of which
no assurance can be given; and

the receipt of FDA approval and the successful commercialization by future licensees, yet to be identified and obtained, of products utilizing
our  LIMITx  Technology  and  our  ability  to  commercialize  our  Impede  Technology  without  infringing  the  patents  and  other  intellectual
property rights of third parties, of which no assurance can be given.

We are currently focused primarily on the development of our lead LIMITx product candidate, LTX-03, as well as our other LIMITx programs, which we
believe will result in our continued incurrence of significant research, development and other expenses related to those programs. If preclinical studies or
the clinical trials for any of our LIMITx drug candidates fail or produce unsuccessful results and those drug candidates do not gain regulatory approval, or
if any of our LIMITx drug candidates, if approved, fail to achieve market acceptance, we may never become self-supporting resulting in significant doubt
as to our ability to sustain operations.

We  cannot  assure  you  that  Oxaydo  or  our  Nexafed  products  will  be  successfully  commercialized  or  our  LIMITx  Technology  or  Impede  Technology
products in development will be successfully developed or be approved for commercialization by the FDA.

27

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Even if Zyla succeeds in commercializing Oxaydo, if MainPointe is successful in commercializing our Nexafed products, or if we and AD Pharma succeed
in developing and commercializing one or more of our pipeline LIMITx or Impede Technology products, we expect to continue using cash reserves for the
foreseeable  future.  Our  expenses  may  increase  in  the  foreseeable  future  as  a  result  of  continued  research  and  development  of  these  and  other  product
candidates, maintaining and expanding the scope of our intellectual property, and hiring of additional research and development staff.

We  will  need  to  generate  revenues  from  royalties  on  sales  to  achieve  and  maintain  liquidity.  If  Zyla  does  not  successfully  commercialize  Oxaydo,  if
MainPointe does not successfully commercialize the Nexafed products, or if we or AD Pharma cannot successfully develop, obtain regulatory approval and
commercialize  our  LIMITx  product  candidates  in  development,  specifically  LTX-03,  we  will  not  be  able  to  generate  such  royalty  revenues  or  achieve
future profitability. Our failure to achieve or maintain profitability would have a material adverse impact on our operations, financial condition and on the
market price of our common stock.

We will be required to raise additional funds to finance our operations and remain a going concern; we may not be able to do so when necessary,
and/or  the  terms  of  any  financings  may  not  be  advantageous  to  us;  if  we  fail  to  raise  additional  funding  we  will  cease  operations  and/or  seek
protection under applicable bankruptcy laws.

Our operations to date have consumed substantial amounts of cash. Negative cash flows from our operations currently are expected to continue over at least
the next several years. Our cash utilization amount is highly dependent on the progress of our product development programs, particularly, the results of our
preclinical  and  clinical  studies  of  our  LIMITx  product  candidates  and  the  cost,  timing  and  outcomes  of  regulatory  approval  for  our  LIMITx  product
candidates.  In  addition,  the  further  development  of  our  ongoing  clinical  trials  will  depend  on  upcoming  analysis  and  results  of  those  studies  and  our
financial resources at that time. As of March 30, 2020 our cash balance was approximately $1.2 million. Additionally, the Agreement with AD Pharma
calls for monthly license payments of $350,000 from July 2019 through November 2020 and as well as their payment of all outside development costs for
LTX-03. To fund further operations, we must raise additional financing or enter into license or collaboration agreements with third parties relating to our
technologies.

We will require future additional capital infusions including public or private financing, strategic partnerships or other arrangements with organizations that
have  capabilities  and/or  products  that  are  complementary  to  our  own  capabilities  and/or  products,  in  order  to  continue  the  development  of  our  product
candidates. However, there can be no assurances that we will complete any financings, strategic alliances or collaborative development agreements, and the
terms of such arrangements may not be advantageous to us. Any additional equity financing will be dilutive to our current stockholders and debt financing,
if available, may involve restrictive covenants or have other provisions, including possibly security interests in our assets that could be onerous. If we raise
funds  through  collaborative  or  licensing  arrangements,  we  may  be  required  to  relinquish,  on  terms  that  are  not  favorable  to  us,  rights  to  some  of  our
technologies or product candidates that we would otherwise seek to develop or commercialize. Our failure to raise capital when needed would materially
harm our business, financial condition, results of operations and prospects. In the absence of the receipt of additional financing or payments under third-
party  license  or  collaborative  agreements,  we  will  be  required  to  scale  back  or  terminate  operations  and/or  seek  protection  under  applicable  bankruptcy
laws.  This  could  result  in  a  complete  loss  of  shareholder  value  of  the  Company.  Even  assuming  we  are  successful  in  securing  additional  sources  of
financing to fund continued operations, there can be no assurance that the proceeds of such financing will be sufficient to fund operations until such time, if
at all, that we generate sufficient revenue from our products and product candidate to sustain and grow our operations.

Our ongoing capital requirements will depend on numerous factors, which likely will require that we continue to obtain capital infusions in the future. Our
capital  requirements,  which  cannot  be  predicted  with  certainty,  include:  the  progress  and  results  of  preclinical  testing  and  clinical  trials  of  our  LIMITx
product  candidates  under  development;  the  costs  of  complying  with  the  FDA  and  other  domestic  regulatory  agency  requirements,  the  progress  of  our
research  and  development  programs  and  those  of  our  partners;  the  time  and  costs  expended  and  required  to  obtain  any  necessary  or  desired  regulatory
approvals;  our  ability  to  enter  into  licensing  arrangements,  including  any  unanticipated  licensing  arrangements  that  may  be  necessary  to  enable  us  to
continue  our  development  and  clinical  trial  programs;  the  costs  and  expenses  of  filing,  prosecuting  and,  if  necessary,  enforcing  our  patent  claims,  or
defending  against  possible  claims  of  infringement  by  third-party  patent  or  other  technology  rights;  the  cost  of  commercialization  activities  and
arrangements that we undertake; and the demand for our products, which demand depends in turn on circumstances and uncertainties that cannot be fully
known, understood or quantified unless and until the time of approval, including the FDA approved label for any product.

28

 
 
 
 
 
 
 
 
Our business could be adversely affected by the effects of health epidemics, including the recent COVID-19 pandemic, in regions where third parties
for which we rely, as in CROs or CMOs, have significant research, development or manufacturing facilities, concentrations of clinical trial sites or
other business operations, causing disruption in supplies and services.

Our business could be adversely affected by health epidemics in regions where third parties for which we rely, as in CROs or CMOs, have concentrations
of  clinical  trial  sites  or  other  business  operations,  and  could  cause  significant  disruption  in  the  operations  of  third-party  manufacturers  and  CROs  upon
whom we rely. On January 30, 202 0, the World Health Organization (“WHO”) announced a global health emergency because of a new strain of novel
coronavirus originating in Wuhan, China (the “COVID-19 outbreak”) and the risks to the international community as the virus spread globally beyond its
point of origin. In March 2020, the WHO declared the COVID-19 outbreak a pandemic, which continues to spread throughout the world. The spread of this
pandemic has caused significant volatility and uncertainty in U.S. and international markets.  This could result in an economic downturn and may disrupt
our business and delay our clinical programs and timelines.

Quarantines, shelter-in-place and similar government orders, or the perception that such orders, shutdowns or other restrictions on the conduct of business
operations could occur, related to COVID-19 or other infectious diseases could impact personnel at third-party manufacturing facilities in the United States
and  other  countries,  or  the  availability  or  cost  of  materials,  which  would  disrupt  our  supply  chain.  Any  manufacturing  supply  interruption  of  materials
could adversely affect our ability to conduct ongoing and future research and manufacturing activities of LTX-03.

In  addition,  our  clinical  trials  may  be  affected  by  the  COVID-19  pandemic.  Clinical  site  initiation  and  patient  enrollment  may  be  delayed  due  to
prioritization of hospital resources toward the COVID-19 pandemic. Some patients may not be able to comply with clinical trial protocols if quarantines
impede patient movement or interrupt healthcare services. Similarly, the ability to recruit and retain patients and principal investigators and site staff who,
as healthcare providers, may have heightened exposure to COVID-19 and adversely impact our clinical trial operations.

The spread of COVID-19, which has caused a broad impact globally, may materially affect us economically. While the potential economic impact brought
by, and the duration of, COVID-19 may be difficult to assess or predict, a widespread pandemic could result in significant disruption of global financial
markets,  reducing  our  ability  to  access  capital,  which  could  in  the  future  negatively  affect  our  liquidity.  In  addition,  a  recession  or  market  correction
resulting from the spread of COVID-19 could materially affect our business and the value of our common stock.

The global pandemic of COVID-19 continues to rapidly evolve. The ultimate impact of the COVID-19 pandemic or a similar health epidemic is highly
uncertain and subject to change. We do not yet know the full extent of potential delays or impacts on our business, our clinical trials, healthcare systems or
the global economy as a whole. However, these effects could have a material impact on our operations, and we will continue to monitor the COVID-19
situation closely.

29

 
 
 
 
 
 
 
 
If we fail to comply with the covenants and other obligations under our loan with AD Pharma, LLC they may accelerate amounts owed and may
foreclose upon the security interest in all of our assets securing our obligation.

At  June  28,  2019,  we  (including  our  wholly-owned  subsidiary  Acura  Pharmaceutical  Technologies,  Inc.  (“APT”)),  entered  into  a  Promissory  Note  and
Security Agreement with John Schutte (Mr. Schutte) that consolidated existing promissory notes into a single Note for $6.0 million (after including accrued
interest). To secure our performance of our obligations under the Note, we granted Mr. Schutte a security interest in all of our assets. Our failure to comply
with the terms of the loan agreement, if we file bankruptcy, failure to pay interest and principal when due on July 1, 2023, or upon failure to meet certain
timelines as defined in the License, Development and Commercialization Agreement could result in the acceleration of payment of our loan, foreclosure on
our assets, and other adverse results. With our consent, Mr. Schutte assigned and transferred to Abuse Deterrent Pharma, LLC (“AD Pharma”) (an entity
controlled by him, all of his right, title and interest in this Note and associated Security Agreement effective June 28, 2019. Any declaration of an event of
default by AD Pharma could result in the transfer of our business to AD Pharma without additional consideration and the loss by our shareholders of their
entire interest.

We are largely dependent on our successful development of our LIMITx product candidates.

Our ability to generate revenues and become profitable will depend in large part on our successful development of our LTX-03 as licensed to AD Pharma
and potentially other LIMITx product candidates and on the commercial success of our only FDA approved product, Oxaydo, of which no assurance can be
given We expect that a substantial portion of our efforts and expenditures over the next few years, if we obtain additional funding, will be devoted to our
lead LIMITx product candidate, LTX-03, and other LIMITx product candidates in development. We completed our first two Phase I clinical studies for
LTX-04, an opioid hydromorphone HCI, in mid-2016. We have changed our primary development focus from immediate-release hydromorphone products
(i.e., LTX-04, described above) to immediate-release hydrocodone products (i.e., LTX-03) because hydrocodone bitartrate is more likely to be abused in
oral excessive tablet abuse, or ETA, and completed two pharmokinetic studies for LTX-03 during 2017 and the first week of 2018. We are also engaged in
formulation  development  or  early  preclinical  development  for  other  LIMITx  product  candidates.  Accordingly,  our  business  is  currently  substantially
dependent on the successful development, clinical testing, regulatory approval and commercialization of our LIMITx product candidates, which may never
occur.  If  our  clinical  studies  for  LTX-03  are  not  successful  we  may  determine  that  further  clinical  development  of  LTX-03  or  other  LIMITx  product
candidates should be discontinued. Also, the failure of clinical studies for LTX-03 may cause AD Pharma to terminate the Agreement. We expect that any
revenues from our LIMITx product candidates, specifically LTX-03 will be derived from upfront payments, milestone payments and royalties under license
agreements with AD Pharma, of which no assurance can be given.

If MainPointe/AD Pharma is not successful in commercializing our Nexafed Products, our revenues and business will suffer.

Our  Nexafed  products  compete  in  the  highly  competitive  market  for  cold,  sinus  and  allergy  products  generally  available  to  the  consumer  without  a
prescription.  Many  of  our  competitors  have  substantially  greater  financial  and  other  resources  and  are  able  to  expend  more  funds  and  effort  than
MainPointe  in  marketing  their  competing  products.  Category  leading  brands  are  often  supported  by  regional  and  national  advertising  and  promotional
efforts. Our Nexafed products compete with national brands as well as pharmacy store brands that are offered at a lower price. There can be no assurance
that MainPointe will succeed in commercializing our Nexafed products, or that the pricing of our Nexafed products will allow us to generate significant
royalty revenues. Regulations have been enacted in several state or local jurisdictions requiring a doctor’s prescription to obtain pseudoephedrine products.
An expansion of such restrictions to other jurisdictions or even nationally will adversely impact MainPointe’s ability to market our Nexafed products as
over-the-counter, or OTC, products and negatively impact royalty payments to us from Nexafed products sales. There can be no assurance that MainPointe
will  devote  sufficient  resources  to  marketing  and  commercialization  of  our  Nexafed  products.  MainPointe’s  failure  to  successfully  commercialize  our
Nexafed® products may have an adverse effect on our business and financial condition.

30

 
 
 
 
 
 
 
 
If Zyla is not successful in commercializing Oxaydo, our revenues and our business will suffer.

Pursuant  to  our  Collaboration  and  License  Agreement  with  Zyla,  or  the  Zyla  Agreement,  Zyla  is  responsible  for  manufacturing,  marketing,  pricing,
promotion,  selling  and  distribution  of  Oxaydo.  If  the  Zyla  Agreement  is  terminated  in  accordance  with  its  terms,  including  due  to  a  party’s  failure  to
perform its obligations or responsibilities under the Agreement, then we would need to commercialize Oxaydo ourselves, for which we currently have no
infrastructure, or alternatively enter into a new agreement with another pharmaceutical company, of which no assurance can be given. If we are unable to
build the necessary infrastructure to commercialize Oxaydo ourselves, which would substantially increase our expenses and capital requirements, which we
are currently unable to fund, or are unable to find a suitable replacement commercialization partner, we would be unable to generate any revenue from
Oxaydo. Even if we are successful at replacing the commercialization capabilities of Zyla, our revenues and/or royalties from Oxaydo could be adversely
impacted.

Zyla’s  third  party  manufacturing  facility  currently  is  the  sole  commercial  source  of  supply  of  Oxaydo.  If  Zyla’s  manufacturing  facility  fails  to  obtain
sufficient DEA quotas for oxycodone, fails to source adequate quantities of active and inactive ingredients, fails to comply with regulatory requirements, or
otherwise experiences disruptions in commercial supply of Oxaydo, product revenue and our royalties could be adversely impacted.

Zyla  has  various  products  in  development  and  also  markets  other  products,  for  which  Oxaydo  will  vie  for  such  licensee’s  development,  promotional,
marketing, and selling resources. If Zyla fails to commit sufficient promotional, marketing and selling resources to Oxaydo, our expected royalties could be
adversely impacted. Additionally, there can be no assurance that Zyla will commit the resources required for the successful commercialization of Oxaydo.

The market for our opioid product candidates is highly competitive with many marketed non-abuse deterrent brand and generic products and other abuse
deterrent  product  candidates  in  development.  If  Zyla  prices  Oxaydo  inappropriately,  fails  to  position  Oxaydo  properly,  targets  inappropriate  physician
specialties, or otherwise does not provide sufficient promotional support, product revenue and our royalties could be materially adversely impacted.

Zyla’s  promotional,  marketing  and  sales  activities  in  connection  with  Oxaydo  are  subject  to  various  federal  and  state  fraud  and  abuse  laws,  including,
without  limitation,  the  federal  Anti-Kickback  Statute  and  the  federal  False  Claims  Act.  The  federal  Anti-Kickback  Statute  prohibits  persons  from
knowingly  and  willfully  soliciting,  receiving,  offering  or  paying  remuneration,  directly  or  indirectly,  to  induce,  or  in  return  for,  the  purchase  or
recommendation of an item or service reimbursable under a federal healthcare program. The federal False Claims Act imposes liability on any person who,
among  other  things,  knowingly  presents,  or  causes  to  be  presented,  a  false  or  fraudulent  claim  for  payment  by  a  federal  healthcare  program.  If  Zyla’s
activities are found to be in violation of these laws or any other federal and state fraud and abuse laws, Zyla may be subject to penalties, including civil and
criminal penalties, damages, fines and the curtailment or restructuring of its activities with regard to the commercialization of Oxaydo, which could harm
the commercial success of Oxaydo and have a material adverse effect on our business, financial condition and results of operations.

Our failure to meet the development timelines in the License Agreement with AD Pharma, including FDA acceptance of NDA submission for LTX-
03  by  November  30,  2020,  will  allow  AD  Pharma  the  option  to  terminate  the  Agreement  and  take  ownership  of  the  LIMITx  intellectual  property
which  will  adversely  impact  our  ability  to  develop,  market  and  sell  our  LIMITx  Technology  products  and  our  revenues  and  business  will  be
materially adversely affected.

We  are  engaged  in  the  development  of  product  candidates  utilizing  our  LIMITx  Technology,  including  planning  studies  for  LTX-03,  our
hydrocodone/acetaminophen lead product candidate which has been licensed to AD Pharma. This License requires that the IND application for LTX-03 be
accepted by the FDA within 18 months from June 28, 2019. Failure to do so gives AD Pharma the option to terminate this Agreement and take ownership
of the LIMITx intellectual property. AD Pharma’s seizure of the LIMITx IP would have a material adverse impact our financial condition and results of
operations.

31

 
 
 
 
 
 
 
 
 
 
Our and our licensees’ ability to market and promote Oxaydo and LIMITx Technology products by describing the abuse deterrent or other beneficial
features of such products will be determined by the FDA approved label for such products.

The commercial success of Oxaydo and our LIMITx Technology products in development will depend upon our and our licensees’ ability to obtain FDA
approved labeling describing such products’ abuse deterrent features or other benefits. Our or our licensees’ failure to achieve FDA approval of product
labeling containing such information will prevent or substantially limit our and our licensees’ advertising and promotion of such beneficial features in order
to  differentiate  our  products  from  other  immediate  release  opioid  products  containing  the  same  active  ingredients,  and  would  have  a  material  adverse
impact on our business and results of operations. In April 2015, the FDA published guidance for industry on the evaluation and labeling of abuse-deterrent
opioids. While the 2015 FDA Guidance is non-binding on the FDA, it outlines FDA’s current thinking on the development and labeling of abuse-deterrent
products. The 2015 FDA Guidance provides for three distinct levels of pre-marketing studies that are potentially eligible for inclusion in the labeling: (1)
laboratory-based  in  vitro  manipulation  and  extraction  studies,  (2)  pharmacokinetic  studies,  and  (3)  clinical  abuse  potential  studies.  The  2015  FDA
Guidance  further  prescribes  additional  post-approval  or  epidemiology  studies  to  determine  whether  the  marketing  of  a  product  with  abuse-deterrent
properties results in meaningful reductions in abuse, misuse, and related adverse clinical outcomes, including addiction, overdose, and death in the post-
approval setting, which can also be included in the labeling. FDA notes “the science of abuse deterrence is relatively new. Both the technologies involved
and  the  analytical,  clinical,  and  statistical  methods  for  evaluating  those  technologies  are  rapidly  evolving.  For  these  reasons,  FDA  will  take  a  flexible,
adaptive approach to the evaluation and labeling of potentially abuse-deterrent opioid products”.

We  or  our  licensee  may  seek  to  include  descriptions  of  studies  that  characterize  the  abuse-deterrent  properties  or  safety  features  in  the  label  for  our
Aversion  and  LIMITx  Technology  products  in  development.  We  have  committed  to  the  FDA  to  undertake  epidemiological  studies  to  assess  the  actual
consequences of abuse of Oxaydo in the market. However, the extent to which a description of the abuse deterrent properties or results of epidemiological
or  other  studies  will  be  added  to  or  included  in  the  FDA  approved  product  label  for  our  products  in  development  will  be  the  subject  of  our  and  our
licensees’ discussions with, and agreement by, the FDA as part of the new drug application, or NDA, review process for each of our product candidates.
The  outcome  of  those  discussions  with  the  FDA  will  determine  whether  we  or  our  licensees  will  be  able  to  market  our  products  with  labeling  that
sufficiently  differentiates  them  from  other  products  that  have  comparable  therapeutic  profiles.  While  the  FDA  approved  label  for  Oxaydo  includes  the
results from a clinical study which evaluated the effects of nasally snorting crushed Oxaydo and commercially available oxycodone tablets and limitations
on  wetting  or  dissolving  Oxaydo,  it  does  not,  however,  include  the  results  of  our  laboratory  studies  intended  to  evaluate  Oxaydo’s  potential  to  limit
extraction of oxycodone HCl from dissolved Oxaydo Tablets and resist conversion into an injectable, or IV solution. According to filings made by Zyla, a
supplemental  new  drug  application  (“sNDA”)  was  submitted  by  Zyla  in  December  2016  for  Oxaydo  to  support  an  abuse-deterrent  label  claim  for  the
intravenous route of abuse, and in February 2017, Zyla filed a prior approval supplement (“PAS”) with data on new dosage strengths of 10 mg and 15 mg
of Oxaydo. Zyla reported they received a complete response letter from the FDA in June of 2017 where the FDA requested more information regarding the
effect of food on Oxaydo 15 mg and the intranasal abuse deterrent properties of Oxaydo 10 and 15 mg. Zyla reported that based on discussions with the
FDA regarding the sNDA, Zyla believed a contemporary intranasal human abuse potential study would be needed to complete the sNDA, and given that
the issues involved in the sNDA and PAS are intertwined, Zyla disclosed that they are evaluating their options and the costs associated to proceed on the
abuse deterrent label and/or the additional dosage strengths. The absence of the results of these extraction and syringe studies in the FDA approved label
for Oxaydo may substantially limit our licensee’s ability to differentiate Oxaydo from other immediate release oxycodone products, which would have a
material adverse effect on market acceptance of Oxaydo and on our business and results of operations.

Notwithstanding  the  FDA  approved  labeling  for  Oxaydo,  there  can  be  no  assurance  that  our  LIMITx  Technology  products  in  development  will  receive
FDA approved labeling that describes the beneficial safety features of such products. If the FDA does not approve labeling containing such information, we
or  our  licensees  will  not  be  able  to  promote  such  products  based  on  their  safety  features,  may  not  be  able  to  differentiate  such  products  from  other
immediate release opioid products containing the same active ingredients, and may not be able to charge a premium above the price of such other products,
which could materially adversely affect our business and results of operations.

32

 
 
 
 
 
 
Further, because the FDA closely regulates promotional materials and other promotional activities, even if the FDA initially approves product labeling that
includes a description of the abuse deterrent characteristics of our product, as in the case of Oxaydo, the FDA’s Office of Prescription Drug Promotion, or
OPDP, will continue to review the acceptability of promotional claims and product advertising campaigns for our marketed products. This could lead to the
issuance  of  warning  letters  or  untitled  letters,  suspension  or  withdrawal  of  Oxaydo  from  the  market,  recalls,  fines,  disgorgement  of  money,  operating
restrictions,  injunctions  or  criminal  prosecution,  which  could  harm  the  commercial  success  of  our  product  and  materially  affect  our  business,  financial
condition and results of operations.

Our product candidates are unproven and may not be approved by the FDA.

We are committing a majority of our resources to the development of product candidates utilizing our LIMITx and Impede Technologies. Notwithstanding
the receipt of FDA approval of Oxaydo and our marketing of our Nexafed products, there can be no assurance that any product candidate utilizing our
Impede or LIMITx Technologies will meet FDA’s standards for commercial distribution. Further, there can be no assurance that other product candidates
that may be developed using LIMITx, Impede or Aversion Technologies will achieve the targeted end points in the required clinical studies, demonstration
of acceptable manufacturing, quality and product expiration standards, or perform as intended in other pre-clinical and clinical studies or lead to an NDA
submission or filing acceptance. Our failure to successfully develop and achieve final FDA approval of our product candidates in development will have a
material adverse effect on our financial condition.

If the FDA disagrees with our determination that certain of our products meet the over-the-counter, or OTC, Monograph requirements, once those
products are commercialized, they may be removed from the market; the FDA or the U.S. Federal Trade Commission, or FTC, may object to our
advertisement and promotion of the extraction characteristics and benefits of our Nexafed products.

Drugs  that  have  been  deemed  safe  and  effective  by  the  FDA  for  use  by  the  general  public  without  a  prescription  are  classified  as  OTC  drug  products.
Certain OTC drug products may be commercialized without premarket review by the FDA if the standards set forth in the applicable regulatory monograph
are  met.  An  OTC  monograph  provides  the  marketing  conditions  for  the  applicable  OTC  drug  product,  including  active  ingredients,  labeling,  and  other
general requirements, such as compliance with current Good Manufacturing Practices, or cGMP and establishment registration. Any product which fails to
conform to each of the general conditions in a monograph is subject to regulatory action. Further, although the FDA regulates OTC drug product labeling,
the FTC regulates the advertising and marketing of OTC drug products. We believe that our Nexafed products licensed to MainPointe are classified for
OTC sale under an FDA OTC monograph, which will allow for their commercialization without submitting an NDA or abbreviated new drug application,
or ANDA to the FDA. We have also determined that, provided MainPointe adheres to the FDA’s requirements for OTC monograph products, including
product labeling, we can advertise and promote the extraction characteristics and benefits of our Nexafed products which are supported by our research
studies. No assurance can be given, however, that the FDA will agree that our Nexafed products may be sold under the FDA’s OTC monograph product
regulations or that the FDA or FTC will not object to MainPointe’s advertisement and promotion of our Nexafed products’ extraction characteristics and
benefits. If the FDA determines that our Nexafed products do not conform to the OTC monograph or if MainPointe fails to meet the general conditions,
once  commercialized,  the  products  may  be  removed  from  the  market  and  we  and  MainPointe  may  face  various  actions  including,  but  not  limited  to,
restrictions on the marketing or distribution of such products, warning letters, fines, product seizure, or injunctions or the imposition of civil or criminal
penalties. Any of these actions may materially and adversely affect our financial condition and operations. Additionally, the FDA has announced that it is
considering material changes to how it regulates OTC drug products and held a hearing in late March 2014 for public comment. Changes to the existing
OTC regulations could result in a requirement that an NDA or ANDA be filed for our Nexafed products or other Impede Technology products in order to
commercialize such products. If the FDA requires the submission of a NDA or ANDA to obtain marketing approval for our Nexafed® products or other
Impede Technology products, this would result in substantial additional costs, suspend the commercialization of our Nexafed products and require FDA
approval prior to sale, of which no assurance can be provided. In such case, the label for our Nexafed products or other Impede Technology products would
be subject to FDA review and approval and there can be no assurance that we or our licensees will be able to market Nexafed or other Impede Technology
products with labeling sufficient to differentiate it from products that have comparable therapeutic profiles. If we or our licensees are unable to advertise
and promote the extraction characteristics of Nexafed or other Impede Technology products, we or our licensees may be unable to compete with national
brands and pharmacy chain store brands.

33

 
 
 
 
 
 
 
Our LIMITx, Impede and Aversion Technology products may not be successful in limiting or impeding abuse or misuse or provide additional safety
upon commercialization.

We are committing a majority of our resources to the development of products utilizing our LIMITx and Impede Technologies. Notwithstanding the receipt
of  FDA  approval  of  Oxaydo  and  the  results  of  our  numerous  clinical  and  laboratory  studies  for  Oxaydo,  our  Nexafed  products,  and  our  LIMITx  and
Impede Technology products in development, there can be no assurance that Oxaydo, our Nexafed products or any other product utilizing our LIMITx,
Impede  or  Aversion  Technologies  will  perform  as  tested  and  limit  or  impede  the  actual  abuse  or  misuse  of  such  products  or  provide  other  benefits  in
commercial settings. Moreover, there can be no assurance that the post-approval epidemiological study required by the FDA as a condition of approval of
Oxaydo  will  show  a  reduction  in  the  consequences  of  abuse  and  misuse  by  patients  for  whom  Oxaydo  is  prescribed.  To  date,  Zyla  has  not  achieved
sufficient market share for Oxaydo to support a full epidemiological study. The failure of Oxaydo, our Nexafed products or other products utilizing our
LIMITx and Impede Technologies to limit or impede actual abuse or misuse or provide other safety benefits in practice will have a material adverse impact
on market acceptance for such products and on our financial condition and results of operations.

Relying on third party contract research organizations, or CROs may result in delays in our pre-clinical, clinical or laboratory testing. If pre-clinical,
clinical  or  laboratory  testing  for  our  product  candidates  are  unsuccessful  or  delayed,  we  will  be  unable  to  meet  our  anticipated  development  and
commercialization timelines.

To  obtain  FDA  approval  to  commercially  sell  and  distribute  in  the  United  States  any  of  our  prescription  product  candidates,  we  or  our  licensees  must
submit to the FDA a NDA demonstrating, among other things, that the product candidate is safe and effective for its intended use. As we do not possess the
resources or employ all the personnel necessary to conduct such testing, we rely on CROs for the majority of this testing with our product candidates. As a
result,  we  have  less  control  over  our  development  program  than  if  we  performed  the  testing  entirely  on  our  own.  Third  parties  may  not  perform  their
responsibilities  on  our  anticipated  schedule.  Delays  in  our  development  programs  could  significantly  increase  our  product  development  costs  and  delay
product commercialization.

The commencement of clinical trials with our product candidates may be delayed for several reasons, including, but not limited to, delays in demonstrating
sufficient pre-clinical safety required to obtain regulatory approval to commence a clinical trial, reaching agreements on acceptable terms with prospective
CROs, clinical trial sites and licensees, manufacturing and quality assurance release of a sufficient supply of a product candidate for use in our clinical
trials and/or obtaining institutional review board approval to conduct a clinical trial at a prospective clinical site. Once a clinical trial has begun, it may be
delayed, suspended or terminated by us or regulatory authorities due to several factors, including ongoing discussions with regulatory authorities regarding
the  scope  or  design  of  our  clinical  trials,  a  determination  by  us  or  regulatory  authorities  that  continuing  a  trial  presents  an  unreasonable  health  risk  to
participants, failure to conduct clinical trials in accordance with regulatory requirements, lower than anticipated recruitment or retention rate of patients in
clinical trials, inspection of the clinical trial operations or trial sites by regulatory authorities, the imposition of a clinical hold by FDA, lack of adequate
funding to continue clinical trials, and/or negative or unanticipated results of clinical trials.

Clinical  trials  required  by  the  FDA  for  commercial  approval  may  not  demonstrate  safety  or  efficacy  of  our  product  candidates.  Success  in  pre-clinical
testing and early clinical trials does not assure that later clinical trials will be successful. Results of later clinical trials may not replicate the results of prior
clinical trials and pre-clinical testing. Even if the results of our or our licensee’s pivotal phase III clinical trials are positive, we and our licensees may have
to  commit  substantial  time  and  additional  resources  to  conduct  further  pre-clinical  and  clinical  studies  before  we  or  our  licensees  can  submit  NDAs  or
obtain regulatory approval for our product candidates.

Clinical trials are expensive and at times, difficult to design and implement, in part because they are subject to rigorous regulatory requirements. Further, if
participating subjects or patients in clinical studies suffer drug-related adverse reactions during the course of such trials, or if we, our licensees or the FDA
believes that participating patients are being exposed to unacceptable health risks, we or our licensees may suspend the clinical trials. Failure can occur at
any  stage  of  the  trials,  and  we  or  our  licensees  could  encounter  problems  causing  the  abandonment  of  clinical  trials  or  the  need  to  conduct  additional
clinical studies, relating to a product candidate.

34

 
 
 
 
 
 
 
 
 
Even  if  our  clinical  trials  and  laboratory  testing  are  completed  as  planned,  their  results  may  not  support  commercially  viable  product  label  claims.  The
clinical trial process may fail to demonstrate that our product candidates are safe and effective for their intended use. Such failure may cause us or our
licensees to abandon a product candidate and may delay the development of other product candidates.

We have no commercial manufacturing capacity and rely on third-party contract manufacturers to produce commercial quantities of our products.

We do not have the facilities, equipment or personnel to manufacture commercial quantities of our products and therefore must rely on our licensees or
other  qualified  third-party  contract  manufactures  with  appropriate  facilities  and  equipment  to  contract  manufacture  commercial  quantities  of  products
utilizing  our  LIMITx  and  Impede  Technologies.  These  licensees  and  third-  party  contract  manufacturers  are  also  subject  to  cGMP  regulations,  which
impose extensive procedural and documentation requirements. Any performance failure on the part of our licensees or contract manufacturers could delay
commercialization of any approved products, depriving us of potential product revenue.

Our drug products, including our licensed Nexafed products, require precise, high quality manufacturing. Failure by our contract manufacturers to achieve
and maintain high manufacturing standards could result in patient injury or death, product recalls or withdrawals, delays or failures in testing or delivery,
cost  overruns,  or  other  problems  that  could  materially  adversely  affect  our  business.  Contract  manufacturers  may  encounter  difficulties  involving
production yields, quality control, and quality assurance. These manufacturers are subject to ongoing periodic unannounced inspection by the FDA and
corresponding state and foreign agencies to ensure strict compliance with cGMP and other applicable government regulations; however, beyond contractual
remedies that may be available to us, we do not have control over third-party manufacturers’ compliance with these regulations and standards.

If for some reason our contract manufacturers cannot perform as agreed, or if we are unable to reach agreement with our contract manufacturers on the
terms of continued supply of our products, we may be required to replace them. Although we believe there are a number of potential replacements, we will
incur  added  costs  and  delays  in  identifying  and  qualifying  any  such  replacements.  In  addition,  a  new  manufacturer  would  have  to  be  educated  in,  or
develop substantially equivalent processes for, production of our products or drug candidates, which could adversely impact the continued supply of our
products or drug candidates.

We or our licensees may not obtain required FDA approval; the FDA approval process is time-consuming and expensive.

The development, testing, manufacturing, marketing and sale of pharmaceutical products are subject to extensive federal, state and local regulation in the
United States and other countries. Satisfaction of all regulatory requirements typically takes years, is dependent upon the type, complexity and novelty of
the product candidate, and requires the expenditure of substantial resources for research, development and testing. Substantially all of our operations are
subject to compliance with FDA regulations. Failure to adhere to applicable FDA regulations by us or our licensees would have a material adverse effect on
our  operations  and  financial  condition.  In  addition,  in  the  event  we  are  successful  in  developing  product  candidates  for  distribution  and  sale  in  other
countries, we would become subject to regulation in such countries. Such foreign regulations and product approval requirements are expected to be time
consuming and expensive. In addition, we cannot predict the likelihood, nature or extent of government regulation that may arise from future legislation or
administrative or executive action, either in the United States or abroad. For example, certain policies of the Trump administration may impact our business
and industry. Namely, the Trump administration has taken several executive actions, including the issuance of a number of Executive Orders, that could
impose  significant  burdens  on,  or  otherwise  materially  delay,  the  FDA’s  ability  to  engage  in  routine  regulatory  and  oversight  activities  such  as
implementing  statutes  through  rulemaking,  issuance  of  guidance  and  review  and  approval  of  marketing  applications.  If  these  executive  actions  impose
constraints on the FDA’s ability to engage in oversight and implementation activities in the normal course, our business may be negatively impacted.

35

 
 
 
 
 
 
 
 
 
We or our licensees may encounter delays or rejections during any stage of the regulatory review and approval process based upon the failure of clinical or
laboratory  data  to  demonstrate  compliance  with,  or  upon  the  failure  of  the  product  candidates  to  meet,  the  FDA’s  requirements  for  safety,  efficacy  and
quality;  and  those  requirements  may  become  more  stringent  due  to  changes  in  regulatory  agency  policy  or  the  adoption  of  new  regulations.  After
submission of a NDA, the FDA may refuse to file the application, deny approval of the application, require additional testing or data and/or require post-
marketing testing and surveillance to monitor the safety or efficacy of a product. For instance, the FDA’s approval of Oxaydo is conditioned on us or Zyla
conducting a post-approval epidemiological study to assess the actual abuse levels and consequences of Oxaydo in the market. The Prescription Drug User
Fee Act, or PDUFA, sets time standards for the FDA’s review of NDAs. The FDA's timelines described in the PDUFA guidance are flexible and subject to
change based on workload and other potential review issues and may delay the FDA’s review of an NDA. Further, the terms of approval of any NDA,
including the product labeling, may be more restrictive than we or our licensees desire and could affect the marketability of our products.

Even if we comply with all the FDA regulatory requirements, we or our licensees may not obtain regulatory approval for any of our product candidates in
development.  For  example,  we  previously  submitted  a  NDA  to  the  FDA  for  an  Aversion  Technology  product  containing  niacin,  intended  to  provide
impediments to over-ingesting the product. Such niacin containing product was not approved by the FDA. If we or our licensees fail to obtain regulatory
approval for any of our product candidates in development, we will have fewer commercialized products and correspondingly lower revenues.

Even if regulatory approval of our products in development is received, such approval may involve limitations on the indicated uses or promotional claims
we or our licensees may make for our products, or otherwise not permit labeling that sufficiently differentiates our product candidates from competitive
products with comparable therapeutic profiles but without abuse deterrent features (see risk factor above entitled “Our and our licensees ability to market
and  promote  Oxaydo  and  LIMITx  Technology  products  by  describing  the  abuse  deterrent  features  of  such  products  will  be  determined  by  the  FDA
approved label for such products”). Such events would have a material adverse effect on our operations and financial condition. We may market certain of
our  products  without  the  prior  application  to  and  approval  by  the  FDA.  The  FDA  may  subsequently  require  us  to  withdraw  such  products  and  submit
NDA’s for approval prior to re-marketing.

The  FDA  also  has  the  authority  to  revoke  or  suspend  approvals  of  previously  approved  products  for  cause,  to  debar  companies  and  individuals  from
participating in the drug-approval process, to request recalls of allegedly violative products, to seize allegedly violative products, to obtain injunctions to
close manufacturing plants allegedly not operating in conformity with current cGMP and to stop shipments of allegedly violative products. In the event the
FDA takes any such action relating to our products, such actions would have a material adverse effect on our operations and financial condition.

We must maintain FDA approval to manufacture clinical supplies of our product candidates at our facility; failure to maintain compliance with FDA
requirements may prevent or delay the manufacture of our product candidates and costs of manufacture may be higher than expected.

We  have  installed  the  equipment  necessary  to  manufacture  clinical  trial  supplies  of  our  LIMITx  and  Impede  Technology  product  candidates  in  tablet
formulations  at  our  Culver,  Indiana  facility.  To  be  used  in  clinical  trials,  all  of  our  product  candidates  must  be  manufactured  in  conformity  with  cGMP
regulations. All such product candidates must be manufactured, packaged, and labeled and stored in accordance with cGMPs. Modifications, enhancements
or  changes  in  manufacturing  sites  of  marketed  products  are,  in  many  circumstances,  subject  to  FDA  approval,  which  may  be  subject  to  a  lengthy
application process or which we may be unable to obtain. Our Culver, Indiana facility, and those of any third-party manufacturers that we or our licensees
may use, are periodically subject to inspection by the FDA and other governmental agencies, and operations at these facilities could be interrupted or halted
if  the  FDA  deems  such  inspections  are  unsatisfactory.  Failure  to  comply  with  FDA  or  other  governmental  regulations  can  result  in  fines,  unanticipated
compliance expenditures, recall or seizure of products, total or partial suspension of production or distribution, suspension of FDA review of our product
candidates, termination of ongoing research, disqualification of data for submission to regulatory authorities, enforcement actions, injunctions and criminal
prosecution.

36

 
 
 
 
 
 
 
 
We develop our products, and manufacture clinical supplies, at a single location. Any disruption at this facility could adversely affect our business
and results of operations.

We rely on our Culver, Indiana facility for developing our product candidates and the manufacture of clinical supplies of our product candidates. If the
Culver, Indiana facility were damaged or destroyed, or otherwise subject to disruption, it would require substantial lead-time to repair or replace. If our
Culver facility were affected by a disaster, we would be forced to rely entirely on CROs and third-party contract manufacturers for an indefinite period of
time. Although we believe we possess adequate insurance for damage to our property and for the disruption of our business from casualties, such insurance
may not be sufficient to cover all of our potential losses and may not continue to be available to us on acceptable terms, or at all. Moreover, any disruptions
or delays at our Culver, Indiana facility could impair our ability to develop our product candidates utilizing the Impede or LIMITx Technologies, which
could adversely affect our business and results of operations.

Our operations are subject to environmental, health and safety, and other laws and regulations, with which compliance is costly and which exposes
us to penalties for non-compliance.

Our business, properties and product candidates are subject to federal, state and local laws and regulations relating to the protection of the environment,
natural resources and worker health and safety and the use, management, storage and disposal of hazardous substances, waste and other regulated materials.
Because  we  own  and  operate  real  property,  various  environmental  laws  also  may  impose  liability  on  us  for  the  costs  of  cleaning  up  and  responding  to
hazardous substances that may have been released on our property, including releases unknown to us. These environmental laws and regulations also could
require us to pay for environmental remediation and response costs at third-party locations where we dispose of or recycle hazardous substances. The costs
of  complying  with  these  various  environmental  requirements,  as  they  now  exist  or  may  be  altered  in  the  future,  could  adversely  affect  our  financial
condition and results of operations.

Our failure to successfully establish new license agreements with pharmaceutical companies for the development and commercialization of our other
products in development may adversely impair our ability to develop, market and sell such products.

The AD Pharma Agreement grants AD Pharma an exclusive license to develop and commercialize LTX-03 in the US. The Zyla Agreement grants Zyla an
exclusive  worldwide  license  to  develop  and  commercialize  Oxaydo.  Our  license  agreement  with  KemPharm  Inc.,  or  the  KemPharm  Agreement,  grants
exclusive  worldwide  rights  to  KemPharm  to  utilize  our  Aversion  technology  in  certain  of  KemPharm’s  prodrug  products.  Our  license  agreement  with
MainPointe grants exclusive rights in the U.S. and Canada (with option rights to expand the licensed territory) to our Nexafed products with option rights
to certain other pseudoephedrine-containing products utilizing our Impede technology. We believe that opportunities exist to enter into license agreements
similar to the AD Pharma Agreement, Zyla Agreement, the KemPharm Agreement and the MainPointe Agreement with other pharmaceutical company
partners  for  the  development  and  commercialization  of  our  LIMITx,  Impede  and  Aversion  Technologies  in  the  United  States  and  worldwide.  However,
there can be no assurance that we will be successful in entering into such license agreements in the future. If we are unable to enter into such agreements,
our  ability  to  develop  and  commercialize  our  product  candidates,  and  our  financial  condition  and  results  of  operations,  would  be  materially  adversely
affected.

If our licensees do not satisfy their obligations, we will be unable to develop our licensed product candidates.

As part of the AD Pharma Agreement, the Zyla Agreement, the KemPharm Agreement, the MainPointe Agreement, or any license agreement we may enter
into relating to any of our LIMITx or Impede Technology products in development or our Aversion Technology, we do not have day-to-day control over the
activities of our licensees with respect to any product candidate. If a licensee fails to fulfill its obligations under an agreement with us, we may be unable to
assume the development and/or commercialization of the product covered by that agreement or to enter into alternative arrangements with another third
party. In addition, we may encounter delays in the commercialization of the products that are the subject of a license agreement. Accordingly, our ability to
receive any revenue from the products covered by such agreements will be dependent on the efforts of our licensees. We could be involved in disputes with
a  licensee,  which  could  lead  to  delays  in  or  termination  of,  our  development  and/or  commercialization  programs  and  result  in  time  consuming  and
expensive litigation or arbitration. In addition, any such dispute could diminish our licensee’s commitment to us and reduce the resources they devote to
developing and/or commercializing our products. If any licensee terminates or breaches its agreement, or otherwise fails to complete its obligations in a
timely  manner,  our  chances  of  successfully  developing  and/or  commercializing  our  product  candidates  would  be  materially  adversely  effected.
Additionally, due to the nature of the market for Oxaydo and our LIMITx and Impede product candidates, it may be necessary for us to license a significant
portion of our product candidates to a single company, thereby eliminating our opportunity to commercialize other product candidates with other licensees.

37

 
 
 
 
 
 
 
 
 
 
If  we  fail  to  maintain  our  license  agreement  with  Zyla,  we  may  have  to  commercialize  Oxaydo  on  our  own  and  if  we  fail  to  maintain  the  license
agreement with AD Pharma we may have to commercialize Nexafed Products on our own.

Our plan for manufacturing and commercializing Oxaydo currently requires us to maintain our license agreement with Zyla. In addition to other customary
termination provisions, the Zyla Agreement provides that Zyla may terminate the Zyla Agreement upon certain notice periods. If Zyla elects to terminate
the Zyla Agreement, or if we are otherwise unable to maintain our existing relationship with Zyla, we would have to commercialize Oxaydo ourselves for
which we currently have no infrastructure, or alternatively enter into a new agreement with another pharmaceutical company, of which no assurance can be
given. Our ability to commercialize Oxaydo on our own may require additional financing, which may not be available on acceptable terms, or at all. While,
there is no provision for MainPointe to elect to terminate its license agreement without cause, if it should fail to perform thereunder and we terminated the
agreement, then we would have to commercialize the Nexafed Products on our own. Although prior to entering into the MainPointe agreement we had been
commercializing certain Nexafed Products on our own, we would have to reestablish our capabilities, which will require additional financing which may
not be available on acceptable terms, if at all.

The market may not be receptive to products incorporating our Aversion, Impede or LIMITx Technologies.

The  commercial  success  of  our  products  will  depend  on  acceptance  by  health  care  providers  and  others  that  such  products  are  clinically  useful,  cost-
effective and safe. There can be no assurance given that our products utilizing the Aversion, Impede or LIMITx Technologies will be accepted by health
care providers and others. Factors that may materially affect market acceptance of our product candidates include but are not limited to:

·
·
·
·
·
·
·
·
·

the relative advantages and disadvantages of our products compared to competitive products;
the relative timing to commercial launch of our products compared to competitive products;
the relative safety and efficacy of our products compared to competitive products;
the product labeling approved by the FDA for our products;
the perception of health care providers of their role in helping to prevent abuse and their willingness to prescribe abuse-deterrent products to do so;
the willingness of third party payers to reimburse for our prescription products;
the willingness of pharmacy chains to stock our products;
the willingness of pharmacists to recommend our Nexafed products to their customers; and
the willingness of consumers to pay for our products.

Oxaydo and our Nexafed Products compete, and our other product candidates, such as LTX-03, if successfully developed and commercially launched will
compete, with both currently marketed and new products launched in the future by other companies. Physicians and other prescribers may not be inclined
to prescribe our prescription products unless our products demonstrate commercially viable advantages over other products currently marketed for the same
indications.  Pharmacy  chains  may  not  be  willing  to  stock  any  of  our  products  and  pharmacists  may  not  recommend  Nexafed  products  to  consumers.
Further,  consumers  may  not  be  willing  to  purchase  our  products.  If  our  products  do  not  achieve  market  acceptance,  we  may  not  be  able  to  generate
significant revenues or become profitable.

If we, our licensees or others identify serious adverse events or deaths relating to any of our products once on the market, we may be required to
withdraw our products from the market, which would hinder or preclude our ability to generate revenues.

38

 
 
 
 
 
 
 
 
 
We  or  our  licensees  are  required  to  report  to  relevant  regulatory  authorities  all  serious  adverse  events  or  deaths  involving  our  product  candidates  or
approved products. If we, our licensees, or others identify such events, regulatory authorities may withdraw their approvals of such products; we or our
licensees may be required to reformulate our products; we or our licensees may have to recall the affected products from the market and may not be able to
reintroduce them onto the market; our reputation in the marketplace may suffer; and we may become the target of lawsuits, including class actions suits.
Any of these events could harm or prevent sales of the affected products and could materially adversely affect our business and financial condition.

Our revenues may be adversely affected if we fail to obtain insurance coverage or adequate reimbursement for our products from third-party payers.

The  ability  of  our  licensees  to  successfully  commercialize  our  products  may  depend  in  part  on  the  availability  of  reimbursement  for  our  prescription
products from government health administration authorities, private health insurers, and other third-party payers and administrators, including Medicaid
and Medicare. We cannot predict the availability of reimbursement for newly-approved products utilizing our Aversion, Impede or LIMITx Technologies.
Third-party payers and administrators, including state Medicaid programs and Medicare, are challenging the prices charged for pharmaceutical products.
Government  and  other  third-party  payers  increasingly  are  limiting  both  coverage  and  the  level  of  reimbursement  for  new  drugs.  Third-party  insurance
coverage  may  not  be  available  to  patients  for  any  of  our  product  candidates.  The  continuing  efforts  of  government  and  third-party  payers  to  contain  or
reduce the costs of health care may limit our commercial opportunity. If government and other third-party payers do not provide adequate coverage and
reimbursement for any product utilizing our technologies, health care providers may not prescribe them or patients may ask their health care providers to
prescribe competing products with more favorable reimbursement. In some foreign markets, pricing and profitability of pharmaceutical products are subject
to government control. In the United States, we expect there may be federal and state proposals for similar controls. In addition, we expect that increasing
emphasis  on  managed  care  in  the  United  States  will  continue  to  put  pressure  on  the  pricing  of  pharmaceutical  products.  Cost  control  initiatives  could
decrease the price that we or our licensees charge for any of our products in the future. Further, cost control initiatives could impair our ability or the ability
of our licensees to commercialize our products and our ability to earn revenues from commercialization

Federal and foreign legislation may be enacted that may seriously impact the commercial viability and acceptance of the products we have licensed
and are developing.

In both the United States and certain foreign jurisdictions, there have been and we expect there will continue to be a number of legislative and regulatory
changes to the health care system that could impact our or our licensees’ ability to sell our products profitably. In particular, in 2010, the Patient Protection
Affordable  Care  Act,  as  amended  by  the  Health  Care  and  Education  Reconciliation  Act,  collectively,  the  Healthcare  Reform  Law,  was  enacted.  The
Healthcare  Reform  Law  substantially  changes  the  way  healthcare  is  financed  by  both  governmental  and  private  insurers  and  significantly  affects  the
pharmaceutical industry. Among the provisions of the Healthcare Reform Law of greatest importance to the pharmaceutical industry are the following:

·

·

·

·

An annual, nondeductible fee on any entity that manufactures or imports certain branded prescription drugs and biologic agents;

An increase in the minimum rebates a manufacturer must pay under the Medicaid Drug Rebate Program;

A  new  Medicare  Part  D  coverage  gap  discount  program,  under  which  manufacturers  must  agree  to  offer  50  percent  point-of-sale  discounts  off
negotiated prices of applicable brand drugs to eligible beneficiaries during their coverage gap period, as a condition for the 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;

39

 
 
 
 
 
 
 
 
 
 
 
·

·

·

A new Patient-Centered Outcomes Research Institute to oversee, identify priorities in, and conduct comparative clinical effectiveness research;

A revision to the definition of “average manufacturer price” for reporting purposes; and

Encouragement for the development of comparative effectiveness research, which may reduce the extent of reimbursement for our products if such
research results in any adverse findings.

At this time, it remains uncertain what the full impact of these provisions will be on the pharmaceutical industry generally or our business in particular. The
full effects of these provisions will become apparent as these laws are implemented and the Centers for Medicare & Medicaid Services and other agencies
issue applicable regulations or guidance as required by the Healthcare Reform Law. Moreover, in the coming years, additional changes could be made to
governmental healthcare programs that could significantly impact the success of our products.

In addition, since its enactment, there have been judicial and Congressional challenges to certain aspects of the Healthcare Reform Law, and we expect
there will be additional challenges and amendments to the Affordable Care Act in the future. The Trump administration and members of the U.S. Congress
have indicated that they may continue to seek to modify, repeal, or otherwise invalidate all, or certain provisions of, the Healthcare Reform Law. Most
recently, the Tax Cuts and Jobs Acts was enacted, which, among other things, removes penalties for not complying with the individual mandate to carry
health insurance. It is uncertain the extent to which any such changes may impact our business or financial condition.

Consolidation  in  the  healthcare  industry  could  lead  to  demands  for  price  concessions  or  for  the  exclusion  of  some  suppliers  from  certain  of  our
markets, which could have an adverse effect on our business, financial condition or results of operations.

Because  healthcare  costs  have  risen  significantly,  numerous  initiatives  and  reforms  by  legislatures,  regulators  and  third-party  payers  to  curb  these  cost
increases  have  resulted  in  a  trend  in  the  healthcare  industry  to  consolidate  product  suppliers  and  purchasers.  As  the  healthcare  industry  consolidates,
competition among suppliers to provide products to purchasers has become more intense. This in turn has resulted, and will likely continue to result, in
greater  pricing  pressures  and  the  exclusion  of  certain  suppliers  from  important  market  segments  as  group  purchasing  organizations,  and  large  single
accounts continue to use their market power to influence product pricing and purchasing decisions. We expect that market demand, government regulation,
third-party  reimbursement  policies  and  societal  pressures  will  continue  to  influence  the  worldwide  healthcare  industry,  resulting  in  further  business
consolidations,  which  may  exert  further  downward  pressure  on  the  prices  of  our  anticipated  products.  This  downward  pricing  pressure  may  adversely
impact our business, financial condition or results of operations. Under each of the Zyla Agreement, the KemPharm Agreement, the MainPointe Agreement
and AD Pharma Agreement, our licensees control (or will control in the case of AD Pharma for LTLX-03) the price of the licensed products, and we expect
that our licensees, if any, of our products in development, will control the price of such products and may provide price discounts and price reductions in its
discretion. Such price discounts and reductions will reduce the net sales of our licensed products and, correspondingly, our royalty payments under such
license agreements. In addition, if any of our large customers is acquired or merged with another provider of similar products, we may lose that customer’s
business

Our success depends on our ability to protect our intellectual property.

Our success depends on our ability to obtain and maintain patent protection for products developed utilizing our technologies, in the United States and in
other countries, and to enforce these patents. The patent positions of pharmaceutical firms, including us, are generally uncertain and involve complex legal
and factual questions. Notwithstanding our receipt of U.S. patents covering our Aversion, Impede and LIMITx Technologies, there is no assurance that any
of our patent claims in our other pending non-provisional and provisional patent applications relating to our technologies will issue or if issued, that any of
our existing and future patent claims will be held valid and enforceable against third-party infringement or that our products will not infringe any third-
party  patent  or  intellectual  property.  Moreover,  any  patent  claims  relating  to  our  technologies  may  not  be  sufficiently  broad  to  protect  our  products.  In
addition,  issued  patent  claims  may  be  challenged,  potentially  invalidated  or  potentially  circumvented.  Our  patent  claims  may  not  afford  us  protection
against  competitors  with  similar  technology  or  permit  the  commercialization  of  our  products  without  infringing  third-party  patents  or  other  intellectual
property rights.

40

 
 
 
 
 
 
 
 
 
 
 
Our success also depends on our not infringing patents issued to others. We may become aware of patents belonging to competitors and others that could
require  us  to  obtain  licenses  to  such  patents  or  alter  our  technologies.  Obtaining  such  licenses  or  altering  our  technology  could  be  time  consuming  and
costly. We may not be able to obtain a license to any technology owned by or licensed to a third party that we or our licensees require to manufacture or
market one or more of our products. Even if we can obtain a license, the financial and other terms may be disadvantageous.

Our  success  also  depends  on  maintaining  the  confidentiality  of  our  trade  secrets  and  know-how.  We  seek  to  protect  such  information  by  entering  into
confidentiality agreements with employees, potential licensees, raw material suppliers, contract research organizations, contract manufacturers, consultants
and other parties. These agreements may be breached by such parties. We may not be able to obtain an adequate, or perhaps any, remedy to such a breach.
In  addition,  our  trade  secrets  may  otherwise  become  known  or  be  independently  developed  by  our  competitors.  Our  inability  to  protect  our  intellectual
property or to commercialize our products without infringing third-party patents or other intellectual property rights would have a material adverse effect
on our operations and financial condition.

We also rely on or intend to rely on our or our licensees’ trademarks, trade names and brand names to distinguish our products from the products of our
competitors, and have registered or applied to register many of these trademarks. However, our trademark applications may not be approved. Third parties
may  also  oppose  our  or  our  licensees’  trademark  applications  or  otherwise  challenge  our  use  of  the  trademarks.  In  the  event  that  our  or  our  licensees’
trademarks are successfully challenged, we or our licensees could be forced to rebrand our product, which could result in loss of brand recognition and
could require us or our licensees to devote 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.

We may become involved in patent litigation or other intellectual property proceedings relating to our Aversion, Impede or LIMITx Technologies or
product candidates, which could result in liability for damages or delay or stop our development and commercialization efforts.

The  pharmaceutical  industry  has  been  characterized  by  significant  litigation  and  other  proceedings  regarding  patents,  patent  applications  and  other
intellectual property rights. The situations in which we may become parties to such litigation or proceedings may include:

·

·

·

·

·

litigation or other proceedings we or our licensee(s) may initiate against third parties to enforce our patent rights or other intellectual property
rights, including the Paragraph IV Proceedings described below in the next risk factor;
litigation  or  other  proceedings  we  or  our  licensee(s)  may  initiate  against  third  parties  seeking  to  invalidate  the  patents  held  by  such  third
parties or to obtain a judgment that our products do not infringe such third parties’ patents;
litigation or other proceedings third parties may initiate against us or our licensee(s) to seek to invalidate our patents or to obtain a judgment
that third party products do not infringe our patents;
if  our  competitors  file  patent  applications  that  claim  technology  also  claimed  by  us,  we  may  be  forced  to  participate  in  interference,  inter
partes or opposition proceedings to determine the priority of invention and whether we are entitled to patent rights on such invention; and
if third parties initiate litigation claiming that our products infringe their patent or other intellectual property rights, we will need to defend
against such proceedings.

The costs of resolving any patent litigation, including the Paragraph IV Proceedings, or other intellectual property proceeding, even if resolved in our favor,
could be substantial. Many of our potential competitors will be able to sustain the cost of such litigation and proceedings more effectively than we can
because of their substantially greater resources. Uncertainties resulting from the initiation and continuation of patent litigation or other intellectual property
proceedings could have a material adverse effect on our ability to compete in the marketplace. Patent litigation, including the Paragraph IV Proceedings,
and other intellectual property proceedings may also consume significant management time.

41

 
 
 
 
 
 
 
 
 
 
In  the  event  that  a  competitor  infringes  upon  our  patent  or  other  intellectual  property  rights,  enforcing  those  rights  may  be  costly,  difficult  and  time
consuming. We may not have sufficient resources to enforce our intellectual property rights or to defend our patent or other intellectual property rights
against  a  challenge.  If  we  are  unsuccessful  in  enforcing  and  protecting  our  intellectual  property  rights  and  protecting  our  products,  it  would  harm  our
business. In certain circumstances, we expect that our licensees will have first right to control the enforcement of certain of our patents against third party
infringers.  Our  licensees  may  not  put  adequate  resources  or  effort  into  such  enforcement  actions  or  otherwise  fail  to  restrain  infringing  products.  In
addition, in an infringement proceeding, including the Paragraph IV Proceedings, a court may decide that a patent of ours is invalid or is unenforceable, or
may refuse to stop the other party from using the technology at issue on the grounds that our patents do not cover the technology in question. An adverse
result in any litigation, including the Paragraph IV Proceedings, or defense proceedings could put one or more of our patents at risk of being invalidated or
interpreted narrowly and could put our patent applications at risk of not issuing.

Our technologies or products may be found to infringe claims of patents owned by others. If we determine that we are, or if we are found to be infringing a
patent held by another party, we, our suppliers or our licensees might have to seek a license to make, use, and sell the patented technologies and products.
In that case, we, our suppliers or our licensees might not be able to obtain such license on acceptable terms, or at all. The failure to obtain a license to any
third party technology that we may require would materially harm our business, financial condition and results of operations. If a legal action is brought
against us or our licensees, we could incur substantial defense costs, and any such action might not be resolved in our favor. If such a dispute is resolved
against us, we may have to pay the other party large sums of money and use of our technology and the testing, manufacturing, marketing or sale of one or
more of our products could be restricted or prohibited. Even prior to resolution of such a dispute, use of our technology and the testing, manufacturing,
marketing or sale of one or more of our products could be restricted or prohibited.

We are aware of certain United States and international pending patent applications owned by third parties with claims potentially encompassing Oxaydo
and  our  other  products.  If  such  patent  applications  result  in  valid  and  enforceable  issued  patents,  containing  claims  in  their  current  form  or  otherwise
encompassing  our  products  we  or  our  licensees  may  be  required  to  obtain  a  license  to  such  patents,  should  one  be  available,  or  alternatively,  alter  our
products so as to avoid infringing such third-party patents. If we or our licensees are unable to obtain a license on commercially reasonable terms, or at all,
we or our licensees could be restricted or prevented from commercializing our products. Additionally, any alterations to our products or our technologies
could be time consuming and costly and may not result in technologies or products that are non-infringing or commercially viable.

We are aware of an issued United States patent owned by a third party having claims encompassing the use of one of our Aversion inactive ingredients. We
are  also  aware  of  an  issued  United  States  patent  owned  by  a  third  party  having  claims  encompassing  a  pharmaceutical  preparation  containing  viscosity
producing ingredients that can be drawn into a syringe when dissolved in 10mL’s or less of aqueous solution. While we believe that our Aversion products
do not infringe these patents, or that such patents are otherwise invalid, there can be no assurance that we or our licensees will not be sued for infringing
these patents, and if sued, there can be no assurance that we or our licensees will prevail in any such litigation. If we or our licensees are found to infringe
either or both of these patents, we or our licensees may seek a license to use the patented technology. If we are unable to obtain such a license, of which no
assurance can be given, we or our licensees may be restricted or prevented from commercializing our Aversion products.

We are aware of certain issued United States patents owned by a third party having claims encompassing a process used to manufacture oxycodone HCl of
high purity and pharmaceutical products resulting therefrom. As required by the FDA, Oxaydo contains a similar high purity oxycodone HCl manufactured
by a supplier that is not the owner or licensee of such patents. The owner of these patents has filed patent infringement actions relating to these patents
against companies that have filed abbreviated new drug applications with the FDA for extended-release versions of oxycodone HCl. To our knowledge, the
patent  owner  has  not  initiated  any  patent  infringement  actions  against  the  sellers  of  immediate-release  oxycodone  HCl  products  or  their  suppliers  of
oxycodone  HCl,  however,  we  cannot  be  certain  that  these  immediate-release  products  actually  utilize  a  high  purity  oxycodone.  We  cannot  provide
assurance that our licensee or its oxycodone HCl supplier will not be sued for infringing these patents. In the event of an infringement action, our licensee
and their oxycodone HCl supplier would have to either: (a) demonstrate that the manufacture of the oxycodone HCl used in Oxaydo does not infringe the
patent claims, (b) demonstrate the patents are invalid or unenforceable, or (c) enter into a license with the patent owner. If our licensee or their oxycodone
HCl supplier is unable to demonstrate the foregoing, or obtain a license to these patients, our licensee may be required or choose to withdraw Oxaydo from
the market.

42

 
 
 
 
 
 
 
We are aware of a certain issued United States patent owned by a third party having claims similar to our second generation Impede Technology directed to
ingredient amounts that are generally more than the amounts used in our technology. While we believe our technology does not infringe this patent, we
cannot provide assurance that we will not be sued under such patent or if sued, that we will prevail in any such suit.

We cannot assure you that our technologies, products and/or actions in developing our products will not infringe third-party patents. Our failure to avoid
infringing  third-party  patents  and  intellectual  property  rights  in  the  development  and  commercialization  of  our  products  would  have  a  material  adverse
effect on our operations and financial condition.

Generic manufacturers are using litigation and regulatory means to seek approval for generic versions of Oxaydo, which could cause Zyla’s sales to
suffer and adversely impact our royalty revenue.

Under the Hatch-Waxman Act, the FDA can approve an Abbreviated New Drug Application (“ANDA”) for a generic version of a branded drug and what is
referred to as a Section 505(b)(2) NDA, for a branded variation of an existing branded drug, without requiring such applicant to undertake the full clinical
testing necessary to obtain approval to market a new drug. In November 2017 the FDA issued guidance for the industry on obtaining approval for generic
versions  of  opioids  that  reference  products  whose  labeling  describes  abuse-deterrent  properties. An  ANDA  applicant  usually  needs  to  only  submit  data
demonstrating that its product has the same active ingredient(s) and is bioequivalent to the branded product, in addition to any data necessary to establish
that any difference in strength, dosage form, inactive ingredients, or delivery mechanism does not result in different safety or efficacy profiles, as compared
to the reference drug. Under the 2017 FDA guidance when a potential ANDA applicant develops a generic solid oral opioid drug product, the potential
ANDA  applicant  should  evaluate  its  proposed  generic  drug  to  show  that  it  is  no  less  abuse  deterrent  than  the  reference  drug  with  respect  to  all  of  the
potential routes of abuse.

The Hatch-Waxman Act requires an applicant for a drug that references one of our branded drugs to notify us of their application if they assert in their
application  that  the  patents  we  have  listed  in  the  Orange  Book  will  not  be  infringed  or  otherwise  are  invalid  or  unenforceable  (a  Paragraph  IV
Certification). Upon receipt of this notice, we or our licensee will have 45 days to bring a patent infringement suit known as a Paragraph IV Proceeding in
federal district court against such applicant. If such a suit is commenced, the FDA is generally prohibited from granting approval of the ANDA or Section
505(b)(2)  NDA  until  the  earliest  of  30  months  from  the  date  the  FDA  accepted  the  application  for  filing,  the  conclusion  of  litigation  in  the  generic
applicant’s favor or expiration of the patent(s). If the litigation is resolved in favor of the applicant or the challenged patent expires during the 30-month
stay period, the stay is lifted and the FDA may thereafter approve the application based on the standards for approval of ANDAs and Section 505(b)(2)
NDAs.  Frequently,  the  unpredictable  nature  and  significant  costs  of  patent  litigation  leads  the  parties  to  settle  to  remove  this  uncertainty.  Settlement
agreements between branded companies and generic applicants may allow, among other things, a generic product to enter the market prior to the expiration
of any or all of the applicable patents covering the branded product, either through the introduction of an authorized generic or by providing a license to the
applicant for the patents subject to the litigation.

In 2012 and 2013, we received Paragraph IV Certification Notices under 21 U.S.C. 355(j) (a Paragraph IV Notice) from 5 different generic sponsors of an
ANDA for a generic drug listing Oxaydo as the reference listed drug. We initiated patent infringement proceedings against all 5. In 2013 and 2014, Watson
Laboratories,  Inc.  –  Florida  (Watson)  withdrew  their  Paragraph  IV  certification  and  we  settled  our  litigation  with  Par  Pharmaceutical,  Inc.,  Impax
Laboratories, Inc. Sandoz Inc., and Ranbaxy, Inc. Par is the first filer of an ANDA for a generic Oxaydo product and is entitled to the 180-day first filer
exclusivity under applicable law and FDA regulations.

43

 
 
 
 
 
 
 
 
Under  the  terms  of  the  Settlement  Agreement  with  Par,  Par  may  launch  its  generic  Oxaydo  product  in  the  U.S.,  through  the  grant  of  a  non-exclusive,
royalty-bearing license from us that would trigger on January 1, 2022.

It is possible that other generic manufacturers may also seek to launch a generic version of Oxaydo and challenge our patents. Any determination in any
such  infringement  actions  that  our  patents  covering  our  Aversion  Technology  and  Oxaydo  are  invalid  or  unenforceable,  in  whole  or  in  part,  or  that  the
products covered by generic sponsors’ ANDAs do not infringe our patents could have a material adverse effect on our operations and financial condition.

We  may  be  exposed  to  product  liability  claims  and  claims  regarding  marketing  of  products  and  may  not  be  able  to  obtain  or  maintain  adequate
product liability insurance and some claims may not be covered by insurance.

Our  business  exposes  us  to  potential  product  liability  risks,  which  are  inherent  in  the  testing,  manufacturing,  marketing  and  sale  of  pharmaceutical
products, and in particular opioid products. Manufacturers and distributors of prescription opioid medications, are the subject of lawsuits and have received
subpoenas and other requests for information from various state and local government agencies regarding the sales and marketing of opioid medications.
While  we  would  not  expect  to  be  implicated  in  any  such  action  or  investigations,  since  our  business  is  focused  on  abuse  deterrence,  there  can  be  no
assurance that we will not be so implicated. Product liability claims or marketing related claims might be made by patients, health care providers or others
that sell or consume our products or insurance companies that insure those affected by our products. These claims may be made even with respect to those
products that possess regulatory approval for commercial sale. We currently have clinical trial product liability insurance on a claims-made basis for our
subject clinical trials and have product liability insurance for the Nexafed and Oxaydo products. This coverage may not be adequate to cover any product
liability claims. Product liability coverage and other insurance is expensive. In the future, we may not be able to maintain such product liability insurance
or other insurance at a reasonable cost or in sufficient amounts to protect us against losses due to product liability claims or other claims. In addition our
insurance  may  not  cover  certain  marketing  related  claims  and  excludes  certain  products  from  product  liability  coverage.  See  litigation  discussed  below
under “Item 3. Legal Proceedings” of this Report. Any claims that are not covered by product liability insurance or other insurance could have a material
adverse effect on our business, financial condition and results of operations.

The pharmaceutical industry is characterized by frequent litigation. Those companies with significant financial resources will be better able to bring and
defend  any  such  litigation.  No  assurance  can  be  given  that  we  would  not  become  involved  in  future  litigation,  in  addition  to  the  ongoing
Reglan/Metoclopramide  mass  tort  litigation  and  DES  (diethylstilbestrol)  litigation  discussed  below  under  “Item  3.  Legal  Proceedings”  of  this  Report,
including litigation relating to products we manufactured or distributed several years and decades ago when we manufactured and sold a broad range of
prescription and over the counter products. Such litigation may have material adverse consequences to our financial condition and results of operations.

We face significant competition, which may result in others developing or commercializing products before or more successfully than we do.

Our  products  and  technologies  compete  to  varying  degrees  against  both  brand  and  generic  products  offering  similar  therapeutic  benefits  and  being
developed and marketed by small and large pharmaceutical (for prescription products) and consumer packaged goods (for OTC products) companies. Many
of  our  competitors  have  substantially  greater  financial  and  other  resources  and  are  able  to  expend  more  funds  and  effort  than  us  and  our  licensees  in
research, development and commercialization of their competitive technologies and products. Prescription generic products and OTC store brand products
will  offer  cost  savings  to  third  party  payers  and/or  consumers  that  will  create  pricing  pressure  on  our  products.  Also,  these  competitors  may  have  a
substantial sales volume advantage over our products, which may result in our licensee’s costs of manufacturing being higher than our competitors’ costs.
If  our  products  are  unable  to  capture  and  maintain  market  share,  we  or  our  licensees  may  not  achieve  significant  product  revenues  and  our  financial
condition and results of operations will be materially adversely affected.

We believe potential competitors may be developing opioid abuse deterrent technologies and products. Such potential competitors include, but may not be
limited to, Pfizer Inc., Purdue Pharma, Atlantic Pharmaceuticals, KemPharm, Shionogi, Nektar Therapeutics, Signature Therapeutics, QRx Pharma, Tris
Pharma,  Pisgah  Labs,  Teva  Pharmaceuticals,  Sun  Pharmaceuticals,  Inspirion  Delivery  Sciences,  and  Collegium  Pharmaceuticals,  Inc.  These  companies
appear to be focusing their development efforts on ER Opioid Products, except for Atlantic Pharmaceuticals, Pisgah Labs, Inspirion and KemPharm.

44

 
 
 
 
 
 
 
 
 
 
Our Impede Technology products containing PSE, including our licensed Nexafed products, will compete in the highly competitive market for cold, sinus
and allergy products generally available to the consumer without a prescription. Some of our competitors will have multiple consumer product offerings
both  within  and  outside  the  cold,  allergy  and  sinus  category  providing  them  with  substantial  leverage  in  dealing  with  a  highly  consolidated  pharmacy
distribution  network.  The  competing  products  may  have  well  established  brand  names  and  may  be  supported  by  national  or  regional  advertising.  Our
Nexafed  products  compete  directly  with  Johnson  &  Johnson’s  Sudafed®  brand  as  well  as  generic  formulations  manufactured  by  Perrigo  Company  and
others.

We are concentrating a substantial majority of our efforts and resources on developing product candidates utilizing our LIMITx and Impede Technologies.
The commercial success of products utilizing such technologies will depend, in large part, on the intensity of competition, FDA approved product labeling
for  our  products  compared  to  competitive  products,  and  the  relative  timing  and  sequence  for  commercial  launch  of  new  products  by  other  companies
developing,  marketing,  selling  and  distributing  products  that  compete  with  the  products  utilizing  our  LIMITx  and  Impede  Technologies.  Alternative
technologies and non-opioid products are being developed to improve or replace the use of opioid analgesics. In the event that such alternatives to opioid
analgesics are widely adopted, then the market for products utilizing our LIMITx and Impede Technologies may be substantially decreased, thus reducing
our ability to generate future revenues and adversely affecting our ability to generate a profit

Key personnel are critical to our business and our success depends on our ability to retain them.

We are dependent on our management and scientific team, including Robert Jones, our President and Chief Executive Officer, Peter A. Clemens, our Chief
Financial  Officer,  and  Albert  W.  Brzeczko,  Ph.D.,  our  Vice  President  of  Pharmaceutical  Sciences.  We  may  not  be  able  to  retain  the  services  of  key
personnel or attract and retain personnel on acceptable terms given the competition for such personnel among biotechnology, pharmaceutical and healthcare
companies, universities and non-profit research institutions. While we have employment agreements with our CEO and CFO, all of our other employees
are at-will employees who may terminate their employment at any time. We do not have key personnel insurance on any of our officers or employees. The
loss of any of our key personnel, or the inability to attract and retain such personnel, may significantly delay or prevent the achievement of our product and
technology development and business objectives and could materially adversely affect our business, financial condition and results of operations.

Our products are subject to regulation by the U.S. Drug Enforcement Administration, or DEA, and such regulation may affect the development and
sale of our products.

The DEA regulates certain finished drug products and active pharmaceutical ingredients, including certain opioid active pharmaceutical ingredients and
pseudoephedrine HCl that are contained in our products. Consequently, their manufacture, research, shipment, storage, sale and use are subject to a high
degree of regulation. Furthermore, the amount of active ingredients we can obtain for our clinical trials is limited by the DEA and our quota may not be
sufficient to complete clinical trials. There is a risk that DEA regulations may interfere with the supply of the products used in our clinical trials.

In addition, we and our licensees and contract manufacturers are subject to ongoing DEA regulatory obligations, including, among other things, annual
registration renewal, security, recordkeeping, theft and loss reporting, periodic inspection and annual quota allotments for the raw material for commercial
production  of  our  products.  The  DEA,  and  some  states,  conduct  periodic  inspections  of  registered  establishments  that  handle  controlled  substances.
Facilities  that  conduct  research,  manufacture,  store,  distribute,  import  or  export  controlled  substances  must  be  registered  to  perform  these  activities  and
have the security, control and inventory mechanisms required by the DEA to prevent drug loss and diversion. Failure to maintain compliance, particularly
non-compliance resulting in loss or diversion, can result in regulatory action that could have a material adverse effect on our business, results of operations,
financial  condition  and  prospects.  The  DEA  may  seek  civil  penalties,  refuse  to  renew  necessary  registrations,  or  initiate  proceedings  to  revoke  those
registrations. In certain circumstances, violations could lead to criminal proceedings.

45

 
 
 
 
 
 
 
 
 
Individual states also have controlled substances laws. Though state controlled substances laws often mirror federal law, because the states are separate
jurisdictions, they may separately schedule drugs, as well. While some states automatically schedule a drug when the DEA does so, in other states there has
to be a rulemaking or a legislative action. State scheduling may delay commercial sale of any controlled substance drug product for which we obtain FDA
approval and adverse scheduling could have a material adverse effect on the attractiveness of such product. We or our licensees must also obtain separate
state  registrations  in  order  to  be  able  to  obtain,  handle,  and  distribute  controlled  substances  for  clinical  trials  or  commercial  sale,  and  failure  to  meet
applicable regulatory requirements could lead to enforcement and sanctions from the states in addition to those from the DEA or otherwise arising under
federal law.

Further,  many  of  our  raw  ingredients  and  manufacturing  equipment  comes  from  international  sources.  Trade  agreements  and/or  disagreements  or  other
unforeseen disruptions to international supply chains may have an adverse impact on our business.

Social issues around the abuse of opioids, including law enforcement concerns over diversion of opioid and regulatory efforts to combat abuse, could
decrease the potential market for Oxaydo, and, if approved, our LIMITx product candidates.

Media  stories  regarding  prescription  drug  abuse  and  the  diversion  of  opioids  and  other  controlled  substances  are  commonplace.  Law  enforcement  and
regulatory agencies may apply policies that seek to limit the availability of opioids. Such efforts may inhibit Zyla’s ability to commercialize Oxaydo and, if
approved, our LIMITx product candidate. Aggressive enforcement and unfavorable publicity regarding, for example, the use or misuse of oxycodone or
other opioid drugs, the limitations of abuse resistant formulations, public inquiries and investigations into prescription drug abuse, litigation or regulatory
activity, sales, marketing, distribution or storage of our drug products could harm our reputation. Such negative publicity could reduce the potential size of
the market for our product candidates and Oxaydo and decrease the revenues and royalties we are able to generate from their sale. Similarly, to the extent
opioid abuse becomes less prevalent or a less urgent public health issue, regulators and third-party payers may not be willing to pay a premium for abuse
deterrent formulations of opioids.

In addition, efforts by the FDA and other regulatory bodies to combat abuse of opioids may negatively impact the market for our product candidates. For
example, in February 2016, as part of a broader initiative led by U.S. Department of Health and Human Services to address opioid-related overdose, death
and dependence, the FDA released an action plan to address the opioid abuse epidemic and reassess the FDA’s approach to opioid medications. The plan
identifies the FDA’s focus on implementing policies to reverse the opioid abuse epidemic, while maintaining access to effective treatments. The actions set
forth  in  the  FDA’s  plan  include  strengthening  post  marketing  study  requirements  to  evaluate  the  benefit  of  long-term  opioid  use,  changing  the  REMS
requirements to provide additional funding for physician education courses, releasing a draft guidance setting forth approval standards for generic abuse-
deterrent opioid formulations, and seeking input from the FDA’s Scientific Board to broaden the understanding of the public risks of opioid abuse. Many of
these  changes  could  require  our  licensing  partner  and  us  to  expend  additional  resources  in  developing  and  commercializing  Oxaydo  and  our  product
candidates to meet additional requirements. In October 2017, the acting director of HHS under the directive of President Trump, declared the opioid crisis a
national  health  emergency  and  initiated  a  five  point  plan  including  (i)  improving  access  to  prevention,  treatment,  and  recovery  support  services;  (ii)
targeting  the  availability  and  distribution  of  overdose-reversing  drugs;  (iii)  strengthening  public  health  data  reporting  and  collection;  (iv)  supporting
cutting-edge research on addiction and pain; and (v) advancing the practice of pain management. The impact that this five point plan will have on us and
our licensing partners is unclear at this time.

We are increasingly dependent on information technology and our systems and infrastructure face certain risks, including cybersecurity and data
storage risks.

Significant  disruptions  to  our  information  technology  systems  or  breaches  of  information  security  could  adversely  affect  our  business.  In  the  ordinary
course  of  business,  we  collect,  store  and  transmit  confidential  information,  and  it  is  critical  that  we  do  so  in  a  secure  manner  in  order  to  maintain  the
confidentiality and integrity of such confidential information. Our information technology systems are potentially vulnerable to service interruptions and
security breaches from inadvertent or intentional actions by our employees, partners, vendors, or from attacks by malicious third parties. Maintaining the
secrecy of this confidential, proprietary, and/or trade secret information is important to our competitive business position. While we have taken steps to
protect such information and invested in information technology, there can be no assurance that our efforts will prevent service interruptions or security
breaches  in  our  systems  or  the  unauthorized  or  inadvertent  wrongful  access  or  disclosure  of  confidential  information  that  could  adversely  affect  our
business operations or result in the loss, dissemination, or misuse of critical or sensitive information. A breach of our security measures or the accidental
loss,  inadvertent  disclosure,  unapproved  dissemination  or  misappropriation  or  misuse  of  trade  secrets,  proprietary  information,  or  other  confidential
information, whether as a result of theft, hacking, or other forms of deception, or for any other cause, could enable others to produce competing products,
use  our  proprietary  technology  and/or  adversely  affect  our  business  position.  Further,  any  such  interruption,  security  breach,  loss  or  disclosure  of
confidential information could result in financial, legal, business, and reputational harm to us and could have a material effect on our business, financial
position, results of operations and/or cash flow.

46

 
 
 
 
 
 
 
 
 
Prior ownership changes may limit our ability to use our tax net operating loss carryforwards as part of an corporate restructure or reorganization.

Significant  equity  restructuring  often  results  in  an  Internal  Revenue  Section  382  ownership  change  that  limits  the  future  use  of  Net  Operating  Loss
(“NOL”), carryforwards and other tax attributes. In addition, under the Tax Cuts and Jobs Act of 2017, NOL usage in any given year will be limited to 80%
of  taxable  income,  without  regard  to  the  NOL  deduction,  and  losses  incurred  in  2018  and  forward  may  not  be  carried  back  but  can  be  carried  forward
indefinitely, but losses incurred prior to 2018 can only be carried forward for 20 years. We have determined that we have undergone ownership changes in
both 2004 and 2017 (as defined by Section 382 of the Internal Revenue Code) and as a result, our use of NOL carryforwards on an annual basis will be
very limited. As such, an entity that may seek to acquire the Company would likely be limited in the amount of NOLs they may be able to utilize. Neither
the amount of our NOL carryforwards nor the amount of limitation of such carryforwards claimed by us have been audited or otherwise validated by the
Internal Revenue Service, which could challenge the amount we have calculated. The recognition and measurement of our tax benefit includes estimates
and judgment by our management, which includes subjectivity. Changes in estimates may create volatility in our tax rate in future periods based on new
information about particular tax positions that may cause management to change its estimates. 

Risks Relating to our Common Stock

Our results of operations will fluctuate, and these fluctuations could cause our stock price to decline.

Our quarterly and annual operating results are likely to fluctuate in the future. These fluctuations could cause our stock price to decline. The nature of our
business involves variable factors, such as the timing of any license agreement, the timing of launch and market acceptance of our products, and the timing
of the research, development and regulatory submissions of our products in development that could cause our operating results to fluctuate. The forecasting
of the timing and amount of sales of our products is difficult due to market uncertainty and the uncertainty inherent in seeking FDA and other necessary
approvals for our product candidates. As a result, in some periods, our clinical, financial or operating results may not meet the expectations of securities
analysts and investors, which could result in a decline in the price of our stock.

Our stock price has been and may continue to be volatile, and the value of an investment in our common stock may decline.

During 2019, our stock traded as high as $0.63 per share and as low as $0.11 per share. The trading price of our common stock is likely to continue to
exhibit wide fluctuations in response to various factors, some of which are beyond our control. These factors could include:

47

 
 
 
 
 
 
 
 
 
·
·
·
·
·
·
·
·
·
·
·
·

·
·
·
·
·
·
·
·
·

results from our pre-clinical and clinical development programs, including our LIMITx product candidates;
FDA actions related to our products in development;
FDA actions related to any of our potential products;
announcements regarding the sales of Oxaydo;
announcements regarding the progress of our preclinical and clinical programs;
our licensee’s success in the commercialization of our Nexafed products;
announcements regarding the sales of our Nexafed products;
announcements regarding the execution of license agreements with third parties for our products or product candidates;
failure of any of our products in development, if approved, to achieve commercial success;
quarterly variations in our results of operations or those of our competitors;
our ability to develop and market new and enhanced products on a timely basis;
announcements  by  us  or  our  competitors  of  acquisitions,  regulatory  approvals,  clinical  milestones,  new  products,  significant  contracts,
commercial relationships or capital commitments;
third-party coverage and reimbursement policies;
additions or departures of key personnel;
commencement of, or our involvement in, litigation;
the inability of our contract manufacturers to provide us with adequate commercial supplies of our products;
changes in governmental regulations or in the status of our regulatory approvals;
changes in earnings estimates or recommendations by securities analysts;
any major change in our board or management;
general economic conditions and slow or negative growth of our market; and
political instability, natural disasters, war and/or events of terrorism.

From  time  to  time,  we  estimate  the  timing  of  the  accomplishment  of  various  scientific,  clinical,  regulatory  and  other  product  development  goals  or
milestones. These milestones may include the commencement or completion of scientific studies and clinical trials and the submission of regulatory filings.
Also, from time to time, we expect that we will publicly announce the anticipated timing of some of these milestones. All of these milestones are based on
a variety of assumptions. The actual timing of these milestones can vary dramatically compared to our estimates, in some cases for reasons beyond our
control. If we do not meet these milestones as publicly announced, our stock price may decline and the commercialization of our products and potential
products may be delayed.

In addition, the stock market has experienced extreme price and volume fluctuations that have often been unrelated or disproportionate to the operating
performance of publicly traded companies. Broad market and industry factors may seriously affect the market price of companies’ stock, including ours,
regardless of actual operating performance. These fluctuations may be even more pronounced in the trading market for our stock. In addition, in the past,
following periods of volatility in the overall market and the market price of a particular company’s securities, securities class action litigation has often
been  instituted  against  these  companies.  This  litigation,  if  instituted  against  us,  could  result  in  substantial  costs  and  a  diversion  of  our  management’s
attention and resources.

We do not have a history of paying dividends on our common stock.

Historically, we have not declared and paid any cash dividends on our common stock. We intend to retain all of our earnings for the foreseeable future to
finance the operation and expansion of our business. As a result, you may only receive a return on your investment in our common stock if the market price
of our common stock increases.

Any future sale of a substantial number of shares in a capital raising transaction could depress the trading price of our stock.

In order to raise additional capital, we may in the future offer additional shares of our common stock or other securities convertible into or exchangeable for
our common stock at prices that may not be the same as the then current trading price of our common stock. The price per share at which we sell additional
shares  of  our  common  stock,  or  securities  convertible  or  exchangeable  into  common  stock,  in  future  transactions  may  be  higher  or  lower  than  the  then
current trading price of our common stock.

As  of  February  15,  2020,  our  two  largest  shareholders  own  an  aggregate  of  12,651,582  shares  (including  1,782,531  shares  underlying  warrants)
(representing  approximately  54.6%  of  our  outstanding  shares,  including  shares  issuable  upon  exercise  of  these  warrants  but  not  including  any  other
warrants, options or convertible debt outstanding to other entities). If some or all of such shares are sold by such stockholders, it may have the effect of
depressing the trading price of our common stock. In addition, such sales could make it more difficult for us to raise capital if needed in the future.

48

 
 
 
 
 
 
 
 
 
 
Approximately 45.6% of our common stock, after giving effect to exercise of a warrant, is owned by a single individual, who is also a principal of AD
Pharma LLC and MainPointe Pharmaceuticals LLC, and that individual is also party to our Second Amended and Restated Voting Agreement.

A significant amount of our common stock is owned by a single individual, Mr. Schutte. On July 24, 2017, we completed a $4.0 million private placement
with  him  for  the  sale  of  8,912,655  shares  and  warrants  to  purchase  1,782,531  shares  at  an  exercise  price  of  $0.528  and  expiring  on  July  24,  2022.  Mr.
Schutte  is  a  principal  of  MainPointe.  In  March  2017,  we  granted  MainPointe  an  exclusive  license  to  our  Impede  Technology  to  commercialize  our
Nexafed® and Nexafed® Sinus Pressure + Pain Products in the United States and Canada. MainPointe also has options to expand the territory and products
covered for additional sums. Further, as part of the closing of the Transaction, we, Galen Partners III, L.P., and Essex Woodlands Health Ventures V, L.P.
(“Essex”) amended and restated the existing Voting Agreement between the parties to provide for Mr. Schutte to join as a party so that he can designate a
director (he has not done so). During 2018 and through June 28, 2019, Mr. Schutte had lent us an aggregate of $6.0 million (including accrued interest) on a
secured basis with a security interest in all of our assets, including our intellectual property.

At  June  28,  2019,  we  entered  into  a  Promissory  Note  with  Mr.  Schutte  that  consolidated  existing  promissory  notes  into  a  single  Note  with  a  principal
amount of $6.0 million (after including accrued and unpaid interest through that date). To secure our performance of our obligations under the Note, we
granted Mr. Schutte a security interest in all of our assets. Terms of the consolidated Note provide for a July 1, 2023 maturity date rather than the previous
maturity date of January 2, 2020, interest at fixed rate of 7.5% per annum with all payments of principal and interest deferred to maturity. The Note is
convertible into Acura common stock at $0.16 per share. As additional consideration, Mr. Schutte received a warrant to purchase 10 million shares of the
Company’s common stock at a price of $0.01 per share.

With our consent, Mr. Schutte assigned and transferred to Abuse Deterrent Pharma, LLC (“AD Pharma”), effective June 28, 2019, all of his right, title and
interest in this Note, its associated Security Agreement and the Warrant to purchase 10 million common shares of our stock. Mr. Schutte is an investor in
AD Pharma.

The combination of Mr. Schutte’s direct share ownership, control of one of our key licensing partners, the right to designate a director to oversee the long-
term affairs of our company, his ownership interest in AD Pharma LLC and the security interest AD Pharma has in all of our assets gives him considerable
influence over our business and affairs. As a result, Mr. Schutte, as a practical matter, is able to control all matters requiring approval by our shareholders,
including the approval or rejection of mergers, sales or licenses of all or substantially all of our assets, or other business combination transactions. The
interests of Mr. Schutte as a shareholder and creditor may not always coincide with the interests of our other shareholders and as such he may and cause the
Company to take action to advance his interests to the detriment of our other shareholders. Accordingly, you may not be able to influence any action we
take or consider taking, even if it requires a shareholder vote.

Our common stock is deemed a “penny stock,” which would make it more difficult for our investors to sell their shares.

Our  common  stock  is  subject  to  the  “penny  stock”  rules  adopted  under  the  Exchange  Act.  The  penny  stock  rules  generally  apply  to  companies  whose
common  stock  is  not  listed  on  the  NASDAQ  Stock  Market  or  other  national  securities  exchange  and  trades  at  less  than  $5.00  per  share,  other  than
companies that have had average revenue of at least $6,000,000 for the last three years or that have net tangible assets of at least $5,000,000 ($2,000,000 if
the company (such as Acura) has been operating for three or more years). These rules require, among other things, that brokers who trade penny stock to
persons  other  than  “established  customers”  complete  certain  documentation,  make  suitability  inquiries  of  investors  and  provide  investors  with  certain
information concerning trading in the security, including a risk disclosure document and quote information under certain circumstances. Many brokers have
decided  not  to  trade  penny  stocks  because  of  the  requirements  of  the  penny  stock  rules  and,  as  a  result,  the  number  of  broker-dealers  willing  to  act  as
market makers in such securities is limited. If we remain subject to the penny stock rules for any significant period, it could have an adverse effect on the
market, if any, for our securities. If our securities are subject to the penny stock rules, investors will find it more difficult to dispose of our securities.

49

 
 
 
 
 
 
 
 
 
Our shares of common stock have been thinly traded, so you may be unable to sell at or near ask prices or even at all if you need to sell your shares to
raise money or otherwise desire to liquidate your shares.

Our common stock is quoted on the OTCQB Market. Our common stock experiences periods when it could be considered “thinly-traded.” This situation
may be attributable to a number of factors, including the fact that we are a small company which is relatively unknown to stock analysts, stock brokers,
institutional investors and others in the investment community that generate or influence sales volume, and that even if we came to the attention of such
persons, they tend to be risk averse and would be reluctant to follow an unproven company such as ours or purchase or recommend the purchase of our
shares until such time as we became more seasoned and viable. In addition, certain institutions are prohibited or limited from trading in shares priced at less
than specified levels, including the prices at which our shares currently trade. As a consequence, there may be periods of several days, weeks or months
when trading activity in our shares is minimal, as compared to a seasoned issuer which has a large and steady volume of trading activity that will generally
support continuous sales without an adverse effect on share price. We cannot give you any assurance that a broader or more active public trading market for
our common stock will be sustained, or that current trading levels will be sustained or not diminish.

We are a smaller reporting company, and we cannot be certain if the reduced disclosure requirements applicable to smaller reporting companies will
make our common stock less attractive to investors.

We are currently a “smaller reporting company,” meaning that we are not an investment company, an asset- backed issuer, or a majority-owned subsidiary
of a parent company that is not a smaller reporting company and have a public float of less than $250 million. “Smaller reporting companies” are able to
provide  simplified  executive  compensation  disclosures  in  their  filings;  are  exempt  from  the  provisions  of  Section  404(b)  of  the  Sarbanes-Oxley  Act
requiring that independent registered public accounting firms provide an attestation report on the effectiveness of internal control over financial reporting;
and have certain other decreased disclosure obligations in their SEC filings, including, among other things, only being required to provide two years of
audited financial statements in annual reports and in certain registration statements. Decreased disclosures in our SEC filings due to our status as a “smaller
reporting company” may make it harder for investors to analyze our results of operations and financial prospects.

ITEM 1B. UNRESOLVED STAFF COMMENTS

The  Company  has  received  no  written  comments  regarding  periodic  or  current  reports  from  the  staff  of  the  SEC  that  were  issued  180  days  or  more
preceding the end of its 2019 fiscal year that remain unresolved.

ITEM 2. PROPERTIES

We lease from an unaffiliated Lessor, approximately 1,600 square feet of administrative office space at 616 N. North Court, Suite 120, Palatine, Illinois
60067 on a month-to-month basis. The lease agreement provides for rent, property taxes, common area maintenance, and janitorial services on a monthly
basis of approximately $2 thousand per month. We utilize this lease space for our administrative and business development functions.

We  conduct  research,  development,  laboratory,  development  scale  and  NDA  submission  batch  scale  manufacturing  and  other  activities  relating  to
developing product candidates using Aversion, Impede and LIMITx Technologies at the facility we own (through a wholly owned subsidiary) located at
16235  State  Road  17,  Culver,  Indiana.  At  this  location  is  a  25,000  square  foot  facility  with  7,000  square  feet  of  warehouse,  8,000  square  feet  of
manufacturing space, 4,000 square feet of research and development labs and 6,000 square feet of administrative and storage space. The facility is located
on 28 acres of land.

50

 
 
 
 
 
 
 
 
 
 
 
ITEM 3. LEGAL PROCEEDINGS

Reglan®/Metoclopramide Litigation

Halsey  Drug  Company,  as  predecessor  to  us,  was  named  along  with  numerous  other  companies  as  a  defendant  in  cases  filed  in  three  separate  state
coordinated litigations pending in Pennsylvania, New Jersey and California, respectively captioned In re: Reglan®/Metoclopramide Mass Tort Litigation,
Philadelphia  County  Court  of  Common  Pleas,  January  Term,  2010,  No.  01997;  In  re:  Reglan  Litigation,  Superior  Court  of  New  Jersey,  Law  Division,
Atlantic  County,  Case  No.  289,  Master  Docket  No.  ATL-L-3865-10;  and  Reglan/Metoclopramide  Cases,  Superior  Court  of  California,  San  Francisco
County, Judicial Council Coordination Proceeding No. 4631, Superior Court No.: CJC-10-004631.  In addition, we were served with a similar complaint by
two  individual  plaintiffs  in  Nebraska  federal  court,  which  plaintiffs  voluntarily  dismissed  in  December  2014.    In  this  product  liability  litigation  against
numerous  pharmaceutical  product  manufacturers  and  distributors,  including  Acura,  plaintiffs  claim  injuries  from  their  use  of  the  Reglan  brand  of
metoclopramide and generic metoclopramide.

None  of  the  plaintiffs  in  the  lawsuits  filed  to  date  have  confirmed  that  they  ingested  any  of  the  generic  metoclopramide  manufactured  by  us.  We
discontinued manufacture and distribution of generic metoclopramide more than 20 years ago. All of these lawsuits have been effectively dismissed with
the exception of less than ten pending Philadelphia cases that we expect will be finally dismissed without the need for any action by us. We expect that the
Court will finally dismiss the small number of remaining Pennsylvania-based cases against us with prejudice by the end of the first quarter of 2020. Legal
fees related to this matter have been covered by our insurance carrier. Based upon the current status and evaluation, we have not accrued for any potential
loss related to these matters as of December 31, 2019.

ITEM 4. MINE SAFETY DISLCOSURES

Not Applicable.

PART II
ITEM  5.  MARKET  FOR  REGISTRANT’S  COMMON  EQUITY,  RELATED  STOCKHOLDER  MATTERS  AND  ISSUER  PURCHASES  OF
EQUITY SECURITIES

Market and Market Prices of Common Stock

During  2016  fiscal  year  and  through  February  22,  2017,  our  common  stock  was  traded  on  the  Nasdaq  Capital  Market  under  the  symbol  “ACUR”.  On
February 23, 2017, our common stock was delisted from the Nasdaq Capital Market due to our failure to comply with Nasdaq’s Listing Rule 5550(b)(1),
which requires that we maintain $2.5 million in stockholders’ equity for continued listing (or meet the alternatives of market value of listed securities of
$35 million or net income from continuing operations). NASDAQ had granted us a grace period through February 10, 2017, to regain compliance with
Listing Rule 5550(b)(1), but we were unable to regain compliance within such period.

Commencing on February 23, 2017, our common stock was quoted on the OTCQB under the symbol “ACUR”, however commencing June 4, 2018 and
lasting until July 2, 2018 it was quoted on the OTC Markets OTC Pink tier. The downgrade was a result of the late filing of our 2017 Annual Report on
Form 10-K beyond any applicable grace periods. The Company regained compliance with the OTCQB and effective July 3, 2018 it was quoted on the
OTCQB. However, commencing May 20, 2019 as a result of late filing of our 2018 Annual Report on Form 10-K our common stock was again relegated to
the OTC Markets OTC Pink tier. The Company regained compliance with the OTCQB in March, 2020 and effective March 23, 2020 it was quoted on the
OTCQB.

Set forth below for the period indicated are the high and low sales prices for our common stock in the OTC Market of OTCQB and Pink tier.

Period

2019 Fiscal Year
First Quarter
Second Quarter
Third Quarter
Fourth Quarter

2020 Fiscal Year

First Quarter thru March 27, 2020

On March 27, 2020 the closing sales price of our common stock was $0.22.

51

Sales Prices

High

Low

$

$

0.29    $
0.28   
0.45   
0.63   

0.11 
0.13 
0.14 
0.20 

0.47    $

0.12 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
    
 
  
 
 
 
 
    
 
  
 
Holders

There were approximately 275 holders of record of our common stock as of March 18, 2020 including approximately 80 holders who were nominees for an
undetermined number of beneficial owners based upon a review of a securities position listing provided by our transfer agent in September 2017. There
were approximately 4,600 beneficial holders of our common stock as of March 16, 2020.

Dividend Policy

The  payment  of  cash  dividends  is  subject  to  the  discretion  of  our  Board  of  Directors  and  is  dependent  upon  many  factors,  including  our  earnings,  our
capital needs and our general financial condition. Historically, we have not paid any cash dividends.

ITEM 6. SELECTED FINANCIAL DATA

Not applicable

ITEM 7. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

This  discussion  and  analysis  should  be  read  in  conjunction  with  our  financial  statements  and  accompanying  notes  included  elsewhere  in  this  Report.
Operating results are not necessarily indicative of results that may occur in the future periods. Certain statements in this Report under this Item 7, Item 1,
“Business”, Item 1A, “Risk Factors” and elsewhere in this Report constitute “forward-looking statements” within the meaning of the Private Securities
Litigation Reform Act of 1995. Such forward-looking statements involve known and unknown risks, uncertainties and other factors which may cause our
actual results, performance or achievements or industry results, to be materially different from any future results, performance, or achievements expressed
or implied by such forward-looking statements. See page 1 of this Report under the caption “Forward-Looking Statements” for a description of the most
significant of such factors.

Company’s Present Financial Condition

At  December  31,  2019,  we  had  cash  of  $862  thousand  compared  to  $91  thousand  of  cash  at  December  31,  2018.  We  had  an  accumulated  deficit  of
approximately  $388  million  and  $384.2  million  at  December  31,  2019  and  December  31,  2018,  respectively.  We  had  a  loss  from  operations  of  $725
thousand and a net loss of $3.8 million for the year ended December 31, 2019, compared to a loss from operations of $3.9 million and a net loss of $3.8
million for the year ended December 31, 2018.

On June 28, 2019, we entered into License, Development and Commercialization Agreement (the "Agreement") with Abuse Deterrent Pharma, LLC. The
Agreement  grants  AD  Pharma  exclusive  commercialization  rights  in  the  United  States  to  LTX-03.  Financial  arrangements  include  monthly  license
payments by AD Pharma of $350,000 up to the earlier of November 30, 2020 or FDA’s acceptance of a New Drug Application (“NDA”) for LTX-03 and
reimbursement by AD Pharma of Acura’s LTX-03 outside development expenses. Upon commercialization of LTX-03, Acura will be entitled to stepped
royalties on sales and is eligible for certain sales related milestones. However, if the NDA application for LTX-03 is not accepted by the FDA by November
30, 2020, AD Pharma has the option of terminating the Agreement and taking ownership of the intellectual property.

Our losses have resulted principally from costs incurred in connection with research and development activities, salaries and other personnel-related costs
and sales, marketing and general corporate expenses. Research and development activities include costs of pre-clinical studies, clinical trials, and clinical
trial product supplies associated with our product candidates as well as cost sharing expenses of line extension studies and post-marketing studies under the
Zyla Agreement. Sales and marketing expenses include costs associated with the Nexafed product line advertising incurred prior to our entering into the
MainPointe Agreement on March 16, 2017, salaries and other personnel-related costs include the stock-based compensation associated with stock options
and restricted stock units granted to employees and non-employee directors.

The ultimate impact of the COVID-19 pandemic is highly uncertain and we do not yet know the full extent of potential delays or impacts on our business,
our clinical trials, healthcare systems or the global economy as a whole. As such, it is uncertain as to the full magnitude that the pandemic will have on the
Company’s financial condition, liquidity, and future results of operations. (See Note 15 to the Financial Statements).

52

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Results of Operations for the Years Ended December 31, 2019 and 2018.

Revenues:

License fee revenue
Collaboration revenue
Royalty revenue

Total revenues, net

Operating Expenses:

Research and development
General and administrative
Total operating expenses
Operating loss

Non-Operating income (expense):

Interest expense, net
(Loss) gain on debt extinguishment
Total other income (expense), net

Loss before provision for income taxes

Provision for income taxes

Net loss

Revenues

License Fees

  $

December 31

2019

2018

$000’s

2,100    $
185   
372   
2,657   

1,505   
1,877   
3,382   
(725)  

(449)  
(2,600)  
(3,049)  

-    $
-   
410   
410   

1,759   
2,566   
4,325   
(3,915)  

(223)  
296   
73   

(3,774)  
-   
(3,774)   $

(3,842)  
-   
(3,842)   $

  $

Change

$000’s

Percent

2,100   
185   
(38)  
2,247   

(254)  
(689)  
(943)  
(3,190)  

226   
2,896   
3,122   

(68)  
-   
(68)  

-%
- 
(9)
548 

(14)
(27)
(22)
(82)

101 
978 
4,277 

(2)
- 
(2)%

From the period, June 28, 2019 to December 31, 2019, we received license fees under the license and development agreement from AD Pharma totaling
$2.1 million for LTX-03. No license fees were received in 2018.
Collaboration Revenue

Collaboration revenue is derived from research and development services we perform under the license and development agreement with AD Pharma for
LTX-03. We recognized $185 thousand of collaboration revenue during 2019. We were not providing research and development services under any of our
license agreements during 2018.

Royalty Revenue

In connection with our license agreement with Zyla for Oxaydo Tablets, we earn a royalty based on product net sales. We recognized $351 thousand and
$386 thousand of royalty revenue from Oxaydo during the years ended 2019 and 2018, respectively.

In connection with our license agreement with MainPointe for our Nexafed product line, we earn a royalty based on product net sales. We recognized $21
thousand and $24 thousand of royalty revenue from Nexafed during 2019 and 2018, respectively.

53

 
 
 
 
 
   
 
 
 
 
   
   
 
 
   
   
 
 
 
   
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
    
 
    
 
  
 
 
    
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
    
 
    
 
  
 
 
    
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Operating Expenses

Research and Development

Research and development expense (“R&D”) for 2019 and 2018 was with respect to our LIMITx Technology and Impede Technology development activity
and included, among other items, costs of preclinical and non-clinical internal and external activities, clinical study trials, clinical supplies and its related
formulation and design costs, salaries and other personnel related expenses of our employees, our facility costs, and a percentage share of selected cost
sharing expenses under the license agreement with Zyla. Also included in each of 2019 and 2018 year end results are share-based compensation expenses
of approximately $21 thousand and $65 thousand, respectively. Excluding share-based compensation expense, our R&D expenses decreased approximately
$0.2 million between reporting periods, resulting primarily from the salary reductions enacted in 2018 and unpaid leave of absences during 2019. During
2018 we completed Study AP-LTX-301 but performed no additional clinical studies. We commenced the scale-up of the commercial manufacturing process
on our LIMITx Technology in the second quarter of 2018 as to-be-marketed formulations are required for all NDA development work but was suspended
during the fourth quarter of 2018. We resumed the scale-up activities effective with the licensing of LTX-03 to AD Pharma on June 28, 2019.

General and Administrative

Our general and administrative expenses primarily consisted of legal, audit and other professional services, corporate insurance, and payroll. Included in
each of the 2019 and 2018 results are share-based compensation expenses of approximately $117 thousand and $165 thousand, respectively. Excluding the
share-based compensation expense our general and administrative expenses decreased by approximately $0.6 million between reporting periods, resulting
primarily from the decrease legal activities, corporate insurance and from salary reductions enacted in 2018 and unpaid leave of absences during 2019.

Non-Operating Expense

Debt Extinguishment

On June 28, 2019, we modified the $5.0 million related party loan with Mr. Schutte and the accounting method used for the changes to the loan resulted in
the recognition of a $2.6 million loss on debt extinguishment. In October 2018 we borrowed $1.8 million from Mr. Schutte and used $1.5 million from the
loan proceeds to settle and pay-off in full the Oxford Loan for $1.5 million. We recognized a net gain of $296 thousand on the debt settlement.

Interest Expense, net

For 2019 and 2018, we incurred net interest expense of $449 thousand and $223 thousand, respectively, on our term loans.

Income Taxes

Our results for 2019 and 2018 include no federal or state income tax benefit provisions due to 100% allowances placed against our deferred tax assets for
the uncertainty of their future utilization. As a result of the Tax Cuts and Jobs Act of 2017, the $135 thousand Federal alternative minimum taxes we paid in
a prior year is refundable to the Company in prescribed percentages and time periods beginning with our tax year ended December 31, 2018. In July 2019
we received a $67 thousand tax refund.

54

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Liquidity and Capital Resources

As of December 31, 2019, we had cash of $862 thousand, working capital of $104 thousand and an accumulated deficit of $388 million. We had a loss
from operations of $725 thousand and a net loss of $3.8 million for the year ended December 31, 2019. We have suffered recurring losses from operations
and have not generated positive cash flows from operations. We anticipate operating losses to continue for the foreseeable future. As of March 30, 2020 our
cash balance was approximately $1.2 million.

Additionally, the License, Development and Commercialization Agreement dated June 28, 2019 (the “Agreement”) requires AD Pharma to pay us monthly
license payments of $350,000 from July 2019 through November 2020 and pay all outside development costs for LTX-03. However, the Agreement allows
AD Pharma to terminate the Agreement “for convenience”. Should AD Pharma exercise their right to terminate the Agreement, we would need to raise
additional financing or enter into license or collaboration agreements with third parties relating to our technologies. No assurance can be given that we will
be  successful  in  obtaining  any  such  financing  or  in  securing  license  or  collaboration  agreements  with  third  parties  on  acceptable  terms,  if  at  all,  or  if
secured, that such financing or license or collaboration agreements will provide payments to the Company sufficient to fund continued operations. In the
absence of such financing or third-party license or collaboration agreements, the Company will be required to scale back or terminate operations and/or
seek protection under applicable bankruptcy laws. An extended delay or cessation of the Company’s continuing product development efforts will have a
material adverse effect on the Company’s financial condition and results of operations. Our independent auditors have included in their report relating to
our 2019 financial statements a “going concern” explanatory paragraph as to substantial doubt of our ability to continue as a going concern.

In  view  of  the  matters  described  above,  management  has  concluded  that  substantial  doubt  exists  with  respect  to  the  Company’s  ability  to  continue  as  a
going concern within one year after the date the financial statements are issued and our independent registered public accounting firm have included in
their report relating to our 2019 financial statements a “going concern” explanatory paragraph as to substantial doubt of our ability to continue as a going
concern.

In view of the matters described above, recoverability of a major portion of the recorded asset amounts shown in the Company’s accompanying balance
sheets is dependent upon continued operations of the Company, which in turn is dependent upon the Company’s ability to meet its financing requirements
on  a  continuous  basis,  to  maintain  existing  financing  and  to  succeed  in  its  future  operations.  The  Company’s  financial  statements  do  not  include  any
adjustment  relating  to  the  recoverability  and  classification  of  recorded  asset  amounts  and  classification  of  liabilities  that  might  be  necessary  should  the
Company be unable to continue in existence.

Our future sources of revenue, if any, will be derived from licensing fees, milestone payments and royalties under the AD Pharma Agreement, the Zyla
Agreement,  the  KemPharm  Agreement,  the  MainPointe  Agreement  and  similar  agreements  which  we  may  enter  into  for  our  LIMITx  products  in
development with other pharmaceutical company partners, for which there can be no assurance.

The amount and timing of our future cash requirements will depend on regulatory and market acceptance of our product candidates and the resources we
devote to the development and commercialization of our product candidates.

Cash Flows

Comparison of Years Ended December 31, 2019 and 2018

The following table summarizes our cash flows for the years ended December 31, 2019 and 2018 (in thousands):

Net cash (used in) provided by:

Operating activities
Investing activities
Financing activities

Net increase (decrease) in cash and cash equivalents

Cash Flows from Operating Activities

Year Ended
December 31,

2019

2018

  $

  $

(618)  $
-   
1,389   

771    $

(3,908)
- 
1,779 
(2,129)

Net  cash  used  in  operating  activities  was  $0.6  million  for  the  year  ended  December  31,  2019  and  consisted  primarily  of  a  net  loss  of  $3.8  million,
capitalized debt discount of $13 thousand and a loss on debt extinguishment of $2.6 million. This net loss was partially offset by non-cash items such as
$108 thousand in share-based compensation expense, $66 thousand of debt discount and debt issue cost amortization expense, $66 thousand of depreciation
expense,  and  $207  thousand  of  intangible  asset  amortization  expense  with  $154  thousand  in  net  cash  outflows  from  changes  in  operating  assets  and
liabilities. Cash outflows from changes in operating assets and liabilities of $154 thousand were primarily due to $78 thousand increase in collaboration
revenue receivable and $379 thousand decrease in accounts payable and accrued expenses. These cash outflows were partially offset by a decreases of $55
thousand in royalty receivables, $67 thousand in income tax receivable, $394 thousand in accrued interest and $44 thousand in prepaid expenses and other
current assets and increases of $18 thousand in other current liabilities.

55

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
Net  cash  used  in  operating  activities  was  $3.9  million  for  the  year  ended  December  31,  2018  and  consisted  primarily  of  a  net  loss  of  $3.8  million,
capitalized debt discount of $172 thousand and a gain on the debt extinguishment of $296 thousand. This net loss was partially offset by non-cash items
such as $218 thousand in share-based compensation expense, $87 thousand of debt discount and debt issue cost amortization expense, $73 thousand of
depreciation  expense,  and  $207  thousand  of  intangible  asset  amortization  expense  with  $183  thousand  in  net  cash  outflows  from  changes  in  operating
assets  and  liabilities.  Cash  outflows  from  changes  in  operating  assets  and  liabilities  of  $896  thousand  were  primarily  due  to  $66  thousand  increase  in
royalty  receivable  and  $830  thousand  decreases  in  both  accrued  interest  and  accrued  expenses.  These  cash  outflows  were  partially  offset  by  a  $109
thousand decrease in prepaid expenses and other current assets and increase of $604 in accounts payable. 

Cash Flows from Investing Activities

We had no investing activities for the years ended December 31, 2019 and 2018.

Cash Flows from Financing Activities

Net cash provided by financing activities was $1.4 million for the year ended December 31, 2019 and consisted of the net proceeds from loans provided by
Mr. Schutte.

Net cash provided by financing activities was $1.8 million for the year ended December 31, 2018 and consisted of the $4.350 million net proceeds from
loans provided by Mr. Schutte partially offset by $2.6 million principal repayments and debt retirement on the loan with Oxford Finance.

Related Party Loans from Mr. Schutte

At June 28, 2019, we entered into a Promissory Note (the “Note”) with Mr. Schutte that consolidated existing promissory notes that were due to mature at
January 2, 2020 issued to John Schutte into a single note for $6.0 million (after including accrued and unpaid interest). To secure our performance of our
obligations  under  the  Note,  we  granted  Mr.  Schutte  a  security  interest  in  all  of  our  assets.  Terms  of  the  consolidated  Note  provide  for  a  July  1,  2023
maturity date, interest at fixed rate of 7.5% per annum with all payments of principle and interest deferred to maturity. The Note is convertible into Acura
common stock at $0.16 per share. As additional consideration, Mr. Schutte received a warrant to purchase 10 million shares of the Company’s common
stock at a price of $0.01 per share.

With our consent, Mr. Schutte assigned and transferred to Abuse Deterrent Pharma, LLC (“AD Pharma”) all of his right, title and interest in this Note, its
associated Security Agreement and the Warrant to purchase 10.0 million common shares of our stock, effective June 28, 2019. Mr. Schutte is an investor in
AD Pharma.

Off-Balance Sheet Arrangements

We do not engage in transactions or arrangements with unconsolidated or other special purpose entities.

Critical Accounting Policies

The preparation of our financial statements in accordance with United States generally accepted accounting principles requires us to make estimates and
assumptions that affect the reported amounts of assets, liabilities, revenues and expenses in our financial statements and accompanying notes. We evaluate
our estimates on an ongoing basis, including those estimates related to contract agreements, research collaborations and investments. We base our estimates
on historical experience and various other assumptions that we believe to be reasonable under the circumstances, the results of which form the basis for
making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these
estimates under different assumptions or conditions. The following items in our financial statements require significant estimates and judgments:

56

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Going Concern

In connection with the preparation of the consolidated financial statements for the years ended December 31, 2019 and December 31, 2018, the Company
conducted an evaluation as to whether there were conditions and events, considered in the aggregate, which raised substantial doubt as to the entity’s ability
to continue as a going concern within one year after the date of the issuance, or the date of availability, of the financial statements to be issued, noting that
there did appear to be evidence of substantial doubt of the entity’s ability to continue as a going concern as further discussed in Note 1 to the consolidated
financial statements.

Revenue Recognition

The Company’s revenues are comprised of amounts earned under its license and collaboration agreements, royalties, and until March 2017 did previously
include  the  Nexafed  products’  net  product  sales.  The  Company  adopted  Accounting  Standards  Codification  Topic  606—Revenue  from  Contracts  with
Customers, or Topic 606, on January 1, 2018, resulting in a change to its accounting policy for revenue recognition.

Under  ASC  606,  revenue  is  recognized  when,  or  as,  performance  obligations  under  terms  of  a  contract  are  satisfied,  which  occurs  when  control  of  the
promised  service  is  transferred  to  a  customer.  Revenue  is  measured  as  the  amount  of  consideration  the  Company  expects  to  receive  in  exchange  for
transferring services to a customer (“transaction price”). The Company will then recognize as revenue the amount of the transaction price that is allocated
to the respective performance obligation when, or as, the performance obligation is satisfied. When determining the transaction price of the contract, an
adjustment is made if payment from a customer occurs either significantly before or significantly after performance, resulting in a significant financing
component.

The Company may enter into license and collaboration agreements which contain a single performance obligation or may contain multiple performance
obligations.  Those  which  contain  multiple  performance  obligations  will  require  an  allocation  of  the  transaction  price  based  on  the  estimated  relative
standalone  selling  prices  of  the  promised  services  underlying  each  performance  obligation.  These  license  and  collaboration  agreements  may  contain
customer options for the license of additional products and territories. The options in the agreement may need to be evaluated to determine the option’s
standalone selling prices. Some of the license and collaboration agreements may contain a license to the technology as well as licenses to tradenames or
trademarks. The licenses to the tradenames or trademarks will need to be evaluated in context of the entire contract. The commercial sales-based milestones
and sales royalties earned under the license and collaboration agreements are recorded in the period of the related sales by the licensee.

Research and Development

Research and Development (“R&D”) costs include internal R&D activities, external Contract Research Organization (“CRO”) services and their clinical
research  and  investigative  sites,  and  other  activities.  Internal  R&D  activity  costs  can  include  facility  overhead,  equipment  and  facility  maintenance  and
repairs, laboratory supplies, pre-clinical laboratory experiments, formulation work, depreciation, salaries, benefits, insurance and share-based compensation
expenses. CRO activity costs can include preclinical laboratory experiments and clinical trial studies. Other activity costs can include regulatory consulting,
regulatory  legal  counsel,  cost  of  acquiring,  developing  and  manufacturing  pre-clinical  trial  materials,  costs  of  manufacturing  scale-up,  and  cost  sharing
expenses under license agreements. Internal R&D costs and other activity costs are charged to expense as incurred. We make payments to CROs based on
agreed  upon  terms  and  may  include  payments  in  advance  of  a  study  starting  date.  Payments  in  advance  will  be  reflected  in  the  financial  statements  as
prepaid  expenses.  We  review  and  charge  to  expense  the  amounts  for  CRO  costs  and  clinical  trial  study  costs  based  on  services  performed  and  rely  on
estimates of those costs applicable to the stage of completion of a study as provided by the CRO to us. The accrued CRO costs are subject to revisions by
us  as  the  study  progresses  towards  completion.  Revisions  are  charged  to  expense  in  the  period  in  which  the  facts  that  give  rise  to  the  revision  become
known to us.

57

 
 
 
 
 
 
 
 
 
 
Income Taxes

We account for income taxes under the liability method. Under this method, deferred income tax assets and liabilities are determined based on differences
between financial reporting and income tax basis of assets and liabilities and are measured using the enacted income tax rates and laws that will be in effect
when the differences are expected to reverse. Additionally, net operating loss and tax credit carryforwards are reported as deferred income tax assets. The
realization of deferred income tax assets is dependent upon future earnings. A valuation allowance against deferred income tax assets is required if, based
on the weight of available evidence, it is more likely than not that some or all of the deferred income tax assets may not be realized. At December 31, 2018,
100% of the remaining deferred income tax assets are offset by a valuation allowance due to uncertainties with respect to future utilization of net operating
loss carryforwards. If in the future it is determined that amounts of our deferred income tax assets would likely be realized, the valuation allowance would
be reduced in the period in which such determination is made and a benefit from income taxes in such period would be recognized.

Share-based Compensation Expense

Compensation cost related to stock-based payment transactions is measured based on fair value of the equity or liability instrument issued. For purposes of
estimating  the  fair  value  of  each  stock  option  unit  on  the  date  of  grant,  we  utilized  the  Black-Scholes  option-pricing  model.  The  Black-Scholes  option
valuation  model  was  developed  for  use  in  estimating  the  fair  value  of  traded  options,  which  have  no  vesting  restrictions  and  are  fully  transferable.  In
addition,  option  valuation  models  require  the  input  of  highly  subjective  assumptions  including  the  expected  volatility  factor  of  the  market  price  of  our
common stock (as determined by reviewing its historical public market closing prices). Our accounting for stock-based compensation for restricted stock
units, or RSUs, is based on the fair-value method. The fair value of the RSUs is the market price of our common stock on the date of grant, less its exercise
cost. In May 2017, the FASB issued ASU No. 2017-09 which provides guidance as to how an entity should apply modified accounting in Topic 718 when
changing  the  terms  and  conditions  of  its  share-based  payment  awards.  The  guidance  clarifies  that  modification  accounting  will  be  applied  if  the  value,
vesting conditions or classification of the award changes. The ASU is effective for annual reporting periods, including interim periods within those annual
periods, beginning after December 15, 2017 but early adoption is permitted. The Company adopted this new standard on January 1, 2018 which did not
have a material impact on the Company’s financial statements.

Recent Accounting Pronouncements

See Note 2 Summary of Significant Accounting Policies - Recent Accounting Pronouncements of the Notes to Financial Statements (Part II, Item 8 of this
Form 10-K) for further discussion.

Capital Expenditures

We did not have any capital expenditures during 2019 or 2018.

Impact of Inflation

We believe that inflation did not have a material impact on our operations for the periods reported.

ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

Some of the securities that we may invest in may be subject to market risk. Our primary objective in our cash management activities is to preserve principal
while at the same time maximizing income we receive from our investments. A change in the prevailing interest rates may cause the principal amount of
the investments to fluctuate. As of December 31, 2019, we had no investments in marketable securities or holdings of derivative financial or commodity
instruments.

58

 
 
 
 
 
 
 
 
 
 
 
 
 
 
ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

The consolidated financial statements of Acura Pharmaceuticals, Inc. and Subsidiary and the Report of the Independent Registered Public Accounting Firm
thereon, to be filed pursuant to Item 8 are included in Item 15.

ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE

Not applicable.

ITEM 9A. CONTROLS AND PROCEDURES

Evaluation of Disclosure Controls and Procedures. We have conducted an evaluation, under the supervision and with the participation of our management,
including our Chief Executive Officer and Chief Financial Officer of the effectiveness of the design and operation of our disclosure controls and procedures
pursuant  to  Exchange  Act  Rule  13a-15(e).  Based  upon  that  evaluation,  our  Chief  Executive  Officer  and  Chief  Financial  Officer  concluded  that  our
disclosure controls and procedures are effective in timely alerting them to material information relating to the Company (including our subsidiary) required
to be included in our periodic Securities and Exchange Commission filings.

Management’s Report on Internal Control Over Financial Reporting. Our management is responsible for establishing and maintaining adequate internal
control over financial reporting. Internal control over financial reporting is defined in Rule 13a-15(f) and 15d-15(f) promulgated under the Exchange Act as
a  process  designated  by,  or  under  the  supervision  of,  our  principal  executive  and  principal  financial  officers  and  effected  by  our  board  of  directors,
management and other personnel, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements
for external purposes in accordance with generally accepted accounting principles and includes those policies and procedures that:

·

·

·

Pertain  to  the  maintenance  of  records  that  in  reasonable  detail  accurately  and  fairly  reflect  the  transactions  and  disposition  of  our
assets;
Provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance
with  generally  accepted  accounting  principles,  and  that  our  receipts  and  expenditures  are  being  made  only  in  accordance  with
authorizations of our management and directors; and
Provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition of our assets
that could have a material effect on the financial statements.

Because  of  its  inherent  limitations,  internal  control  over  financial  reporting  may  not  prevent  or  detect  misstatements.  Therefore,  even  those  systems
determined to be effective can provide only reasonable assurance with respect to financial statement preparation and presentation. Also, projections of any
evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree
of compliance with the policies or procedures may deteriorate.

Our  management  assessed  the  effectiveness  of  our  internal  control  over  financial  reporting  as  of  December  31,  2019.  In  making  this  assessment,
management  used  the  criteria  set  forth  by  the  Committee  of  Sponsoring  Organizations  of  the  Treadway  Commission  (COSO)  in  Internal  Control  –
Integrated Framework (2013 Framework). Based on our assessment, our Chief Executive Officer and our Chief Financial Officer both believe that, as of
December 31, 2019, our internal control over financial reporting is effective based on those criteria.

The Company’s independent registered public accounting firm was not required to and did not express an opinion on the effectiveness of the Company’s
internal control over financial reporting.

Changes in Internal Control over Financial Reporting. There was no change in our internal control over financial reporting that occurred during the Fourth
Quarter 2019 that materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

59

 
 
 
 
 
 
 
 
 
 
 
 
 
 
ITEM 9B. OTHER INFORMATION

Not Applicable.

PART III

ITEM 10. DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE

The name, age and position of our directors, executive officers and key employees as of March 30, 2019 are as follows:

Name
Robert B. Jones
Peter A. Clemens
Albert W. Brzeczko, Ph.D.
Robert A. Seiser
James F. Emigh
Bruce F. Wesson(1) (2)
William G. Skelly(1)(2)
Immanuel Thangaraj(2)
George K. Ross(1)

(1) Member of audit committee.
(2) Member of compensation committee.

Age
61
67
63
56
64
77
69
49
78

  Position
  President, Chief Executive Officer and Director
  Senior Vice President, Chief Financial Officer and Secretary
  Vice President, Pharmaceutical Sciences
  Vice President, Treasurer, and Corporate Controller
  Vice President of Corporate Development
  Director
  Director
  Director
  Director

Robert B. Jones has been our President and Chief Executive Officer since July 7, 2011. From April 2011 through July 6, 2011, Mr. Jones was our
Interim President and Chief Executive Officer. Mr. Jones was our Senior Vice President and Chief Operating Officer from April 2008 to April 2011. From
May, 2003 to March, 2008, Mr. Jones served first as the Vice President, Finance and then as Vice President, Strategy and Business Analysis of Adolor
Corporation. From November 2000 to May 2003 he served as Vice President, Finance and then as Chief Operating Officer of Opt-E-Script, Inc., a privately
held personalized medicine company, where Mr. Jones was responsible for all commercialization activities. Prior to that, Mr. Jones was Vice President,
Sales and Marketing for Purepac Pharmaceutical Company. Mr. Jones received his M.B.A. from the University of North Carolina and a B.S. from Cornell
University. Mr. Jones was appointed a director of the Company in July 2011.

Peter A. Clemens has been Senior Vice President, Chief Financial Officer and Secretary since April 2004. Mr. Clemens was our Vice President,
Chief Financial Officer and Secretary from February 1998 to March 2004 and a member of our Board of Directors from June, 1998 to August, 2004. Mr.
Clemens  is  Certified  Public  Accountant  (Inactive)  and  earned  a  Bachelor  of  Business  Administration  degree  from  the  University  of  Notre  Dame  and  a
Masters of Business Administration from Indiana University.

Albert  W.  Brzeczko,  Ph.D.,  has  been  Vice  President,  Pharmaceutical  Sciences,  of  APT  since  January  2019  and  has  been  Vice  President,
Technical Affairs of APT from February 2009 through 2018. From 1999 through 2009, Dr. Brzeczko was Vice President, Global Pharma New Product
Development and Pharma Technologies for International Specialty Products, Inc., a contract services group specializing in the development of technologies
for the bioenhancement of poorly soluble drugs. Prior to 1999, Dr. Brzeczko held various positions of increasing responsibility in pharmaceutical product
development  with  UPM  Pharmaceuticals,  Banner  Pharmacaps,  Mylan  Laboratories,  and  DuPont  Merck.  Dr.  Brzeczko  received  a  Bachelor  of  Science
degree in biochemistry and a Ph.D. in pharmaceutical sciences from the University of Maryland.

Robert A. Seiser  has  been  a  Vice  President,  Treasurer  and  Corporate  Controller  since  April  2004.  Mr.  Seiser  joined  us  in  March  1998  as  our
Treasurer and Corporate Controller. Mr. Seiser is a Certified Public Accountant (Inactive) and earned a Bachelor of Business Administration degree from
Loyola University of Chicago.

60

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
James F. Emigh has been Vice President of Corporate Development since October 2011. From April 2004 to October 2011, Mr. Emigh was our
Vice President of Marketing and Administration. Prior to such time, Mr. Emigh was our Vice President of Sales and Marketing. Mr. Emigh joined us in
May, 1998, serving first as Executive Director of Customer Relations and then as Vice President of Operations. Mr. Emigh holds a Bachelor of Pharmacy
degree from Washington State University and a Masters of Business Administration from George Mason University.

Bruce F. Wesson has been a member of our Board of Directors since March 1998. From January 1991 until June 30, 2011, Mr. Wesson was a
Partner  of  Galen  Associates,  a  health  care  venture  firm,  and  a  General  Partner  of  Galen  Partners  III,  L.P.  Prior  to  January  1991,  he  was  Senior  Vice
President and Managing Director of Smith Barney, Harris Upham & Co. Inc., an investment banking firm.  From May 2006 until June 2016 he served on
the Board of Derma Sciences, Inc. From June 1999 until January 2016 he served as director of the Board of MedAssets, Inc. and for over eight years until
January  2016  served  as  Vice  Chairman  of  MedAssets,  Inc.  Mr.  Wesson  earned  a  Bachelor  of  Arts  degree  from  Colgate  University  and  a  Masters  of
Business Administration from Columbia University.

William G. Skelly has been a member of our Board of Directors since May 1996 and served as our Chairman from October 1996 through June
2000. Since 1990, Mr. Skelly has served as Chairman, President and Chief Executive Officer of Central Biomedia, Inc. and its subsidiary SERA, Inc. From
1985 to 1990, Mr. Skelly served as President of Martec Pharmaceutical, Inc. Mr. Skelly earned a Bachelor of Arts degree from Michigan State University
and a Masters of Business Administration from the University of Missouri-Kansas City.

Immanuel Thangaraj has been a member of our Board of Directors since December 2002. Mr. Thangaraj has been a Managing Director of Essex
Woodlands Health Ventures, a venture capital firm specializing in the healthcare industry, since 1997.  Prior to joining Essex Woodlands Health Ventures,
he  helped  establish  a  telecommunication  services  company,  for  which  he  served  as  its  CEO.  Mr.  Thangaraj  holds  a  Bachelor  of  Arts  and  a  Masters  in
Business Administration from the University of Chicago.

George K. Ross has been a member of our Board of Directors since January, 2008. Since April 2002, Mr. Ross has been a consultant to early
stage businesses and a financial investor. From April 1, 2015 until its sale in March 2017, Mr. Ross was an advisor to GP Shopper LLC, a provider of
mobile solutions for retail and brands. From July 2005 through December 2010 he served as Executive Director, Foundations and Partnerships for World
Vision U.S. in New York City. His business career has included senior financial officer and board member positions with both public and private companies
in diverse industries. Mr. Ross was Executive Vice President and Chief Financial Officer and a board member of Tier Technologies Inc. from February
1997 to January 2000, which became a public company during this period. Mr. Ross is a Certified Public Accountant (Inactive) and earned a Bachelor of
Arts degree from Ohio Wesleyan University and a Masters of Business Administration from Ohio State University.

The  term  of  office  of  each  director  will  continue  until  the  next  annual  meeting  of  shareholders  and  until  such  person’s  successor  has  been  elected  and
qualified.  Officers  are  appointed  by  the  Board  of  Directors  and  serve  at  the  discretion  of  the  Board,  although  the  employment  of  Robert  B.  Jones,  our
President and Chief Executive Officer and Peter A. Clemens, our Senior Vice President and Chief Financial Officer are subject to the provisions of their
respective Employment Agreements.

Director Independence

Our shares of common stock were listed on The NASDAQ Capital Market until February 22, 2017 and were quoted on the OTCQB market until June 4,
2018. From June 4, 2018 through July 2, 2018 our stock was quoted on the OTC Markets’ OTC Pink Tier, when we regained compliance with the OTCQB
Market and resumed quotation on the OTCQB Market on July 3, 2018. Since May 20, 2019 our stock was been quoted on the OTC Markets’ OTC Pink
Tier due to our failure to comply with the filing deadlines for our 2018 Form 10K and 2019 Form 10-Qs. In March, 2020 we regained compliance with the
OTCQB Market and resumed quotation on the OTXQB Market on March 20, 2020. In 2016 we were subject to the Nasdaq Stock Market independence
standards and we continue to follow those standards in determining whether a director is independent for Board or Committee purposes. Under the rules of
The NASDAQ Stock Market, which we were subject to until February 22, 2017, independent directors must comprise a majority of our Board of Directors.
In  addition,  the  rules  of  The  NASDAQ  Stock  Market  require  that,  subject  to  specified  exceptions,  each  member  of  the  Audit  and  Compensation
Committees of our Board of Directors be independent. Audit Committee members must also satisfy the independence criteria set forth in Rule 10A-3 under
the  Securities  Exchange  Act  of  1934,  as  amended,  or  Exchange  Act.  Under  the  rules  of  The  Nasdaq  Stock  Market,  a  director  will  only  qualify  as  an
“independent  director”  if,  in  the  opinion  of  our  Board  of  Directors,  that  person  does  have  a  relationship  that  would  interfere  with  the  exercise  of
independent judgment in carrying out the responsibilities of a director.

61

 
 
 
 
 
 
 
 
 
 
In order to be considered to be independent for purposes of Rule 10A-3, a member of the Audit Committee of our Board of Directors may not, other than in
his or her capacity as a member of the Audit Committee, the Board of Directors or any other committee of our Board of Directors:

·

·

accept, directly or indirectly, any consulting, advisory, or other compensatory fee from us or any of our subsidiaries; or

be an affiliated person of us or any of our subsidiaries.

Our Board of Directors has undertaken a review of its composition, the composition of its committees and the independence of each director. In connection
with  this  review,  our  Board  of  Directors  determined  that  each  of  Messrs.  Wesson,  Skelly,  Thangaraj  and  Ross,  representing  four  of  our  five  directors,
satisfies the independence requirements of The NASDAQ Stock Market and Rule 10A-3 of the Exchange Act. In making this determination, our Board of
Directors considered the relationships that each non-employee director has with us and all other facts and circumstances our Board of Directors deemed
relevant in determining their independence, including the beneficial ownership of our share capital by each non-employee director and their affiliates. In
addition, our Board of Directors considered information that was provided by each director concerning his or her background, employment and affiliations,
including relationships with our stockholders.

Corporate Governance

Our  Board  of  Directors  has  established  an  Audit  Committee,  a  Compensation  Committee  and  a  Nominating  Committee.  Our  Audit  Committee  and  our
Compensation Committee operate under written charters approved by our Board of Directors, copies of which are available on our website and will be
made available in print to any shareholder who requests it. Currently, our entire Board serves as our Nominating Committee. A brief description of these
committees is provided below.

Audit Committee

The  Audit  Committee  is  composed  of  Mr.  Ross,  Chairman,  and  Messrs.  Wesson  and  Skelly.  The  Audit  Committee  is  responsible  for  selecting  the
Company’s registered independent public accounting firm, approving the audit fee payable to the auditors, working with independent auditors and other
corporate officials, reviewing the scope and results of the audit by, and the recommendations of, our independent auditors, approving the services provided
by  the  auditors,  reviewing  our  financial  statements  and  reporting  on  the  results  of  the  audits  to  the  Board,  reviewing  our  insurance  coverage,  financial
controls and filings with the SEC, including, meeting quarterly prior to the filing of our quarterly and annual reports containing financial statements filed
with  the  SEC,  and  submitting  to  the  Board  its  recommendations  relating  to  our  financial  reporting,  accounting  practices  and  policies  and  financial,
accounting and operational controls.

In assessing the independence of the Audit Committee in 2019, our Board reviewed and analyzed the standards for independence provided in NASDAQ
Marketplace Rule 5605 and applicable SEC regulations. Based on this analysis, our Board has determined that each of Messrs. Ross, Wesson and Skelly
satisfies  such  standards  for  independence.  Our  Board  also  determined  that  Mr.  Ross  is  a  “financial  expert”  as  provided  in  NASDAQ  Marketplace  Rule
5605(c)(3) and SEC regulations.

62

 
 
 
 
 
 
 
 
 
 
 
Compensation Committee

The Compensation Committee is composed of Mr. Skelly, Chairman, and Messrs. Wesson and Thangaraj. This committee is responsible for consulting with
and  making  recommendations  to  the  Board  of  Directors  about  executive  and  director  compensation  and  compensation  of  employees.  In  2019  the
Compensation  Committee  did  not  retain  a  compensation  consulting  firm,  to  assist  in  evaluating  stock  option  and  other  incentives  for  our  directors,
executive officers and other employees.

Our Board determined that each of Messrs. Skelly, Wesson and Thangaraj were independent directors under the Nasdaq Marketplace Rules. The Board has
also determined that each of Messrs. Skelly, Thangaraj and Wesson meet the more stringent independence standards for compensation committees imposed
under NASDAQ Rule 5605(d)(2)(A).

Nominating Committee

Currently our entire Board of Directors functions as our nominating committee. As needed, the Board will perform the functions typical of a nominating
committee, including the identification, recruitment and selection of nominees for election to our Board. Our Board determined that all members of the
Board were independent other than Mr. Jones, our CEO. We believe that a nominating committee separate from the Board is not necessary at this time
given our relative size, the size of our Board, and our opinion that an additional committee of the Board would not add to the effectiveness of the evaluation
and nomination process. The Board’s process for recruiting and selecting nominees for Board members, if required, would be to identify individuals who
are thought to have the business background and experience, industry specific knowledge and general reputation and expertise allowing them to contribute
as effective directors to our governance, and who would be willing to serve as directors of a public company. To date, we have not engaged any third party
to assist in identifying or evaluating potential nominees. If a possible candidate is identified, the individual will meet with each member of the Board and
be  sounded  out  concerning  his/her  possible  interest  and  willingness  to  serve,  and  Board  members  would  discuss  amongst  themselves  the  individual’s
potential to be an effective Board member. If the discussions and evaluation are positive, the individual would be invited to serve on the Board. To date, no
shareholder  has  presented  any  candidate  for  Board  membership  for  consideration,  and  we  do  not  have  a  specific  policy  on  shareholder-recommended
director  candidates.  The  Board  believes  its  process  for  evaluation  of  nominees  proposed  by  shareholders  would  be  no  different  than  the  process  of
evaluating any other candidate, and therefore the Board believes it is appropriate to not have a policy on shareholder-recommended director candidates.
The Board of Directors does not have a policy regarding diversity in identifying nominees for director.

The experience, qualifications, attributes or skills that led the Board to conclude that the current board members should serve are: (i) their pharmaceutical
industry and senior level management experience in the case of Messrs. Jones, Skelly, and Wesson; (ii) financial and senior level management expertise in
the  case  of  Mr.  Ross,  and  (iii)  their  experience  in  overseeing  management  as  principals  of  private  equity  firms  in  the  case  of  Messrs.  Wesson,  and
Thangaraj.  Although  our  Certificate  of  Incorporation  provides  for  a  maximum  of  11  directors,  in  accordance  with  the  terms  of  a  Second  Amended  and
Restated Voting Agreement dated as of July 24, 2017 executed by us, Mr. Schutte (“Schutte”), and Essex Woodlands Health Ventures V, L.P. (“Essex”),
(the “Second Amended and Restated Voting Agreement”), we have agreed that the Board of Directors shall be comprised of not more than seven members
(or  such  greater  number  that  is  required  to  assure  that  we  have  a  majority  of  independent  directors  after  giving  effect  to  the  various  designation  rights
described herein), one of whom shall be the designee of Schutte, one of whom shall be the designee of Essex, one of whom is our Chief Executive Officer
and  three  of  whom  are  independent  directors.  Mr.  Thangaraj  serves  as  the  designee  of  Essex.  The  Second  Amended  and  Restated  Voting  Agreement
provides that each of Schutte’s, and Essex’s right to designate one director will terminate when it or its affiliates (determined separately for each of Schutte
and  Essex)  fail  to  hold  at  least  600,000  shares  of  our  common  stock  (or  warrants  exercisable  for  such  shares).  The  Board  is  required  to  nominate  an
independent director upon forfeiture of a designation right. Mr. Schutte has not designated a nominee.

63

 
 
 
 
 
 
 
 
 
Compensation Committee Interlocks and Insider Participation

No member of the Compensation Committee was or currently is, an officer or employee of the Company, and no member of the Compensation Committee
had  any  relationship  with  us  requiring  disclosure  under  Item  404  of  SEC  Regulation  S-K.  None  of  our  executive  officers  has  served  on  the  Board  of
Directors  or  Compensation  Committee  of  any  other  entity  that  has  or  had  one  or  more  executive  officers  who  served  as  a  member  of  our  Board  of
Directors.

Separation of Roles of Chairman and CEO

Mr. Jones serves as Chief Executive Officer. Our Chairman of our Board of Directors resigned on March 11, 2013. A replacement Chairman has not been
elected to date. We believe the separation of offices is beneficial because a separate chairman (i) can provide the Chief Executive Officer with guidance and
feedback on his performance, (ii) provides a more effective channel for the Board to express its views on management, (iii) allows the chairman to focus on
shareholder interests and corporate governance while the Chief Executive Officer leads the Company’s strategy development and implementation. It is our
intention to seek to add to our Board additional members having significant senior level pharmaceutical experience, and that one of such additional Board
members will be entrusted by the Board to serve as Chairman.

Board’s Role in Risk Assessment

The Board as a whole engages in risk oversight as part of its functions. As an emerging pharmaceutical development company we face numerous risks
identified in this Annual Report on Form 10-K, many of which are outside of our control. In addition, the Audit Committee reviews our insurance coverage
and the Board and Audit Committee regularly monitor our liquidity position and operating expenses and review our capital-funding needs. The Company
believes the Board leadership structure effectively enables it to oversee risk management.

Shareholder Communications to the Board

Shareholders who wish to send communications to our Board of Directors may do so by sending them in care of our Secretary at Acura Pharmaceuticals,
Inc., 616 N. North Court, Suite 120 Palatine, Illinois 60067. The envelope containing such communication must contain a clear notation indicating that the
enclosed letter is a “Shareholder-Board Communication” or “Shareholder-Director Communication”  or  similar  statement  that  clearly  and  unmistakably
indicates the communication is intended for the Board. All such communications must clearly indicate the author as a shareholder and state whether the
intended recipients are all members of the Board or just certain specified directors. Our Secretary will have the discretion to screen and not forward to
Directors  communications  which  the  Secretary  determines  in  his  or  her  discretion  are  communications  unrelated  to  our  business  or  our  governance,
commercial solicitations, or communications that are offensive, obscene, or otherwise inappropriate. The Secretary will, however, compile all shareholder
communications which are not forwarded and such communications will be available to any Director.

Section 16(a) Beneficial Ownership Reporting Compliance

Section 16(a) of the Securities Exchange Act of 1934, as amended, requires our Directors and executive officers, and persons who own beneficially more
than ten percent (10%) of our common stock, to file reports of ownership and changes of ownership with the SEC. Copies of all filed reports are required to
be furnished to us pursuant to Section 16(a). Based solely on the reports received by us and on written representations from reporting persons, we believe
that  our  Directors,  executive  officers  and  greater  than  ten  percent  (10%)  beneficial  owners  of  our  common  stock  complied  with  all  Section  16(a)  filing
requirements during the year ended December 31, 2019.

Code of Ethics

Our Code of Ethics applicable to our principal executive officer, principal financial officer, principal accounting officer and all of our other employees is
available on our website, www.acurapharm.com, by clicking on “Corporate Governance” under the “Investors” tab.

64

 
 
 
 
 
 
 
 
 
 
 
 
 
 
ITEM 11. EXECUTIVE COMPENSATION

Summary Compensation Table and Discussion of Employment and Incentive Arrangements

The following table sets forth a summary of the compensation paid by us for services rendered in all capacities to us during each of the two fiscal years
ended December 31, 2019, to our Chief Executive Officer, and the two most highly compensated executive officers other than the Chief Executive Officer
who were serving as executive officers at the end of the last completed fiscal year (collectively, the “2019 named executive officers”) whose total annual
compensation for 2019 exceeded $100,000:

Bonus 
($)

RSU Stock
Awards(1) 
($)

Stock
Option
Awards(2) 
($)

Non-equity
incentive plan
compensation
($)

Name and Principal 
Position

Robert B. Jones,
President and CEO
Peter A. Clemens
SVP & CFO
Albert W. Brzeczko VP,
Pharmaceutical Sciences
of Acura Pharmaceutical
Technologies, Inc.

Year

2019   
2018   
2019   
2018   

Salary(3)
($)
123,000   
273,000   
164,000   
220,000   

2019   

180,000   

2018   

257,000   

---   
---   
---   
---   

---   

---   

---   
21,150   
---   
16,920   

---   

---   
4,750   
---   
3,800   

---   

Total
($)
  123,000 
  298,900 
  164,000 
  240,720 

---   
---   
---   
---   

---   

  180,000 

14,382   

13,230   

---   

  284,612 

(1) The RSU Stock Award grant date fair values are computed in accordance with FASB ASC Topic 718. The 2018 values represent (A) our last sale price
of  $0.1510  on  12/11/2018  less  $.01  par  value  multiplied  by  (B)  the  number  of  shares  underlying  RSUs  (150,000,  120,000  and  102,000,  in  the  case  of
Messrs. Jones, Clemens and Brzeczko, respectively). There were no RSU stock awards in 2019.

(2) The Stock Option grant date fair values are computed in accordance with FASB ASC Topic 718. The 2018 values represent (A) the computed grant date
fair value of the option of $0.0950 multiplied by (B) the number of underlying option shares (50,000, 40,000, and 34,000, in the case of Messrs. Jones,
Clemens and Brzeczko, respectively). To calculate the 2018 grant date fair value, we considered an assumed risk free interest rate of 2.8% and a historical
volatility percentage for our common stock of 76%, with an expected divided yield of 0%, an expected term of 5 years, and the option exercise price of
$0.1510. There were no stock option awards in 2019.

(3)  Salary  of  $123,000,  $164,000  and  $180,000  for  Messrs.  Jones,  Clemens  and  Brzeczko,  respectively,  reflects  impact  of  certain  voluntary  salary
reductions  enacted  in  2018  and  unpaid  leave  of  absences  during  2019.  The  current  base  salary  is  $150,000,  $200,000  and  $220,000  for  Messrs.  Jones,
Clemens and Brzeczko, respectively.

Other Compensatory Arrangements

Our executive officers participate in medical, dental, life and disability insurance plans provided to all of our employees.

65

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Bonus/Non-Equity Incentive Plan

Each of Messrs. Jones, Clemens and Brzeczko are eligible for annual bonuses. Each of Mr. Jones’ and Mr. Clemens’ bonuses are weighted at 100% to
achievement  of  organizational  goals,  while  the  bonuses  for  other  employees,  including  for  Dr.  Brzeczko  are  weighted  50%  to  the  achievement  of
organizational goals and 50% to the achievement of individual goals. In 2019 and 2018 our cash position did not allowed us to award bonuses under our
non-equity incentive compensation plan or otherwise increase salaries as reflected in the “Non-equity Incentive Compensation” column of the Summary
Compensation Table.

Material  organizational  goals  for  2020  include  securing  a  commercial  manufacturer  for  LTX-03,  completing  all  clinical  activities  for  LTX-03  and
submission and acceptance by the FDA of the NDA for LTX-03 by November 30, 2020 and securing a licensing partner for other LIMITx products in
development.

Material  organizational  goals  for  2019  included  completing  a  strategic  transaction,  partnership  or  financings  to  maximize  value  to  the  Company’s
shareholders and debt holder, advance commercial manufacturing scale-up of LTX-03, execute clinical studies for LTX-03, maintain compliance with SOX
and successfully manage our intellectual property.

No  compensation  will  be  earned  with  respect  to  a  performance  measure  unless  a  performance  “floor”  for  that  measure  is  exceeded;  the  incentive
opportunity with respect to a measure will be earned if the target is achieved; achievement between the floor and the target results in a lower amount of
award with respect to that performance measure. An amount larger than the incentive opportunity for each performance measure can be earned, up to and
possibly  exceeding  a  specified  limit,  for  exceeding  the  target  for  that  measure.  Depending  on  market  conditions  and  other  circumstances,  performance
criteria may be modified during the course of the year, and other performance criteria reweighted.

In  ascertaining  the  achieved  level  of  performance  against  the  targets,  the  effects  of  certain  extraordinary  events,  as  determined  by  the  Compensation
Committee,  such  as  (i)  major  acquisitions  and  divestitures,  (ii)  significant  one-time  charges,  and  (iii)  changes  in  accounting  principles  required  by  the
Financial  Accounting  Standards  Board,  are  “compensation  neutral”  for  the  year  in  which  they  occurred;  that  is,  they  are  not  taken  into  account  in
determining the degree to which the targets are met in that year.

The Compensation Committee may, after a review of an executive’s performance, recommend to the Board that a bonus award be made to such executives
based upon other non-enumerated performance targets (whether or not they are parties to employment agreements). This could result in the award of salary
increases or bonuses above a targeted range amount.

Employment Agreements

Robert  B.  Jones  commenced  employment  with  us  on  April  7,  2008  pursuant  to  an  Employment  Agreement  dated  March  18,  2008  as  our  Senior  Vice
President and Chief Operating Officer. On April 28, 2011, Mr. Jones was appointed our Interim President and Chief Executive Officer. On July 7, 2011, Mr.
Jones  was  named  President  and  Chief  Executive  Officer.  Mr.  Jones’  annual  salary  is  $150,000  (a  temporary  reduction  from  his  salary  under  the
Employment  Agreement  of  $393,000  because  of  our  need  to  preserve  cash).  The  term  of  the  Employment  Agreement  is  currently  scheduled  to  expire
December 31, 2020, and provides for automatic one year renewals in the absence of written notice to the contrary from us (which would give Mr. Jones the
right to terminate his employment for Good Reason) or Mr. Jones at least ninety days prior to the expiration of the initial term or any subsequent renewal
period.  Pursuant  to  the  Employment  Agreement  Mr.  Jones  is  eligible  for  annual  bonuses  of  up  to  100%  of  his  base  salary  on  the  achievement  of  such
targets, conditions, or parameters as may be set from time to time by the Board of Directors or the Compensation Committee of the Board of Directors. In
2018 and 2019, Mr. Jones did not receive a bonus.

On December 11, 2014, December 10, 2015, December 8, 2016, August 9, 2017 and December 11, 2018, we granted Mr. Jones stock options to purchase
50,400 shares, 70,000 shares, 47,000 shares, 47,000 shares and 50,000 shares of our common stock, respectively, in each case exercisable at the fair market
value  of  our  common  stock  at  the  date  of  grant  and  vesting  in  equal  installments  over  24  months,  except  that  the  August  9,  2017  grant  vested  in  one
installment  on  August  9,  2018;  and  the  December  11,  2018  grant  will  vest  in  one  installment  on  December  11,  2019  (in  each  case,  subject  to  earlier
exercisability as set forth in the table below entitled “Events Affecting Stock Option Vesting and Exercise”). “Fair market value” is the closing price for a
share of the common stock on the exchange or quotation system which reports or quotes the closing prices for a share of the common stock (or alternate
methodologies if no such quote is available).

66

 
 
 
 
 
 
 
 
 
 
 
 
On  December  11,  2017  and  December  11,  2018,  we  granted  Mr.  Jones  41,000  and  150,000  Restricted  Stock  Units  exchangeable  for  shares  of  the
Company’s  common  stock  on  a  1-for-1  basis  after  payment  of  $.01  par  value  per  share,  respectively.  The  41,000  Restricted  Stock  Units  vested  on
December 11, 2018. The 150,000 Restricted Stock Units will vest on December 11, 2019 or earlier if Mr. Jones’ service as an employee is terminated by us
without Cause (as defined in the 2017 Restricted Stock Unit Award Plan) or due to his death or Disability (as defined in the 2017 Restricted Stock Unit
Award  Plan)  or  a  qualifying  change  of  control  occurs.  Distributions  in  respect  of  such  vested  Restricted  Stock  Units  will  be  made  in  three  equal
installments, and in the case of the December 11, 2017 grant, will occur on the first business day of each of January 2020, 2021, and 2022, and in the case
of the December 11, 2018 grant, will occur on the first business day of each of January 2021, 2022, and 2023, or earlier upon a qualifying change of control
which also meets certain criteria of Section 409A of the Internal Revenue Code.

The Employment Agreement contains standard termination provisions, including upon death, disability, for Cause, for Good Reason and without Cause. In
the  event  that  we  terminate  the  Employment  Agreement  without  Cause  or  Mr.  Jones  terminates  the  Employment  Agreement  for  Good  Reason,  we  are
required to pay Mr. Jones an amount equal to the bonus for such year, calculated on a pro-rata basis assuming full achievement of the bonus criteria for
such  year  (to  the  extent  it  has  not  already  been  paid),  as  well  as  Mr.  Jones’  base  salary  for  one  year  (such  salary  amount  being  the  “Severance  Pay”).
Pursuant to an amendment to Mr. Jones’ Employment Agreement entered into in 2012, in case of termination without Cause and for Good Reason or for
voluntary termination more than two years after a Change of Control, such Severance Pay and bonus is payable in equal monthly installments over a period
of twelve months, with the first six installments payable six months and one day after termination, if mandated by applicable law, which requires certain
payments  to  certain  officers  of  a  public  company  (“specified  employees”)  to  be  made  commencing  six  months  after  termination.  However,  if  such
termination is without Cause, for Good Reason or for voluntary termination within two years of a qualifying Change of Control, then the Severance Pay
and bonus is payable in a lump sum six months and one day after termination (unless a six month delay is not required by applicable law in which case it is
payable 31 days after termination). In addition, upon a termination without Cause or for Good Reason or voluntarily after a Change of Control, any shares
remaining unvested under stock options and restricted stock units granted to Mr. Jones will vest in full and Mr. Jones will be entitled to continued coverage
under our then-existing benefit plans, including medical and life insurance, for twelve months from the date of termination.

The Employment Agreement restricts Mr. Jones from disclosing, disseminating or using for his personal benefit or for the benefit of others, confidential or
proprietary information (as defined in the Employment Agreement) and, provided we have not breached the terms of the Employment Agreement, from
competing with us at any time prior to one year after the termination of his employment with us. In addition, Mr. Jones has agreed not to (and not to cause
or  direct  any  person  to)  hire  or  solicit  for  employment  any  of  our  employees  or  those  of  our  subsidiaries  or  affiliates  (i)  for  six  months  following  the
termination  of  his  employment  by  us  without  Cause  or  by  him  for  Good  Reason,  prior  to  a  Change  of  Control,  (ii)  for  twelve  months  following  the
termination  of  his  employment  for  Cause,  prior  to  a  Change  of  Control,  or  (iii)  twenty-four  months  following  a  Change  of  Control.  The  table  entitled
“Events  Affecting  Stock  Option  Vesting  and  Exercise,”  below,  summarizes  the  vesting  and  exercisability  of  Mr.  Jones’  options  following  a  number  of
termination scenarios or a Change of Control.

Peter A. Clemens is employed pursuant to an Employment Agreement effective as of March 10, 1998, as amended, which provides that Mr. Clemens will
serve as our Senior Vice President and Chief Financial Officer for a term currently scheduled to expire December 31, 2020, and provides for automatic one
year renewals in the absence of written notice to the contrary from the Company or Mr. Clemens at least ninety (90) days prior to the expiration of any
renewal  period.  Pursuant  to  a  2008  amendment  to  the  Employment  Agreement,  our  non-renewal  of  the  Employment  Agreement  is  considered  as  a
termination without Cause for all purposes under the Employment Agreement. Mr. Clemens’ annual salary is $200,000 (a temporary reduction from his
salary under the Employment Agreement of $286,000 because of our need to preserve cash). His maximum bonus under our bonus plan is 70% of base
salary.  Mr.  Clemens’  bonus  is  based  on  the  achievement  of  such  targets,  conditions,  or  parameters  as  may  be  set  from  time  to  time  by  the  Board  of
Directors or the Compensation Committee of the Board of Directors.

67

 
 
 
 
 
 
On  December  11,  2014,  December  10,  2015,  December  8,  2016  August  9,  2017  and  December  11,  2018  we  granted  Mr.  Clemens  options  to  purchase
36,000 shares, 50,000 shares, 34,000 shares, 34,000 shares and 40,000 shares of our common stock, respectively, in each case at an exercise price equal to
the fair market value of our common stock at the date of grant and vesting in equal installments over 24 months, except that the August 9, 2017 grant
vested in one installment on August 9, 2018; and the December 11, 2018 grant will vest in one installment on December 11, 2019 (in each case, subject to
earlier exercisability as set forth in the table below entitled “Events Affecting Stock Option Vesting and Exercise”). “Fair market value” is the closing price
for  a  share  of  the  common  stock  on  the  exchange  or  quotation  system  which  reports  or  quotes  the  closing  prices  for  a  share  of  the  common  stock  (or
alternate methodologies if no such quote is available).

On December 11, 2017 and December 11, 2018, we granted Mr. Clemens 28,000 and 120,000 Restricted Stock Units, respectively, exchangeable for shares
of  the  Company’s  common  stock  on  a  1-for-1  basis  shares  after  payment  of  $.01  par  value  per  share.  The  28,000  Restricted  Stock  Units  vested  on
December 11, 2018. The 120,000 Restricted Stock Units will vest on December 11, 2019 or earlier if Mr. Clemens’ service as an employee is terminated by
us without Cause (as defined in the 2017 Restricted Stock Unit Award Plan) or due to his death or Disability (as defined in the 2017 Restricted Stock Unit
Award  Plan)  or  a  qualifying  change  of  control  occurs.  Distributions  in  respect  of  such  vested  Restricted  Stock  Units  will  be  made  in  three  equal
installments, and in the case of the December 11, 2017 grant, will occur on the first business day of each of January 2020, 2021, and 2022, and in the case
of the December 11, 2018 grant, will occur on the first business day of each of January 2021, 2022, and 2023, or earlier upon a qualifying change of control
which also meets certain criteria of Section 409A of the Internal Revenue Code.

The Employment Agreement contains standard termination provisions, including upon death, disability, for Cause, for Good Reason and without Cause. In
the event the Employment Agreement is terminated by us without Cause or by Mr. Clemens for Good Reason, we are required to pay Mr. Clemens an
amount equal to twice his then base salary, payable in the case of termination without Cause or for Good Reason six months and one day after termination
(unless he is not a specified employee at termination in which case payment is in a lump sum within 30 days following termination) and to continue to
provide  Mr.  Clemens  coverage  under  our  then  existing  benefit  plans,  including  medical  and  life  insurance,  for  a  term  of  24  months.  The  Employment
Agreement permits Mr. Clemens to terminate the Employment Agreement in the event of a Change in Control (as defined in the Employment Agreement),
in which case he would receive the same payments on the same schedule as on a termination for Good Reason. In addition, Mr. Clemens’ estate is entitled
to six month’s salary upon his death as well as a pro rata bonus for the number of months he worked in the year of his death. The Employment Agreement
also  restricts  Mr.  Clemens  from  disclosing,  disseminating  or  using  for  his  personal  benefit  or  for  the  benefit  of  others  confidential  or  proprietary
information (as defined in the Employment Agreement) and, provided we have not breached the terms of the Employment Agreement, from competing
with us at any time prior to two years after the earlier to occur of the expiration of the term and the termination of his employment. In addition, for a period
of two years from and after the effective date of the termination of his employment with us (for any reason whatsoever), (i) induce or attempt to influence
any employee of the Corporation or any of its subsidiaries or affiliates to leave its employ, or (ii) aid any person, business, or firm, including a supplier, a
competitor, licensor or customer of or our manufacturer for the Corporation, in any attempt to hire any person who shall have been employed by us or any
of  our  subsidiaries  or  affiliates  within  the  period  of  one  year  of  the  date  of  any  such  requested  aid.  The  table  entitled  “Events Affecting  Stock  Option
Vesting and Exercise,” below, summarizes the vesting and exercisability of Mr. Clemens’ options following a number of termination scenarios or a Change
of Control.

For purposes of Mr. Jones and Mr. Clemens severance pay, a Change of Control is generally defined, with certain exceptions, as

·

·

·

·

acquisition by a person or group of more than 50% of our outstanding shares

a merger, reorganization, consolidation of exchange, other than one in which current holders of our voting securities hold more than 50%
of our voting securities

a merger in which we are not the surviving corporation

a sale or license of substantially all of our assets

68

 
 
 
 
 
 
 
 
 
 
·

Acura going private (i.e. no longer files reports under the Exchange Act), unless the relevant employee (e.g., Jones, in the case of Jones’
severance and Clemens in the case of Clemens’ severance) “participates” in such transaction

Events Affecting Stock Option Vesting and Exercise (For Messrs. Jones and Clemens)

Event

Termination due to Death  

Vesting of All
Options (Options
are exercisable 
upon vesting)

Exercisability of Options

Options vest for one month
after death; after that no
additional vesting

Vested options immediately exercisable for
one year following termination  

Termination by Company Without
Cause or by Employee for Good
Reason or termination by Employee
following Change of Control

All options fully vest. 

Termination due to Disability  

No additional vesting  

Vested options immediately exercisable for
one year following termination Vested
options exercisable for 12 months for Mr.
Jones (twenty four months in the case of Mr.
Clemens)

Vested options immediately exercisable for
one year following termination  

Termination by the Company for
Cause or by executive other than for
Good Reason  

No additional vesting  

Vested options immediately exercisable for
40 days following termination  

Change of Control  

Options fully vest for Mr.
Jones and Mr. Clemens.  

Vested options immediately exercisable  

Dr. Brzeczko is not party to an employment agreement. Dr. Brzeczko was hired pursuant to an offer letter pursuant to which he received a $40,000 signing
bonus and commencing 2016 and thereafter, is eligible for annual bonuses of up to 50% of his base salary (increased from 35% in effect during 2015). Dr.
Brzeczko’s bonus is based on the achievement of such targets, conditions, or parameters as may be set from time to time by the Board of Directors or the
Compensation Committee of the Board of Directors. In 2018 and 2019 he received no bonus.

Upon commencement of his employment on February 9, 2009, Dr. Brzeczko received 4,800 RSUs vesting in equal installments over 24 months, and stock
options  exercisable  for  19,200  shares  of  common  stock  vesting  in  equal  installments  over  24  months.  Dr.  Brzeczko’s  annual  salary  is  $220,000  (a
temporary reduction from his salary of $291,000 because of our need to preserve cash). Dr. Brzeczko is eligible for and over the years of his employment,
Dr. Brzeczko has received annual option grants.

On December 8, 2016 August 9, 2017 and December 11, 2018 we granted Dr. Brzeczko options to purchase 35,000 shares, 35,000 shares, 35,000 shares,
and 34,000 shares of our common stock, respectively, in each case at an exercise price equal to the fair market value of our common stock at the date of
grant  and  vesting  in  equal  installments  over  24  months,  except  that  the  August  9,  2017  grant  vested  in  one  installment  on  August  9,  2018;  and  the
December 11, 2018 grant will vest in one installment on December 11, 2019 (in each case, subject to earlier exercisability as set forth in the table below
entitled “Events Affecting Stock Option Vesting and Exercise”). “Fair market value” is the closing price for a share of the common stock on the exchange
or quotation system which reports or quotes the closing prices for a share of the common stock (or alternate methodologies if no such quote is available).

69

 
 
 
 
 
 
 
 
On  December  11,  2017  and  December  11,  2018,  we  granted  Dr.  Brzeczko  28,000  and  102,000  Restricted  Stock  Units  exchangeable  for  shares  of  the
Company’s  common  stock  on  a  1-for-1  basis  after  payment  of  $.01  par  value  per  share,  respectively.  The  28,000  Restricted  Stock  Units  vested  on
December 11, 2018. The 102,000 Restricted Stock Units will vest on December 11, 2019 or earlier if Dr. Brzeczko’s service as an employee is terminated
by us without Cause (as defined in the 2017 Restricted Stock Unit Award Plan) or due to his death or Disability (as defined in the 2017 Restricted Stock
Unit  Award  Plan)  or  a  qualifying  change  of  control  occurs.  Distributions  in  respect  of  such  vested  Restricted  Stock  Units  will  be  made  in  three  equal
installments, and in the case of the December 11, 2017 grant, will occur on the first business day of each of January 2020, 2021, and 2022, and in the case
of the December 11, 2018 grant, will occur on the first business day of each of January 2021, 2022, and 2023, or earlier upon a qualifying change of control
which also meets certain criteria of Section 409A of the Internal Revenue Code.

Stock Option Plans

We maintain two stock option plans adopted in 2008 and 2016, respectively. Our option plans are administered by the Board of Directors. The Board of
Directors selects the employees, directors and consultants to be granted options under the plans and, subject to the provisions of each plan, determines the
terms and conditions and number of shares subject to each option. Any of our employees or employees of our subsidiary are eligible to receive incentive
stock options within the meaning of Section 422 of the Internal Revenue Code of 1986, or the Code (“ISOs”). Non-qualified stock options may be granted
to employees as well as non-employee directors and consultants under the plans as determined by the Board. Any person who has been granted an option
may, if they are otherwise eligible, be granted an additional option or options.

Each grant of an option is evidenced by an option agreement, and each option agreement specifies whether the option is an ISO or a non-qualified stock
option and incorporates such other terms and conditions as the Board of Directors acting in its absolute discretion deems consistent with the terms of the
plan, including, without limitation, a restriction on the number of shares of Common Stock subject to the option which first become exercisable during any
calendar year.

To the extent that the aggregate fair market value of the common stock of the Company underlying a grant of ISOs (determined as of the date such an ISO
is  granted),  which  first  become  exercisable  in  any  calendar  year,  exceeds  $100,000,  such  Options  shall  be  treated  as  non-qualified  stock  options.  This
$100,000 limitation shall be administered in accordance with the rules under Section 422(d) of the Code.

Upon the grant of an option to an employee, director or consultant the Board will fix the number of shares of common stock that the optionee may purchase
upon exercise of the option and the price at which the shares may be purchased. The option exercise price for ISOs shall not be less than the fair market
value of the common stock at the time the option is granted, except that the option exercise price shall be at least 110% of the fair market value where the
option  is  granted  to  an  employee  who  owns  more  than  10%  of  the  voting  power  of  all  of  our  classes  of  stock  or  any  parent  or  subsidiary.  The  option
exercise price for non-qualified stock options granted under the plans may be less than the fair market value of our common stock (“Discounted Options”).
“Fair market value” is the closing price for a share of the common stock on the exchange or quotation system which reports or quotes the closing prices for
a share of the common stock (or alternate methodologies if no such quote is available).

All  options  available  to  be  granted  under  each  plan  must  be  granted  within  ten  years  after  shareholder  approval  of  the  applicable  plan.  The  Board  will
determine the actual term of the options but no option will be exercisable after the expiration of 10 years from the date of grant. No ISO granted to an
employee who owns more than 10% of the combined voting power of all of our outstanding classes of stock may be exercised after five years from the date
of  grant.  Historically,  our  grants  to  employees  generally  vest  1/24th  each  month,  although  under  the  plans  any  vesting  schedule  is  permissible  as
determined by the Compensation Committee or the Board. However our option grants to employees dated August 9, 2017 and December 11, 2018 vest 12
months from issuance instead of ratably over 24 months. Our grants to director generally vest in equal quarterly installments over the calendar year. Since
2015 our option agreements include vesting upon a change of control (as defined in the 2016 Stock Option Plan). In addition, the plans provide options
may be accelerated by the Board of Directors in their discretion, including, upon a change of control, a proposed dissolution or liquidation of the Company,
in the event of a proposed sale of all or substantially all of the assets of the Company, or a merger of the Company.

70

 
 
 
 
 
 
 
 
 
All of our option plans allow the participant to elect to exercise options on a net exercise basis by allowing shares subject to the option to be withheld by
the Company in satisfaction of the option exercise price, and to satisfy the participant’s withholding tax payment obligations relating to the option exercise.

Options  granted  to  employees,  directors  or  consultants  under  the  plans  may  be  exercised  during  the  optionee’s  lifetime  only  by  the  optionee  during  his
employment or service with us or for a period not exceeding one year if the optionee ceased employment or service as a director or consultant because of
permanent or total disability within the meaning of Section 22(e)(3) of the Code. Options may be exercised by the optionee’s estate, or by any person who
acquired the right to exercise such option by bequest or inheritance from the optionee for a period of twelve months from the date of the optionee’s death. If
such option shall by its terms expire sooner, such option shall not be extended as a result of the optionee’s death.

The 2008 Stock Option Plan

The Company’s 2008 Stock Option Plan was adopted by the Board of Directors on March 14, 2008 and approved by our shareholders on April 30, 2008.
The 2008 Stock Option Plan permits the grant of ISO’s and non-qualified stock options to purchase up to 1,200,000 shares of our common stock. On June
25, 2009, the 2008 Stock Option Plan was amended to allow participants to require us to withhold common stock upon exercise of options for payment of
exercise price and statutory minimum withholding taxes. In April 2018 the 2008 Stock Option Plan expired and the remaining 196,200 unissued shares
allocated to the Plan were terminated. As of December 31, 2019, stock options to purchase 791,893 shares of common stock are outstanding under the 2008
Stock Option Plan and 48,000 options are non-qualified and 743,893 options are ISOs. The weighted average exercise price per share for all outstanding
options under the 2008 Stock Option Plan as of December 31, 2019 was $7.28.

The 2016 Stock Option Plan

The Company’s 2016 Stock Option Plan, as amended, was adopted by the Board of Directors and approved by our shareholders in April 2016. The 2016
Stock Option Plan permits the grant of ISO’s and non-qualified stock options to purchase in the aggregate up to 600,000 shares of our common stock. As of
December 31, 2019, stock options to purchase 564,356 shares of common stock are outstanding under the 2016 Stock Option Plan and all are ISOs. Up to
60,000 shares underlying options may be granted to any participant in a calendar year under the 2016 Stock Option Plan. The weighted average exercise
price per share for all outstanding options under the 2016 Stock Option Plan as of December 31, 2019 was $0.47.

Restricted Stock Unit Award Plan

The 2014 Restricted Stock Unit Award Plan

The Company’s 2014 Restricted Stock Unit Award Plan (the “2014 RSU Plan”) was approved by the Company’s Board of Directors in February 2014 and
by our shareholders in May 2014. Under the 2014 RSU Plan, a Restricted Stock Unit (“RSU”) represents the right to receive (upon payment of $0.01 par
value per share) a share of the Company’s common stock (or under certain circumstances, cash in lieu thereof (“Cash Settled RSUs”)) at a designated time
or upon designated events.

The maximum aggregate number of shares which may be subject to RSUs granted under the 2014 RSU Plan is 400,000 shares of authorized, but unissued
or reacquired common stock. Payment of Cash Settled RSUs will reduce such limit. If an RSU should expire or become forfeited for any reason without the
underlying shares of common stock or cash subject to such RSU having been distributed, the underlying shares shall, unless the 2014 RSU Plan shall have
been  terminated,  become  available  for  further  grant  under  the  2014  RSU  Plan.  Unless  terminated  earlier  by  the  Board  of  Directors,  the  RSUs  may  be
distributed under the 2014 RSU Plan until April 30, 2024.

71

 
 
 
 
 
 
 
 
 
 
 
 
As of March 30, 2020 we had granted RSUs under the 2014 RSU Plan providing for our issuance of an aggregate of 400,000 shares of our common stock
and there are no remaining shares available for grant. At March 30, 2020, approximately 3,156 RSU awards remain outstanding under our 2014 RSU Plan.

Because there were a limited number of shares available for issuance under the 2014 RSU Plan, our shareholders approved the 2017 Restricted Stock Unit
Award  Plan  in  November  2017.  The  description  of  the  2017  Restricted  Stock  Unit  Award  Plan,  under  the  captions,  “Terms”,  “Administration”,
“Amendment and Termination”, and “Adjustment upon Capitalization and Merger”, below are similar to the provisions of the 2014 RSU Plan, with the
significant differences noted under such captions.

The 2017 Restricted Stock Unit Award Plan

The Company’s 2017 Restricted Stock Unit Award Plan (the “2017 RSU Plan”) was approved by the Company’s Board of Directors on September 8, 2017
and  approved  by  shareholders  on  November  8,  2017.  Under  the  2017  RSU  Plan,  a  Restricted  Stock  Unit  (“RSU”)  represents  the  right  to  receive  (upon
payment of $0.01 par value per share) a share of the Company’s common stock (or under certain circumstances, cash in lieu thereof (“Cash Settled RSUs”))
at a designated time or upon designated events.

Number of RSUs that may be granted. The  maximum  aggregate  number  of  shares  which  may  be  subject  to  RSUs  granted  under  the  2017  RSU  Plan  is
1,500,000 shares of authorized, but unissued, or reacquired common stock. (See “Adjustments Upon Changes in Capitalization or Merger” below.) If an
RSU should expire or become forfeited for any reason without the underlying shares of common stock or cash subject to such RSU having been distributed,
the underlying shares shall, unless the 2017 RSU Plan shall have been terminated, become available for further grant under the 2017 RSU Plan. The 2017
RSU Plan has no limit on the number of RSUs that may be granted to an individual employee, consultant or director in any calendar year. Payment of Cash
Settled  RSUs  (as  hereinafter  defined)  will  reduce  such  limit. As  of  March  30,  2020  we  had  granted  RSUs  under  the  2017  RSU  Plan  providing  for  our
issuance of an aggregate of 1,500,000 shares of our common stock and there are no remaining shares available for grant. At March 30, 2020, approximately
839,000 awards remain outstanding under our 2017 RSU Plan.

Purpose.  The  2017  RSU  Plan  is  intended  to  assist  the  Company  in  securing  and  retaining  employees,  consultants  and  directors  by  allowing  them  to
participate  in  the  ownership  and  growth  of  the  Company  through  the  RSUs.  The  granting  of  RSUs  serves  as  partial  consideration  for  and  gives  key
employees, directors and consultants an additional inducement to, remain in the service of the Company and will provide them with an increased incentive
to work for the Company’s success. Cash Settled RSUs give Non-Employee Directors the ability to pay tax on their other RSUs distributed simultaneously
therewith. Employees have a separate right to have stock withheld in payment of withholding taxes.

Administration

The 2017 RSU Plan is administered by the Company’s Board of Directors, or, except with respect to matters involving non-employee Directors (“Non-
Employee Directors”), the Compensation Committee, provided it is comprised of not less than two members of the Board, each of whom must be Non-
Employee Directors as that term is defined in Rule 16b-3(b)(3)(i) of the Exchange Act (the “Committee”).

Powers of the Board/Committee. The Board/Committee has the authority, subject to the provisions of the 2017 RSU Plan, to establish, adopt and revise
such rules, regulations and forms and agreements and to interpret the 2017 RSU Plan and make all determinations relating to the 2017 RSU Plan as it may
deem necessary or advisable. The Board/Committee also has the authority, subject to the provisions of the 2017 RSU Plan, to delegate ministerial, day-to-
day administrative details and non-discretionary duties and functions to officers and employees of the Company. In the administration of the 2017 RSU
Plan  with  respect  to  Non-Employee  Directors,  the  Board  has  all  of  the  authority  and  discretion  otherwise  granted  to  the  Committee  with  respect  to  the
administration of the 2017 RSU Plan. All decisions, determinations and interpretations of the Board/Committee are binding and conclusive on participants
in the 2017 RSU Plan and on their legal representatives and beneficiaries.

72

 
 
 
 
 
 
 
 
 
 
 
Director Participation in the RSU Plan. Non-Employee Directors are eligible to receive RSU grants under the 2017 RSU Plan, and it is expected that RSU
awards under the 2017 RSU Plan will represent the annual equity compensation component of Non-Employee Directors’ compensation.

RSU Plan Eligibility. RSUs may be granted to any of the Company’s Non-Employee Directors, any of the Company’s employees or consultants, or any
employees or consultants of any of the Company’s subsidiary corporations, including officers (collectively, “Eligible Participants”). For purposes of the
2017 RSU Plan employees or consultants of the Company also mean employees or consultants of the Company’s subsidiary. As of March 30, 2020 all of
the Company’s 12 full-time employees and four Non-Employee Directors of the Company will be eligible participants (“Participants”) in the 2017 RSU
Plan.  Any  Eligible  Participant  who  has  been  granted  an  RSU  may  be  granted  additional  RSUs.  The  RSU  Plan  does  not  confer  any  rights  upon  any
Participant with respect to continuation of employment or service as an employee, consultant or a Non-Employee Director.

Terms

RSU  Award  Agreement.  Each  RSU  granted  under  the  2017  RSU  Plan  is  evidenced  by  a  written  award  agreement  (“RSU  Award Agreement”),  which
contains the terms and conditions of the specific RSU granted.

Vesting  of  RSUs.  RSUs  generally  vest  as  set  forth  in  the  RSU  Award  Agreement.  In  addition,  unless  expressly  provided  otherwise  in  the  RSU  Award
Agreement, each RSU immediately vests and is nonforfeitable to the Participant upon the occurrence of any of the following events:

(1) a Participant’s service as an employee of the Company is terminated by the Company without Cause (as defined) or due to the Participant’s
death or disability (as defined), or in the case of a Non-Employee Director, upon the Participant’s death or Disability or if the Participant is not renominated
as a director (other than for “Cause” or refusal to stand for re-election) or is not elected by the Company’s stockholders, if nominated; or

(2) a qualifying change of control, referred to as a Change in Control-Plan (as defined in the 2017 RSU Plan)

Accelerated vesting does not directly translate into accelerated distribution of shares subject to an RSU Award. For instance if the Company terminates an
employee’s  employment  without  Cause,  such  employee’s  RSUs  will  immediately  vest  (unless  otherwise  provided  in  the  RSU  Award  Agreement)  but,
absent a qualifying change of control the employee will not commence to receive the shares underlying his RSU award until the scheduled distribution
date.

Distribution of Shares Underlying RSUs. Under the 2017 RSU Plan, (unless an award provides otherwise, vesting is accelerated as provided above under
“Vesting of RSUs” or a Change of Control-Plan occurs as described below), stock underlying vested RSUs is generally distributed on the first business day
of the year after they vest. Hence, if an award to a Non-Employee Director vests as scheduled in full over four quarters during 2019, it will be generally be
distributed the first business day of January 2020. However, the Company may set other distribution dates, with respect to awards to Participants, including
Non-Employee Directors. Under the 2014 RSU Plan Non-Employee Directors (but not other Participants) could designate the length of the deferrals. This
is not the case with the 2017 RSU Plan, where only the Company can set the distribution dates for all Participants. Non-Employee-Directors may elect to
take payment in cash instead of stock for up to 40% of the RSUs in an award (rendering such RSUs as “Cash Settled RSUs”). With respect to Participants
for whom the Company is required to withhold taxes (generally employees) the Company may mandate such Participants or such Participants may elect
that  the  Company  withhold  stock  otherwise  payable  on  exchange  of  an  RSU  to  pay  withholding  taxes  (this  differs  from  the  2014  RSU  Plan  where  the
Company could not mandate withholding stock to pay withholding taxes). The cash payment election or withholding election may be made at any time
before distribution, but any such cash payment or withholding is subject to any limits on redemption under any preferred stock, loan or other financing
agreement. The Company has the option of establishing a RSU award that defers distributions to a Participant, including in installments (e.g., 25% of RSUs
to be paid in 2019, 2020, 2021 and 2022). If a Change of Control-Plan which is also a Change in Control-409A occurs, all vested shares of common stock
underlying an RSU (after payment or withholding of $0.01 per share par value) will be distributed by the Company to the holder of the RSU at or about the
time  of  the  Change  in  Control-Plan.  No  dividends  accrue  on  shares  of  common  stock  underlying  RSUs  prior  to  distribution.  Participants  need  not  be
employees, consultants or directors of the Company on a distribution date. A Change in Control-409A for distribution purposes is generally the same as a
Change  in  Control-Plan  for  vesting  purposes,  except  that  in  order  to  have  a  Change  in  Control-409A  for  distribution  purposes,  a  change  in  control
qualifying under Section 409A of the Code must occur. In lieu of requiring cash payment of par value, the Company may, in its discretion or shall at the
Participant’s request, accept payment of any such par value by withholding from stock payments a number of whole shares of stock whose value is equal to
the amount of such par value, provided the same does not cause the Redemption Limit to be exceeded.

73

 
 
 
 
 
 
 
 
 
 
 
Non Transferability of RSUs. RSUs may not be sold, pledged, assigned, hypothecated, transferred, or disposed of in any manner by the Participant other
than by will or by the laws of descent or distribution and the Committee may, in its discretion, authorize all or a portion of the RSUs to be granted to a
Participant to be on terms which permit transfer by such Participant to (i) the spouse, children or grandchildren of the awardee (the “Immediate Family
Members”),  (ii)  a  trust  or  trusts  for  the  exclusive  benefit  of  such  Immediate  Family  Members,  or  (iii)  a  partnership  in  which  such  Immediate  Family
Members are the only partners, provided that (x) there may be no consideration for any such transfer, (y) subsequent transfers of transferred RSUs shall be
prohibited except those made by will or by the laws of descent or distribution, and (z) such transfer is approved in advance by the Committee (or Board in
absence of a Committee). A married Participant may generally designate only a spouse as a beneficiary unless spousal consent is obtained.

Termination  of  Status  as  an  Employee  or  Non-Employee  Director.  See  “Vesting  of  RSUs”,  above  for  a  discussion  of  vesting  upon  termination  of
employment or service as a Non-Employee Director.

Dividend and Voting Rights. Unless other provided in an RSU Award Agreement, Participants have no dividend rights and no voting rights with respect to
the shares underlying RSUs until the RSUs settle in shares of common stock.

Amendment and Termination of the RSU Plan

The Board may terminate and, without shareholder approval, unless the same is required by the rules of the exchange where the Company’s stock trades, or
applicable law, amend the 2017 RSU Plan.

Adjustments upon Changes in Capitalization or Merger

Upon or in contemplation of any reclassification, recapitalization, stock split (including a stock split in the form of a stock dividend) or reverse stock split;
any  merger,  combination,  consolidation  or  other  reorganization;  any  split-up;  spin-off,  or  similar  extraordinary  dividend  distribution  with  respect  to  the
common  stock  (whether  in  the  form  of  securities  or  property);  any  exchange  of  stock  or  other  securities  of  the  Company,  or  any  similar,  unusual  or
extraordinary corporate transaction with respect to the common stock; or a sale of substantially all the assets of the Company as an entirety; then the Board
shall proportionately adjust any or all of (a) the number and type of shares of common stock (or other securities or property) that thereafter may be made
the subject of RSUs, (b) the number, amount and type of shares of common stock (or other securities or property) payable with respect to RSUs, and (c)
and the number and type of RSUs (both credited and vested) under the 2017 RSU Plan.

Outstanding Equity Awards at 2019 Year End

The following table presents information regarding outstanding restricted stock unit and stock option awards at December 31, 2019 for each of the 2019
named executive officers.

74

 
 
 
 
 
 
 
 
 
 
 
Stock Option Awards

Number of
Securities
Underlying
Unexercised
Options (#)
Exercisable

Number of
Securities
Underlying 
Unexercised
Options

(#) Unexercisable    

Option
Exercise 
Price ($)

Option
Expiration 
Date

Stock Awards 
(in Form of Restricted 
Stock Units)

Number of
Restricted 
Stock Units
that have not
vested (#)

Market value 
of shares of
units of stock 
that have not 
vested ($)

----    $

---- 

50,000     
16,000     
47,000     
18,000     
27,500     
50,400     
70,000     
47,000     
50,000     

8,000     
7,000     
34,000     
10,000     
15,000     
36,000     
50,000     
34,000     
40,000     

6,400     
7,000     
14,000     
35,000     
15,000     
28,800     
50,000     
35,000     
34,000     

---    $
---    $
---    $
---    $
---    $
---    $
---    $
---    $
---    $
---     
---    $
---    $
---    $
---    $
---    $
---    $
---    $
---    $
     $
---     
---    $
---    $
---    $
---    $
---    $
---    $
---    $
---    $
---    $

15.10    12/15/2020
18.60    12/14/2021
0.450    08/08/2022
13.05    12/13/2022
7.75    12/11/2023
2.60    12/10/2024
2.01    12/09/2025
0.915    12/07/2026
0.151    12/11/2023

15.10    12/15/2020
18.60    12/14/2021
0.450    08/08/2022
13.05    12/13/2022
7.75    12/11/2023
2.60    12/10/2024
2.01    12/09/2025
0.915    12/07/2026
0.151    12/11/2023

15.10    12/15/2020
18.60    12/14/2021
13.05    12/13/2022
0.450    08/08/2022
7.75    12/11/2023
2.60    12/10/2024
2.01    12/09/2025
0.915    12/07/2026
0.151    12/11/2023

----    $

---- 

---    $

---- 

Name

Robert B. Jones

Peter A. Clemens

Albert W. Brzeczko    

Director Compensation

The following table sets forth a summary of the compensation paid by us to our Directors (other than Robert Jones, whose compensation, is reflected in the
Summary Compensation Table) for services rendered in all capacities to us during the fiscal year ended December 31, 2019:

2019 DIRECTOR COMPENSATION

Director  

Fees Earned or Paid
in Cash ($)(4)  

  $
William G. Skelly
  $
Bruce F. Wesson
Immanuel Thangaraj   $
  $
George K. Ross

11,875     $
10,625     $
6,833 (3)    $
13,125     $

Stock Awards 
(in form of
Restricted 
Stock Units)
($)(1)

    Option Awards ($)(2)     

Total ($)  

10,833   
10,833   
10,833   
10,833   

---    $
---    $
---    $
---    $

22,708 
21,458 
17,666 
23,958 

(1) Represents the grant date fair value of restricted stock units, or RSUs with respect to the 83,333 RSUs granted to Messrs. Skelly, Wesson,
Thangaraj and Ross under our 2017 RSU Plan based on a closing common stock price of $0.14 on January 2, 2019 less $0.01 par value.

75

 
 
 
 
 
 
 
   
   
 
   
 
   
      
      
      
   
 
   
   
      
  
 
   
   
      
  
 
   
   
      
  
 
   
   
      
  
 
   
   
      
  
 
   
   
      
  
 
   
   
      
  
 
   
   
      
  
 
   
   
      
  
   
      
      
   
 
   
   
      
  
 
   
   
      
  
 
   
   
      
  
 
   
   
      
  
 
   
   
      
  
 
   
   
      
  
 
   
   
      
  
 
   
   
      
  
 
   
   
      
  
      
      
   
 
   
   
      
  
 
   
   
      
  
 
   
   
      
  
 
   
   
      
  
 
   
   
      
  
 
   
   
      
  
 
   
   
      
  
 
   
   
      
  
 
   
   
      
  
 
 
 
 
 
   
 
 
 
 
 
 
 
In January 2019, based on a closing common stock price of $0.1147 on December 31, 2018 less $0.01 par value, Messrs. Skelly, Wesson,
Thangaraj and Ross each realized approximately $6,980 by exchanging 66,666 RSUs at 0.01 par value per share received from their 2018
grant for 66,666 shares of common stock.

As of December 31, 2019, Messrs. Skelly, Wesson, Thangaraj and Ross each held 83,333 fully vested RSUs and are distributable to them on
January 2, 2020.

(2) Each of Messrs. Skelly, Wesson, Thangaraj and Ross held vested options with respect to 12,000 underlying shares as of December 31, 2019.

(3) Director fees for Mr. Thangaraj are remitted to Essex Woodlands.

(4) In  order  to  conserve  cash,  the  directors  waived  their  fees  for  the  first  and  second  quarter  2019  while  reducing  their  fees  by  fifty  percent

beginning with the third quarter 2019.

Had the Directors not waived a portion of their cash compensation they would have received the following compensation under the reduced percentage:

·
·
·
·
·

the annual retainer for each non-employee director of $15,000;
there are no separate Board meeting fees;
an additional retainer for the Chairman of the Board (unfilled at present) of $10,000;
Audit Committee members receive a retainer of $3,750 per year (with no separate per meeting fee);
Audit Committee Chairperson receives an additional annual retainer of $5,000 (in addition to the $3,750 retainer as an Audit Committee
member);
Compensation Committee members receive an annual retainer of $2,500 with no separate per meeting fee;

·
· Compensation Committee Chairperson receives a $2,500 annual retainer (in addition to the $2,500 retainer for Compensation Committee

members); and

In  addition,  commencing  in  2014,  directors  receive  annual  equity  awards  valued  at  $50,000  in  the  form  of  stock  options  or  RSUs.  For  RSUs  this  is
determined by dividing $50,000 by the greater of (i) the Company’s closing stock price on the date of grant, or (ii) the minimum stock price or floor (if
any) imposed by the Board.

·

·

·

For  the  2018  award,  the  Board  decided  there  would  be  a  minimum  stock  price  of  $0.75,  and  as  a  result,  each  director  was  awarded
66,666 RSUs. The Company’s closing stock price on January 2, 2018 of $0.75 was not used. These awards were distributed to them on
January 2, 2019.

For the 2019 award and beyond, the Board decided the minimum stock price will be $1.00, but in each case, subject to reevaluation by
them. For the 2019 award, the Board reevaluated the minimum stock price and it was changed to $0.60 resulting in each director being
awarded 83,333 RSUs. The Company’s closing stock price on January 2, 2019 of $0.1395 was not used.

For  the  2020  award,  the  Board  reevaluated  the  minimum  stock  price  and  it  was  changed  to  $0.91  resulting  in  each  director  being
awarded 54,790 RSUs. The Company’s closing stock price on January 2, 2020 of $0.28 was not used.

We also reimburse directors for travel and lodging expenses, if any, incurred in connection with attendance at Board meetings. Directors who are also our
employees receive no additional or special remuneration for their services as directors.

76

 
 
 
 
 
 
 
 
 
 
 
 
 
 
ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER

MATTERS

Security Ownership of Certain Beneficial Owners and Management

The following table sets forth information regarding the beneficial ownership of the common stock, as of February 15, 2020, for individuals or entities in
the  following  categories:  (i)  each  of  the  Company’s  Directors;  (ii)  the  Company’s  principal  executive  officer,  and  the  next  two  highest  paid  executive
officers  of  the  Company  whose  total  annual  compensation  for  2019  exceeded  $100,000  (the  “2019  named  executive  officers”);  (iii)  all  Directors  and
executive  officers  as  a  group;  and  (iv)  each  person  known  by  the  Company  to  be  a  beneficial  owner  of  more  than  5%  of  the  common  stock.  Unless
indicated otherwise, each of the shareholders has sole voting and investment power with respect to the shares beneficially owned. At February 15, 2020,
there were 21,650,294 shares of our common stock outstanding. Shares of common stock issuable pursuant to stock options, warrants and restricted stock
units  exercisable  or  exchangeable  within  60  days  are  deemed  outstanding  and  held  by  the  holder  of  such  options  warrants  or  restricted  stock  units  for
computing  the  percentage  of  the  person  holding  such  options,  warrants  or  restricted  stock  units,  but  are  not  deemed  outstanding  for  computing  the
percentage of any other person. There were no restricted stock units or common stock options exchangeable within 60 days of February 15, 2020.

Name of Beneficial Owner

  Amount Owned  

Percent of 
Class (1)

John Schutte 
c/o MainPointe Pharmaceuticals, LLC 
333 E. Main Street, Suite 200 
Louisville, KY 40202
Abuse Deterrent Pharma, LLC 
333 E. Main Street, Suite 220 
Louisville, KY 40202
Essex Woodlands Health Ventures Fund V, L.P. 
21 Waterway Avenue, Suite 225 
Woodlands, TX 77380
Robert B. Jones
William G. Skelly
Bruce F. Wesson
Peter A. Clemens
Immanuel Thangaraj
Albert W. Brzeczko
George K. Ross
All Officers and Directors as a Group (9 persons)

  10,695,186 (2)   

45.6%

  47,400,000 (3)   

68.6%

1,956,396 (4)   
802,122 (5)   
346,867 (6)   
612,926 (7)   
595,377 (8)   
218,525 (9)   
550,534 (10)   
266,381 (11)   
4,376,850(12)  

9.0%
3.6%
1.6%
2.8%
2.7%
1.0%
2.5%
1.2%
19.3%

* Represents less than 1% of the outstanding shares of the Company’s common stock.

(1)

(2)

(3)

(4)

Shows percentage ownership assuming (i) such party converts all of its currently convertible securities or securities convertible within 60
days of February 15, 2020 into the Company’s common stock, and (ii) no other Company security holder converts any of its convertible
securities. No shares held by any Director or 2019 named executive officer has been pledged as collateral security.

Includes warrants to purchase 1,782,531 shares held by Mr. Schutte.

Includes both a warrant to purchase 10,000,000 shares at $0.01 per share and 37,500,000 shares issuable upon conversion of $6.0 million
Note at $0.16 per share held by AD Pharma.

Mr. Thangaraj is the Board designee of Essex Woodlands Health Ventures Fund V, L.P. (“Essex”). Essex Woodlands Health Ventures V,
L.L.C., a Delaware limited liability company is the general partner of Essex. Martin P. Sutter and Immanuel Thangaraj may be deemed to
have shared dispositive power and voting power with respect to the securities held by the Essex. Messrs. Sutter and Thangaraj disclaim
beneficial ownership of such securities except to the extent of their respective pecuniary interests therein.

(5)

Includes 375,900 shares subject to stock options exercisable within 60 days of February 15, 2020. Does not include RSUs.

77

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(6)

(7)

(8)

(9)

Includes 9,000 shares subject to stock options exercisable within 60 days of February 15, 2020. Does not include RSUs.

Includes 9,000 shares subject to stock options exercisable within 60 days of February 15, 2020. Does not include RSUs.

Includes 234,000 shares subject to stock options exercisable within 60 days of February 15, 2020. Does not include RSUs.

Includes 9,000 shares subject to stock options exercisable within 60 days of February 15, 2020. Mr. Thangaraj’s holdings do not include
securities held by Essex. Mr. Thangaraj disclaims beneficial ownership in securities held by Essex except to the extent of his pecuniary
interest therein. Does not include RSUs.

(10)

Includes 225,200 shares subject to stock options exercisable within 60 days of February 15, 2020. Does not include RSUs.

(11)

Includes 9,000 shares subject to stock options exercisable within 60 days of February 15, 2020. Does not include RSUs.

(12)

Includes 1,083,734 shares which Directors and executive officers have the right to acquire within 60 days of February 15, 2020 through
exercise of outstanding stock options. Does not include RSUs.

Securities Authorized For Issuance under Equity Compensation Plans

The  following  table  includes  information  as  of  December  31,  2019  relating  to  our  2008  Stock  Option  Plan,  our  2016  Stock  Option  Plan,  our  2014
Restricted Stock Unit Award Plan, and our 2017 Restricted Stock Award Plan, which comprise all of our equity compensation plans. The table provides the
number of securities to be issued upon the exercise of outstanding options and distributions under outstanding Restricted Stock Unit Awards under such
plans, the weighted-average exercise price of outstanding options and the number of securities remaining available for future issuance under such equity
compensation plans:

Plan Category

Stock Option Equity Compensation Plans Approved by
Security Holders
Stock Option Equity Compensation Plans Not Approved by
Security Holders
Restricted Stock Unit Equity Compensation Plans Approved
by Security Holders
Restricted Stock Unit Equity Compensation Plans Not
Approved by Security Holders
TOTAL

Number Of 
Securities 
to Be Issued Upon
Exercise of
Outstanding Options,
Warrants and Rights
(Column a)

Weighted-Average
Exercise Price of
Outstanding Options, 
Warrants and Rights 
(Column b)

Number of Securities
Remaining Available for
Future Issuance Under
Equity Compensation Plans 
(Excluding Securities
Reflected in Column 
a (Column c)

1,356,251    $

---   

1,017,333    $

---   

2,373,584    $

78

4.45   

---   

0.01   

---   
2.55   

34,478 

--- 

--- 

--- 
34,478 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE

Certain Relationships and Related Transactions

The  Company  and  certain  investors  are  party  to  a  Voting  Agreement.  As  amended  in  October  2012  (but  prior  to  the  2017  amendment),  the  Voting
Agreement provided our Board of Directors will be comprised of not more than seven (7) members one of whom shall be the CEO, three of whom would
be  independent  under  Nasdaq  standards,  and  that  Essex  had  the  right  to  designate  one  director  as  a  member  of  our  Board  of  Directors  as  long  as  such
shareholder held 600,000 shares of our common stock (including warrants to purchase shares), provided that once such shareholder no longer held such
securities, the additional forfeited seat would become a seat for an independent director to thereafter be nominated and elected to the Board of Directors
from time to time by the then current directors and, as applicable to be elected by the directors to fill the vacancy created by the forfeited seat or submitted
to  the  Company’s  shareholders  at  the  next  annual  meeting.  The  Voting  Agreement  provided  that  if  the  majority  of  the  Board  of  Directors  were  not
independent under Nasdaq Marketplace Rules then, the Board would be expanded so that additional independent directors would be added. At the time of
the  October  2012  amendment,  Mr.  Thangaraj  became  the  designee  of  Essex,  as  one  of  three  remaining  successors  to  GCE  Holdings,  LLC  (an  entity
controlled by others including Essex). In addition, Essex has the right to designate a member to any committee of our Board of Directors, provided that in
the case of the Audit and Compensation committees they are independent under applicable NASDAQ rules.

Mr. Schutte is chief executive officer and owner of MainPointe Pharmaceuticals, LLC. (“MainPointe”), a Kentucky limited liability company. In March
2017, prior to Mr. Schutte becoming a shareholder, we entered into a License, Commercialization and Option Agreement (the “MainPointe Agreement”)
with  MainPointe  to  commercialize  Nexafed®  and  Nexafed®  Sinus  Pressure  +  Pain  in  the  United  States  and  Canada.  Nexafed®  and  Nexafed®  Sinus
Pressure + Pain utilize our Impede Technology and were previously marketed by us in the United States. Our Impede Technology is directed at minimizing
the extraction and conversion of pseudoephedrine, or PSE, into methamphetamine. Under the terms of the Agreement we transferred existing inventory and
equipment relating to such products to MainPointe and licensed our Impede Technology intellectual property rights to MainPointe for such products as well
as certain future PSE-containing products. MainPointe is responsible for all development, manufacturing and commercialization activities with respect to
products covered by the Agreement.

On signing, MainPointe paid us an upfront licensing fee of $2.5 million plus approximately $425,000 for inventory and equipment being transferred. We
will  receive  a  7.5%  royalty  on  sales  of  licensed  products.  The  royalty  payment  for  each  product  will  expire  on  a  country-by-country  basis  when  the
Impede® patent rights for such country have expired or are no longer valid; provided that if no Impede patent right exists in a country, then the royalty term
for that country will be the same as the royalty term for the United States. After the expiration of a royalty term for a country, MainPointe retains a royalty
free license to our Impede® Technology for products covered by the Agreement in such country.

MainPointe has the option to expand the territory beyond the United States and Canada to the European Union (and the United Kingdom), Japan and South
Korea for payments of $1.0 million, $500,000 and $250,000, respectively. In addition, MainPointe has the option to add to the Agreement certain additional
products, or Option Products, containing PSE and utilizing the Impede Technology for a fee of $500,000 per product (for all such product strengths). If the
territory has been expanded prior to the exercise of a product option, the option fee will be increased to $750,000 per product. If the territory is expanded
after the payment of the $500,000 product option fee, a one-time $250,000 fee will be due for each product. If a third party is interested in developing or
licensing rights to an Option Product, MainPointe must exercise its option for that product or its option rights for such product will terminate.

79

 
 
 
 
 
 
 
 
On July 24, 2017 we completed the sale to Mr. Schutte of 8,912,655 shares and warrants to purchase 1,782,531 shares exercisable at $0.528 per share and
expiring in July 23, 2022 for $4 million and amended the Voting Agreement described above (as so amended the “Second Amended and Restated Voting
Agreement”)  in  connection  with  that  purchase.  The  Second  Amended  and  Restated  Voting  Agreement  provides  that  our  Board  of  Directors  will  be
comprised of not more than seven (7) members, one of whom shall be the CEO, three of whom would be independent under Nasdaq standards, and that
each of Mr. Schutte and Essex had the right to designate one director as a member of our Board of Directors as long as such shareholder continues to hold
600,000  shares  of  our  common  stock  (including  warrants  to  purchase  shares),  provided  that  once  such  shareholder  no  longer  holds  such  securities,  the
additional forfeited seat would become a seat for an independent director to thereafter be nominated to the Board of Directors from time to time by the then
current directors and as applicable, to be elected by the directors to fill the vacancy created by the forfeited seat or submitted to the vote of shareholders at
the  Company’s  next  annual  meeting.  The  Second  Amended  and  Restated  Voting  Agreement  provides  that  in  the  event  the  majority  of  the  Board  of
Directors were not independent under Nasdaq Marketplace Rules then, the Board would be expanded so that additional independent directors would be
added. In addition, each of Essex and Mr. Schutte has the right to designate a member to any committee of our Board of Directors, provided that in the case
of the Audit and Compensation committees they are independent under applicable NASDAQ rules.

We borrowed an aggregate $6.0 million (including accrued interest) as of June 28, 2019 from Mr. Schutte, a related-party, and issued various promissory
notes (the Schutte Notes). The Schutte Notes bear interest at prime plus 2.0%, and mature on January 2, 2020, at which time all principal and interest is
due, and was unsecured until all obligations to Oxford were satisfied at which time we were required to grant a security interest to Mr. Schutte in all of our
assets. On October 5, 2018 we borrowed $1.8 million from Mr. Schutte and used $1.5 million of the loan to fully pay-off the debt outstanding under the
Oxford Loan Agreement and therefore, all our assets are pledged as collateral under the Schutte Notes, including our intellectual property.

At June 28, 2019, we entered into a Promissory Note with Mr. Schutte that consolidated existing promissory notes into a single Note for $6.0 million (after
including accrued and unpaid interest). To secure our performance of our obligations under the Note, we granted Mr. Schutte a security interest in all of our
assets. Terms of the consolidated Note provide for a July 1, 2023 maturity date instead of January 2, 2020 in the previous notes, interest at fixed rate of
7.5% per annum with all payments of principle and interest deferred to maturity. The Note is convertible into Acura common stock at $0.16 per share. As
additional consideration, Mr. Schutte received a warrant to purchase 10 million shares of the Company’s common stock at a price of $0.01 per shares.

With our consent, Mr. Schutte assigned and transferred to Abuse Deterrent Pharma, LLC (“AD Pharma”) all of his right, title and interest in this Note, its
associated Security Agreement and the Warrant to purchase 10.0 million common shares of our stock, effective June 28, 2019. Mr. Schutte is an investor in
AD Pharma.

On June 28, 2019, we entered into License,  Development  and  Commercialization  Agreement  (the  "Agreement")  with  Abuse  Deterrent  Pharma,  LLC,  a
Kentucky limited liability company (“AD Pharma”), a special purpose company representing a consortium of investors that will finance Acura’s operations
and completion of development of LTX-03. Mr. Schutte is an investor in AD Pharma.

The  Agreement  grants  AD  Pharma  exclusive  commercialization  rights  in  the  United  States  to  LTX-03.  Financial  arrangements  include  monthly  license
payments by AD Pharma of $350,000 up to the earlier of November 30, 2020 or FDA’s acceptance of a New Drug Application (“NDA”) for LTX-03 and
reimbursement by AP Pharma of Acura’s LTX-03 outside development expenses. Upon commercialization of LTX-03, Acura is eligible to receive stepped
royalties on sales and certain sales related milestones.

AD  Pharma  may  terminate  the  Agreement  at  any  time.  Additionally,  if  the  NDA  for  LTX-03  is  not  accepted  by  the  FDA  by  November  30,  2020,  AD
Pharma has the option to terminate the Agreement and take ownership of the LIMITx intellectual property. Should AD Pharma choose not to exercise this
option to terminate and the NDA for LTX-03 is subsequently accepted by the FDA, such option expires.

80

 
 
 
 
 
 
 
 
 
Our  Board  has  not  adopted  formalized  written  policies  and  procedures  for  the  review  or  approval  of  related  party  transactions.  As  a  matter  of  practice,
however, our Board has required that all related party transactions, be subject to review and approval by a committee of independent directors established
by the Board. The Board’s practice is to evaluate whether a related party (including a director, officer, employee, Essex or other significant shareholder)
will have a direct or indirect interest in a transaction in which we may be a party. Where the Board determines that such proposed transaction involves a
related party, the Board may establish a committee comprised solely of independent directors to review and evaluate such proposed transaction. Currently,
the Board is comprised of 4 independent directors and the CEO and as such, the entire Board, with the exception of the CEO, may perform the function of
an Independent Committee. In this capacity, the 4 independent directors are authorized to review any and all information deemed necessary and appropriate
to evaluate the fairness of the transaction to us and our shareholders (other than the interested related party to such transaction), including meeting with
management,  retaining  third-  party  experts  (including  counsel  and  financial  advisors  if  determined  necessary)  and  evaluating  alternative  transactions,  if
any. They are also empowered to negotiate the terms of such proposed related party transaction on our behalf. The proposed related party transaction may
proceed only following the approval and recommendation of the 4 independent directors. Following such approval, the related party transaction is subject
to final review and approval of the Board as a whole. As the transactions described above with Abuse Deterrent Pharma LLC and Mr. Schutte involved a
related party (Mr. Schutte being a significant shareholder at the time such transactions were entered into), such transactions were reviewed and approved
solely by the Board as a whole.

Director Independence

In assessing the independence of our Board members, our Board has reviewed and analyzed the standards for independence required under the NASDAQ
Capital Market, including NASDAQ Marketplace Rule 5605 and applicable SEC regulations. Based on this analysis, our Board has determined that during
2019, each of Messrs. Bruce F. Wesson, Immanuel Thangaraj, William Skelly and George Ross met the standards for independence provided in the listing
requirements of the NASDAQ Capital Market and SEC regulations.

Our Board has determined that during 2019 with respect to our Compensation Committee that Messrs. Skelly, Wesson, and Thangaraj meet the standards
for  independence  described  above  and  that  Messrs.  Skelly,  Wesson  and  Thangaraj  meet  the  additional  independence  standards  of  NASDAQ  Rule  5605
relating to Compensation Committees.

ITEM 14. PRINCIPAL ACCOUNTANT FEES AND SERVICES

Our registered independent public accounting firm is BDO USA, LLP. The fees billed by this firm in 2019 and 2018 were as follows:

Audit Fees
Audit-Related Fees

Total Audit and Audit-Related Fees

Tax Fees
All Other Fees

Total for BDO USA, LLP

2019

2018

  $ 150,486   $ 145,989 
- 
-    
  150,486     145,989 
39,200 
39,200    
- 
-    
  $ 189,686   $ 185,189 

Audit Fees include professional services rendered in connection with the annual audit of our financial statements, and the review of the financial statements
included in our Form 10-Qs for the related periods. Additionally, Audit Fees include other services that only an independent registered public accounting
firm can reasonably provide, such as services associated with our SEC registration statements or other documents filed with the SEC or used in connection
with  financing  activities.  We  had  no  Audit-Related  Fees  which  would  include  accounting  consultations  related  to  accounting,  financial  reporting  or
disclosure  matters  not  classified  as  Audit  Fees.  Tax  Fees  include  tax  compliance,  tax  advice  and  tax  planning  services.  These  services  related  to  the
preparation of various state income tax returns, our federal income tax return, and reviews of IRC Section 382.

81

 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
Audit Committee’s Pre-Approval Policies and Procedures

Consistent  with  policies  of  the  SEC  regarding  auditor  independence  and  the  Audit  Committee  Charter,  the  Audit  Committee  has  the  responsibility  for
appointing,  setting  compensation  and  overseeing  the  work  of  the  registered  independent  public  accounting  firm  (the  “Firm”).  The  Audit  Committee’s
policy is to pre-approve all audit and permissible non-audit services provided by the Firm. Pre-approval is detailed as to the particular service or category
of  services  and  is  generally  subject  to  a  specific  budget.  The  Audit  Committee  may  also  pre-approve  particular  services  on  a  case-by-case  basis.  In
assessing requests for services by the Firm, the Audit Committee considers whether such services are consistent with the Firm’s independence, whether the
Firm is likely to provide the most effective and efficient service based upon their familiarity with the Company, and whether the service could enhance the
Company’s ability to manage or control risk or improve audit quality.

All of the tax services provided by BDO USA, LLP in 2019 and 2018 and related fees (as described in the captions above) were approved in advance by
the Audit Committee.

ITEM 15. EXHIBITS AND FINANCIAL STATEMENT SCHEDULES

(a) The following documents are filed as part of this report:

PART IV

1. Financial Statements: See Index to Consolidated Financial Statements on page F-1.
2. Financial Statement Schedules: None
3. Exhibits: See Exhibits Index on page E-1.

ITEM 16. FORM 10-K SUMMARY

None.

82

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

Date: March 30, 2020

ACURA PHARMACEUTICALS, INC.

SIGNATURES

By: /s/ Robert B. Jones
Robert B. Jones
President and Chief Executive Officer
(Principal Executive Officer)

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the registrant
and in the capacities and on the dates indicated.

Signature

Title(s)

Date

/s/Robert B. Jones
Robert B. Jones

/s/Peter A. Clemens
Peter A. Clemens

/s/ George K. Ross
George K. Ross

/s/ William G. Skelly
William G. Skelly

/s/ Immanuel Thangaraj
Immanuel Thangaraj

/s/ Bruce F Wesson
Bruce F. Wesson

President, Chief Executive Officer and Director
(Principal Executive Officer)

Senior Vice President and Chief Financial Officer
(Principal Financial and Accounting Officer)

Director

Director

Director

Director

83

March 30, 2020 

March 30, 2020 

March 30, 2020 

March 30, 2020 

March 30, 2020 

March 30, 2020 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
  
 
 
 
 
  
 
 
 
 
  
 
 
 
 
  
 
 
 
 
 
  
 
 
 
 
  
 
 
 
 
 
  
 
 
 
 
  
 
 
 
 
 
  
 
 
 
 
  
 
 
 
 
 
  
 
ACURA PHARMACEUTICALS, INC.

EXHIBIT INDEX

The following exhibits are included as a part of this Annual Report on Form 10-K or incorporated herein by reference.

Exhibit Number

Exhibit Description

1.1

3.1

3.2

3.3

3.4

4.1

4.2

4.3

4.4

4.5

10.1

10.2

10.3

Placement Agency Agreement dated June 30, 2015 between Roth Capital Partners LLC and the Registrant (incorporated by
reference to Exhibit 1.1 to our Form 8-K filed July 1, 2015)

Restated Certificate of Incorporation of the Registrant (incorporated by reference to Exhibit 3.1 to the Registrant’s Form 8-K filed
on June 25, 2009).

Certificate of Amendment Reverse Splitting Common Stock and restating but not changing text of part of Article III of Restated
Certificate of Incorporation (incorporated by Reference to Exhibit 3.1 to the Form 8-K filed December 4, 2007).

Certificate of Amendment Reverse Splitting Common Stock and restating but not changing text of part of Article III of Restated
Certificate of Incorporation (incorporated by Reference to Exhibit 3.1 to the Form 8-K filed August 27, 2015).

  Restated Bylaws of the Registrant (incorporated by reference to Exhibit 3.2 to the Form 8-K filed on May 14, 2018).

  Form of Common Stock Certificate(incorporated by Reference to Exhibit 4.1 to the Form S-3 filed on March 9, 2016)

Amended and Restated Warrant A-1 issued to Oxford Finance LLC on January 7, 2015 (incorporated by reference to Exhibit 10.9 to
our Form 10-K filed March 2, 2015).

Amended and Restated Warrant A-2 issued to Oxford Finance LLC on January 7, 2015 (incorporated by reference to Exhibit 10.10
to our Form 10-K filed March 2, 2015).

Amended and Restated Warrant A-3 issued to Oxford Finance LLC on January 7, 2015 (incorporated by reference to Exhibit 10.11
to our Form 10-K filed March 2, 2015).

Form of Common Stock Warrant issued to John Schutte on July 24, 2017 (incorporated by reference Exhibit 4.1 to our Form 8-K
filed July 28, 2017)

Manufacturing  Services  Agreement  dated  as  of  July  19,  2011  between  the  Registrant  and  Patheon  Pharmaceuticals  Inc.
(incorporated by reference to Exhibit 10.1 to our Form 8-K filed July 27, 2011) (confidential treatment has been granted for portions
of this Exhibit).

Securities Purchase Agreement dated as of August 20, 2007 (“PIPE SPA”) among the Registrant, Vivo Ventures Fund VI, L.P., Vivo
Ventures VI Affiliates Fund, L.P., GCE Holdings LLC, and certain other signatories thereto (incorporated by reference to Exhibit
10.1 to the Form 8-K filed on August 21, 2007).

Subscription Agreement dated as of July 24, 2017 between the Registrant and John Schutte (incorporated by reference to Exhibit
10.1 to our Form 8-K filed July 28, 2017)

E-1

 
 
 
 
 
 
 
 
 
 
   
 
 
   
 
 
   
 
 
   
 
   
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
Exhibit Number

Exhibit Description

10.4

10.5

10.6

10.7

10.8

10.9

10.10

10.11

10.12

10.13

10.14

Loan  and  Security  Agreement  dated  as  of  December  27,  2013  between  Acura  Pharmaceuticals,  Inc.,  Acura  Pharmaceutical
Technologies, Inc., and Oxford Finance LLC (incorporated by reference to Exhibit 10.6 to the Form 10-K filed March 3, 2014).

First Amendment to Loan and Security Agreement entered into as of January 7, 2015 between Oxford Finance LLC, the Registrant
and Acura Pharmaceutical Technologies, Inc. (incorporated by reference to Exhibit 10.8 to our Form 10-K filed March 2, 2015).

Second  Amendment  to  Loan  and  Security  Agreement  entered  into  as  of  October  13,  2016  between  Oxford  Finance  LLC,  the
Registrant and Acura Pharmaceutical Technologies, Inc. (incorporated by reference to Exhibit 10.6 to the Registration Statement on
Form S-1 filed February 3, 2017, File No. 333-215885)

  Form of Mortgage dated December 27, 2013 (incorporated by reference to Exhibit 10.8 to the Form 10-K filed March 3, 2014).

Collaboration and License Agreement entered into as of January 7, 2015 between the Registrant, Egalet US, Inc., Egalet Limited
and with respect to Section 17.21, Egalet Corporation (certain information has been omitted and filed separately with the Securities
and  Exchange  Commission  and  confidential  treatment  has  been  granted  with  respect  to  the  omitted  portion)  (incorporated  by
reference to Exhibit 10.13 to the Form 10-K for the year ending December 31, 2014, filed March 2, 2015).

License  and  Development  Agreement  dated  as  of  June  5,  2015  between  the  Registrant  and  Bayer  HealthCare  LLC  (certain
information  has  been  omitted  and  filed  separately  with  the  Securities  and  Exchange  Commission  and  confidential  treatment  has
been granted with respect to the omitted portion) (incorporated by reference to Exhibit 10.1 to our Form 10-Q/A filed February 16,
2016).

Amended  and  Restated  Voting  Agreement  dated  as  of  February  6,  2004  among  the  Registrant,  Care  Capital  Investments  II,  LP,
Essex Woodlands Health Ventures V, L.P., Galen Partners III, L.P., and others (incorporated by reference to Exhibit 10.5 of the Form
8-K filed on February 10, 2004 (the “February 2004 Form 8-K”)).

Joinder  and  Amendment  to  Amended  and  Restated  Voting  Agreement  dated  November  9,  2005  between  the  Registrant,  GCE
Holdings,  Essex  Woodlands  Health  Ventures  V,  L.P.,  Care  Capital  Investments  II,  LP,  Galen  Partners  III,  L.P.  and  others
(incorporated by reference to Exhibit 10.1 to the Form 8-K filed November 10, 2005).

Second Amendment to Amended and Restated Voting Agreement dated as of January 24, 2008 between the Registrant and GCE
Holdings, LLC (incorporated by reference to Exhibit 10.1 to the Form 8-K filed January 28, 2008).

Third Amendment to Amended and Restated Voting Agreement dated as of October 1, 2012 between the Registrant, Care Capital
Investments  II,  LP,  Essex  Woodlands  Health  Ventures  V,  L.P.,  Galen  Partners  III,  L.P.,  and  others  (incorporated  by  reference  to
Exhibit 10.1 of the Form 8-K filed on October 3, 2012).

Second Amended and Restated Voting Agreement executed July 2017 and dated as of July 24, 2017 (incorporated by reference to
Exhibit 10.1 to the 8-K dated filed August 1, 2017)

E-2 

 
 
 
 
 
 
 
 
   
 
 
   
 
 
   
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
Exhibit Number

Exhibit Description

†10.15

†10.16

†10.17

†10.18

†10.19

†10.20

†10.21

†10.22

†10.23

†10.24

†10.25

†10.26

†10.27

†10.28

†10.29

†10.30

†10.31

†10.32

Registrant’s  1998  Stock  Option  Plan,  as  amended  (incorporated  by  reference  to  Appendix  C  to  the  Registrant’s  Proxy  Statement
filed on May 12, 2009).

Registrant’s  2005  Restricted  Stock  Unit  Award  Plan,  as  amended  (incorporated  by  reference  to  Appendix  B  to  the  Registrant’s
Proxy Statement filed on April 2, 2008).

Registrant’s 2014 Restricted Stock Unit Award Plan, (incorporated by reference to Appendix A to the Registrant’s Proxy Statement
filed on March 12, 2014).

Registrant’s 2017 Restricted Stock Unit Award Plan, (incorporated by reference to Exhibit 10.1 to the 8-K filed on November 14,
2017).

Registrant’s  2008  Stock  Option  Plan,  as  amended  on  June  25,  2009  (incorporated  by  reference  to  Appendix  B  to  our  Proxy
Statement filed on May 12, 2009).

  Registrant’s 2016 Stock Option Plan (incorporated by reference to Exhibit 10.1 to our Form 8-K filed on April 28, 2016).

Employment  Agreement  dated  as  of  March  10,  1998  between  the  Registrant  and  Peter  Clemens  (“Clemens”)  (incorporated  by
reference to Exhibit 10.44 to the Form 10-K for the period ending December 31, 2007, filed on April 15, 1998).

First  Amendment  to  Employment  Agreement  made  as  of  June  28,  2000  between  the  Registrant  and  Clemens  (incorporated  by
reference to Exhibit 10.44A to the Registrant’s Form 10-K filed on February 21, 2006).

Second  Amendment  to  Executive  Employment  Agreement  between  Registrant  and  Clemens,  dated  as  of  January  5,  2005
(incorporated by reference to Exhibit 99.1 to the Registrant's Form 8-K filed January 31, 2005).

Third Amendment to Executive Employment Agreement dated December 22, 2005 between Registrant and Clemens (incorporated
by reference to Exhibit 10.3 to the Registrant’s Form 8-K filed December 23, 2005).

Fourth Amendment to Executive Employment Agreement dated December 16, 2007 between Registrant and Clemens (incorporated
by reference to Exhibit 10.28 to the Form 10-K for the year ending December 31, 2007, filed on March 5, 2008).

Fifth Amendment to Executive Employment Agreement executed July 9, 2008 between Registrant and Clemens (incorporated by
reference to Exhibit 10.4 to our Form 8-K filed on July 10, 2008).

Sixth  Amendment  to  Executive  Employment  Agreement  executed  December  14,  2012  between  the  Registrant  and  Clemens
(incorporated by reference to Exhibit 10.2 to our Form 8-K filed on December 17, 2012).

Seventh  Amendment  to  Executive  Employment  Agreement  executed  December  12,  2013  between  the  Registrant  and  Clemens
(incorporated by reference to Exhibit 10.24 to the Form 10-K for the year ending December 31, 2013 filed on March 3, 2014).

Employment  Agreement  dated  as  of  March  18,  2008  between  the  Registrant  and  Robert  B.  Jones  (incorporated  by  reference  to
Exhibit 10.1 to our Form 8-K filed on March 24, 2008).

Amendment  to  Executive  Employment  Agreement  dated  as  of  April  28,  2011  between  the  Registrant  and  Robert  B.  Jones
(incorporated by reference to Exhibit 10.1 to our Form 10-Q filed July 28, 2011).

Amendment to Executive Employment Agreement between Registrant and Robert B. Jones made as of July 7, 2011 (incorporated
by reference to Exhibit 10.2 to our Form 10-Q filed July 28, 2011).

Second Amendment to Executive Employment Agreement between Registrant and Robert B. Jones executed December 14, 2012
(incorporated by reference to Exhibit 10.1 to our Form 8-K filed December 17, 2012).

E-3 

 
 
 
 
 
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
 
 
   
 
 
   
 
 
   
 
 
Exhibit Number

Exhibit Description

10.33

10.34

10.35

10.36

10.37

10.38

10.39

10.40

10.41

10.42

10.43

10.44

10.45

10.46

10.47

Form of Securities Purchase Agreement entered into between the Registrant and institutional investors on June 30, 2015
(incorporated by reference to Exhibit 10.1 of our Form 8-K filed July 1, 2015).

Consent and Third Amendment to Loan and Security Agreement entered into as of May 12, 2017 between Oxford Finance LLC, the
Registrant and Acura Pharmaceutical Technologies, Inc. (incorporated by reference to Exhibit 10.2 to our Form 10-Q filed May 12,
2017).

License, Commercialization and Option Agreement is made and entered into as of March 16, 2017 by and between MainPointe
Pharmaceuticals, LLC (incorporated by reference to Exhibit 10.34 to our Form 10-K filed June 7, 2018).

Promissory Note dated May 7, 2018 issued to John Schutte (incorporated by reference to Exhibit 10.35 to our Form 10-Q filed
August 14, 2018).

Subordination Agreement dated as of May 7, 2018 between John Schutte and Oxford Finance, LLC, approved by Registrant and
Acura Pharmaceutical Technologies, Inc. (incorporated by reference to Exhibit 10.36 to our Form 10-Q filed August 14, 2018).

Fourth Amendment dated as of June 6, 2018 to Loan and Security Agreement dated as of December 27, 2013, as amended, between
the Registrant, Acura Pharmaceutical Technologies, Inc. and Oxford Finance, LLC (incorporated by reference to Exhibit 10.37 to
our Form 10-Q filed August 14, 2018).

Promissory Note dated June 28, 2018 issued to John Schutte (incorporated by reference to Exhibit 10.38 to our Form 10-Q filed
August 14, 2018).

Promissory Note dated August 2, 2018 issued to John Schutte (incorporated by reference to Exhibit 10.39 to our Form 10-Q filed
November 27, 2018).

Promissory Note dated September 13, 2018 issued to John Schutte (incorporated by reference to Exhibit 10.40 to our Form 10-Q
filed November 27, 2018).

Promissory Note dated October 5, 2018 issued to John Schutte (incorporated by reference to Exhibit 10.42 to our Form 10-K filed
September 16, 2019).

Promissory Note dated November 21, 2018 issued to John Schutte (incorporated by reference to Exhibit 10.43 to our Form 10-K
filed September 16, 2019).

Promissory Note dated December 20, 2018 issued to John Schutte (incorporated by reference to Exhibit 10.44 to our Form 10-K
filed September 16, 2019).

Promissory Note dated January 28, 2019 issued to John Schutte (incorporated by reference to Exhibit 10.45 to our Form 10-K filed
September 16, 2019).

Promissory Note dated March 25, 2019 issued to John Schutte (incorporated by reference to Exhibit 10.46 to our Form 10-Q filed
October 1, 2019).

Promissory Note dated May 1, 2019 issued to John Schutte (incorporated by reference to Exhibit 10.47 to our Form 10-Q filed
February 10, 2020).

E-4 

 
 
 
 
 
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
Exhibit Number

Exhibit Description

10.48

10.49

10.50 *

10.51 *

10.52 *

14.1

21

23.1*

31.1*

31.2*

32*

Promissory Note dated June 12, 2019 issued to John Schutte (incorporated by reference to Exhibit 10.48 to our Form 10-Q filed
February 10, 2020).

Promissory Note dated June 28, 2019 issued to John Schutte (incorporated by reference to Exhibit 10.49 to our Form 10-Q filed
February 20, 2020).

License, Development and Commercialization Agreement is made and entered into as of June 28, 2019 by the Registrant and
between Abuse Deterrent Pharmaceuticals, LLC.

  Common Stock Warrant issued June 28, 2019 to John Schutte.

Assignment of Promissory Note, Warrant and Security Agreement issued June 28, 2019 by John Schutte to Abuse Deterrent
Pharmaceuticals, LLC.

  Code of Ethics (incorporated by reference to Exhibit 14.1 of the Form 8-K filed on December 10, 2007).

Subsidiaries of the Registrant (incorporated by reference to Exhibit 21 to the Form 10-K for the fiscal year ended December 31,
2006 filed on March 15, 2007).

  Consent of Independent Registered Public Accounting Firm.

Certification of Periodic Report by Chief Executive Officer pursuant to Rule 13a-14 and 15d-14 of the Securities Exchange Act of
1934.

Certification of Periodic Report by Chief Financial Officer pursuant to Rule 13a-14 and 15d-14 of the Securities Exchange Act of
1934.

Certification  of  Chief  Executive  Officer  and  Chief  Financial  Officer  pursuant  to  18  U.S.C.  Section  1350,  as  adopted  pursuant  to
Section 906 of the Sarbanes-Oxley Act of 2002.

101.INS*

  XBRL Instance Document

101.SCH*

  XBRL Taxonomy Extension Schema Document

101.CAL*

  XBRL Extension Calculation Linkbase

101.LAB*

  XBRL Extension Label Linkbase

101.PRE*

  XBRL Extension Presentation Linkbase

101.DEF*

  XBRL Taxonomy Extension Definition Linkbase

*Filed or furnished herewith.

† Management contract or compensatory plan or arrangement

E-5 

 
 
 
 
 
 
 
   
 
 
   
 
 
   
 
 
   
 
   
 
 
   
 
   
 
 
   
 
   
 
 
   
 
 
   
 
 
   
 
   
 
   
 
   
 
   
 
   
 
 
 
ACURA PHARMACEUTICALS, INC
INDEX TO CONSOLIDATED FINANCIAL STATEMENTS

Report of Independent Registered Public Accounting Firm

Consolidated Balance Sheets as of December 31, 2019 and 2018

Consolidated Statements of Operations for the Years ended December 31, 2019 and 2018

Consolidated Statements of Stockholders' Deficit for the Years ended December 31, 2019 and 2018

Consolidated Statements of Cash Flows for the Years ended December 31, 2019 and 2018

Notes to Consolidated Financial Statements

F-1

Page 

F-2

F-3

F-4

F-5

F-6

F-8

 
  
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Report Of Independent Registered Public Accounting Firm

Shareholders and Board of Directors
Acura Pharmaceuticals, Inc.
Palatine, Illinois

Opinion on the Consolidated Financial Statements

We have audited the accompanying consolidated balance sheets of Acura Pharmaceuticals, Inc. (the “Company”) as of December 31, 2019 and 2018, the
related consolidated statements of operations, stockholders’ deficit, and cash flows for the years then ended, and the related notes (collectively referred to
as  the  “consolidated  financial  statements”).  In  our  opinion,  the  consolidated  financial  statements  present  fairly,  in  all  material  respects,  the  financial
position of the Company at December 31, 2019 and 2018, and the results of its operations and its cash flows for the years then ended, in conformity with
accounting principles generally accepted in the United States of America.

Going Concern Uncertainty

The accompanying consolidated financial statements have been prepared assuming that the Company will continue as a going concern. As discussed in
Note 1 to the consolidated financial statements, the Company has suffered recurring losses from operations, accumulated deficit, and negative cash flows
from  operations  that  raise  substantial  doubt  about  its  ability  to  continue  as  a  going  concern.  Management’s  plans  in  regard  to  these  matters  are  also
described in Note 1. The consolidated financial statements do not include any adjustments that might result from the outcome of this uncertainty.

Basis for Opinion

These consolidated financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on the Company’s
consolidated 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  consolidated  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 consolidated 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 consolidated 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 consolidated financial statements. We believe that our audits provide a reasonable basis
for our opinion.

/s/ BDO USA, LLP

We have served as the Company's auditor since 2004.

Chicago, Illinois

March 30, 2020

F-2

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ACURA PHARMACEUTICALS, INC.
CONSOLIDATED BALANCE SHEETS
DECEMBER 31, 2019 and 2018
(in thousands except par value)

Assets:
   Cash
   Royalty receivable
   Collaboration revenue receivable from related party
   Prepaid expenses and other current assets
   Income tax receivable
        Total current assets
Income tax receivable
Property, plant and equipment, net (Note 5)
Intangible asset, net of accumulated amortization of $1,190 and $983 (Note 3)
        Total assets

Liabilities:
   Accounts payable
   Accrued expenses (Note 6)
   Other current liabilities (Note 11)
   Sales returns liability
        Total current liabilities
Convertible debt to related party, net of discounts (Note 7)
Accrued interest to related party (Note 7)
        Total liabilities

Commitments and contingencies (Note 14) 
Stockholders’ deficit:
   Common stock - $0.01 par value per share; 100,000 shares authorized, 21,300 and 21,034 shares issued and

outstanding at December 31, 2019 and 2018, respectively

   Additional paid-in capital
   Accumulated deficit
        Total stockholders’ deficit

2019

2018

862    $
82     
78     
122     
34     
1,178     
34     
540     
810     
2,562    $

237    $
585     
29     
223     
1,074     
6,000     
229     
7,303    $

91 
137 
- 
166 
67 
461 
68 
606 
1,017 
2,152 

605 
596 
11 
223 
1,435 
4,224 
110 
5,769 

  $

  $

  $

  $

213     
383,042     
(387,996)    
(4,741)    

210 
380,395 
(384,222)
(3,617)

        Total liabilities and stockholders’ deficit

  $

2,562    $

2,152 

See accompanying Notes to Consolidated Financial Statements.

F-3

 
 
 
  
 
 
   
 
 
   
     
 
   
      
  
   
   
   
   
   
   
   
   
 
   
      
  
   
      
  
   
   
   
   
   
   
 
   
      
  
   
      
  
   
      
  
   
   
   
   
 
   
      
  
 
 
ACURA PHARMACEUTICALS, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS
YEARS ENDED DECEMBER 31, 2019 and 2018
(in thousands except per share amounts)

Revenues:
   Royalties
   Collaboration
   License fees
         Total revenues

Operating expenses:
   Research and development
   General and administrative
Total operating expenses
Operating loss
   (Loss) gain on debt extinguishment (Note 7)
   Interest expense, net (Note 7)
Loss before provision for income taxes
Provision for income taxes
 Net loss

Net loss per share (Note 13):
      Basic
      Diluted
Weighted average number of shares outstanding:
      Basic
      Diluted

  $

  $

  $
  $

2019

2018

372    $
185     
2,100     
2,657     

1,505     
1,877     
3,382     
(725)    
(2,600)    
(449)    
(3,774)    
-     
(3,774)   $

(0.14)   $
(0.14)   $

26,720     
26,720     

410 
- 
- 
410 

1,759 
2,566 
4,325 
(3,915)
296 
(223)
(3,842)
- 
(3,842)

(0.18)
(0.18)

21,146 
21,146 

See accompanying Notes to Consolidated Financial Statements.

F-4

 
 
 
 
 
   
 
   
      
  
   
   
   
 
   
      
  
   
      
  
   
   
   
   
   
   
   
   
 
   
      
  
 
   
      
  
   
      
  
   
      
  
   
   
  
 
CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS' DEFICIT

ACURA PHARMACEUTICALS, INC.

YEARS ENDED DECEMBER 31, 2019 and 2018
(in thousands)

Balance at January 1, 2019
Net loss
Net distribution of common stock pursuant to
restricted stock unit award plan
Non-cash share-based compensation
Debt premium from debt modification
Issuance of warrant
Balance at December 31, 2019

Common Stock

Number 
of Shares

Par Value

Paid-in Capital    

Additional 

Accumulated
Deficit

Total

210    $
-     

3     
-     
-     
-     
213     

380,395    $
-     

(384,222)   $
(3,774)    

12     
108     
1,382     
1,145     
383,042    $

-     
-     
-     
-     
(387,996)   $

(3,617)
(3,774)

15 
108 
1,382 
1,145 
(4,741)

21,034    $
-     

266     
-     
-     
-     
21,300     

Common Stock

Balance at January 1, 2018
Net loss
Non-cash share-based compensation
Net distribution of common stock pursuant to
restricted stock unit award plan
Balance at December 31, 2018

Number
of Shares

Par Value

Paid-in Capital    

Additional

Accumulated
Deficit

Total

20,796    $
-     
-     

238     
21,034     

208    $
-     
-     

2     
210     

380,145    $
-     
218     

(380,380)   $
(3,842)    
-     

32     
380,395    $

-     
(384,222)   $

(27)
(3,842)
218 

34 
(3,617)

See accompanying Notes to Consolidated Financial Statements.

F-5

 
 
  
 
 
   
 
   
 
   
 
 
 
   
   
   
 
   
   
   
   
   
   
   
 
 
 
 
   
 
   
 
   
 
 
 
   
   
   
 
   
   
   
   
   
  
ACURA PHARMACEUTICALS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
YEARS ENDED DECEMBER 31, 2019 and 2018
(in thousands)

Cash Flows from Operating Activities:
    Net loss

Adjustments to reconcile net loss to net cash used in operating activities:

2019

2018

  $

(3,774)   $

(3,842)

Depreciation
Non-cash share-based compensation
Capitalized debt discount
Amortization of debt discount and deferred debt issue costs
Amortization of intangible asset
Loss (gain) on debt extinguishment
Loss on disposals of property, plant and equipment

 Changes in assets and liabilities:

    Royalty receivable
    Collaboration revenue receivable from related party
    Prepaid expenses and other current assets
    Income tax receivable
    Accounts payable
    Accrued expenses
    Accrued interest on loan
    Accrued interest on related party loans
    Other current liabilities
    Sales returns liability

Net cash used in operating activities

Cash Flows from Financing Activities:

Proceeds from distribution of restricted stock units
Proceeds from related party loans
Principal payments loan

Net cash provided by financing activities

Net increase (decrease) in cash
Cash at beginning of year
Cash at end of year

Supplemental Disclosures of Cash Flow Information:
     Cash interest payments on loan

66     
108     
(13)    
66     
207     
2,600     
1     

55     
(78)    
44     
67     
(368)    
(11)    
-     
394     
18     
-     
(618)    

14     
1,375     
-     
1,389     
771     
91     
862    $

73 
218 
(172)
87 
207 
(296)
- 

(66)
- 
109 
- 
602 
(343)
(566)
110 
2 
(31)
(3,908)

2 
4,350 
(2,573)
1,779 
(2,129)
2,220 
91 

-    $

759 

  $

  $

See accompanying Notes to Consolidated Financial Statements.

F-6

 
 
 
 
 
   
 
   
      
  
   
      
  
   
   
   
   
   
   
   
   
      
  
   
   
   
   
   
   
   
   
   
   
   
   
      
  
   
   
   
   
   
   
 
   
      
  
   
      
  
 
 
ACURA PHARMACEUTICALS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS (CONTINUED)
YEARS ENDED DECEMBER 31, 2019 and 2018

Supplemental disclosures of noncash investing and financing activities (amounts presented are rounded to the nearest thousand):

Year Ended December 31, 2019

1. The imputed interest on the below market rate element of the $650 related party loans made to the Company through June 27, 2019, amounted to
$13, and was recorded in interest income with a corresponding like amount recorded as debt discount against the principal amount of the loan.
2. On June 28, 2019, modifications made to the $5,000 related party loan resulted in a debt extinguishment. A $2,600 loss on debt extinguishment
was recorded comprising $1,145 for a common stock purchase warrant issued to the related party lender, the excess fair value premium on the
newly issued convertible debt of $1,382, and the write-off of unamortized debt discount of $73.

3. Accrued interest payable of $275 on the related party $5,000 loan was rolled into principal under modifications made to the loan occurring on June

28, 2019.

Year Ended December 31, 2018

1. The imputed interest on the below market rate element of the related party loans aggregating $4,350 made to the Company, amounted to $172, and

was recorded in interest income with a corresponding like amount recorded as debt discount against the principal amount of the loan.

See accompanying Notes to Consolidated Financial Statements.

F-7

 
 
 
 
 
  
 
  
 
ACURA PHARMACEUTICALS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2019 and 2018

NOTE 1 – OPERATIONS AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Principal Operations

Acura Pharmaceuticals, Inc., a New York corporation, and its subsidiary (the “Company”, “Acura”, “We”, “Us” or “Our”) is an innovative drug delivery
company engaged in the research, development and commercialization of technologies and products intended to address safe use of medications. We have
discovered and developed three proprietary platform technologies which can be used to develop multiple products. Our Limitx™ Technology is intended to
minimize the risks and side effects associated with overdose by retarding the release of active drug ingredients when too many tablets are accidently or
purposefully  ingested.  Our  Aversion®  Technology  is  intended  to  address  methods  of  product  tampering  associated  with  opioid  abuse  by  incorporating
gelling ingredients and irritants into tablets to discourage abuse by snorting and provide barriers to abuse by injection. Our Impede® Technology is directed
at minimizing the extraction and conversion of pseudoephedrine tablets into methamphetamine.

·

·

·

Our Limitx Technology is in development with immediate-release tablets containing hydrocodone bitartrate and acetaminophen (also known as
LTX-03)  as  the  lead  product  candidate  due  to  its  large  market  size  and  its  known  prevalence  of  oral  excessive  tablet  abuse  and  overdose.  The
technology is designed to retard the release of active opioid drug when too many tablets are accidentally or purposefully ingested by neutralizing
stomach  acid  with  buffer  ingredients  but  deliver  efficacious  amounts  of  drug  when  taken  as  a  single  tablet  with  a  nominal  buffer  dose.  US
commercialization rights to LTX-03 are licensed to Abuse Deterrent Pharma, LLC (See Note 3).

Our Aversion Technology has been licensed to Zyla Life Sciences or Zyla (formerly known as Egalet Corporation) for use in Oxaydo® Tablets
(oxycodone HCl, CII), and is the first approved immediate-release oxycodone product in the United States with abuse deterrent labeling. Oxaydo
is currently approved by the FDA for marketing in the United States in 5mg and 7.5mg strengths (See Note 3).

Our  Impede  Technology  is  used  in  Nexafed®  Tablets  (30mg  pseudoephedrine  HCl)  and  Nexafed®  Sinus  Pressure  +  Pain  Tablets  (30/325mg
pseudoephedrine HCl and acetaminophen). We have licensed to MainPointe Pharmaceuticals, LLC (MainPointe), our Impede Technology in the
United States and Canada to commercialize these Nexafed products (See Note 3).

Basis of Presentation, Liquidity and Substantial Doubt in Going Concern

The accompanying consolidated financial statements of the Company have been prepared assuming the Company will continue as a going concern and in
accordance with generally accepted accounting principles in the United States of America. The going concern basis of presentation assumes that we will
continue in operation one year after the date these financial statements are issued and we will be able to realize our assets and discharge our liabilities and
commitments  in  the  normal  course  of  business.  As  of  December  31,  2019,  we  had  cash  of  $862  thousand,  working  capital  of  $104  thousand  and  an
accumulated deficit of $388 million. We had a loss from operations of $725 thousand and a net loss of $3.8 million for the year ended December 31, 2019.
We have suffered recurring losses from operations and have not generated positive cash flows from operations. We anticipate operating losses to continue
for the foreseeable future.

F-8

 
 
  
 
 
 
 
 
 
 
 
On June 28, 2019, we entered into with Abuse Deterrent Pharma, LLC (“AD Pharma”), a License, Development and Commercialization Agreement (the
“AD Pharma Agreement”). AD Pharma has the right to terminate the AD Pharma Agreement for “convenience on 30 days prior written notice”. Under the
AD Pharma Agreement, the required monthly license payments by AD Pharma will only continue until November 2020 if AD Pharma does not exercise
their right to terminate the AD Pharma Agreement. To fund further operations, we must raise additional financing or enter into license or collaboration
agreements with third parties relating to our technologies or explore a variety of capital raising and other transactions to provide additional funding. No
assurance can be given that we will be successful in obtaining any such financing or in securing license or collaboration agreements with third parties on
acceptable terms, if at all, or if secured, that such financing or license or collaboration agreements will provide payments to the Company sufficient to fund
continued  operations  and  the  Company  will  be  required  to  scale  back  or  terminate  operations  and/or  seek  protection  under  applicable  bankruptcy  laws.
Delay or cessation of the Company’s continuing product development efforts will have a material adverse effect on the Company’s financial condition and
results of operations. Should AD Pharma exercise their right to terminate the AD Pharma Agreement, we would need to raise additional financing or enter
into license or collaboration agreements with third parties relating to our technologies. The Company’s ability to raise additional capital may be adversely
impacted  by  potential  worsening  global  economic  conditions  and  the  recent  disruptions  to,  and  volatility  in,  financial  markets  in  the  United  States  and
worldwide resulting from the ongoing COVID-19 pandemic. No assurance can be given that we will be successful in obtaining any such financing or in
securing license or collaboration agreements with third parties on acceptable terms, if at all, or if secured, that such financing or license or collaboration
agreements  will  provide  payments  to  the  Company  sufficient  to  fund  continued  operations.  In  the  absence  of  such  financing  or  third-party  license  or
collaboration agreements, the Company will be required to scale back or terminate operations and/or seek protection under applicable bankruptcy laws. An
extended  delay  or  cessation  of  the  Company’s  continuing  product  development  efforts  will  have  a  material  adverse  effect  on  the  Company’s  financial
condition and results of operations.

In  view  of  the  matters  described  above,  management  has  concluded  that  substantial  doubt  exists  with  respect  to  the  Company’s  ability  to  continue  as  a
going concern within one year after the date the financial statements are issued. The recoverability of a major portion of the recorded asset amounts shown
in the Company’s accompanying consolidated balance sheets is dependent upon continued operations of the Company, which in turn is dependent upon the
Company’s  ability  to  meet  its  funding  requirements  on  a  continuous  basis,  to  maintain  existing  financing  and  to  succeed  in  its  future  operations.  The
Company’s financial statements do not include any adjustment relating to the recoverability and classification of recorded asset amounts and classification
of liabilities that might be necessary should the Company be unable to continue in existence.

NOTE 2 – SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Basis of Accounting

The consolidated financial statements include the accounts of our wholly-owned subsidiary, Acura Pharmaceutical Technologies Inc., after elimination of
intercompany accounts and transactions. Amounts presented have been rounded to the nearest thousand, where indicated, except share and per share data.

Use of Estimates

Management is required to make certain estimates and assumptions in order to prepare consolidated financial statements in conformity with GAAP. Such
estimates and assumptions affect the reported amounts of assets, liabilities, revenues and expenses and disclosure of contingent assets and liabilities in the
consolidated financial statements and accompanying notes. Actual results could differ from those estimates. Management periodically evaluates estimates
used in the preparation of the consolidated financial statements for continued reasonableness. Appropriate adjustments, if any, to the estimates used are
made prospectively based on such periodic evaluations.

Concentration of Credit Risk

Financial  instruments  that  potentially  subject  the  Company  to  a  significant  concentration  of  credit  risk  consist  primarily  of  cash  and  cash  equivalents,
royalty receivables and collaboration revenue receivable. The Company maintains deposits in federally insured financial institutions which are in excess of
federally insured limits. However, management believes the Company is not exposed to significant credit risk due to the financial position of the depository
institutions in which those deposits are held.

F-9

 
 
 
 
 
 
 
 
 
 
 
Fair Value Measurements

The  Company’s  financial  instruments  consist  primarily  of  cash,  royalties  and  collaboration  receivables,  trade  accounts  payable,  and  debt.  The  carrying
amounts of these financial instruments, other than our debt, are representative of their respective fair values due to their relatively short maturities. On June
28, 2019, we restructured the $5.0 million related party loan to borrow an additional $725 thousand from Mr. Schutte, bringing the aggregate principal of
the  loans  and  accrued  interest  to  $6.0  million,  and  consolidated  the  loans  into  a  single  promissory  note,  and  reported  the  debt  using  fair  value  for  the
changes to the loan resulting in the recognizing a $2.6 million loss on debt extinguishment. The fair value of the $6.0 million loan at December 31, 2019
has not materially changed from its valuation of fair value of $7.4 million.

Share-based Compensation Expense

We have several share-based compensation plans covering stock options and RSUs for our employees and directors, which are described more fully in Note
11.

We  measure  our  compensation  cost  related  to  share-based  payment  transactions  based  on  fair  value  of  the  equity  or  liability  classified  instrument.  For
purposes of estimating the fair value of each stock option unit on the date of grant, we utilize the Black-Scholes option-pricing model. Option valuation
models require the input of highly subjective assumptions including the expected volatility factor of the market price of our common stock (as determined
by reviewing our historical public market closing prices). Our accounting for share-based compensation for RSUs is based on the closing market price of
our common stock on the date of grant.

Our total share-based compensation expense recognized in the Company’s results of operations from non-cash and cash-portioned instruments issued to our
employees and directors comprised the following (in thousands):

Research and development expense:
     Stock option awards
     RSU awards

General and administrative expense:
     Stock option awards
     RSU awards

Total share-based compensation expense

  Year Ended December 31,

2019

2018

  $

  $

  $

  $

8  $
13   
21  $

12   
105   
117  $

138  $

38 
27 
65 

61 
104 
165 

230 

Property, Plant and Equipment

Property,  plant  and  equipment  are  stated  at  cost,  less  accumulated  depreciation.  We  have  no  leasehold  improvements.  Betterments  are  capitalized  and
maintenance and repairs are charged to operations as incurred. When a depreciable asset is retired from service, the cost and accumulated depreciation is
removed from the respective accounts.

Depreciation  expense  is  recorded  on  a  straight-line  basis  over  the  estimated  useful  lives  of  the  related  assets.  The  estimated  useful  lives  of  the  major
classification of depreciable assets are:

Building and improvements
Land and improvements
Machinery and equipment
Scientific equipment
Computer hardware and software

10 - 40 years 
20 - 40 years 
  7 - 10 years 
  5 - 10 years 
  3 - 10 years 

F-10

 
 
 
 
 
 
 
 
 
 
 
 
  
 
   
    
  
   
 
 
   
    
  
   
    
  
   
   
 
 
   
    
  
 
 
 
 
  
  
  
  
  
  
Intangible and Long-Lived Assets

Long-lived assets such as the intangible asset and property, plant and equipment are reviewed for impairment whenever events or changes in circumstances
indicate that the carrying value of an asset may not be recoverable. Recoverability of the assets to be held and used is measured by a comparison of the
carrying amount of the asset to estimated undiscounted future cash flows expected to be generated by the asset. If the carrying value of an asset exceeds its
estimated future cash flows, an impairment charge is recognized by the amount by which the carrying amount of the asset exceeds the fair value of the
asset. We had no impairment charges during the years 2019 or 2018.

License Fee Revenue

On signing the AD Pharma Agreement in June 2019, Acura will receive a monthly license payment of $350 thousand by AD Pharma for 18 months until
November 2020. The first license payment was received July 2, 2019. If the NDA filing for LTX-03 is not accepted by the FDA by November 30, 2020,
AD Pharma has the option to terminate the AD Pharma Agreement and take ownership of the Limitx intellectual property. Should AD Pharma choose not
to exercise this option to terminate and the NDA for LTX-03 is subsequently accepted by the FDA, such option expires. AD Pharma does have the right to
terminate the AD Pharma Agreement anytime for “convenience on 30 days prior written notice” and the license fee payments will stop. The license fee
payments are non-refundable and non-creditable when made by AD Pharma and we had no further requirements to earn the payment. The license payment
amount is recognized as revenue when received (See Note 3). During 2019 we recognized $2.1 million of license fee revenue from AD Pharma.

Collaboration Revenue

Collaboration revenue is derived from reimbursement of development expenses, such as under our agreement with AD Pharma, and are recognized when
costs are incurred pursuant to the agreements.  The ongoing research and development services being provided under the collaboration are priced at fair
value based upon the reimbursement of expenses incurred pursuant to the collaboration agreements. We recognized $185 thousand of collaboration revenue
during the year 2019. We did not have collaboration revenue during the year 2018.

Royalty Revenue

We recognize revenue from royalties based on our licensees' sales of our products or products using our technologies. Royalties are sales-based royalties
which are recognized as the related sales occur. These royalties were promised in exchange for a license of intellectual property.

In connection with our Collaboration and License Agreement with Zyla to commercialize Oxaydo tablets we will receive a stepped royalty at percentage
rates ranging from mid-single digits to double-digits based on Oxaydo net sales during each calendar year over the term of the agreement (excluding net
sales  resulting  from  any  co-promotion  efforts  by  us).  We  recognize  royalty  revenue  each  calendar  quarter  based  on  net  sales  reported  to  us  by  Zyla  in
accordance with the agreement. Zyla’s first commercial sale of Oxaydo occurred in October 2015 and we have recorded royalties of $351 thousand and
$386 thousand on net sales for the years 2019 and 2018, respectively (See Note 3).

In connection with the MainPointe Agreement, which occurred on March 16, 2017, we are receiving a royalty of 7.5% on net sales of the licensed products
over the term of the agreement. Such royalty shall be payable for sales made during each calendar quarter and payment will be remitted within forty-five
(45) days after the end of the quarter to which it relates. We have recorded royalties of $21 thousand and $24 thousand for the years 2019 and 2018 (See
Note 3).

Deferred Debt Issuance Costs and Debt Discount

Deferred debt issuance costs include costs of debt financing undertaken by the Company, including legal fees, placement fees and other direct costs of the
financing.  Debt  discount  can  be  incurred  from  value  attributable  to  warrants  issued  in  conjunction  with  the  financing  and/or  attributable  to  the  below
market  rate  element  of  the  loan  if  we  believe  the  loan’s  rate  of  interest  is  below  current  market  rates  for  us,  as  in  the  case  of  the  Schutte  Loans.  Debt
issuance costs and debt discount are amortized into interest expense over the term of the related debt using the effective interest method. Deferred debt
issuance costs and debt discount are presented on the consolidated balance sheets as a direct reduction against the debt balance at December 31, 2018. On
June 28, 2019, we restructured the $5.0 million related party loan and reported the debt using fair value for the changes to the loan and in doing so, the
unamortized debt discount was written off as a loss on debt extinguishment. During the years ended 2019 and 2018, we recognized interest expense from
the amortization of debt issuance costs and debt discount of $66 thousand and $87 thousand, respectively.

F-11

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Research and Development Activities

Research and Development (“R&D”) costs include internal R&D activities, external Contract Research Organization (“CRO”) services and their clinical
research  and  investigative  sites,  and  other  activities.  Internal  R&D  activity  costs  can  include  facility  overhead,  equipment  and  facility  maintenance  and
repairs, laboratory supplies, pre-clinical laboratory experiments, formulation work, depreciation, salaries, benefits, insurance and share-based compensation
expenses. CRO activity costs can include preclinical laboratory experiments and clinical trial studies. Other activity costs can include regulatory consulting,
regulatory  legal  counsel,  cost  of  acquiring,  developing  and  manufacturing  pre-clinical  trial  materials,  costs  of  manufacturing  scale-up,  and  cost  sharing
expenses under license agreements. Internal R&D costs and other activity costs are charged to expense as incurred. We make payments to the CRO's based
on agreed upon terms and may include payments in advance of a study starting date. Payments in advance will be reflected in the consolidated financial
statements as prepaid expenses. We review and charge to expense accrued CRO costs and clinical trial study costs based on services performed and rely on
estimates of those costs applicable to the stage of completion of a study as provided by the CRO. Our accrued CRO costs are subject to revisions as such
studies progress towards completion. Revisions are charged to expense in the period in which the facts that give rise to the revision become known. We did
not have prepaid CRO costs or prepaid clinical trial study expenses at December 31, 2019 and 2018.

In  connection  with  our  development  and  scale-up  of  LTX-03  under  the  AD  Pharma  Agreement  (See  Note  3)  we  entered  into  obligations  under  non-
cancelable arrangements at December 31, 2019 aggregating $502 thousand.

Income Taxes

We account for income taxes under the liability method. Under this method, deferred income tax assets and liabilities are determined based on differences
between the financial reporting and the income tax basis of assets and liabilities and are measured using the enacted income tax rates and laws that will be
in effect when the differences are expected to reverse. Additionally, net operating loss and tax credit carryforwards are reported as deferred income tax
assets.  The  realization  of  deferred  income  tax  assets  is  dependent  upon  future  earnings.  A  valuation  allowance  is  required  against  deferred  income  tax
assets if, based on the weight of available evidence, it is more likely than not that some or all of the deferred income tax assets may not be realized. At
December 31, 2019 and 2018, 100% of all remaining net deferred income tax assets were offset by a valuation allowance due to uncertainties with respect
to future utilization of net operating loss carryforwards. If in the future it is determined that additional amounts of our deferred income tax assets would
likely be realized, the valuation allowance would be reduced in the period in which such determination is made and an additional benefit from income taxes
in such period would be recognized.

Basic and Diluted Net Income (Loss) per Share

Basic  net  income  (loss)  per  share  is  computed  by  dividing  net  income  or  loss  by  the  weighted  average  common  shares  outstanding  during  a  period,
including shares weighted related to both vested Restricted Stock Units (“RSUs”) which settle in shares (See Note 12) and a stock warrant exercisable for
10.0 million shares having an exercise price of $0.01 per share (See Note 8). Diluted EPS is based on the treasury stock method and computed based on the
same  number  of  shares  used  in  the  basic  share  calculation  and  includes  the  effect  from  potential  issuance  of  common  stock,  such  as  shares  issuable
pursuant  to  the  exercise  of  stock  options  and  stock  warrants,  assuming  the  exercise  of  all  in-the-money  stock  options  and  warrants.  Common  stock
equivalents  are  excluded  from  the  computation  where  their  inclusion  would  be  anti-dilutive.  As  the  Company  reported  a  net  loss  in  2019  and  2018  the
effects  of  common  stock  equivalents  were  excluded  as  the  diluted  net  loss  per  share  calculation  would  have  been  antidilutive.  The  weighted-average
common share outstanding diluted computation is not impacted during any period where the exercise price of a stock option, common stock warrant or
convertible loan is greater than the average market price of our common stock.

F-12

 
 
 
 
 
 
 
 
 
Customer Concentration

Under our agreement with MainPointe, we earn royalties from MainPointe sale of the licensed product line Nexafed, and under our license agreement with
Zyla, we earn royalties from Zyla’s sale of the licensed product Oxaydo.

In June 2019 we signed a license, development and commercialization agreement with AD Pharma. Acura will receive a monthly license payment of $350
thousand by AD Pharma for 18 months until November 2020. The first license payment was received July 2, 2019. If the NDA filing for LTX-03 is not
accepted by the FDA by November 30, 2020, AD Pharma has the option to terminate the agreement and take ownership of the Limitx intellectual property.
Should AD Pharma choose not to exercise this option to terminate and the NDA for LTX-03 is subsequently accepted by the FDA, such option expires. AD
Pharma does have the right to terminate the agreement anytime for “convenience on 30 days prior written notice” and the license fee payments will stop.
On January 1, 2020, MainPointe assigned to AD Pharma, with Acura’s consent, all of its right, title and interest in the MainPointe Agreement between
MainPointe and Acura dated March 16, 2017.

Recent Accounting Pronouncements

New accounting standards which have been adopted on or before December 31, 2019

Collaborative Arrangements

In November 2018, the FASB issued ASU 2018-18, Collaborative Arrangements (ASC 808): Clarifying the Interaction between ASC 808 and ASC 606,
which  clarifies  that  certain  transactions  between  collaborative  arrangement  participants  should  be  accounted  for  as  revenue  under  ASC  606  when  the
collaborative arrangement participant is a customer in the context of a unit of account. In those situations, all the guidance in ASC 606 should be applied,
including  recognition,  measurement,  presentation  and  disclosure  requirements.  This  ASU  adds  unit-of-account  guidance  in  ASC  808  to  align  with  the
guidance in ASC 606 (that is, a distinct good or service) when an entity is assessing whether the collaborative arrangement or a part of the arrangement is
within the scope of ASC 606, and requires that in a transaction with a collaborative arrangement participant that is not directly related to sales to third
parties,  presenting  the  transaction  together  with  revenue  recognized  under  ASC  606  is  precluded  if  the  collaborative  arrangement  participant  is  not  a
customer. The Company early adopted ASC 808 which was to be effective for fiscal years beginning after December 15, 2020, and interim periods within
fiscal years beginning after December 15, 2021. The Company early adopted ASC 808 during third quarter 2019. The adoption of ASC 808 did not have an
impact on the Company’s financial statements.

Leases

In February 2016, the FASB issued ASU 2016-02, Leases (ASC 842), which establishes a comprehensive new lease accounting model. The new standard
will  require  most  leases  (with  the  exception  of  leases  with  terms  of  one  year  or  less)  to  be  recognized  on  the  balance  sheet  as  a  lease  liability  with  a
corresponding right-of-use asset. Leases will be classified as an operating lease or a financing lease. The classification of the lease will affect the pattern of
expense recognition in the income statement such that operating leases are expensed using the straight-line method whereas financing leases will be treated
similarly to a capital lease under the current standard. The standard also requires disclosures to help investors and other financial statement users better
understand  the  amount,  timing  and  uncertainty  of  cash  flows  arising  from  leases.  In  July  2018,  the  FASB  issued  ASU  No.  2018-10,  "Codification
Improvements to Topic 842, Leases" (ASU 2018-10), which provides narrow amendments to clarify how to apply certain aspects of the new lease standard,
and  ASU  No.  2018-11,  "Leases  (Topic  842)-Targeted  Improvements"  (ASU  2018-11),  which  addressed  implementation  issues  related  to  the  new  lease
standard. These and certain other lease-related ASUs have generally been codified in ASC 842. ASC 842 supersedes the lease accounting requirements in
Accounting Standards Codification Topic 840, Leases (ASC 840).

F-13

 
 
 
 
 
 
 
 
 
 
 
The  Company  adopted  ASC  842  using  the  modified  retrospective  transition  approach  during  Q1  2019,  which  allows  the  Company  to  not  adjust  the
comparative periods presented. The Company has elected to adopt the package of transition practical expedients and, therefore, has not reassessed whether
existing or expired contracts contain a lease or the lease classification for existing or expired. The Company did not elect the practical expedient to use
hindsight  for  leases  existing  at  the  adoption  date.  Upon  adoption,  operating  leases  would  be  reported  on  the  balance  sheet  as  a  gross-up  of  assets  and
liabilities, however the Company has elected, as an accounting policy, to not recognize ROU assets and lease liabilities for all short-term leases that have a
lease term of 12 months or less. The adoption of ASC 842 did not have an impact on the Company’s financial statements as the Company has no leases
with a term of more than 12 months.

New accounting standards which have not yet been adopted on or before December 31, 2019

Fair Value Measurements

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. ASU 2018-13 eliminates certain disclosure requirements for fair value measurements for all entities, requires public entities to
disclose certain new information and modifies some disclosure requirements. This standard is effective for fiscal years beginning after December 15, 2019,
including interim reporting periods within those years, with early adoption permitted.  The Company is currently evaluating the impact that the standard
will have on the financial statements and related footnote disclosures.

Credit Losses

In  June  2016,  the  FASB  issued  ASU  No.  2016-13,  Financial  Instruments  -  Credit  Losses  (Topic  326),  Measurement  of  Credit  Losses  on  Financial
Instruments (“ASU-2016-13”). ASU 2016-13 affects loans, debt securities, trade receivables, and any other financial assets that have the contractual right
to receive cash. The ASU requires an entity to recognize expected credit losses rather than incurred losses for financial assets. ASU 2016-13 is effective for
the fiscal year beginning after December 15, 2022, including interim periods within that fiscal year. The Company is currently evaluating the impact that
the standard will have on the financial statements and related footnote disclosures.

NOTE 3 – LICENSE AND COLLABORATION AGREEMENTS

The Company’s revenues are comprised of amounts earned under its license and collaboration agreements and royalties. Revenue recognition occurs when
a customer obtains control of promised services in an amount that reflects the consideration the Company expects to receive in exchange for those services
based on a short-term credit arrangement.

AD Pharma Agreement covering LTX-03

On June 28, 2019 we entered into with Abuse Deterrent Pharma, LLC (“AD Pharma”), a License, Development and Commercialization Agreement (the
"AD  Pharma  Agreement"),  for  the  development  and  license  of  LTX-03  (hydrocodone  bitartrate  with  acetaminophen)  immediate-release  tablets  utilizing
Acura’s patented LIMITx™. Acura will receive a monthly license payment of $350 thousand by AD Pharma for 18 months until November 2020. The first
license payment was received July 2, 2019. AD Pharma will pay for and reimburse Acura for all outside development costs on LTX-03. If the NDA filing
for LTX-03 is not accepted by the FDA by November 30, 2020, AD Pharma has the option to terminate the AD Pharma Agreement and take ownership of
the Limitx intellectual property. Should AD Pharma choose not to exercise this option to terminate and the NDA for LTX-03 is subsequently accepted by
the FDA, such option expires. AD Pharma does have the right to terminate the AD Pharma Agreement anytime for “convenience on 30 days prior written
notice”. AD Pharma retains commercialization rights from which Acura will receive stepped royalties on sales and potential sales related milestones.

We also granted authority to MainPointe Pharmaceuticals, LLC (MainPointe) to assign to AD Pharma the option and the right to add, as an Option Product
to  the  Nexafed®  Agreement,  a  Nexafed®  12-hour  dosage  (an  extended-release  pseudoephedrine  hydrochloride  product  utilizing  the  IMPEDE®
Technology in 120mg dosage strength. The Option Product exercise price of $500 thousand is waived if the exercise of the option occurs by June 28, 2024
(five years from the effective date of the AD Pharma Agreement).

F-14

 
 
 
 
 
 
 
 
 
 
 
 
 
On June 28, 2019 Mr. John Schutte assigned and transferred to AD Pharma his $6.0 million promissory note, the common stock purchase warrant for 10.0
million  common  shares,  and  the  security  agreement  granting  a  security  interest  in  all  of  the  Company’s  assets.  (See  Note  8).  Mr.  Schutte  is  our  largest
shareholder and directly owns approximately 47.5% of our common stock (after giving effect to the exercise of remaining common stock purchase warrants
he holds). Mr. Schutte controls MainPointe and is the principal investor in AD Pharma.

Zyla Agreement covering Oxaydo

In April 2014, we terminated an agreement with Pfizer which resulted in the return to us of Aversion Oxycodone (formerly known as Oxecta®) and all
Aversion product rights in exchange for a one-time termination payment of $2.0 million. Our termination payment of $2.0 million has been recorded in our
financial statements as an intangible asset and is being amortized over the remaining useful life of the patent covering Aversion Oxycodone, which was 9.7
years  as  of  the  date  the  Pfizer  agreement  was  terminated.  The  recoverability  of  the  Aversion  intangible  asset  is  contingent  upon  future  Zyla  royalty
revenues to us. We have recorded amortization expense of $207 thousand in each of the years ended December 31, 2019 and 2018. Annual amortization of
the patent for its remaining life is expected to approximate $207 thousand per year.

In January 2015, we and Egalet US, Inc. and Egalet Ltd., each a subsidiary of Egalet Corporation (now known as Zyla Life Sciences), or collectively Zyla,
entered into a Collaboration and License Agreement (the “Zyla Agreement”) to commercialize Aversion Oxycodone under our tradename Oxaydo. Oxaydo
is  approved  by  the  FDA  for  marketing  in  the  United  States  in  5  mg  and  7.5  mg  strengths.  Under  the  terms  of  the  Zyla Agreement,  we  transferred  the
approved  New  Drug  Application,  or  NDA,  for  Oxaydo  to  Zyla  and  Zyla  is  granted  an  exclusive  license  under  our  intellectual  property  rights  for
development and commercialization of Oxaydo worldwide (the “Territory”) in all strengths, subject to our right to co-promote Oxaydo in the United States.
Eaglet launched Oxaydo in the United States late in the third quarter of 2015.

In accordance with the Zyla Agreement Zyla is responsible for the fees and expenses relating to the product line extensions of Oxaydo, provided that Zyla
will pay a substantial majority of the fees and expenses and we will pay for the remaining fees and expense relating to (i) annual NDA PDUFA product
fees,  (ii)  expenses  of  the  FDA  required  post-marketing  study  for  Oxaydo  and  (iii)  expenses  of  clinical  studies  for  product  line  extensions  (additional
strengths) of Oxaydo for the United States. Zyla will bear all of the expenses of development and regulatory approval of Oxaydo for sale outside the United
States. Zyla is responsible for all manufacturing and commercialization activities in the Territory for Oxaydo. Subject to certain exceptions, Zyla will have
final decision making authority with respect to all development and commercialization activities for Oxaydo, including pricing, subject to our co-promotion
right. Zyla may develop Oxaydo for other countries and in additional strengths, in its discretion.

Zyla paid us a $5.0 million license fee upon signing of the Zyla Agreement and on October 9, 2015, paid us a $2.5 million milestone in connection with the
first commercial sale of Oxaydo. We will be entitled to a one-time $12.5 million sales-based milestone payment when worldwide Oxaydo net sales reach
$150 million in a calendar year. We are entitled to receive from Zyla a stepped royalty at percentage rates ranging from mid-single digits to double-digits
based on Oxaydo net sales during each calendar year (excluding net sales resulting from our co-promotion efforts). In any calendar year of the agreement in
which net sales exceed a specified threshold, we will receive a double digit royalty on all Oxaydo net sales in that year (excluding net sales resulting from
our co-promotion efforts). If we exercise our co-promotion rights, we will receive a share of the gross margin attributable to incremental Oxaydo net sales
from  our  co-promotion  activities.  Zyla’s  royalty  payment  obligations  commenced  on  the  first  commercial  sale  of  Oxaydo  and  expire,  on  a  country-by-
country basis, upon the expiration of the last to expire valid patent claim covering Oxaydo in such country (or if there are no patent claims in such country,
then upon the expiration of the last valid claim in the United States or the date when no valid and enforceable listable patent in the FDA’s Orange Book
remains with respect to Oxaydo). Royalties will be reduced upon the entry of generic equivalents, as well as for payments required to be made by Zyla to
acquire intellectual property rights to commercialize Oxaydo, with an aggregate minimum floor.

F-15

 
 
 
 
 
 
 
 
The Zyla Agreement expires upon the expiration of Zyla’s royalty payment obligations in all countries. Either party may terminate the Zyla Agreement in
its entirety if the other party breaches a payment obligation, or otherwise materially breaches the Zyla Agreement, subject to applicable cure periods, or in
the  event  the  other  party  makes  an  assignment  for  the  benefit  of  creditors,  files  a  petition  in  bankruptcy  or  otherwise  seeks  relief  under  applicable
bankruptcy laws. We also may terminate the Zyla Agreement with respect to the U.S. and other countries if Zyla materially breaches its commercialization
obligations. Zyla may terminate the Zyla Agreement for convenience on 120 days prior written notice, which termination may not occur prior to the second
anniversary of Zyla’s launch of Oxaydo. Termination does not affect a party’s rights accrued prior thereto, but there are no stated payments in connection
with  termination  other  than  payments  of  obligations  previously  accrued.  For  all  terminations  (but  not  expiration),  the  Zyla  Agreement  provides  for  the
transition of development and marketing of Oxaydo from Zyla to us, including the conveyance by Zyla to us of the trademarks and all regulatory filings
and approvals relating to Oxaydo, and for Zyla’s supply of Oxaydo for a transition period.

MainPointe Agreement covering Nexafed Products and assignment thereof to AD Pharma

In March 2017, we and MainPointe entered into the MainPointe Agreement, pursuant to which we granted MainPointe an exclusive license to our Impede
Technology  to  commercialize  both  of  our  Nexafed  and  Nexafed  Sinus  Pressure  +  Pain  product  (“Nexafed  products”)  in  the  U.S.  and  Canada.  We  also
conveyed  to  MainPointe  our  existing  inventory  and  equipment  relating  to  our  Nexafed  products.  MainPointe  is  responsible  for  all  development,
manufacturing and commercialization activities with respect to products covered by the Agreement.

On  signing  the  MainPointe  Agreement,  MainPointe  paid  us  an  upfront  licensing  fee  of  $2.5  million.  The  MainPointe  Agreement  also  provides  for  our
receipt of a 7.5% royalty on net sales of the licensed products. The royalty payment for each product will expire on a country-by-country basis when the
Impede® patent rights for such country have expired or are no longer valid; provided that if no Impede patent right exists in a country, then the royalty term
for that country will be the same as the royalty term for the United States. After the expiration of a royalty term for a country, MainPointe retains a royalty
free license to our Impede® Technology for products covered by the Agreement in such country.

MainPointe has the option to expand the licensed territory beyond the United States and Canada to the European Union (and the United Kingdom), Japan
and  South  Korea  for  payments  of  $1.0  million,  $500  thousand  and  $250  thousand,  respectively.  In  addition,  MainPointe  has  the  option  to  add  to  the
MainPointe Agreement certain additional products, or Option Products, containing PSE and utilizing the Impede Technology for a fee of $500 thousand per
product  (for  all  product  strengths).  Such  Option  Products  include  the  product  candidate  Loratadine  with  pseudoephedrine.  If  the  territory  has  been
expanded  prior  to  the  exercise  of  a  product  option,  the  option  fee  will  be  increased  to  $750  thousand  per  product.  If  the  territory  is  expanded  after  the
payment of the $500 thousand product option fee, a one-time $250 thousand fee will be due for each product. If a third party is interested in developing or
licensing rights to an Option Product, MainPointe must exercise its option for that product or its option rights for such product will terminate.

On June 28, 2019, we granted authority to MainPointe to assign to AD Pharma the option and the right to add, as an Option Product to the Nexafed®
Agreement,  a  Nexafed®  12-hour  dosage  (an  extended-release  pseudoephedrine  hydrochloride  product  utilizing  the  IMPEDE®  Technology  in  120mg
dosage strength. The Option Product exercise price of $500 thousand is waived if the exercise of the option occurs by June 28, 2024 (five years from the
effective date of the AD Pharma Agreement).

The MainPointe Agreement may be terminated by either party for a material breach of the other party, or by Acura if MainPointe challenges certain of its
patents.  Upon  early  termination  of  the  MainPointe  Agreement,  MainPointe’s  licenses  to  the  Impede  Technology  and  all  products  will  terminate.  Upon
termination,  at  Acura’s  request  the  parties  will  use  commercially  reasonable  efforts  to  transition  the  Nexafed®  and  Nexafed®  Sinus  Pressure  +  Pain
products back to Acura.

On January 1, 2020, MainPointe assigned to AD Pharma, with Acura’s consent, all of its right, title and interest in the MainPointe Agreement between
MainPointe and Acura dated March 16, 2017.

F-16

 
 
 
 
 
 
 
 
 
 
KemPharm Agreement Covering Certain Opioid Prodrugs

In October 2016, we and KemPharm Inc. (”KemPharm”) entered into a worldwide License Agreement (the “KemPharm Agreement”) pursuant to which
we  licensed  our  Aversion® Technology  to  KemPharm  for  its  use  in  the  development  and  commercialization  of  three  products  using  2  of  KemPharm’s
prodrug  candidates.  KemPharm  has  also  been  granted  an  option  to  extend  the  KemPharm  Agreement  to  cover  two  additional  prodrug  candidates.
KemPharm is responsible for all development, manufacturing and commercialization activities.

Upon  execution  of  the  KemPharm  Agreement,  KemPharm  paid  us  an  upfront  payment  of  $3.5  million.  If  KemPharm  exercises  its  option  to  use  our
Aversion  Technology  with  more  than  the  two  licensed  prodrugs,  then  KemPharm  will  pay  us  up  to  $1.0  million  for  each  additional  prodrug  license.  In
addition,  we  will  receive  from  KemPharm  a  low  single  digit  royalty  on  commercial  sales  by  KemPharm  of  products  developed  using  our  Aversion
Technology  under  the  KemPharm  Agreement.  KemPharm’s  royalty  payment  obligations  commence  on  the  first  commercial  sale  of  a  product  using  our
Aversion Technology and expire, on a country-by-country basis, upon the expiration of the last to expire patent claim of the Aversion Technology covering
a product in such country, at which time the license for the particular product and country becomes fully paid and royalty free.

The  KemPharm  Agreement  expires  upon  the  expiration  of  KemPharm’s  royalty  payment  obligations  in  all  countries.  Either  party  may  terminate  the
KemPharm  Agreement  in  its  entirety  if  the  other  party  materially  breaches  the  KemPharm  Agreement,  subject  to  applicable  cure  periods.  Acura  or
KemPharm may terminate the KemPharm Agreement with respect to the U.S. and other countries if the other party challenges the patents covering the
licensed products. KemPharm may terminate the KemPharm Agreement for convenience on ninety (90) days prior written notice. Termination does not
affect a party’s rights accrued prior thereto, but there are no stated payments in connection with termination other than payments of obligations previously
accrued. For all terminations (but not expiration), the KemPharm Agreement provides for termination of our license grant to KemPharm.

NOTE 4 – REVENUE FROM CONTRACTS WITH CUSTOMERS

Revenue is recognized when, or as, performance obligations under terms of a contract are satisfied, which occurs when control of the promised service is
transferred to a customer. Revenue is measured as the amount of consideration the Company expects to receive in exchange for transferring services to a
customer  (“transaction  price”).  The  Company  will  then  recognize  as  revenue  the  amount  of  the  transaction  price  that  is  allocated  to  the  respective
performance obligation when, or as, the performance obligation is satisfied. When determining the transaction price of the contract, an adjustment is made
if payment from a customer occurs either significantly before or significantly after performance, resulting in a significant financing component. None of the
Company’s licenses and collaboration agreements contained a significant financing component at either December 31, 2019 or 2018.

The  Company’s  existing  license  and  collaboration  agreements  may  contain  a  single  performance  obligation  or  may  contain  multiple  performance
obligations.  Those  which  contain  multiple  performance  obligations  will  require  an  allocation  of  the  transaction  price  based  on  the  estimated  relative
standalone selling prices of the promised services underlying each performance obligation.

The  Company’s  existing  license  and  collaboration  agreements  contain  customer  options  for  the  license  of  additional  products  and  territories.  We
determined the option’s standalone selling prices based on the option product’s potential market size in the option territory as compared to the currently
licensed product and U.S. territory. Some of our existing license and collaboration agreements contain a license to the technology as well as licenses to
tradenames or trademarks. The Company determined that the licenses to the tradenames or trademarks were immaterial in context of the contract.

Sales-based Milestones and Royalty Revenues

The  commercial  sales-based  milestones  and  sales  royalties  earned  under  the  license  and  collaboration  for  Oxaydo  and  sales  royalties  earned  under  the
license for the Nexafed products, are recorded in the period of the related sales by Zyla and MainPointe. Payments of sales-based milestones are generally
due within 30 days after the end of a calendar year. Payments of royalties are generally due within 45 days after the end of a calendar quarter.

F-17

 
 
 
 
 
 
 
 
 
 
 
 
License and Collaboration Agreement Revenues

The achievement of milestones under the Company’s license and collaboration agreements will be recorded as revenue during the period the milestone’s
achievement becomes probable, which may result in earlier recognition as compared to the previous accounting standards. The license fee of an option
product or option territory under the Company’s license and collaboration agreements will be recorded as revenue when the option is exercised and any
obligations on behalf of the Company, such as to transfer know-how, has been fulfilled. The monthly license fee under the Company’s LTX-03 license and
collaboration agreement will be recorded as revenue upon the fulfillment of the monthly development activities. The out-of-pocket development expenses
under  the  license  and  collaboration  agreements  will  be  recorded  as  revenue  upon  the  performance  of  the  service  or  delivery  of  the  material  during  the
month.

On June 28, 2019 we entered into an agreement with AD Pharma for the development and license of LTX-03 (hydrocodone bitartrate with acetaminophen)
immediate-release tablets utilizing Acura’s patented LIMITx™ having a monthly license payment of $350 thousand from AD Pharma to us for a period of
up to 18 months until November 2020. AD Pharma will pay directly for or reimburse Acura to the extent Acura pay’s for, all out-of-pocket development
expenses. The first license payment was received July 2, 2019.

Disaggregation of Total Revenues

The  Company  has  two  license  agreements  for  currently  marketed  products  containing  its  technologies;  the  Oxaydo  product  containing  the  Aversion
Technology has been licensed to Zyla and the Nexafed products containing the Impede Technology which have been licensed to MainPointe. On January 1,
2020, MainPointe assigned to AD Pharma, with Acura’s consent, all of its right, title and interest in the MainPointe Agreement between MainPointe and
Acura. All of the Company’s royalty revenues are earned from these two license agreements by the licensee’s sale of products in the United States.

Royalty revenues by licensee are summarized below:

Zyla (Oxaydo)
MainPointe (Nexafed)
    Royalty revenues

Contract Balance and Performance Obligations

For the Year Ended
December 31,

2019

2018

(in thousands)

 $

 $

351  $
21   
372  $

386 
24 
410 

The Company had no contract assets and contract liability balances under the license and collaboration agreements at either December 31, 2019 or 2018.
Contract assets may be reported in future periods under prepaid expenses or other current assets on the consolidated balance sheet. Contract liabilities may
be reported in future periods consisting of deferred revenue as presented on the consolidated balance sheet.

NOTE 5 – PROPERTY, PLANT AND EQUIPMENT

Property, plant and equipment is summarized as follows (in thousands):

Building and improvements
Scientific equipment
Computer hardware and software
Machinery and equipment
Land and improvements
Other personal property
Office equipment

Less: accumulated depreciation
Total property, plant and equipment, net

F-18

December 31,

2019

2018

 $

 $

1,273   $
597    
106    
274    
162    
70    
27    
2,509    
(1,969)  
540   $

1,273 
598 
107 
275 
162 
70 
27 
2,512 
(1,906)
606 

 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
   
 
  
  
  
  
  
  
 
  
  
 
We do not have leasehold improvements nor do we have capitalized leases. Costs of betterments are capitalized while maintenance costs and repair costs
are charged to operations as incurred. When a depreciable asset is retired from service, the cost and accumulated depreciation will be removed from the
respective accounts.

Depreciation expense was $66 thousand and $73 thousand for each of the years ended December 31, 2019 and 2018, respectively.

NOTE 6 – ACCRUED EXPENSES

Accrued expenses are summarized as follows (in thousands):

December 31,

2019

2018

Cost sharing expenses under license agreements  $
Other fees and services
Payroll, payroll taxes and benefits
Professional services
Financed premiums on insurance policies
Clinical, non-clinical and regulatory services
Property taxes
Franchise taxes
    Total

 $

363  $
15   
13   
151   
-   
20   
9   
14   
585  $

237 
36 
6 
132 
102 
63 
7 
13 
596 

NOTE 7 – DEBT

Fully Paid Loan

In December 2013, we entered into a Loan and Security Agreement (the “Oxford Loan Agreement”) with Oxford Finance LLC (“Oxford” or the “Lender”),
for a term loan to the Company in the principal amount of $10.0 million (the “Term Loan”). The Oxford Term Loan accrued interest at a fixed rate of
8.35%  per  annum  (with  a  default  rate  of  13.35%  per  annum).  The  Company  was  required  to  make  monthly  interest−only  payments  until  April  1,  2015
(“Amortization Date”) and beginning on the Amortization Date, the Company began to make payments of principal and accrued interest in equal monthly
installments of $260 thousand, sufficient to amortize the Term Loan through the maturity date of December 1, 2018. All unpaid principal and accrued and
unpaid interest with respect to the Term Loan was due and payable in full on December 1, 2018. As security for its obligations under the initial Oxford
Loan Agreement (prior to the Third Amendment), the Company granted the Lender a security interest in substantially all of its existing and after−acquired
assets, exclusive of its intellectual property assets. Upon the execution of the Oxford Loan Agreement, we issued to the Lender warrants to purchase an
aggregate of up to 60 thousand shares of our common stock at an exercise price equal to $7.98 per share (after adjustment for our one-for-five reverse stock
split)  (the  “Warrants”).  We  recorded  $400  thousand  as  debt  discount  associated  with  the  relative  fair  value  of  the  Warrants  and  amortized  it  to  interest
expense over the term of the loan using the loan’s effective interest rate. The Warrants were immediately exercisable for cash or by net exercise and will
expire December 27, 2020.

In January 2015, we and Oxford amended the Oxford Loan Agreement providing for the exercise price of the Warrants to be lowered from $7.98 to $2.52
per share (the average closing price of our common stock on Nasdaq for the 10 trading days preceding the date of the amendment and after giving effect to
our one-for-five reverse stock split) and we recorded additional debt discount of $33 thousand representing the fair value of the Warrant modification.

The Company was obligated to pay customary lender fees and expenses, including a one-time facility fee of $50 thousand and the Lender’s expenses, in
connection with the Oxford Loan Agreement. Combined with the Company’s own expenses and a $100 thousand consulting placement fee, the Company
incurred a total $231 thousand in deferred debt issue costs. We amortized these costs, including debt modification additional costs, into interest expense
over the term of the Term Loan using the loan’s effective interest rate of 10.16%.

F-19

 
 
 
 
 
 
 
 
 
 
 
  
 
  
  
  
  
  
  
  
 
 
 
 
 
 
In  October  2018  we  borrowed  $1.8  million  from  Mr.  Schutte  and  used  loan  proceeds  to  negotiate,  settle  and  pay-off  in  full  the  Oxford  Loan  for  $1.5
million. We recognized a net gain from debt settlement of $296 thousand on principal and interest which has been reflected in our statement of operations
as non-operating income. All security interests of Oxford with respect to the Oxford Term Loan have been released.

Related Party Convertible Loan

At December 31, 2018, we had borrowed an aggregate of $4.350 million from Mr. Schutte, a related-party. From January 1, 2019 and through June 27,
2019, we borrowed additional amounts from Mr. Schutte for $650 thousand and issued various promissory notes to him with the same terms and conditions
from the previous loans (the Schutte Notes). The Schutte Notes bear interest at prime plus 2.0%, and were to mature on January 2, 2020, at which time all
principal and interest was to be due. The Schutte Notes were unsecured until all obligations to Oxford were satisfied at which time we were required to
grant a security interest to Mr. Schutte in all of our assets, including our intellectual property. Because we believed the Schutte Notes’ rate of interest was
below current market rates for us, we imputed interest on the below market rate element of the loans using the 10.16% interest rate under the Oxford Loan
Agreement and this has aggregated to $172 thousand as of December 31, 2018. We recorded these benefits to interest income, with a corresponding like
amount as debt discount against the principal amount of the loan. The debt discount will be amortized to interest expense over the term on the loans. At
December 31, 2018, the unamortized debt discount balance was $126 thousand and the accrued interest balance was $110 thousand. We recorded a $13
thousand benefit to interest income during 2019 from the $650 thousand borrowings from Mr. Schutte. At June 27, 2019, the unamortized debt discount
balance was $73 thousand and the accrued interest balance was $275 thousand. The events of default under the Schutte Notes are limited to bankruptcy
defaults and failure to pay interest and principal when due on January 2, 2020. The Schutte Notes could be prepaid at any time in whole or in part.

Included in the $4.350 million loan outstanding from Mr. Schutte as of December 31, 2018 was a borrowing of $1.8 million completed on October 5, 2018
of which we used $1.5 million to fully pay-off the debt outstanding under the Oxford Loan Agreement. All our assets are pledged as collateral under the
Schutte Notes, including our intellectual property.

On June 27, 2019 the aggregate amount of the loans made to the Company by Mr. Schutte aggregated $5.0 million. On June 28, 2019 we restructured the
$5.0 million loan to borrow an additional $725 thousand from Mr. Schutte, which was received on July 2, 2019, bringing the aggregate principal of the
loans and accrued interest to $6.0 million, and consolidated the loans into a single promissory note with a fixed interest rate of 7.5%, maturity date of July
1, 2023, granted principal and interest conversion rights into shares of our common stock at a price of $0.16 per share, issued a warrant for 10.0 million
common shares having an exercise price of $0.01 per share, and granted a security interest in all of the Company’s assets, which includes our intellectual
property. The principal amount of the loan is convertible into 37.5 million shares of our common stock. The loan restructuring was accounted for as debt
extinguishment. We obtained a valuation of fair value on the modified loan and warrant and the method of accounting for the loan changes resulted in a
$2.6 million loss on debt extinguishment. Of the loss on debt extinguishment, $1.145 million was allocated to the warrant, $1.382 million was related to the
premium  on  the  convertible  loan,  and  $73  thousand  was  assignable  to  write-off  of  the  original  loan’s  remaining  unamortized  debt  discount.  The  $6.0
million promissory note, the common stock purchase warrant and the security agreement were all assigned and transferred by Mr. Schutte to AD Pharma on
June 28, 2019.

The events of default under the $6.0 million note are limited to bankruptcy defaults, failure to pay interest and principal when due on July 1, 2023 or upon
failure to meet certain timelines as defined in the agreement. The $6.0 million note may be prepaid at any time in whole or in part but only with the consent
of the noteholder.

F-20

 
 
 
 
 
 
 
 
Our debt interest expense for the twelve months ended December 31, 2019 and 2018 consisted of the following (in thousands):

Interest expense:

   Fully paid term loan
   Related party term loans
   Debt discount
   Debt issue costs
   Financed insurance premiums
      Total interest expense
          Less: imputed interest income on related party loans

      Total interest expense, net

NOTE 8 – RELATED PARTY TRANSACTIONS

Private Placement with Mr. John Schutte

Year Ended 
December 31,

2019

2018

-    $
392     
66     
-     
4     
462    $
(13)    

449    $

194 
110 
74 
13 
4 
395 
(172)

223 

  $

  $

  $

In  July  2017,  we  completed  a  $4.0  million  private  placement  with  Mr.  Schutte  (sometimes  referred  to  as  the  “Investor”),  consisting  of  8,912,655  units
(“Units”) of the Company, at a price of $0.4488 per Unit (the “Transaction”). Each Unit consists of one share of common stock and a warrant to purchase
one fifth (0.2) of a share of common stock. The issue price of the Units was equal to 85% of the average last sale price of our common stock for the five
trading days prior to completion of the Transaction. The warrants are immediately exercisable for 1,782,532 common shares at a price of $0.528 per share
(which equals the average last sale price of the Company’s common stock for the five trading days prior to completion of the Transaction) and expire five
years after issuance (subject to earlier expiration in event of certain acquisitions). We have assigned a relative fair value of $495 thousand to the warrants
out of the total $4.0 million proceeds from the private placement transaction and have accounted these warrants as equity. The Transaction was completed
through a private placement to an accredited investor and was exempt from registration pursuant to Section 4(2) of the Securities Act of 1933, as amended
and/or Regulation D promulgated under the Securities Act of 1933.

MainPointe Pharmaceuticals LLC

Investor is a principal of MainPointe Pharmaceuticals LLC, a Kentucky limited liability company (“MainPointe”). In March 2017, we granted MainPointe
an exclusive license to our Impede Technology to commercialize our Nexafed® and Nexafed® Sinus Pressure + Pain Products in the United States and
Canada for an upfront licensing fee of $2.5 million plus approximately $309 thousand for transferred inventory and equipment. The Company is receiving a
7.5% royalty on sales of licensed products. MainPointe also has options to expand the territory and products covered for additional sums. Included in the
reported royalty revenue for the years ended 2019 and 2018 is $21 thousand and $24 thousand, respectively, of royalty revenue from MainPointe (See Note
3). On January 1, 2020, MainPointe assigned to AD Pharma, with Acura’s consent, all of its right, title and interest in the MainPointe Agreement between
MainPointe and Acura.

As  part  of  the  closing  of  the  Transaction,  the  Company  and  Essex  Woodlands  Health  Ventures  V,  L.P.  (“Essex”)  and  Galen  Partners  III,  L.P.  (“Galen”)
amended  and  restated  the  existing  Voting  Agreement  including  such  parties  to  provide  for  the  Investor  to  join  as  a  party  (as  so  amended,  the  “Second
Amended  and  Restated  Voting  Agreement”).  The  Second  Amended  and  Restated  Voting  Agreement  provides  that  our  Board  of  Directors  shall  remain
comprised of no more than seven members (subject to certain exceptions), (i) one of whom is the Company’s Chief Executive Officer, (ii) three of whom
are independent under Nasdaq standards, and (iii) one of whom shall be designated by each of Essex, Galen and Investor, and the parties to such agreement
would vote for such persons. The right of each of Essex, Galen and Investor to designate one director to our Board will continue as long as he or it and their
affiliates  collectively  hold  at  least  600,000  shares  of  our  common  stock  (including  warrants  exercisable  for  such  shares).  Immanuel  Thangaraj  is  the
designee of Essex. Investor has not designated a director as of the date of filing of this Report. Galen had not designated a director and lost that right in
December 2017 when it disposed of its shares of common stock in the Company. Once such shareholder no longer holds such securities, the additional
forfeited seat would become a seat for an independent director to thereafter be nominated to the Board of Directors from time to time by the then current
directors and as applicable, to be elected by the directors to fill the vacancy created by the forfeited seat or submitted to the vote of shareholders at the
Company’s next annual meeting. An independent director has not been named to fill the seat forfeited by Galen.

F-21

 
 
  
 
 
 
 
   
 
   
   
   
   
   
 
   
      
  
 
 
 
 
 
 
 
Loans with Mr. John Schutte

During  the  period  January  1,  2019  through  June  27,  2019  we  borrowed  an  aggregate  of  $650  thousand  from  Mr.  John  Schutte.  On  June  28,  2019  we
borrowed an additional $725 thousand from Mr. Schutte, bringing the aggregate principal of the loans and accrued interest to $6.0 million, and consolidated
the loans into a single promissory note with a fixed interest rate of 7.5%, maturity date of July 1, 2023, granted conversion rights of principal and interest
into shares of our common stock at a price of $0.16 per share, issued a warrant for 10.0 million common shares having an exercise price of $0.01 per share,
and granted a security interest in all of the Company’s assets, which includes our intellectual property. The principal amount of the note is convertible into
37.5  million  shares  of  our  common  stock.  The  $6.0  million  promissory  note,  the  common  stock  purchase  warrant  and  the  security  agreement  were  all
assigned and transferred by Mr. Schutte to AD Pharma on June 28, 2019.

AD Pharma Agreement covering LTX-03

On  June  28,  2019,  we  entered  into  a  License,  Development  and  Commercialization  Agreement  (the  "AD  Pharma  Agreement")  with  Abuse  Deterrent
Pharma, LLC (“AD Pharma”), a special purpose company representing a consortium of investors that will finance Acura’s operations and completion of
development  of  LTX-03  (hydrocodone  bitartrate  with  acetaminophen)  immediate-release  tablets  utilizing  Acura’s  patented  LIMITx™  technology  which
addresses  the  consequences  of  excess  oral  administration  of  opioid  tablets,  the  most  prevalent  route  of  opioid  overdose  and  abuse.  The  AD  Pharma
Agreement grants AD Pharma exclusive commercialization rights in the United States to LTX-03. Financial arrangements include:

· Monthly  license  payments  to  Acura  by  AD  Pharma  of  $350  thousand  up  to  the  earlier  of  18  months  or  FDA’s  acceptance  of  a  New  Drug

·
·
·

Application (“NDA”) for LTX-03;
Reimbursement by AP Pharma of Acura’s LTX-03 outside development expenses;
Upon commercialization of LTX-03, Acura receives stepped royalties on sales and is eligible for certain sales related milestones; and
Acura  authorizes  MainPointe  to  assign  to  AD  Pharma  the  option  and  the  right  to  add,  as  an  Option  Product  to  the  Nexafed®  Agreement,  a
Nexafed®  12-hour  dosage  (an  extended-release  pseudoephedrine  hydrochloride  product  utilizing  the  IMPEDE®  Technology  in  120mg  dosage
strength).

AD Pharma may terminate the AD Pharma Agreement at any time. Additionally, if the NDA for LTX-03 is not accepted by the FDA by November 30,
2020, AD Pharma has the option to terminate the AD Pharma Agreement and take ownership of the intellectual property. Should AD Pharma choose not to
exercise this option to terminate and the NDA for LTX-03 is subsequently accepted by the FDA, such option expires.

We also granted authority to MainPointe Pharmaceuticals, LLC (MainPointe) to assign to AD Pharma the option and the right to add, as an Option Product
to  the  Nexafed®  Agreement,  a  Nexafed®  12-hour  dosage  (an  extended-release  pseudoephedrine  hydrochloride  product  utilizing  the  IMPEDE®
Technology in 120mg dosage strength). In March 2017, we granted MainPointe an exclusive license to our IMPEDE ® Technology to commercialize our
Nexafed® and Nexafed® Sinus Pressure + Pain Products in the United States and Canada. On January 1, 2020, MainPointe assigned to AD Pharma, with
Acura’s consent, all of its right, title and interest in the MainPointe Agreement between MainPointe and Acura dated March 16, 2017.

NOTE 9 – EMPLOYEE BENEFIT PLAN

We have a 401(k) and Profit-Sharing Plan (the “Plan”) for our employees. Employees may elect to make a basic contribution of up to 80% of their annual
earnings  subject  to  certain  regulatory  restrictions  on  their  total  contribution.  The  Plan  provides  that  the  Company  can  make  discretionary  matching
contributions along with a discretionary profit-sharing contribution. We did not contribute a matching contribution or a profit sharing contribution to the
Plan during the years 2019 or 2018.

F-22

 
 
 
 
 
 
 
 
 
 
 
NOTE 10 – COMMON STOCK PURCHASE WARRANTS

Our warrant activity during the years ended December 31, 2019 and 2018 is shown below (in thousands except price data):

Outstanding, Jan. 1

Issued
Exercised
Expired
Modification
Outstanding, Dec. 31

December 31,

2019

2018

  Number

WAvg 
Exercise 
Price

    Number

WAvg 
Exercise 
Price

1,842    $
10,000     
-     
-     
-     
11,842    $

0.59     
0.01     
-     
-     
-     
0.10     

1,842    $
-     
-     
-     
-     
1,842    $

0.59 
- 
- 
- 
- 
0.59 

In connection with the issuance of the $10.0 million secured promissory notes in December 2013, we issued common stock purchase warrants (“warrants”)
exercisable for 60 thousand shares of our common stock having an exercise price of $2.52 per share (after giving effect to our one-for-five reverse stock
split) with an expiration date in December 2020. These warrants contain a cashless exercise feature (See Note 7).

As  part  of  our  July  2017  private  placement  transaction  with  Mr.  Schutte,  we  issued  warrants  to  purchase  1,782,531  shares  of  our  common  stock.  The
warrants are immediately exercisable at a price of $0.528 per share and expire five years after issuance (See Note 8). We have assigned a relative fair value
of $495 thousand to the warrants out of the total $4.0 million proceeds from the private placement transaction and have accounted for these warrants as
equity.

On June 28, 2019 as part of the changes made to the loan agreements we had with Mr. Schutte, each having an original due date of January 2, 2020, we
issued to him a warrant to purchase 10.0 million shares of our common stock exercisable at a price of $0.01 per share and expire five years after issuance.
We obtained a valuation of fair value on the warrant and $1.145 million was allocated to the warrant and accounted for as equity. (see Note 7 and Note 8).
The warrant was assigned and transferred by Mr. Schutte to AD Pharma on June 28, 2019.

NOTE 11 – SHARE-BASED COMPENSATION EXPENSE

Stock Option Plans

We maintain various stock option plans. A summary of our stock option plans as of December 31, 2019 and 2018 and for the year then ended consisted of
the following (in thousands except exercise price):

Outstanding, Jan. 1
Granted
Exercised
Forfeited
Expired

Outstanding, Dec. 31
Exercisable, Dec. 31

Year Ended December 31,

2019

2018

Weighted 
Average 
Exercise 
Price

Weighted 
Average 
Exercise 
Price

Number of
Options

Number of
Options

1,560    $
-     
-     
(34)    
(170)    
1,356    $
1,356    $

7.38     
-     
-     
4.09     
30.83     
4.45     
4.45     

1,494    $
232     
-     
(3)    
(163)    
1,560    $
1,328    $

12.33 
0.15 
- 
0.56 
42.75 
7.38 
8.64 

F-23

 
 
 
 
 
 
 
 
 
   
 
 
   
   
 
   
   
   
   
   
   
  
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
   
   
   
 
   
   
   
   
   
   
   
  
The following table summarizes information about unvested stock options outstanding at December 31, 2019 (in thousands except price data):

Outstanding at Jan. 1, 2019

Granted
Vested
Forfeited

Outstanding at Dec. 31, 2019

Number of
Options Not
Exercisable    

Weighted
Average Fair
Value

232   $
-    
(223)  
(9)  
-   $

0.10 
- 
0.10 
0.10 
- 

We  estimate  the  option’s  fair  value  on  the  date  of  grant  using  the  Black-Scholes  option-pricing  model.  Black-Scholes  utilizes  assumptions  related  to
expected term, forfeitures, volatility, the risk-free interest rate, the dividend yield (which is assumed to be zero, as we have not paid any cash dividends)
and employee exercise behavior. Expected volatilities utilized in the Black-Scholes model are based on the historical volatility of our common stock price.
The  risk-free  interest  rate  is  derived  from  the  U.S.  Treasury  yield  curve  in  effect  at  the  time  of  grant.  The  expected  life  of  the  grants  is  derived  from
historical exercise activity. Historically, the majority of our stock options have been held until their expiration date.

The assumptions used in the Black-Scholes model to determine fair value for the 2018 stock option grants were:

Expected dividend yield
Risk-free interest rates
Average expected  volatility
Expected term (years)
Weighted average grant date fair value

0.0%
2.8%
76%
5 
0.10 

 $

There  was  no  intrinsic  value  contained  in  the  stock  option  awards  which  vested  and  were  outstanding  at  December  31,  2019.  The  total  remaining
unrecognized  compensation  cost  on  unvested  option  awards  outstanding  at  December  31,  2019  was  approximately  $20  thousand,  and  is  expected  to  be
recognized in the Company’s operating expense in varying amounts over the next eleven months remaining in the requisite service period.

Restricted Stock Unit Award Plans

We have two Restricted Stock Unit Award Plans for our employees and non-employee directors, a 2017 Restricted Stock Unit Award Plan (the “2017 RSU
Plan”) and a 2014 Restricted Stock Unit Award Plan (the “2014 RSU Plan”). Vesting of an RSU entitles the holder to receive a share of our common stock
on a distribution date. Our non-employee director awards allow for non-employee directors to receive payment in cash, instead of stock, for up to 40% of
each RSU award. The portion of the RSU awards subject to cash settlement are recorded as a liability in the Company’s consolidated balance sheet as they
vest and being marked-to-market each reporting period until they are distributed. The liability was $29 thousand and $11 thousand at December 31, 2019
and 2018, respectively.

The compensation cost to be incurred on a granted RSU without a cash settlement option is the RSU’s fair value, which is the market price of our common
stock on the date of grant, less its exercise cost. The compensation cost is amortized to expense and recorded to additional paid-in capital over the vesting
period of the RSU award.

A summary of the grants under the RSU Plans as of December 31, 2019 and 2018, and for the year then ended consisted of the following (in thousands):

Outstanding, Jan. 1
Granted
Distributed
Vested
Forfeited

Outstanding, Dec. 31

Year Ended December 31,

2018

Number of
Vested RSUs    
459     
-     
(267)    
825     
-     
1,017     

Number of
RSUs

462     
759     
(262)    
-     
(8)    
951     

Number of
Vested RSUs  
262 
- 
(262)
459 
- 
459 

2019

Number of
RSUs

951     
333     
(267)    
-     
-     
1,017     

F-24

 
 
 
 
 
 
   
   
   
   
   
  
 
 
  
  
  
  
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
   
   
   
   
   
   
   
   
 
2017 Restricted Stock Unit Award Plan

Our 2017 RSU Plan was approved by shareholders in November 2017 and permits the grant of up to 1.5 million shares of our common stock pursuant to
awards under the 2017 RSU Plan. As of December 31, 2019, approximately 219 thousand shares are available for award under the 2017 RSU Plan.

Information about the awards under the 2017 RSU Plan is as follows:

·

·

·

·

·

In  December  2017,  we  awarded  200  thousand  RSUs  to  our  employees.  Such  RSU  awards  will  vest  100%  after  one  full  year  of  service.
Distributions of the vested RSU awards to the employees will be made in three equal installments on the first business day of each of January
2020, 2021, and 2022 or earlier upon a qualifying change of control.
In January 2018, we awarded approximately 67 thousand RSUs to each of our four non-employee directors which also allow for them to receive
payment  in  cash,  instead  of  stock,  for  up  to  40%  of  each  RSU  award.  Such  awards  vest  25%  at  the  end  of  each  calendar  quarter  in  2018.
Settlement of this RSU award will occur on January 2, 2019, the first business day of the year after vesting. The portion of the RSU awards which
are subject to cash settlement are also subject to marked-to market accounting having a liability recorded on the Company’s consolidated balance
sheet  with  quarterly  adjustments  recorded  to  stock  compensation  expense  in  the  general  and  administration  operating  category  of  our  income
statement.
In  December  2018,  we  awarded  488  thousand  RSUs  to  our  employees.  Such  RSU  awards  will  vest  100%  after  one  full  year  of  service.
Distributions of the vested RSU awards to the employees will be made in three equal installments on the first business day of each of January
2021, 2022, and 2023 or earlier upon a qualifying change of control.
In January 2019, we awarded approximately 83 thousand RSUs to each of our four non-employee directors which also allow for them to receive
payment  in  cash,  instead  of  stock,  for  up  to  40%  of  each  RSU  award.  Such  awards  vest  25%  at  the  end  of  each  calendar  quarter  in  2019.
Settlement of this RSU award occurred on January 2, 2020, the first business day of the year after vesting. The portion of the RSU awards which
were  subject  to  cash  settlement  was  also  subject  to  marked-to  market  accounting  having  a  liability  recorded  on  the  Company’s  consolidated
balance sheet with quarterly adjustments which were recorded to stock compensation expense in the general and administration operating category
of our income statement.
In January 2020, we awarded approximately 55 thousand RSUs to each of our four non-employee directors which also allow for them to receive
payment  in  cash,  instead  of  stock,  for  up  to  40%  of  each  RSU  award.  Such  awards  vest  25%  at  the  end  of  each  calendar  quarter  in  2020.
Settlement of this RSU award will occur on January 4, 2021, the first business day of the year after vesting. The portion of the RSU awards which
are  subject  to  cash  settlement  will  also  be  subject  to  marked-to  market  accounting  having  a  liability  recorded  on  the  Company’s  consolidated
balance  sheet  with  quarterly  adjustments  recorded  to  stock  compensation  expense  in  the  general  and  administration  operating  category  of  our
income statement.

Information about the distribution of shares under the 2017 RSU Plan is as follows:

·
·

·

In January 2019, 267 thousand RSUs were distributed to our non-employee directors from their January 2018 award and settled in common stock.
In  January  2020,  333  thousand  RSUs  were  distributed  to  our  non-employee  directors  from  their  January  2019  award  with  296  thousand  RSUs
settled in common stock, 4 thousand RSUs used to settle the purchase price and 33 thousand RSUs settled in cash.
In January 2020, 61 thousand RSUs were distributed to our employee representing one third of their 2017 award with 51 thousand RSUs settled in
common stock and 10 thousand RSUs used to settle the purchase price and employee withholding taxes.

2014 Restricted Stock Unit Award Plan

Our  2014  RSU  Plan  was  approved  by  shareholders  in  May  2014  and  permits  the  grant  of  up  to  400  thousand  shares  of  our  common  stock  pursuant  to
awards under the 2014 RSU Plan. As of December 31, 2019, there are no longer shares available for award under the 2014 RSU Plan.

F-25

 
 
 
 
 
 
 
 
 
Information about the awards under the 2014 RSU Plan during 2018 and 2019 is as follows:

·

·

In January 2017, we awarded approximately 60 thousand RSUs to each of our four non-employee directors which also allow for them to receive
payment in cash, instead of stock, for up to 40% of each RSU award. Such awards vest 25% at the end of each calendar quarter in 2017. The
portion of the RSU awards which are subject to cash settlement are also subject to marked-to market accounting and the liability recorded in the
Company’s  consolidated  balance  sheet  as  an  estimate  for  such  cash  settlement  was  $41  thousand  at  December  31,  2017.  The  RSU  award  was
settled on January 2, 2018.
In December 2018, we awarded 4 thousand RSUs to our employees. Such RSU awards will vest 100% after one full year of service. Distributions
of the vested RSU awards to the employees will be made in three equal installments on the first business day of each of January 2021, 2022, and
2023 or earlier upon a qualifying change of control.

Information about the distribution of shares under the 2014 RSU Plan is as follows:

·

·

In January 2017, 1 thousand RSUs from the May 2014 award and 66 thousand RSUs from the January 2016 award were distributed. There were 1
thousand  RSUs  from  the  May  1  2014  award  and  22  thousand  RSUs  from  the  January  2016  award  which  remained  deferred  until  a  future
distribution date, which occurred on January 1, 2018. Of the 67 thousand RSUs distributed, 49 thousand RSUs were settled in common stock and
18 thousand RSUs were settled in cash.
In  January  2018,  262  thousand  RSUs  from  the  2014  RSU  Plan  were  distributed.  Of  the  approximately  262  thousand  RSUs  distributed,  238
thousand RSUs were settled in common stock and 24 thousand RSUs were settled in cash.

NOTE 12 – INCOME TAXES

We account for income taxes under the liability method. Under this method, deferred income tax assets and liabilities are determined based on differences
between financial reporting and income tax basis of assets and liabilities and are accounted for using the enacted income tax rates and laws that will be in
effect when the differences are expected to reverse.

On December 22, 2017, the Tax Cuts and Jobs Act of 2017 (the “Act”) was signed into law making significant changes to the Internal Revenue Code.
Changes include, but are not limited to, a corporate tax rate decrease from 35% to 21% effective for tax years beginning after December 31, 2017 and
requiring  adjustment  to  2017  deferred  taxes.  The  Company  has  calculated  its  best  estimate  of  the  impact  of  the  Act  in  its  2017  year-end  income  tax
provision in accordance with its understanding of the Act and guidance available as of that date and as a result had no adjustment to record as an additional
income tax expense in the fourth quarter of 2017, the period in which the legislation was enacted.

On December 22, 2017, Staff Accounting Bulletin No. 118 ("SAB 118") was issued to address the application of US GAAP in situations when a registrant
does  not  have  the  necessary  information  available,  prepared,  or  analyzed  (including  computations)  in  reasonable  detail  to  complete  the  accounting  for
certain income tax effects of the Act. In accordance with SAB 118, the Company remeasured its deferred tax assets and liabilities and adjusted its deferred
tax balances to reflect the lower enacted U.S. corporate tax rate resulted in an income tax expense of $26.6 million which was included as a discrete item in
the 2017 income tax provision. Overall, there was no impact to the 2017 tax provision as a result of the offsetting reduction of the valuation allowance. The
period for determination of accounting implications of the 2017 Tax Act closed on December 22, 2018. The Company has completed their analysis and did
not have any material true-ups on the positions taken in the 2017 tax provision.

Provision for Income Taxes

The reconciliation between our provision for income taxes and the amounts computed by multiplying our loss before taxes by the U.S. statutory tax rate is
as follows (in thousands):

Benefit at U.S. statutory tax rate
State taxes (benefit), net of federal effect
State research and development tax credits
Federal research and development tax credits
Share-based compensation
Other
Change in valuation allowance
(Benefit) provision for income taxes

F-26

December 31,

2019

2018

(792) $
(138)  
(2)  
(23)  
4    
-    
951    
-   $

(807)
(141)
- 
(23)
22 
17 
932 
- 

 $

 $

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
  
  
  
  
  
  
 
Deferred Tax Assets and Valuation Allowance

Deferred tax assets reflect the tax effects of net operating losses (“NOLs”), tax credit carryovers, and temporary differences between the carrying amounts
of assets and liabilities for financial reporting purposes and the amounts used for income tax purposes. The most significant item of our deferred tax assets
is derived from our Federal NOLs. We have approximately $167.8 million gross Federal NOLs at December 31, 2019 (of which approximately $160.2
million was generated prior to January 1, 2018). Because we believe the ability for us to use these NOLs generated prior to January 1, 2018 to offset any
future taxable income is severely limited as prescribed under Internal Revenue Code (“IRC”) Section 382, we had estimated and recorded an amount for
the likely limitation to our deferred tax asset in the fourth quarter of 2017, thereby reducing the aggregate estimated benefit of the Federal NOLs available
to  us  of  approximately  $1.0  million  at  December  31,  2017.  We  believe  the  gross  Federal  NOL  benefit  we  generated  prior  to  January  1,  2018  to  offset
taxable  income  is  less  than  $150  thousand  annually.  As  prescribed  under  Internal  Revenue  Code,  any  unused  Federal  NOL  benefit  from  the  annual
limitation can be accumulated and carried forward to the subsequent year and will expire if not used in accordance with the NOL carried forward term of
20 years or 2037, if generated before 2018 and Federal NOLs generated after 2017 can be carried forward indefinitely. Future common stock transactions,
such as the exercise of common stock purchase warrants or the conversion of debt into common stock, may cause another qualifying event under IRC 382
which may further limit our utilization of our NOLs.

The components of our deferred tax assets are as follows (in thousands):

Deferred tax assets:

Estimated future value of NOLs
 - Federal
 - State
Research and development tax credits
 - Federal
 - State
Share-based compensation
Other, net

          Total deferred taxes
Valuation allowance
         Net deferred tax assets

December 31,

2019

2018

 $

 $

2,622   $
869    

1,207    
8    
72    
177    
4,955    
(4,955)  
-   $

2,174 
862 

1,184 
- 
71 
151 
4,442 
(4,442)
- 

The realization of deferred income tax assets is dependent upon future earnings, if any, and the timing and amount of which may be uncertain. A valuation
allowance is required against deferred income tax assets if, based on the weight of available evidence, it is more likely than not that some or all of the
deferred income tax assets may not be realized. At both December 31, 2019 and 2018, all our remaining net deferred income tax assets were offset by a
valuation allowance due to uncertainties with respect to future utilization of NOL carryforwards. If in the future it is determined that additional amounts of
our deferred income tax assets would likely be realized, the valuation allowance would be reduced in the period in which such determination is made and
an additional benefit from income taxes in such period would be recognized.

Uncertainty in Income Taxes

We follow FASB’s statement regarding accounting for uncertainty in income taxes which defined the threshold for recognizing the benefits of tax-return
positions in the consolidated financial statements as "more-likely-than-not" to be sustained by the taxing authorities. At each of December 31, 2019 and
2018, we had no liability for income tax associated with uncertain tax positions. If in the future we establish a contingent tax liability reserve related to
uncertain tax positions, our practice will be to recognize the interest in interest expense and the penalties in other non-operating expense.

F-27

 
 
 
 
 
 
 
 
 
 
   
 
  
     
  
  
     
  
  
  
     
  
  
  
  
  
  
  
 
 
 
 
The  Company  files  federal  and  state  income  tax  returns  and  in  the  normal  course  of  business  the  Company  is  subject  to  examination  by  these  taxing
authorities. As of December 31, 2019, the Company’s tax years of 2016, 2017 and 2018 are subject to examination by the taxing authorities. With few
exceptions, we believe the Company is no longer subject to U.S. Federal, State and local examinations by taxing authorities for years before 2016.

NOTE 13 – NET (LOSS) INCOME PER SHARE

A reconciliation of the numerators and denominators of basic and diluted earnings (loss) per share (“EPS”) consisted of the following (in thousands except
per share data):

Earnings (loss) per share – basic and diluted
     Numerator: net loss
Denominator (weighted):
       Common shares
       RSUs  - vested
       Common stock purchase warrant
Basic and diluted weighted average shares outstanding
Earnings (loss) per share – basic and diluted

Excluded securities (non-weighted):
Common shares issuable:

       RSUs – vested and nonvested
       Stock options – vested and nonvested
       Common stock purchase warrants
       Convertible loan
  Total excluded common shares

NOTE 14 – COMMITMENTS AND CONTINGENCIES

Reglan®/Metoclopramide Litigation

Year Ended 
December 31,

2019

2018

  $

(3,774)   $

(3,842)

  $

21,300     
296     
5,124     
26,720     
(0.14)   $

-     
1,356     
1,842     
37,500     
40,698     

21,033 
113 
- 
21,146 
(0.18)

482 
1,560 
1,842 
- 
3,884 

Halsey  Drug  Company,  as  predecessor  to  us,  was  named  along  with  numerous  other  companies  as  a  defendant  in  cases  filed  in  three  separate  state
coordinated litigations pending in Pennsylvania, New Jersey and California, respectively captioned In re: Reglan®/Metoclopramide Mass Tort Litigation,
Philadelphia  County  Court  of  Common  Pleas,  January  Term,  2010,  No.  01997;  In  re:  Reglan  Litigation,  Superior  Court  of  New  Jersey,  Law  Division,
Atlantic  County,  Case  No.  289,  Master  Docket  No.  ATL-L-3865-10;  and  Reglan/Metoclopramide  Cases,  Superior  Court  of  California,  San  Francisco
County, Judicial Council Coordination Proceeding No. 4631, Superior Court No.: CJC-10-004631.  In addition, we were served with a similar complaint by
two  individual  plaintiffs  in  Nebraska  federal  court,  which  plaintiffs  voluntarily  dismissed  in  December  2014.    In  this  product  liability  litigation  against
numerous  pharmaceutical  product  manufacturers  and  distributors,  including  Acura,  plaintiffs  claim  injuries  from  their  use  of  the  Reglan  brand  of
metoclopramide and generic metoclopramide.

None  of  the  plaintiffs  in  the  lawsuits  filed  to  date  have  confirmed  that  they  ingested  any  of  the  generic  metoclopramide  manufactured  by  us.  We
discontinued manufacture and distribution of generic metoclopramide more than 20 years ago. All of these lawsuits have been effectively dismissed with
the exception of less than ten pending Philadelphia cases that we expect will be finally dismissed without the need for any action by us. We expect that the
Court will finally dismiss the small number of remaining Pennsylvania-based cases against us with prejudice by the end of the first quarter of 2020. Legal
fees related to this matter have been covered by our insurance carrier. Based upon the current status and evaluation, we have not accrued for any potential
loss related to these matters as of December 31, 2019.

F-28

 
 
 
 
 
 
 
 
 
   
 
   
      
  
   
      
  
   
   
   
   
 
   
      
  
   
      
  
   
      
  
   
   
   
   
   
  
 
 
 
 
Facility Lease

The Company leases administrative office space in Palatine, Illinois on a month to month basis at the rate of approximately $2 thousand per month.

NOTE 15 – SUBSEQUENT EVENTS

On January 30, 2020, the World Health Organization (“WHO”) announced a global health emergency because of a new strain of coronavirus originating in
Wuhan, China (the “COVID-19 outbreak”) and the risks to the international community as the virus spreads globally beyond its point of origin. In March
2020,  the  WHO  classified  the  COVID-19  outbreak  as  a  pandemic  (“coronavirus  pandemic”),  based  on  the  rapid  increase  in  exposure  globally.  The
coronavirus pandemic is affecting the United States and global economies. If the outbreak continues to spread, it may affect the Company’s operations and
those of third parties on which the Company relies, including causing disruptions in the supply of the Company’s product candidates and the conduct of
current and planned preclinical and clinical studies and contract manufacturing operations. We may need to limit operations or implement limitations, and
may experience limitations in employee resources. There are risks that it may be more difficult to contain if the outbreak reaches a larger population or
broader geography, in which case the risks described herein could be elevated significantly. The extent to which the coronavirus impacts our results will
depend on future developments, which are highly uncertain and cannot be predicted, including new information which may emerge concerning the severity
of the coronavirus and the actions to contain the coronavirus or treat its impact, among others. Additionally, while the potential economic impact brought
by, and the duration of, the coronavirus pandemic is difficult to assess or predict, the impact of the coronavirus on the global financial markets may reduce
the Company’s ability to access capital, which could negatively impact the Company’s short-term and long-term liquidity and the Company’s ability to
complete its preclinical studies on a timely basis, or at all. The ultimate impact of coronavirus is highly uncertain and subject to change. The Company does
not  yet  know  the  full  extent  of  potential  delays  or  impacts  on  its  business,  financing  ,  preclinical  and  clinical  trial  activities  contract  manufacturing
operations or the global economy as a whole. However, these effects could have a material, adverse impact on the Company’s liquidity, capital resources,
operations and business and those of the third parties on which we rely.

F-29

 
 
 
 
 
 
 
LICENSE, DEVELOPMENT AND COMMERCIALIZATION AGREEMENT

Exhibit 10.50

This  License,  Development  and  Commercialization  Agreement  (“Agreement”)  is  made  and  entered  into  as  of  June  28,  2019  (the  “Effective
Date”)  by  and  between  Abuse  Deterrent  Pharmaceuticals,  LLC,  with  offices  at  333  E.  Main  Street,  Suite  220,  Louisville,  Kentucky  40202  (“AD
Pharma”), and Acura Pharmaceuticals, Inc., with offices at 616 N. North Court, Palatine IL 60067 (“Acura”). AD Pharma and Acura each are referred to
herein as a “Party” and collectively as the “Parties.”

WITNESSETH:

WHEREAS, Acura has developed LIMITx™ Technology intended to retard the release of drug from tablets when multiple tablets are ingested;

WHEREAS, AD Pharma and its Affiliates have substantial expertise in the distribution, sales and marketing of healthcare products;

WHEREAS,  Acura  wishes  to  grant  to  AD  Pharma,  and  AD  Pharma  wishes  to  obtain,  the  rights  to  the  LIMITx™  Technology  to  develop  and

commercialize the Product in the Territory (each as herein defined);

NOW  THEREFORE,  in  consideration  of  the  foregoing  premises  and  the  mutual  promises,  covenants  and  conditions  contained  in  this

Agreement, the Parties agree as follows:

1.1              “Acura Indemnitees” is defined in Section 5.3

ARTICLE I
DEFINITIONS

1.2              “Affiliate” means any corporation or other entity, which directly or indirectly controls, is controlled by or is under common control
with a Party. A corporation or other entity shall be regarded as in control of another corporation or entity if it owns or directly or indirectly controls more
than Fifty Percent (50%) of the voting stock or other ownership interest of the other corporation or entity, or if it possesses, directly or indirectly, the power
to direct or cause the direction of the management and policies of the corporation or other entity or the power to elect or appoint more than Fifty Percent
(50%) of the members of the governing body of the corporation or other entity. Notwithstanding the foregoing, a private equity or venture capital firm with
an ownership interest in an entity shall not be an Affiliate by reason of such ownership and portfolio companies of a private equity firm or a venture capital
firm shall not be Affiliates or a Party by virtue of the private equity firm or venture capital firm being Affiliates of a Party.

1.3              “[*****] Product” means an immediate release pharmaceutical product containing [*****] as its sole active ingredient and utilizing

the LIMITX™ Technology in [*****] dosage strengths.

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1.4              “Applicable Law” means, with respect to any Person, any domestic or foreign, federal, state or local statute, treaty, law, ordinance,
rule,  regulation,  administrative  interpretation,  order,  writ,  injunction,  judicial  decision,  decree  or  other  requirement  of  any  governmental  authority,
including  any  rules,  regulations  or  other  requirements  of  the  Regulatory  Authorities  in  the  Territory,  applicable  to  such  Person  or  any  of  such  Person’s
respective properties, assets, officers, directors, employees, consultants or agents.

1.5              “Bankrupt Party” is defined in Section 10.2.1.

1.6              “Claims” is defined in Section 5.2.

1.7              “Commercially Reasonable Efforts” means the efforts and resources which would be used (including the promptness in which such
efforts and resources would be applied) by a Party consistent with its normal business practices and in compliance with Applicable Law and the exercise of
prudent scientific and business judgment, which in no event shall be less than the level of efforts and resources standard in the pharmaceutical industry for
a company similar in size and scope to such Party, with respect to a product or potential product at a similar stage in its development and with similar
market potential or product life cycle taking into account efficacy, safety, commercial value, the competitiveness of alternative products of Third Parties
that are in the marketplace, and the Patent Rights and other proprietary position of such product.

1.8              “Confidential Information” is defined in Section 4.1 below.

1.9              “Competing Product” means a prescription product that contains hydrocodone and acetaminophen in a solid, oral dosage form, other

than the Product or Product Line Extension.

1.10          “Control” means, with respect to Intellectual Property Rights, ownership or the possession of the ability by license or otherwise to
assign or grant a license or sublicense to or disclose such Intellectual Property Rights without violating the terms of any agreement or other arrangement,
express or implied, with any Third Party.

1.11          “Effective Date” has the meaning set forth above.

1.12          “FD&C Act” means that federal statute entitled the Federal Food, Drug, and Cosmetic Act and enacted in 1938 as Public Law 75-717,

as such may have been amended, and which is contained in Title 21 of the C.F.R. Section 301 et seq.

1.13          “FDA” means the United States Food and Drug Administration, or any successor thereto.

1.14          “Field” means prescription (“Rx”) products.

1.15          “GAAP” means generally accepted accounting principles in effect in the United States from time to time applied on a consistent basis.

1.16          “Gross Sales” means the U.S. Dollar value (with sales in foreign currency converted as per Section 3.7) of all consideration to which
AD Pharma, its Affiliates and licensees is entitled for the sale of the Product and Product Line Extension. In the event AD Pharma sells the Product or
Product Line Extension for less than fair market value, the fair market value of such Product or Product Line Extension (as if there had been a sale for fair
market value to a Third Party) shall be included in Gross Sales.

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

2

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1.17          “Indemnified Party” is defined in Section 5.4(a)

1.18          “Indemnifying Party” is defined in Section 5.4(a).

1.19          “Intellectual Property Rights” means Know-How, registered trademarks, trademark applications, unregistered trademarks, trade dress,

copyrights, and Patent Rights.

1.20          “Know-How” means information Controlled by Acura and related to retarding the release of active ingredients from pharmaceutical
product when multiple dosages are ingested and encompassing manufacturing techniques, process, quality information, batch records (un-redacted master
and  executed),  formulation  composition  and  excipient  specifications,  formation  development  reports;  batch  summaries,  and  analytical  methods  and
development/validation.

1.21          “LIMITx™ Regulatory Application Submission Timeline” is defined in Section 3.1.4.

1.22          “LIMITx™ Patent Rights” means the Patent Rights set forth on Exhibit A, that disclose or claim Acura’s LIMITx™ Technology and
that are Controlled by Acura or its Affiliates during the Term, including issued patents resulting from such applications, and all divisionals, continuations,
continuations-in-part,  substitutions,  reissues,  reexaminations,  extensions,  registrations,  patents  and  applications  to  which  priority  is  claimed,  patent  term
extensions and renewals of the foregoing, including foreign counterparts thereof.

1.23          “LIMITx™ Technology”  means  the  technology  for  retarding  the  release  of  active  ingredients  from  pharmaceutical  product  when
multiple dosages are ingested as reflected in the LIMITX™ Patent Rights and any related Know-How that is Controlled by Acura as of the Effective Date
or at any time during the Term, including any technology retarding the release of active ingredients from pharmaceutical product when multiple dosages are
ingested Controlled by Acura during the Term that would infringe the LIMITx™ Patent Rights if utilized by a third party.

1.24          “Losses” is defined in Section 5.2.

1.25          “AD Pharma Indemnitees” is defined in Section 5.2.

1.26          “Milestone Payments” is defined in Section 3.4.

1.27          “Net Sales” means the Gross Sales reduced by deductions, without duplication, for each of the following to the extent actually incurred,
allowed or accrued, and without duplication (a) returns, (b) cash discounts, (c) coupons, (d) listing fees, (e) credits, (f) trade rebates, (g) shipping costs, (h)
sales and excise taxes, other consumption taxes, and (i) other governmental charges. Net Sales, as set forth in this definition, shall be calculated applying, in
accordance with GAAP, AD Pharma's standard accounting practices for selling AD Pharma's other products.

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

3

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1.28          “Nexafed® Agreement” is defined in Section 3.12.

1.29          “Paragraph IV Certification” means a certification under and pursuant to 21 U.S.C. Section 355(j)(2)(A)(vii)(IV) of the FD&C Act or

pursuant to 21 U.S.C. Section 355(b)(2) (A)(iv) of the FD&C Act.

1.30          “Party” means AD Pharma and Acura individually or jointly as “Parties”.

1.31          “Patent Challenge” is defined in Section 9.4.

1.32          “Patent Rights” means patents and patent applications, and all divisionals, continuations, continuations-in-part, substitutions, reissues,
reexaminations,  extensions,  registrations,  supplementary  protection  certificates,  patents  and  applications  to  which  priority  is  claimed,  patent  term
extensions and renewals of the foregoing, including foreign counterparts thereof.

1.33          “Person” means an individual, a corporation, a general partnership, a limited partnership, a limited liability company, a limited liability

partnership, an association, a trust or any other entity or organization.

1.34                    “Product”  means  a  pharmaceutical  product  containing  the  immediate-release  combination  of  hydrocodone  bitartrate  and

acetaminophen utilizing the LIMITX™ Technology in the 5/325mg, 7.5/325mg and 10/325mg dosage strengths.

1.35          “Product Line Extension” means any product containing the combination of hydrocodone bitartrate and acetaminophen utilizing the

LIMITx™ Technology that contains dosage strengths other than those contained in the Product but excludes any additional active ingredients.

1.36          “Qualified Settlement Offer” is defined in Section 5.4(b).

1.37          “Regulatory Approval” means the license or final FDA, or equivalent foreign governmental authority, marketing approval necessary

as a prerequisite for marketing a Product in a country in the Territory.

1.38                    “Regulatory  Approval  Application”  means  shall  mean  any  filing(s)  made  with  the  Regulatory  Authority  in  any  country  in  the

Territory for Regulatory Approval of the marketing, manufacture and sale (and pricing when applicable) of a Product in such country.

1.39          “Regulatory Authority” means the FDA in the U.S., and any health regulatory authority(ies) in any other country in the Territory that
is a counterpart to the FDA and has responsibility for granting regulatory approval for the marketing, manufacture, and sale of a Product in such country,
including, but not limited to, pricing and reimbursement approvals, and any successor(s) thereto, as well as any state or local health regulatory authorities
having jurisdiction over any activities contemplated by the Parties.

1.40          “Regulatory Materials” is defined in Section 2.6.

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

4

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1.41          “Related LIMITX™ Technology Product” is defined in Section 7.7(a).

1.42          “Royalty Payment” is defined in Section 3.2.1.

1.43          “Royalty Report” is defined in Section 3.4.

1.44          “Royalty Term” shall be on a Product-by-Product, Product Line Extension by Product Line Extension, and country-by-country basis
and,  with  respect  to  each  country,  will  begin  on  the  Effective  Date  and  will  expire  on  the  later  of  the  date  that  (i)  the  LIMITx™  Patent  Rights  in  such
country are not Valid; or (ii) is the scheduled expiration of the Royalty Term for the United States for a country in which there are not any LIMITx™ Patent
Rights, provided that all Royalty Terms shall terminate upon termination of this Agreement pursuant to Section 9.2.

1.45          “Term” has the meaning set forth in Section 9.1.

1.46          “Territory” means the United States, its territories and possessions.

1.47          “Third Party” means any entity other than Acura and its Affiliates and AD Pharma and its Affiliates.

1.48          “Title 11” is defined in Section 10.2.1.

1.49          “Valid” means, with respect to a LIMITx™ Patent Rights in a particular country, such LIMITx™ Patent Rights have not (A) expired or
been cancelled, (B) been declared invalid or unenforceable by a decision of a court or other appropriate body of competent jurisdiction, from which no
appeal is or can be taken, (C) been admitted to be invalid or unenforceable through reissue, disclaimer or otherwise, or (D) been abandoned or disclaimed
either affirmatively or by operation of law.

2.1              License.

ARTICLE II
LICENSE AND COMMERCIALIZATION

2.1.1        Acura hereby grants AD Pharma an exclusive (even as to Acura), sub-licensable (subject to Section 2.10), royalty-bearing right
and  license  under  the  LIMITx™  Technology  to  develop,  manufacture,  have  manufactured,  distribute,  have  distributed,  sell,  have  sold,  market,  have
marketed, commercialize and have commercialized the Product and Product Line Extensions in the Field in the Territory.

2.1.2        Acura hereby licenses to AD Pharma, on a non-exclusive basis the use of the mark LIMITx™ in the Field and Territory solely

for the commercialization of the Product and Product Line Extension.

2.1.3        The licenses granted herein shall expire upon termination of this Agreement but shall survive expiration of this Agreement.

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

5

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2.1.4        If Acura decides to accept an unsolicited offer from a Third Party or determines it will solicit an agreement to license, in any
European Union country, the United Kingdom, Japan, or Australia, any right(s) to develop, manufacture, have manufactured, distribute, have distributed,
sell, have sold, market, have marketed, commercialize and/or have commercialized the Product and any Product Line Extension, Acura will immediately
deliver notice to AD Pharma of such offer or determination to solicit. Such notice shall be in writing and specify the action Acura has decided to pursue
including any offeror(s), if applicable, and the terms and conditions of any license being considered by Acura (the “Foreign License Notice”). The Foreign
License  Notice  must  be  delivered  to  AD  Pharma  prior  to  Acura  considering  the  execution  of  any  document  (including  without  limitation  agreements,
Memoranda of Understanding or Letters of Intent) related to the subject matter of the Foreign License Notice. Acura’s acceptance of such unsolicited offer
or implementation of its determination to solicit shall be subject to the following conditions:

(a)

AD Pharma shall have forty-five (45) days from receipt of the Foreign License Notice in which to notify Acura that it elects to
exercise any of the following rights, for which any period of negotiation shall be for ninety (90) days following AD Pharma’s
delivery of a Request Following Unsolicited Offer or Request Following Determination to Solicit, as defined in this Section:

(i)  if  the  action  specified  in  the  Foreign  License  Notice  involves  receipt  of  an  unsolicited  offer  from  a  Third  Party  for  an
exclusive license involving the Product or any Product Line Extension, AD Pharma shall have the right to accept a license upon
the same terms and conditions as set forth in the unsolicited offer described in the Foreign License Notice, and its acceptance
shall be made in writing;

(ii) if the action specified in the Foreign License Notice involves receipt of an unsolicited offer from a Third Party for a non-
exclusive license involving the Product or any Product Line Extension, AD Pharma shall have the right either to accept a license
upon the same terms and conditions as set forth in the unsolicited offer described in the Foreign License Notice, or to request
Acura  to  negotiate  in  good  faith  and  on  an  exclusive  basis  to  agree  upon  terms  and  conditions  for  an  exclusive  license  (the
“Request Following Unsolicited Offer”) granting AD Pharma the exclusive right to develop, manufacture, have manufactured,
distribute, have distributed, sell, have sold, market, have marketed, commercialize and have commercialized the Product and any
Product Line Extension in the same countries as set forth in such unsolicited offer described in the Foreign License Notice, and
AD Pharma’s acceptance of license or Request Following Unsolicited Offer hereunder (as the case may be) shall be made in
writing;

(iii) if the action specified in the Foreign License Notice involves a determination that Acura will solicit an agreement granting a
license involving the Product or any Product Line Extension in any European Union country, the United Kingdom, Japan, or
Australia, AD Pharma shall have the right to negotiate with Acura in good faith and on an exclusive basis to agree upon terms
and  conditions  for  an  exclusive  or  non-exclusive  license  in  the  same  country  or  countries  (the  “Request  Following
Determination to Solicit”), and the Request Following Determination to Solicit shall be made in writing.

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

6

 
 
 
 
 
 
 
 
 
 
(b)

After ninety (90) days from delivery of a Request Following Unsolicited Offer or Request Following Determination to Solicit, if
the Parties have not executed a definitive agreement (in the form of either an amendment to this Agreement or a new agreement)
then Acura shall not enter into an agreement with a Third Party to license, in any European Union country, the United Kingdom,
Japan,  or  Australia,  any  right(s)  to  develop,  manufacture,  have  manufactured,  distribute,  have  distributed,  sell,  have  sold,
market, have marketed, commercialize and/or have commercialized the Product and any Product Line Extension on terms (when
taken as a whole) that are less favorable to Acura than the terms of the last proposal rejected by either of the Parties without first
providing to AD Pharma a written copy of such terms, and AD Pharma shall have forty-five (45) days to accept a license upon
the same terms and conditions.

2.2              No Other Rights and Retained Rights.

This  Agreement  confers  no  right,  license  or  interest  by  implication,  estoppel,  or  otherwise  under  any  Patent  Rights,  Confidential  Information,
Know-How or other Intellectual Property Rights (including but not limited to trade secrets, formulations, manufacturing processes, data) that was owned by
a  Party  prior  to  signing  the  Agreement  except  as  expressly  set  forth  in  this  Article  II.  Each  Party  hereby  expressly  retains  and  reserves  all  rights  and
interests  with  respect  to  patents,  Confidential  Information,  technology  or  other  Intellectual  Property  Rights  not  expressly  granted  to  the  other  Party
hereunder.

2.3              AD Pharma to use CRE. AD Pharma shall use Commercially Reasonable Efforts to market and sell the Product in the Territory upon
Regulatory  Approval  and  introduce  the  Product  into  interstate  commerce  within  180  days  of  such  Regulatory  Approval.  AD  Pharma  shall  use
Commercially Reasonable Efforts to file with the FDA the Regulatory Approval Application for the Product and to gain Regulatory Approval for such
Product.

AD  Pharma  shall  use  Commercially  Reasonable  Efforts  to  develop,  obtain  any  necessary  Regulatory  Approval  and  commercialize  a  Product  Line
Extension in the Territory, provided such decision to advance Product Line Extension(s) shall be the sole responsibility of AD Pharma. AD Pharma shall
comply  with  all  Applicable  Laws  in  the  development,  commercialization  (including,  without  limitation,  packaging,  sale,  distribution,  advertising,
disposition and marketing of the Product and Product Line Extension, and product packaging) and AD Pharma shall use all legends, notices, and markings
as required by Applicable Law.

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

7

 
 
 
 
 
 
 
 
 
 
Acura to use CRE. Acura shall use Commercially Reasonable Efforts to develop the Product in the United States, provided however, that
any obligation of Acura to develop the [*****] Product will be subject to a separate development agreement to be negotiated between the Parties. Acura
shall comply with all Applicable Laws in the development of the Product.

2.4                            AD  Pharma  Responsibility  for  All  Commercialization  Costs  and  Expenses.  During  the  Term,  AD  Pharma  shall  have  the  sole
obligation and responsibility, and at its sole cost and expense, for all aspects of manufacturing and commercializing, including without limitation, scale up
and validation of the production process, testing packaging and labelling the Product and Product Line Extension, and any costs associated with storage,
release and Third Party logistics. As part of such responsibilities, AD Pharma shall have the sole responsibility to obtain or to coordinate with and provide
to its contract manufacturer such information and materials as shall be reasonably necessary to obtain sufficient quota for active pharmaceutical ingredients
from the Drug Enforcement Administration, and similar foreign agencies.

2.5              AD Pharma Responsible for Product Development Costs and Expenses. During the Term, AD Pharma shall pay for or reimburse
Acura  to  the  extent  Acura  pay’s  for  all  out-of-pocket  Product  development  expenses  (excluding  any  Product  Line  Extension).  The  Parties  shall  be
responsible for maintaining and paying for their own internal staff and infrastructure related to Product development.

2.6              Regulatory Approvals and Fees.

2.6.1                AD  Pharma  shall  be  the  sole  owner  of  the  Product  Regulatory  Application  and  Regulatory  Approval  thereof,  registration
materials, clinical documentation, and any and all country specific dossiers for the Product and Product Line Extension in the Territory (the “Regulatory
Materials”). AD Pharma shall be responsible for maintaining the Product and Product Line Extension Regulatory Approvals, and pay any and all fees and
expenses in connection therewith including, without limitation, any filing fees, establishment fees, annual product fees, active pharmaceutical supplier fees,
post-approval studies and any fees associated with the amendment of a Regulatory Approval, any costs and expenses associated with regulatory changes
requested by a Regulatory Authority relating to a Product, Product Line Extension, or Regulatory Approvals, subject to Section 2.7.2. Notwithstanding the
foregoing, AD Pharma may, in its sole discretion, transfer, sell or convey the Regulatory Materials, in whole or in part, to a third-party provided that: (a)
such third-party agrees to be bound by the terms of this Agreement governing the Regulatory Materials, (b) AD Pharma remains fully responsible for the
compliance by such third party with the terms and conditions of this Agreement, including without limitation the non-compete provisions of Section 2.9,
(c) any and all rights to the Regulatory Materials retained by AD Pharma are fully assignable to Acura in the event of termination or expiration of this
Agreement.

2.7              Coordination of Efforts. Acura and AD Pharma will form a joint steering committee to coordinate the strategies, activities, timelines
and budgets for the development and commercialization of the Product and Product Line Extension, if any. In the course of such meetings, each Party shall
have one vote on any matter before the committee, except, however, the Party responsible for any budgetary item as determined by this Agreement shall
have sole decision making authority with regard to that budget and the underlying activities. In the event said committee is unable to decide any matter, the
matter will promptly be referred to dispute resolution in Section 10.1.

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

8

 
 
 
 
 
 
 
 
 
 
 
2.8              Right of Reference.

2.8.1                Acura  grants  AD  Pharma  a  right  of  reference  to  preclinical  and  clinical  data  and  reports,  and  any  adverse  event  reports
regarding  the  Products  and  all  other  necessary  data,  reports  and  information,  in  each  case  Controlled  by  Acura  for  the  purpose  of  obtaining,  and/or
maintaining Regulatory Approval of, or commercializing or manufacturing a Product or Product Line Extension, without any additional compensation.

2.8.2        AD Pharma grants Acura a perpetual right of reference to preclinical and clinical data and reports, any adverse event reports
regarding the Product and Product Line Extension and such other data, reports and information, in each case Controlled by AD Pharma for the purpose of
obtaining and/or maintaining Regulatory Approval of products utilizing the LIMITx™ Technology without any additional compensation.

2.9                            Non-Compete.  AD  Pharma,  its  Affiliates,  and  sublicensees  will  not  develop,  file  a  Regulatory  Approval  Application  or  seek
Regulatory  Approval  of  or  launch,  market  or  sell  or  assist  a  Third  Party  in  the  development  of,  launch,  market  or  sale  of  a  Competing  Product  in  the
Territory during the Royalty Term.

2.10          Sublicenses.  AD  Pharma  may  grant  sublicenses  through  multiple  tiers,  under  any  or  all  of  the  rights  granted  in  Section  2.1,  to  its
Affiliates and to Third Parties. Each agreement in which AD Pharma grants a sublicense under Section 2.1 shall be consistent with the relevant terms and
conditions of this Agreement. AD Pharma shall provide notice to Acura of the proposed sublicense prior to execution thereof which notice shall state the
subject  of  the  sublicense  (including  the  portion  of  the  Territory  and  products  being  sublicensed)  and  AD  Pharma  shall  provide  Acura  a  copy  of  such
sublicense, with suitable redaction of confidential information contained therein, within thirty (30) days after execution thereof. AD Pharma shall be and
remain fully responsible for the compliance by sublicensees with the terms and conditions of this Agreement, including without limitation and non-compete
provisions of Section 2.9.

2.11          Technology Transfer. LIMITx™ Technology. Acura shall provide AD Pharma with a technology transfer which shall consist of the
manufacturing  Know-How  encompassed  in  the  LIMITx™  Technology  relating  to  the  Product.  Such  transfer  shall  be  at  least  as  comprehensive  as  any
technology transfer actually provided by Acura to any Third Party related to the manufacture of the Product. Acura hereby authorizes any Third Party with
whom it has contracted for the manufacture of the Product at any scale to release to AD Pharma any and all information disclosed by Acura to the Third
Party, and such authorization applies regardless of any designations (e.g., Confidential, Proprietary, Trade Secret, and the like) placed upon such disclosed
information.

2.12          Complaints; Recalls. Each of AD Pharma and Acura shall inform the other Party as promptly as practicable of any Product and Product
Line Extension complaints. All communications relating to the performance or condition of the Product or Product Line Extension, and all communications
relating to adverse experiences in association with, but not necessarily due to, the Product or Product Line Extension which are received by Acura or AD
Pharma  shall  be  forwarded  to  the  other  Party.  In  the  event  of  any  recall  of  or  field  notification  after  the  Effective  Date  with  respect  to  any  Product  or
Product Line Extension, each of AD Pharma and Acura shall make available to the other Party during normal business hours and upon reasonable advance
notice such records and other information as reasonably requested by such other Party in connection with any recall. AD Pharma shall be solely responsible
at its cost and expense for any recalls or withdrawals of Product or Product Line Extension sold by it. AD Pharma shall be responsible for all required
regulatory activities in the Territory.

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

9

 
 
 
 
 
 
 
 
 
 
 
 
2.13          Trademarks; Logos.

2.13.1    AD Pharma shall assume full responsibility, at its sole cost and expense for prosecuting or litigating any infringement of the
LIMITx™  trademark  and  shall  be  entitled  to  retain  all  recoveries  in  connection  therewith  except  it  shall  remit  to Acura  15%  of  such  recoveries  after
deduction from such recoveries of fees and expenses in enforcing such trademark rights.

2.13.2    AD Pharma hereby acknowledges the exclusive ownership by Acura of the LIMITx trademark furnished by Acura for use in
connection with the Product and Product Line Extension. AD Pharma shall not, during the Term or thereafter, register, use, or attempt to obtain any right in
and to the LIMITx trademark or in and to any name, logo or trademark confusingly similar thereto. Acura will use Commercially Reasonable Efforts to
obtain formal registration of the LIMITx trademark in the United States in advance of the commercial use of such trademark by AD Pharma.

necessary to maintain the validity of the trademark and to protect the goodwill associated therewith.

2.13.3    Acura shall have the right to exercise quality control over AD Pharma's use of the LIMITx trademark to a degree reasonably

2.13.4        AD  Pharma  shall,  in  its  packaging,  sale,  marketing,  advertising,  disposition  and  distribution  of  any  Product,  Product  Line
Extension and product packaging adhere to a level of quality regarding the maintenance of the validity of the LIMITx trademark and the protection of the
goodwill associated therewith consistent with the reasonable standards of quality otherwise set by Acura.

3.1              Pre-FDA Application Payments by AD Pharma.

ARTICLE III
PAYMENTS AND ROYALTIES

3.1.1                In  an  aggregate  amount  not  to  exceed  Six  Million  Three  Hundred  Thousand  Dollars  ($6,300,000)(the  “Maximum  Pre-
Regulatory  Application  Submission  Payment”),  each  month  AD  Pharma  shall  pay  Acura  Three  Hundred  Fifty  Thousand  Dollars  ($350,000)  in  non-
refundable, non-creditable payments to Acura in immediately available funds, with such payments to begin within Five (5) days of the Effective Date, and
continuing on the monthly anniversary of the Effective Date until the earlier of eighteen (18) such monthly payments have occurred or the Maximum Pre-
Regulatory Application Submission Payment is reached (as the timing of the latter, but not the amount, may be adjusted in accordance with Section 3.1.2).

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

10

 
 
 
 
 
 
 
 
 
 
 
 
 
3.1.2        If Acura succeeds in gaining filing acceptance by the FDA of a Regulatory Approval Application for the Product before the
Maximum  Pre-Regulatory  Application  Submission  Payment  is  reached  based  on  monthly  payments  of  Three  Hundred  Fifty  Thousand  Dollars  under
Section 3.1.1, then AD Pharma shall cease making such monthly payments; provided, however that AD Pharma shall in this case make a one-time payment
to Acura within thirty (30) days of such filing acceptance by the FDA, with such one-time payment calculated by subtracting the sum of all such monthly
payments actually made from the Maximum Pre-Regulatory Application Submission Payment.

3.1.3        If Acura fails to gain filing acceptance by the FDA of a Regulatory Approval Application for the Product before the end of the
LIMITx™  Regulatory  Application  Submission  Timeline,  as  defined  in  Section  3.1.4,  then  AD  Pharma  (i)  is  not  obligated  to  continue  such  monthly
payments thereafter, and (ii) may terminate this Agreement for breach by providing written notice specifying the breach as the failure by Acura to gain
filing acceptance by the FDA of a Regulatory Approval Application for the Product within the LIMITx™ Regulatory Application Submission Timeline,
provided  that  for  such  termination  under  this  (ii)  to  be  effective,  it  must  occur  before  FDA  has  accepted  the  Regulatory  Approval  Application  for  the
Product. In the event this Agreement terminates for Acura’s failure to gain filing acceptance by the FDA of a Regulatory Approval Application for the
Product within the LIMITx™ Regulatory Application Submission Timeline:

(a)

(b)

The provision in Section 9.2 allowing a period of time (i.e., thirty (30) days) to remedy the breach shall not apply; and

Notwithstanding any other provision(s) herein, Acura’s ownership of the LIMITx™ Patent Rights shall transfer automatically to
AD Pharma without payment of any further consideration. Contingent upon termination of this Agreement under Section 3.1.3,
Acura hereby assigns and transfers its entire right, title and interest in the LIMITx™ Patent Rights to AD Pharma, and Acura
agrees  to  execute  or  procure  any  further  necessary  assurance  of  the  title  to  said  LIMITx™  Patent  Rights  at  any  time,  upon
request and at the expense of AD Pharma, including but not limited to the delivery of any testimony in any legal proceedings
and the execution of all papers that may be necessary or desirable to perfect the title to said LIMITx™ Patent Rights in the name
of AD Pharma, or such other party as AD Pharma designates.

3.1.4        If  at  any  time  in  AD  Pharma’s  sole  discretion,  Acura  fails  to  adhere  to  the  LIMITx™  Regulatory  Application  Submission
Timeline then AD Pharma may terminate this Agreement under either or both of Section 9.2 for breach, or Section 9.3 for convenience. The “LIMITx™
Regulatory  Application  Submission  Timeline”  means  the  completion  by  Acura  of  all  activities  set  forth  in  Schedule  1,  on  or  before  the  deadline
identified for each activity. For the avoidance of doubt, a missed deadline for any one or more of the deadlines set forth in Schedule 1 shall constitute a
failure to adhere to the LIMITx™ Regulatory Application Submission Timeline. Also, based on the frequency of monthly payments by AD Pharma set
forth in Section 3.1.1, and unless adjustment is made under Section 3.1.2, the LIMITx™ Regulatory Application Submission Timeline can last no longer
than the last day of the calendar month that occurs seventeen (17) months after the Effective Date.

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

11

 
 
 
 
 
 
 
 
 
 
3.2              Consents of AD Pharma.

3.2.1        Any transfer by Acura of the LIMITx™ Patent Rights to a Third Party for indications outside the scope of the Product and
Product Line Extension (including without limitation a license, assignment, security interest, or otherwise) shall be subject to AD Pharma’s written consent,
which  shall  not  be  unreasonably  withheld  or  delayed.  AD  Pharma  acknowledges  that  any  such  transfer  of  rights  under  this  Section  to  which  it  has
consented shall survive any transfer of the LIMITx™ Patent Rights under Section 3.1.3(b).

3.2.2        At any time prior to FDA acceptance of the Regulatory Approval Application for the Product, in the event Acura has a bona
fide offer for financing for Acura, AD Pharma consents that it will negotiate in good faith any amendments to this Agreement required by such third-party
financer, provided that AD Pharma will be under no obligation to enter into such amendments.

3.3              Royalties. The following payments shall be payable by AD Pharma to Acura for sales made during each calendar quarter and payment

will be remitted within forty-five (45) days after the end of the quarter to which it relates.

3.3.1        Royalty Payment. For each Product and Product Line Extension in the Territory during the Royalty Term for a country in the
Territory, AD Pharma shall pay to Acura a royalty of [*****] Percent ([*****]% [*****]) on all Net Sales in the Territory on the first $[*****] ([*****])
US Dollars in Net Sales in a calendar year and [*****] Percent ([*****]%) on Net Sales in excess of [*****]US Dollars. Such royalty shall be payable for
sales made during each calendar quarter, and while the Royalty Term for the United States is in effect, be no less than [*****] Dollars ($[*****]) for each
such calendar quarter (which shall accrue on a daily basis during a quarter), and payment will be remitted within forty-five (45) days after the end of the
quarter to which it relates. The royalty payment under this Section 3.2.1 is referred to as the “Royalty Payment.” Notwithstanding the foregoing, should
the FDA approved label for the Product not include a description of the pharmacokinetic profile, clinical results or benefits, or other marketable feature of
the LIMITx Technology, then the minimum royalty payment in each quarter shall be [*****] dollars ($[*****]) until such information is included in the
label.

3.4              Sales Milestone Payments. AD Pharma shall make the following one-time, non-refundable, non-creditable payments within forty-five
(45) days after the end of the year to Acura based on the attainment of the Net Sales in such calendar year for all Products and Product Line Extensions in
the Territory (the “Milestone Payments”):

3.4.1        AD Pharma shall pay Acura [*****]dollars ($[*****]) the first time aggregate Net Sales in a given calendar year exceeds

[*****] dollars ($[*****]); and

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

12

 
 
 
 
 
 
 
 
 
 
 
 
[*****]dollars ($[*****]).

3.4.2        AD Pharma shall pay Acura [*****] dollars ($[*****]) the first time aggregate Net Sales in a given calendar year exceeds

3.5                            Royalty Reports.  AD  Pharma  shall  prepare  in  respect  of  each  calendar  quarter  a  report  (“Royalty Report”)  that  shows  for  that
calendar quarter the Net Sales of Product and Product Line Extension by country and detailing the calculation of Gross Sales and deductions from Gross
Sales in arriving at Net Sales. AD Pharma shall submit such statement to Acura within forty-five (45) days of the end of the calendar quarter to which it
relates, together with its remittance for Royalty Payments in respect of that quarter. The Royalty Report shall be in the form of Exhibit B.

3.6              Records. During the Term and for two (2) years thereafter, each Party shall keep all usual and proper records and books of account and
all usual and proper entries relating to the Product and Product Line Extension. AD Pharma shall maintain (electronically or otherwise) such records and
books of account containing all necessary data for the calculation of Royalty Payments due under this Agreement.

3.7              Audits. AD Pharma and its Affiliates and Sublicensees shall maintain complete and accurate records in reasonably sufficient detail to
permit Acura to confirm the accuracy of the calculation of royalty payments. Upon reasonable prior notice, such records shall be available during regular
business  hours  for  a  period  of  three  (3)  years  from  the  end  of  the  calendar  year  to  which  they  pertain  for  examination,  not  more  often  than  once  each
calendar year, by an independent certified public accountant selected by Acura and reasonably acceptable to AD Pharma, for the sole purpose of verifying
the accuracy of the financial reports furnished by AD Pharma pursuant to this Agreement. Any such auditor shall enter into a confidentiality agreement
with AD Pharma and shall not disclose AD Pharma's Confidential Information, except to the extent such disclosure is necessary to verify the accuracy of
the financial reports furnished by AD Pharma or the amount of payments due from AD Pharma to Acura under this Agreement. Any amounts shown to be
owed but unpaid shall be paid, and any amounts showed to be overpaid will be refunded, within forty-five (45) days from the accountant's report. Acura
shall bear the full cost of such audit unless such audit discloses an underpayment to Acura of more than $10,000, in which case AD Pharma shall bear the
full cost of such audit. Amounts shall be deemed due on the original due date (e.g., when Royalty Payment was originally due) and interest shall be applied
as set forth in Section 3.10.

3.8              Pricing. AD Pharma shall have sole discretion to determine the price, terms and conditions of sales of the Product and Product Line
Extension to AD Pharma's customers. AD Pharma shall not price the Product and Product Line Extension in any country for any transaction as part of a
bundle  that  provides  greater  discounts  for  the  Product  and  Product  Line  Extension  as  compared  to  any  other  product  in  the  bundle  or  otherwise
disadvantage the selling price of the Product and Product Line Extension in favor of its products. AD Pharma will not allow any Product or Product Line
Extension to serve as a loss leader to induce the sale of other products.

3.9              Currency. All payments required under this Agreement shall be made in U.S. dollars, regardless of the country(ies) in which sales are
made or expenses are incurred, via wire transfer of immediately available funds to an account designated in writing by Acura. Whenever, for the purpose of
calculating any sums due under this Agreement, conversion from any foreign currency shall be required, such conversion shall be made as follows: the
amounts shall be converted into United States dollars using the average rate of exchange for such currencies for the relevant period, such exchange rate
shall be the exchange rate taken from The Wall Street Journal as published on the last day of the relevant period for which payments are due, or such other
publication as may be agreed between the Parties from time to time.

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

13

 
  
 
 
 
 
 
 
 
 
 
 
3.10          Late Payments. All amounts payable under this Agreement and not paid within thirty (30) days of when due in accordance with the
provisions  hereof  shall  bear  interest  from  the  due  date  until  paid  at  the  rate  equal  to  the  lower  of  (i)  three  percent  (3%)  over  the  prime  rate  of  interest
reported in the East Coast Addition of The Wall Street Journal for the date such amount was due, per annum and (ii) the maximum rate allowed by law.
Unless otherwise stated all dollar amounts in this Agreement are in United States dollars.

3.11          Taxes.

3.11.1    In the event that a Party is mandated under the laws of a country to withhold any tax to the tax or revenue authorities in such
country  in  connection  with  any  payment  to  the  other  Party,  such  amount  shall  be  deducted  from  the  payment  to  be  made  by  such  withholding  Party,
provided,  however,  that  the  withholding  Party  shall  take  reasonable  and  lawful  actions,  at  the  other  Party’s  sole  cost,  to  avoid  and  minimize  such
withholding and promptly notify the other Party so that the other Party may take lawful actions to avoid and minimize such withholding. The withholding
Party shall promptly furnish the other Party with copies of any tax certificate or other documentation evidencing such withholding as necessary to satisfy
the requirements of the United States Internal Revenue Service related to any application by such other Party for foreign tax credit for such payment. Each
Party agrees to cooperate with the other Party in claiming exemptions from such deductions or withholdings under any agreement or treaty from time to
time in effect.

3.12          Option under Nexafed® Agreement. The Nexafed® Agreement means that certain License, Commercialization and Option Agreement
entered into as of March 16, 2017, by and between Acura and MainPointe Pharmaceuticals, LLC (“MainPointe”). Acura authorizes MainPointe to assign to
AD  Pharma  the  option  and  the  right  to  add,  as  an  Option  Product  to  the  Nexafed®  Agreement,  a  Nexafed®  12-hour  dosage  (an  extended-release
pseudoephedrine hydrochloride product utilizing the IMPEDE® Technology in 120mg dosage strength); provided, however, that for valuable consideration
from AD Pharma to Acura, the receipt of which is fully acknowledged by Acura, AD Pharma and Acura agree that the payment requirements of Section
2.3.1 of the Nexafed® Agreement are waived if exercised within a period of five (5) years from the Effective Date of this Agreement with respect to such
Option Product, and AD Pharma shall not be obligated to remit to Acura any payment in order to exercise the option to add Nexafed® 12-hour dosage as
an Option Product under the Nexafed® Agreement. Upon execution of the aforementioned option for Nexafed 12-hour dosage, Acura agrees to negotiate in
good faith a development Agreement as may be requested by AD Pharma.

3.13          Option for license to [*****] Product. If, within Five (5) Years of the Effective Date, AD Pharma provides written notice to Acura of its
desire to add the [*****] Product as an additional licensed product under this Agreement, Acura shall then be obligated to negotiate exclusively with AD
Pharma for the grant of a license, which shall be (unless mutually agreed by the Parties) an exclusive (even as to Acura, unless already licensed to a Third
Party  under  Section  3.13.2),  sub-licensable  (subject  to  Section  2.10),  royalty-bearing  right  and  license  under  the  LIMITx™  Technology  to  develop,
manufacture, have manufactured, distribute, have distributed, sell, have sold, market, have marketed, commercialize and have commercialized the [*****]
Product in the Field in the Territory.

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

14

 
 
 
 
 
 
 
 
 
 
ARTICLE IV
CONFIDENTIALITY AND LIMITATIONS ON USE

4.1              Confidentiality. Each Party agrees that, during the Term and for a period of ten (10) years thereafter (and indefinitely for trade secrets)
it shall keep confidential and shall not publish or otherwise disclose and shall not use for any purpose other than as provided for in this Agreement (which
includes  the  exercise  of  any  rights  or  the  performance  of  any  obligations  hereunder)  any  Confidential  Information  furnished  to  it  by  the  other  Party
pursuant  to  this  Agreement,  except  to  the  extent  expressly  authorized  by  this  Agreement  or  otherwise  agreed  in  writing  by  the  Parties.  “Confidential
Information” means information that the disclosing Party considers confidential and discloses to the receiving Party for the purpose of this Agreement.
Confidential  Information  must  be  marked  or  otherwise  identified  as  confidential  or  proprietary  or,  under  the  circumstances  surrounding  the  disclosure,
ought  in  good  faith  to  be  treated  as  confidential  or  proprietary.  Confidential  Information  may  be  conveyed  in  written,  graphical,  physical  or  oral  form.
Confidential  Information  may  include,  without  limitation,  information  concerning  the  study,  discovery,  design,  research,  development,  manufacture,
formulation,  extraction,  compounding,  mixing,  processing,  testing,  control,  preservation,  storage,  finishing,  packing,  packaging,  use,  administration,
distribution,  sale,  reimbursement  and/or  marketing  of  pharmaceutical  products  or  compounds  and  potential  products  or  compounds,  data  from  and
methodology of pre-clinical and clinical studies, the contents of any submissions to the U.S. Food and Drug Administration (together with any successor
agency), marketing plans or computer hardware and software systems and designs and plans for same. Confidential Information may include confidential
or proprietary information of a third party that is in the possession of a disclosing Party. The foregoing confidentiality and non-use obligations shall not
apply to any portion of the other Party’s Confidential Information that the receiving Party can demonstrate by competent written proof:

(a)

(b)

(c)

was  already  known  to  the  receiving  Party  or  its  Affiliate,  other  than  under  an  obligation  of  confidentiality,  at  the  time  of
disclosure by the other Party;

was generally available to the public or otherwise part of the public domain at the time of its disclosure to the receiving Party;

became generally available to the public or otherwise part of the public domain after its disclosure and other than through any
act or omission of the receiving Party in breach of this Agreement;

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

15

 
 
 
 
 
 
 
 
 
 
(d)

(e)

was disclosed to the receiving Party or its Affiliate by a Third Party who has a legal right to make such disclosure and who did
not obtain such information directly or indirectly from the other Party; or

was independently discovered or developed by the receiving Party or its Affiliate without access to or aid, application or use of
the other Party’s Confidential Information, as evidenced by a contemporaneous writing.

4.2              Authorized Disclosure. Notwithstanding the obligations set forth in Section 4.1, a Party may disclose the other Party’s Confidential

Information and the terms of this Agreement to the extent:

(a)

(b)

such disclosure is reasonably necessary to its employees, agents, consultants, contractors, licensees or Sublicensees on a need-
to-know basis for the sole purpose of performing its obligations or exercising its rights under this Agreement; provided that in
each case, the disclosees are bound by written obligations of confidentiality and non-use consistent with those contained in this
Agreement; or

such  disclosure  is  reasonably  necessary  to  comply  with  Applicable  Laws,  including  regulations  promulgated  by  the  U.S.
Securities  and  Exchange  Commission,  applicable  security  exchanges,  court  order,  administrative  subpoena  or  order;  provided
that the Party subject to such Applicable Laws shall promptly notify the other Party of such required disclosure and shall use
reasonable  efforts  to  obtain,  or  to  assist  the  other  Party  in  obtaining,  a  protective  order  preventing  or  limiting  the  required
disclosure.

4.3              Publicity

(a)

The  Parties  agree  that  the  material  terms  of  this  Agreement  are  the  Confidential  Information  of  both  Parties,  subject  to  the
special authorized disclosure provisions set forth in this Section 4.3 or Section 4.2. In addition, a Party may disclose such terms
to  the  extent  reasonably  necessary  to  be  disclosed  to  any  bona  fide  potential  or  actual  investor,  lender,  acquiror,  or  merger
partner for the sole purpose of evaluating an actual or potential investment, acquisition or merger; provided that in connection
with  such  disclosure,  such  Party  shall  inform  each  disclosee  of  the  confidential  nature  of  such  Confidential  Information  and
ensure that each such disclosee is contractually obligated to treat such Confidential Information as confidential on terms at least
as restrictive as those contained in this Article IV.

(b)

The Parties shall make a joint public announcement of the execution of this Agreement in the form attached as Exhibit C, which
shall be issued at a mutually agreed time after the Effective Date.

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

16

 
 
 
 
 
 
 
 
 
 
 
 
 
(c)

(d)

After release of such press release, if either Party desires to make a public announcement concerning the material terms of this
Agreement  or  any  activities  hereunder,  such  Party  shall  give  reasonable  prior  advance  notice  of  the  proposed  text  of  such
announcement to the other Party for its prior review.

The Parties acknowledge that either or both Parties may be obligated to file under Applicable Laws a copy of this Agreement
with  the  U.S.  Securities  and  Exchange  Commission  or  other  governmental  authorities.  Each  Party  may  make  such  a  required
filing, provided that it requests confidential treatment of the commercial terms and sensitive technical terms hereof and thereof
to the extent such confidential treatment is reasonably available to such Party. In the event of any such filing, each Party will
provide  the  other  Party  with  a  copy  of  this  Agreement  marked  to  show  provisions  for  which  such  Party  intends  to  seek
confidential treatment and shall reasonably consider and incorporate the other Party’s reasonable comments thereon to the extent
consistent with the legal requirements, with respect to the filing Party, governing disclosure of material agreements and material
information that must be publicly filed.

ARTICLE V
LIABILITY AND INDEMNIFICATION

5.1                            Maximum Liability.  Other  than  a  Party’s  indemnification  obligations,  breach  of  the  confidentiality  provisions  and  non-compete
provisions  of  Section  2.9,  each  Party’s  maximum  liability  to  the  other  Party  for  any  claim  arising  from  this  Agreement  for  any  reason  whatsoever
(excluding  monetary  consideration  for  this  Agreement,  such  as  Royalty  Payments,  Milestone  Payments  and  out-of-pocket  costs  and  expenses)  will  not
exceed the Royalty Payments and Milestone Payments made by AD Pharma to Acura during the twelve (12) month period preceding the date upon which
the applicable claim arose .

5.2                            Indemnification  by  Acura.  Acura  shall  defend,  indemnify,  and  hold  AD  Pharma  and  its  Affiliates  and  their  respective  officers,
directors and employees (the “AD Pharma Indemnitees”) harmless from and against any and all damages, losses, liabilities costs or expenses (including
reasonable attorneys’ fees) (“Losses”) incurred or sustained by such AD Pharma Indemnitees resulting from any claims, suits, proceedings or causes of
action brought by a Third Party (collectively, “Claims”) against such AD Pharma Indemnitee to the extent arising from or based on or arising from (a)
Acura’s development of the Product limited to exposure to the Product prior to Regulatory Approval (b) Acura’s breach of any of its obligations under this
Agreement;  (c)  the  gross  negligence  or  intentional  misconduct  of  Acura;  or  (d)  Acura’s  breach  of  any  representation  or  warranty  made  or  given  in  this
Agreement, in each case except for any Claim which arises from or is based on any activity set forth in Section 5.3 for which AD Pharma is obligated to
indemnify the Acura Indemnitees under Section 5.3.

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

17

 
 
 
 
 
 
 
 
 
 
 
5.3              Indemnification by AD Pharma. AD Pharma shall defend, indemnify, and hold Acura and its Affiliates and their respective officers,
directors  and  employees  (the  “Acura  Indemnitees”)  harmless  from  and  against  any  and  all  Losses  incurred  or  sustained  by  such  Acura  Indemnitees
resulting from any Claims against such Acura Indemnitee brought by a Third Party to the extent arising from or based on or arising from (a) AD Pharma's
breach of any of its obligations under this Agreement; (b) any claims arising out of the manufacturing or commercialization of Products or Product Line
Extensions; (c) the development of any Product Line Extension; (d) the gross negligence or intentional misconduct of AD Pharma; (e) AD Pharma's breach
of any representation or warranty made or given by AD Pharma in this Agreement; (f) as provided in Article VIII; or (g) any actual or alleged infringement
of  any  Third  Party  copyright,  trademark  or  trade  dress  rights  arising  from  materials,  labeling,  marketing  or  advertising  of  the  Product  or  Product  Line
Extension,  in  each  case  except  to  the  extent  any  Claim  arises  from  or  is  based  on  any  activity  set  forth  in  Section  5.2  for  which  Acura  is  obligated  to
indemnify the AD Pharma Indemnitees under Section 5.2.

5.4              Indemnification Procedures.

(a)

The Party claiming indemnity under this Article V (the “Indemnified Party”) shall give written notice to the Party from whom
indemnity is being sought (the “Indemnifying Party”) promptly after learning of such Claim. The failure to give such prompt
written notice shall not, however, relieve the Indemnifying Party of its indemnification obligations, except and only to the extent
that the Indemnifying Party forfeits rights or defenses by reason of such failure. The Indemnifying Party shall have the right to
participate in, or by giving written notice to the Indemnified Party within 30 days of receipt of written notice of the Claim, to
assume  the  defense  of  any  Claim  at  the  Indemnifying  Party’s  expense  and  by  the  Indemnifying  Party’s  own  counsel,  and  the
Indemnified  Party  shall  cooperate  in  good  faith  in  such  defense;  provided,  however,  that  the  Indemnifying  Party’s  right  to
assume the defense of any Claim shall be subject to the Indemnifying Party acknowledging in writing to the Indemnified Party
that the Indemnifying Party is liable under this Article V to provide indemnification. In the event that the Indemnifying Party
assumes the defense of any Claim, subject to Section 5.4(b), it shall have the right to take such action as it deems necessary to
avoid, dispute, defend, appeal or make counterclaims pertaining to any such Claim in the name and on behalf of the Indemnified
Party; provided, that the Indemnified Party shall have the right, at its own cost and expense, to participate in the defense of any
such  Claim  with  counsel  selected  by  it  subject  to  the  Indemnifying  Party’s  right  to  control  the  defense  thereof.  If  the
Indemnifying  Party  elects  not  to  compromise  or  defend  such  Claim  or  fails  to  notify  the  Indemnified  Party  in  writing  of  its
election to defend as provided in this Agreement, the Indemnified Party may, subject to Section 5.4(b), pay, compromise, defend
such Claim and seek indemnification for any and all Losses based upon, arising from or relating to such Claim. Acura and AD
Pharma  shall  cooperate  with  each  other  in  all  reasonable  respects  in  connection  with  the  defense  of  any  Claim  for  which
indemnification  is  sought  under  this  Article  V,  including  making  available  (subject  to  the  provisions  of  Article  IV)  records
relating  to  such  Claim  and  furnishing,  without  expense  (other  than  reimbursement  of  actual  out-of-pocket  expenses)  to  the
defending Party, management employees of the non-defending Party as may be reasonably necessary for the preparation of the
defense of such Claim.

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

18

 
 
 
 
 
 
 
 
(b)

The Indemnifying Party shall not enter into settlement of any Claim without the prior written consent of the Indemnified Party
(which consent shall not be unreasonably withheld or delayed), except as provided in this Section 5.4(b). If a firm offer is made
to  settle  a  Claim  without  leading  to  liability  or  the  creation  of  a  financial  or  other  non-financial  obligation  on  the  part  of  the
Indemnified Party and provides, in customary form, for the unconditional release of each Indemnified Party from all liabilities
and obligations in connection with such Claim (a “Qualified Settlement Offer”) and the Indemnifying Party desires to accept
and agree to such Qualified Settlement Offer, the Indemnifying Party shall give written notice to that effect to the Indemnified
Party. If the Indemnified Party fails to consent to such Qualified Settlement Offer within ten days after its receipt of such notice,
the  Indemnified  Party  may  continue  to  contest  or  defend  such  Claim  and  in  such  event,  the  maximum  liability  of  the
Indemnifying  Party  as  to  such  Claim  shall  not  exceed  the  amount  of  such  settlement  Qualified  Settlement  Offer.  If  the
Indemnified  Party  fails  to  consent  to  such  Qualified  Settlement  Offer  and  also  fails  to  assume  defense  of  such  Claim,  the
Indemnifying Party may settle the Claim upon the terms set forth in such Qualified Settlement Offer to settle such Claim. If the
Indemnified Party has assumed the defense pursuant to Section 5.4(b), it shall not agree to any settlement without the written
consent of the Indemnifying Party (which consent shall not be unreasonably withheld or delayed).

(c)

The  procedures  set  forth  in  Article  VII  shall  supersede  the  provisions  of  this  Section  5.4,  with  respect  to  matters  addressed
therein.

5.5              Consequential Damages. Except for breaches of the confidentiality provisions, and breach of the non-compete provision of Section
2.9, under no circumstances whatsoever will either Party be liable to the other in contract, tort, negligence, breach of statutory duty, or otherwise for (i) any
(direct or indirect) loss of profits, of production, of anticipated savings, of business, or goodwill or (ii) for any other liability, damage, costs, or expense of
any kind incurred by the other Party of an indirect or consequential nature, regardless of any notice of the possibility of these damages.

ARTICLE VI
NOTICES

6.1              Notices. Any notice or request to be given or furnished under this Agreement by any Party to the other shall be in writing and shall be

delivered personally or registered or certified mail, postage prepaid, or by overnight delivery service to the following:

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

19

 
 
 
 
 
 
 
 
 
 
TO ACURA:

Copy To:

TO AD Pharma:

Copy To:

Acura Pharmaceuticals, Inc.
616 N. North Court
Palatine, IL 60067
Attn: Robert B. Jones
Telephone No. 847-705-7709

S. Jason Teele
Sills Cummis & Gross P.C.
One Riverfront Plaza
Newark, NJ 07102
Telephone No. 973-643-4779

Abuse Deterrent Pharmaceuticals, LLC
333 E. Main Street, Suite220
Louisville, KY 40202
Attn: John L. Schutte
Telephone No. [*****]

Frost Brown Todd Attorneys, LLC
400 West Market St., 3200
Louisville, KY 40202
Attn: William G. Strench
Telephone No. 502-589-5400

6.2              Receipt of Notice. All notices and other communications given to any Party in accordance with the provisions of this Agreement shall
be deemed to have been given on the date of receipt if delivered by hand or overnight courier services or sent by telecopy, or on the date five (5) business
days after dispatch by certified or registered mail (postage prepaid) if mailed, in each case delivered, sent or mailed (properly addressed) to such Party as
provided in this Article VI, or in accordance with the latest unrevoked direction from such Party given in accordance with this Article VI.

ARTICLE VII
PATENT PROSECUTION, INFRINGEMENT

7.1              Ownership of Intellectual Property Rights. Acura shall own all Intellectual Property Rights (including all Know-How and Patent
Rights) in the LIMITx™ Technology, provided that if AD Pharma makes any improvements to the LIMITx™ Technology, then AD Pharma shall own such
improvements provided that it shall inform Acura of such improvements, and hereby grants Acura a royalty-free, perpetual, sublicensable, non-exclusive
license to such improvements to develop, manufacture and commercialize products other than the Products. AD Pharma owns all trademarks and goodwill
associated  with  the  marketing  and  commercialization  of  the  Product  and  Product  Line  Extension  in  the  Territory,  with  the  exception  of  any  mark
incorporating Acura’s corporate name, LIMITx™, or any mark incorporating LIMITx™, which shall be owned by Acura.

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

20

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
7.2              Patent Prosecution and Maintenance. Acura is responsible for the prosecution and maintenance of the LIMITx™ Patent Rights in its
sole discretion and at its own cost and expense. Acura shall provide AD Pharma a reasonable opportunity to review and comment on such prosecution and
maintenance efforts regarding LIMITx™ Patent Rights in the Territory that may claim the Product or Product Line Extension, or the making or the use
thereof.  Acura  shall  provide  AD  Pharma  with  a  copy  of  material  communications  from  any  patent  authority  in  the  Territory  regarding  such  LIMITx™
Patent Rights within a reasonable time after receipt of such communications and shall provide drafts of any material filings or responses to be made to such
patent authorities in a reasonable amount of time in advance of submitting such filings or responses for AD Pharma's review and comment. Acura shall
reasonably consider such comments by AD Pharma in connection with the prosecution and maintenance of the LIMITx™ Patent Rights. If Acura decides
to cease the prosecution or maintenance of any LIMITx™ Patent Rights that claim a Product or Product Line Extension after it has commenced prosecution
of  such  LIMITx™  Patent  Rights  in  the  Territory,  Acura  shall  notify  AD  Pharma  in  writing  so  that  AD  Pharma  may,  at  its  discretion,  assume  the
responsibility for the prosecution or maintenance of such LIMITx™ Patent Rights in the Territory, provided Acura shall own all such resulting patents.

7.3              Infringement of LIMITx™ Patent Rights. Each of AD Pharma and Acura will notify the other Party within five (5) days upon learning
of  any  possible  infringement  by  a  Third  Party  of  the  LIMITx™  Patent  Rights,  which  infringement  may  reasonably  be  expected  to  affect  the
commercialization of the Product or Product Line Extension. AD Pharma has the exclusive right (after consultation with Acura), but not the obligation, at
AD Pharma's own cost, to take all steps, including legal action, it deems necessary or advisable to eliminate or minimize the effect on the development,
manufacture and commercialization of the Product or Product Line Extension of such possible infringement. Acura agrees to cooperate, upon reasonable
request of AD Pharma and at AD Pharma's cost, in such steps or legal proceeding. All proceeds realized upon any judgement or settlement in AD Pharma's
favor  regarding  such  steps  or  legal  action,  net  of  direct  out-of-pocket  expenses  of  the  Parties  relating  thereto,  shall  be  for  the  benefit  of  AD  Pharma
provided AD Pharma shall pay Acura the same royalty on the excess as it is required to pay on Net Sales. Notwithstanding the foregoing, Acura’s consent
(which  shall  not  be  unreasonably  withheld,  delayed  or  conditioned)  shall  be  required  for  any  settlement  that  entails  any  license  or  covenant  not  to  sue,
relating to the LIMITx™ Patent Rights, or dedication to the public, admission of invalidity or unenforceability, or abandonment of any LIMITx™ Patent
Rights.

7.4              Notice by AD Pharma of Intent to Assert; Acura’s Right to Assert.

(a)

No  later  than  five  (5)  business  days  after  learning  or  being  notified  of  any  possible  infringement  by  a  Third  Party  of  the
LIMITx™ Patent Rights, which infringement may reasonably be expected to affect the commercialization of a Product or Line
Extension,  AD  Pharma  shall  provide  written  notice  to  Acura  as  to  whether  AD  Pharma  will  exercise  its  rights  conferred  in
Section 7.3.

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

21

 
 
 
 
 
 
 
 
 
(b)

(c)

If AD Pharma does not provide Acura with such written notice within twenty (20) business days or within such time provides
notice to Acura electing not to exercise its rights conferred in Section 7.3, then at any time Acura may, but shall not be obligated,
to provide AD Pharma written notice as to whether Acura will take steps to eliminate or minimize the consequences of such
possible infringement to the commercialization of the Product or Product Line Extension.

If  Acura  elects,  pursuant  to  Section  7.4(b),  to  take  steps  to  eliminate  or  minimize  the  consequences  of  such  possible
infringement to the commercialization of a Product or Product Line Extension, the following shall apply: Acura shall have the
exclusive right, at Acura’s own cost and expense, to take such steps as it shall determine, including legal action, to eliminate or
minimize the consequences of such possible infringement to the commercialization of the Product or Product Line Extension.
Acura shall be entitled to any judgement or settlement relating to such action. AD Pharma agrees to join as a named party and
cooperate, upon reasonable request of Acura and at Acura’s cost and expense, in any such steps or legal proceeding.

7.5              Third Party Challenges to LIMITx™ Patent Rights. Notwithstanding Section 7.3, each of AD Pharma and Acura shall notify the other
Party no later than five (5) business days after receiving a Paragraph IV Certification, an Inter Parties or Post Grant review petition, or any other challenge
that  a  LIMITx™  Patent  Right  is  invalid  or  unenforceable,  if  such  LIMITx™  Patent  Right  claims  the  Product  or  Product  Line  Extension,  or  the
manufacture,  or  use  thereof.  AD  Pharma  has  the  right  (after  consultation  with  Acura),  but  not  the  obligation,  at  AD  Pharma's  own  cost,  to  exclusively
pursue any negotiations with such Third Party and exclusively control the enforcement or defense of any legal proceeding regarding such challenge. Acura
agrees to cooperate, upon reasonable request of AD Pharma and at AD Pharma's cost, in such negotiations or legal proceeding. All proceeds realized upon
any  judgement  or  settlement  in  AD  Pharma's  favor  regarding  such  negotiations  or  legal  proceeding,  net  of  direct  out-of-pocket  expenses  of  the  Parties
relating thereto, shall be for the benefit of AD Pharma, provided AD Pharma shall pay Acura the same royalty on the excess as it is required to pay on Net
Sales.  Notwithstanding  the  foregoing,  Acura’s  consent  (which  shall  not  be  unreasonably  withheld,  delayed  or  conditioned)  shall  be  required  for  any
settlement that entails any license or covenant not to sue, relating to the LIMITx™ Patent Rights, or dedication to the public, admission of invalidity or
unenforceability, or abandonment of the LIMITx™ Patent Rights.

7.6              Notice by AD Pharma to Defend; Acura’s Right to Defend.

(a)

Notwithstanding Section 7.4, no later than five (5) business days after AD Pharma learns of a Paragraph IV Certification, an
Inter Parties or Post Grant review petition, or any other challenge that an LIMITx™ Patent Right is invalid or unenforceable,
which LIMITx™ Patent Right claims a Product or Product Line Extension, or the manufacture, or use thereof, AD Pharma shall
provide written notice to Acura as to whether AD Pharma will exercise its rights conferred in Section 7.5.

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

22

 
 
 
 
 
 
 
 
 
 
(b)

(c)

If AD Pharma does not provide Acura with such written notice within its ten (10) business day period of Section 7.6(a) or within
such time provided notice to Acura electing not to exercise its rights conferred in Section 7.5, then Acura may at its option, but
shall not be obligated to, notify AD Pharma in writing at any time thereafter whether Acura will undertake the enforcement or
defense of any legal proceeding.

If Acura undertakes such defense or enforcement pursuant to Section 7.6(b), the following paragraph shall apply: Acura shall be
entitled, at Acura’s own cost and expense, to exclusively pursue any negotiations with such Third Party and exclusively control
the enforcement or defense of any legal proceeding regarding such challenge. If Acura undertakes the defense or enforcement,
Acura shall be entitled to any judgement or settlement relating to such action. AD Pharma agrees to join as a named party and
cooperate,  upon  reasonable  request  of  Acura  and  at  AD  Pharma's  cost  and  expense,  in  any  such  steps  or  legal  proceeding.
Notwithstanding the foregoing, AD Pharma's consent (which shall not be unreasonably withheld, delayed or conditioned) shall
be required for any settlement that would limit or restrict AD Pharma's rights conferred by this Agreement.

7.7              Allegations of Infringement by Third Parties.

(a)

(b)

(c)

Each of AD Pharma and Acura will forthwith notify the other Party upon learning of any allegation by a Third Party that (i) a
Product  or  Product  Line  Extension  may  infringe  Third  Party  intellectual  property  rights,  or  (ii)  any  product  that  includes  the
LIMITx™  Technology  other  than  a  Product  or  Product  Line  Extension  (a  “Related  LIMITx™  Technology  Product”)  may
infringe Third Party intellectual property rights and the Parties shall in that event consult with each other, including a possible
defense strategy.

If the infringement allegation against a Product or Product Line Extension is due to the LIMITx™ Technology, AD Pharma has
the obligation to pursue any negotiations with the claimant and to control the defense of any legal proceeding regarding such
infringement allegation against the Product at its own cost and expense (including the cost of defense, judgments, damages and
settlements)  and  shall  indemnify  and  hold  Acura  harmless  from  same.  Acura  shall,  at  AD  Pharma's  expense,  reasonably
collaborate with AD Pharma and render any reasonable assistance to AD Pharma in AD Pharma's negotiations with the claimant
and defense of any such legal proceeding regarding such allegation of infringement.

If the infringement allegation is against a Related LIMITx™ Technology Product, Acura reserves the limited right to negotiate
with  the  claimant  solely  in  its  own  name  and  on  its  own  behalf  relating  to  the  Related  LIMITx™  Technology  Product  and
defend only itself in any legal proceeding regarding such allegation of infringement as it may relate to the Related LIMITx™
Technology  Product  at  its  own  cost  and  expense  (including  the  cost  of  defense,  judgments,  damages,  and  settlements).  AD
Pharma  shall,  at  AD  Pharma's  expense,  reasonably  collaborate  with  Acura  and  render  any  reasonable  assistance  to Acura  in
Acura’s negotiations with the claimant and Acura’s defense of any legal proceeding regarding such allegation of infringement as
it may relate to the Related LIMITx™ Technology Product. If Acura elects to undertake negotiation or defense pursuant to this
section, Acura is neither authorized nor obligated to negotiate on behalf of or defend AD Pharma.

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

23

 
 
 
 
 
 
 
 
 
 
 
7.8              Settlement of Allegations of Infringement. For purposes of Sections 7.7 and 7.8, the Party negotiating with the claimant or defending
the legal proceeding is referred to as the “Defending Party” and the other Party is referred to as the “non-Defending Party.” The Defending Party shall have
the right to exclusively control and manage such claim of infringement (including without limitation, control over the settlement of such action), provided,
however, that any such settlement shall also release the non-Defending Party from the claims relating to the claim of infringement (provided that the non-
Defending Party executes a mutual release in favor of the party releasing the non-Defending Party). The written consent of the non-Defending Party to the
settlement is required if the settlement obligates the non-Defending Party to take or forgo any action (which consent shall not be unreasonably withheld,
delayed  or  conditioned).  Without  limiting  the  foregoing,  Acura’s  consent  (which  shall  not  be  unreasonably  withheld,  delayed  or  conditioned)  shall  be
required for any settlement that entails any license, covenant not to sue relating to, dedication to the public, admission of non-infringement, invalidity or
unenforceability  or  abandonment  of  Acura’s  Intellectual  Property  Rights,  including  without  limitation  the  LIMITx™  Technology,  and  AD  Pharma's
consent (which shall not be unreasonably withheld, delayed or conditioned) shall be required for any settlement that that would limit or restrict the ability
of AD Pharma to have made, use, offer for sale, sell or otherwise commercialize the Product or Product Line Extension in the Field in the Territory

ARTICLE VIII
REPRESENTATIONS, WARRANTIES AND COVENANTS

8.1              Cooperation. From time to time, as and when requested by either party hereto, the other party shall execute and deliver, or cause to be
executed and delivered, all such documents and instruments and shall take, or cause to be taken, all such further or other actions, as such other Party may
reasonably deem necessary or desirable to consummate the transactions contemplated by this Agreement.

8.2              Mutual Representations, Warranties and covenants. Each Party represents and warrants that

(i)

it has the full right, power and authority to enter into this Agreement;

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

24

 
 
 
 
 
 
 
 
 
 
 
 
 
(ii)

(iii)

(iv)

that entering into and performing its obligations set forth in this Agreement does not conflict with any other agreement to which it is a
party;

as at the Effective Date, there are no claims, judgments, litigations, suits, actions, disputes, arbitration, judicial or legal, administrative or
other  proceedings  or  governmental  investigations  pending  or,  to  such  Party’s  knowledge,  threatened  against  such  Party  or  any  of  its
Affiliates,  and  neither  such  Party  nor  its  Affiliates  is  a  party  to  any  settlement  agreement,  which  would  be  reasonably  expected  to
materially affect or restrict the ability of such Party to consummate the transactions contemplated under this Agreement and to perform
its obligations under this Agreement; and

neither Party has used or shall use any employee or consultant who has been debarred by any Regulatory Authority or, to such Party’s
knowledge,  is  or  has  been  the  subject  of  debarment  proceedings  by  a  Regulatory  Authority.  Each  Party  shall  notify  the  other  Party
promptly upon becoming aware that any of its employees or consultants has been debarred or is the subject of debarment proceedings by
any Regulatory Authority.

8.3              Acura Representations, Warranties. Acura represents and warrants that: (i) it has all rights necessary to validly grant the licenses set
forth in Section 2; (ii) the Patent Rights included in the LIMITx™ Technology and set forth on Exhibit A have not expired and any maintenance fees have
been paid when due or within any permitted extension; (iii) it is not subject to any court proceedings, judgment or order related to the subject matter of this
Agreement;  (iv)  it  has  not  received  any  written  claim  or  allegation  of  infringement  from  a  Third  Party  for  the  infringement  of  Third  Party  intellectual
property rights based on the making, using, or selling of the Product; (v) it has not assigned and/or granted licenses, nor shall it assign and/or grant licenses,
to the LIMITx™ Technology to any Third Party that would restrict or impair the rights granted hereunder, and it has not granted to anyone any rights that
cover the Product or Product Line Extension in the Territory; (vi) the LIMITx™ Patent Rights are the only Patent Rights Controlled by Acura relating to
Products  or  Product  Line  Extensions;  (vii)  to  its  actual  knowledge  the  LIMITx™  Technology  (a)  does  not  infringe  any  valid  claim  in  a  granted  patent
known to Acura as of the Effective Date owned by a Third Party and (b) has not been misappropriated from a Third Party; (viii) the Nexafed® Agreement
has not been terminated or cancelled; and (ix) Acura reaffirms that all Acura Representations and Warranties set forth in the Nexafed® Agreement are true
and correct as of the Effective Date of this Agreement to the same degree and with the same force and effect as if they were on the date hereof.

8.4              AD Pharma’s Representations Warranties and Covenants. AD Pharma represents, warrants and covenants that (i) it shall develop,
manufacture and commercialize the Product and Product Line Extension in accordance with Applicable Law and (ii) neither AD Pharma nor its Affiliates
shall engage in a Patent Challenge, or knowingly assist any Third Party to engage in a Patent Challenge with respect to any of the LIMITx™ Patent Rights
or intentionally or willfully infringe the LIMITx™ Patent Rights.

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

25

 
 
 
 
 
 
 
 
 
 
 
8.5                            Disclaimers.  EXCEPT  AS  EXPRESSLY  STATED  IN  THIS  AGREEMENT,  NO  REPRESENTATIONS  OR  WARRANTIES
WHATSOEVER,  WHETHER  EXPRESS  OR  IMPLIED,  INCLUDING  WARRANTIES  OF  MERCHANTABILITY,  FITNESS  FOR  A  PARTICULAR
PURPOSE, NON-INFRINGEMENT, OR NON-MISAPPROPRIATION OF THIRD PARTY INTELLECTUAL PROPERTY RIGHTS, ARE MADE OR
GIVEN BY OR ON BEHALF OF A PARTY, AND ALL REPRESENTATIONS AND WARRANTIES, WHETHER ARISING BY OPERATION OF LAW
OR OTHERWISE, ARE HEREBY EXPRESSLY EXCLUDED.

ARTICLE IX
TERM AND TERMINATION

9.1              Term and Expiration. The “Term”  of  this  Agreement  shall  be  from  the  Effective  Date  until  the  earlier  of  (i)  termination  of  this

Agreement pursuant to Section 9.2, 9.3, or 9.4, or (ii) the last to expire Royalty Term.

9.2              Termination for Breach.

Either Party may terminate the Agreement in its entirety by giving written notice of termination at any time, if the other Party fails to fulfill or
breaches any material term or condition of this Agreement, and does not remedy the failure or breach within thirty (30) days of receipt of written notice
specifying such failure or breach given by the other Party.

9.3              Termination for Convenience. At any time after the Effective Date, AD Pharma may terminate this Agreement in its entirety either

with or without cause by providing thirty (30) days advance written notice to Acura.

9.4              Termination for Patent Challenge.

Acura will be permitted to terminate this Agreement by written notice effective upon receipt if AD Pharma or its Affiliates, directly or indirectly
through  assistance  granted  to  a  Third  Party,  commence  any  interference  or  opposition  proceeding,  challenge  in  a  legal  or  administrative  proceeding  the
validity or enforceability of, or oppose in a legal or administrative proceeding any extension of or the grant of a supplementary protection certificate with
respect to (i) any Patent Rights licensed hereunder (except as a defense against a patent infringement action initiated by Acura or its Affiliates or licensees
against AD Pharma or its Affiliates) (each such action, a “Patent Challenge”).

AD  Pharma  will  include  provisions  in  all  agreements  granting  sublicenses  of  AD  Pharma's  rights  hereunder  (other  than  agreements  with
manufacturers, services providers, distributors and other agents) providing that if the sublicensee or its Affiliates undertake a Patent Challenge with respect
to any Patent Rights licensed hereunder under which the sublicensee is sublicensed, AD Pharma will be permitted to terminate such sublicense agreement.
If a sublicensee of AD Pharma (or an Affiliate of such sublicensee) undertakes a Patent Challenge of any such Patent Right under which such sublicensee is
sublicensed (other than sublicensees that are manufacturers, services providers, distributors and other agents), then AD Pharma upon receipt of notice from
Acura of such Patent Challenge will terminate the applicable sublicense agreement. If AD Pharma fails to so terminate such sublicense agreement, Acura
may terminate AD Pharma's right to sublicense in the country(ies) covered by such sublicense agreement and any sublicenses previously granted in such
country(ies) shall automatically terminate. In connection with such sublicense termination, AD Pharma shall cooperate with Acura’s reasonable requests to
cause such a terminated sublicensee to discontinue activities with respect to the Product and Product Line Extension in such country(ies).

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

26

 
 
 
 
 
 
 
 
 
 
 
 
 
 
9.5              Consequences of Expiration and Termination.

9.5.1        Upon expiration of this Agreement with respect to a country, AD Pharma shall retain a non-exclusive, perpetual, irrevocable,
fully paid-up and royalty-free license to, develop, have made, sell, promote, or otherwise exploit the Product and Product Line Extension in such country.
AD Pharma shall be required to at all times post-expiration of the Agreement with respect to a country either maintain the Regulatory Approvals for the
Products or transfer such Regulatory Approvals and associated Regulatory Documentation back to Acura (unless Acura declines such transfer in writing).

9.5.2        Upon termination of this Agreement: (i) all of AD Pharma's licenses with respect to Acura’s trademarks and the LIMITx™
Technology  shall  terminate;  (ii)  AD  Pharma's  non-compete  contained  in  Section  2.9  shall  terminate  immediately;  and  (iii)  all  Regulatory  Approvals,
Regulatory Documentation and regulatory filings shall be transferred back to Acura; (iv) AD Pharma shall transfer to Acura the trademarks associated with
Products  and  Product  Line  Extensions;  and  (v)  at  Acura’s  request  AD  Pharma  and  Acura  shall  use  Commercially  Reasonable  Efforts  to  transition  the
commercialization  of  the  Product;  and  any  Product  Line  Extension  back  to  Acura  so  that,  among  other  things,  sales  of  the  Product  and  Product  Line
Extension  are  not  interrupted  and  which  may  include,  by  way  of  examples,  assignment  of  any  manufacturing  and  supply  agreements  to  Acura  or  its
designee and providing sales and marketing materials, inventory reports, regulatory communication and health care provider prescribers.

Termination, relinquishment or expiration of this Agreement for any reason shall be without prejudice to any rights that shall have accrued to the benefit of
either  Party  prior  to  such  termination,  relinquishment  or  expiration.  Such  termination,  relinquishment  or  expiration  shall  not  relieve  either  Party  from
obligations that are expressly indicated to survive termination or expiration of this Agreement.

9.5.3        All of the Parties’ rights and obligations under Sections 2.9, 2.13, 3.2, 3.3, 3.4, 3.6, 3.8,3.9, 3.10, 3.12, 3.13 and Articles 4, 5, 6,
7, 9, and 10, shall survive termination or expiration of this Agreement (unless such Section specifically states that it shall only survive expiration but not
termination, in which case it shall survive as set forth therein), and all other provisions reasonably construed to survive shall also survive termination or
expiration. Where a provision specifies a survival period, such provision shall survive only during such survival period.

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

27

 
 
 
 
 
 
 
 
 
 
 
ARTICLE X
MISCELLANEOUS

10.1          Dispute Resolution. AD Pharma and Acura agree to use good faith efforts to resolve any and all disputes arising out of or relating to this
Agreement.  If  any  dispute  amongst  the  Parties  remains  unresolved  after  ten  (10)  business  days,  the  chief  executive  officers  of  the  Parties  will  meet  to
address the matter. If the chief executive officers cannot resolve the dispute after forty five (45) days following receipt of notice by one Party from the other
of a dispute under this Agreement, then the matter shall by fully and finally resolved by arbitration. A Party that desires to arbitrate a dispute shall serve a
written notice upon another requesting arbitration of a dispute pursuant to this Section 10.1. Any such arbitration shall be submitted to final and binding
arbitration under the then current commercial arbitration rules of the American Arbitration Association (the “AAA”) in accordance with this Section 10.1.
The place of arbitration of any dispute shall be New York, New York. Such arbitration shall be conducted by one (1) arbitrator mutually agreed by the
Parties but if such agreement cannot be reached within ten (10) days of the commencement of the arbitration, then an arbitrator appointed by the AAA. The
arbitrator shall be a person with relevant experience in the pharmaceutical industry. The arbitration proceeding shall be held as soon as practicable but in
any  event  within  ninety  (90)  days  of  appointment  of  the  arbitrator.  Any  award  rendered  by  the  arbitrators  shall  be  final  and  binding  upon  the  Parties.
Judgment upon any award rendered may be entered in any court having jurisdiction, or application may be made to such court for a judicial acceptance of
the  award  and  an  order  of  enforcement,  as  the  case  may  be.  The  arbitrator  shall  render  a  formal,  binding,  non-appealable  resolution  and  award  as
expeditiously as possible, but not more than forty-five (45) days after the hearing. Each Party shall pay its own expenses of arbitration, and the expenses of
the arbitrator shall be equally shared between the Parties unless the arbitrators assess as part of their award all or any part of the arbitration expenses of a
Party (including reasonable attorneys’ fees) against the other Party. A Party may make application to the Arbitrator for the award and recovery of its fees
and expenses (including reasonable attorneys’ fees). This Section 10.1 shall not prohibit a Party from seeking injunctive relief from a court of competent
jurisdiction in the event of a breach or prospective breach of this Agreement by any other Party which would cause irreparable harm to the first Party.

10.2          Rights in Bankruptcy.

10.2.1    All rights and licenses granted under or pursuant to this Agreement by one Party to the other are, for all purposes of Title 11 of
the  United  States  Code  (“Title 11”),  licenses  of  rights  to  “intellectual  property”  as  defined  in  Title  11,  and,  in  the  event  that  a  case  under  Title  11  is
commenced by or against either Party (the “Bankrupt Party”), the other Party shall have all of the rights set forth in Section 365(n) of Title 11 to the
maximum extent permitted thereby. During the Term, each Party shall create and maintain current copies to the extent practicable of all such intellectual
property. Without limiting the Parties’ rights under Section 365(n) of Title 11, if a case under Title 11 is commenced by or against the Bankrupt Party, the
other Party shall be entitled to a copy of any and all such intellectual property and all embodiments of such intellectual property, and the same, if not in the
possession of such other Party, shall be promptly delivered to it (i) before this Agreement is rejected by or on behalf of the Bankrupt Party, within thirty
(30) days after the other Party’s written request, unless the Bankrupt Party, or its trustee or receiver, elects within thirty (30) days to continue to perform all
of its obligations under this Agreement, or (ii) after any rejection of this Agreement by or on behalf of the Bankrupt Party, if not previously delivered as
provided  under  clause  (i)  above.  All  rights  of  the  Parties  under  this  Section  10.2  and  under  Section  365(n)  of  Title  11  are  in  addition  to  and  not  in
substitution of any and all other rights, powers, and remedies that each party may have under this Agreement, Title 11, and any other Applicable Laws. The
non-Bankrupt Party may perform the obligations of the Bankrupt Party hereunder with respect to such intellectual property, but neither such provision nor
such performance by the non-Bankrupt Party shall release the Bankrupt Party from any such obligation or liability for failing to perform it.

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

28

 
 
 
 
 
 
 
 
 
 
(b)       The Parties agree that they intend the foregoing non-Bankrupt Party rights to extend to the maximum extent permitted by law and any
provisions of applicable contracts with Third Parties, including for purposes of Title 11, (i) the right of access to any intellectual property (including all
embodiments thereof) of the Bankrupt Party or any Third Party with whom the Bankrupt Party contracts to perform an obligation of the Bankrupt Party
under this Agreement, and, in the case of the Third Party, which is necessary for the development, Regulatory Approval and manufacture of Products and
(ii) the right to contract directly with any Third Party described in (i) in this sentence to complete the contracted work.

(c)       Any intellectual property provided pursuant to the provisions of this Section 10.2 shall be subject to the licenses set forth elsewhere in this

Agreement and the payment obligations of this Agreement, which shall be deemed to be royalties for purposes of Title 11.

10.3          No Set-off. Except as expressly set forth in this Agreement, neither Party may set-off or recoup against a payment owed to the other

Party, without the consent of the other Party.

10.4          Waivers; Amendment. The failure of either Party to insist, in any one or more instances, upon the performance of any of the terms,
covenants  or  conditions  of  this  Agreement  or  to  exercise  any  right  hereunder,  shall  not  be  construed  as  a  waiver  or  relinquishment  of  the  future
performance of any such term, covenant or conditions or the future exercise of such right, and the obligation of the other Party with respect to such future
performance shall continue in full force and effect. No item or provision of this Agreement may be altered, amended or waived except by a writing signed
by both Parties.

10.5          Assignment. Neither Party shall assign any of its rights or obligations under this Agreement, in whole or in part to any person, firm,
partnership, or other entity, except to an Affiliate, without the prior written consent of the other Party, which consent shall not be unreasonably withheld,
delayed or conditioned. Notwithstanding the foregoing, a Party may assign this Agreement in connection with (i) the transfer of all or substantially all of its
assets or its LIMITx™ Technology assets (by merger, sale of assets or otherwise) to the transferee thereof or (ii) the sale of its line of business to which this
Agreement relates; provided in each instance the transferee agrees to be bound by all obligations of the transferring Party to the other Party hereunder.

10.6          Covenant of Further Assurances.  AD  Pharma  and  Acura  covenant  and  agree  that  subsequent  to  the  execution  and  delivery  of  this
Agreement and without any additional consideration, each of AD Pharma and Acura shall execute and deliver any further legal instruments and perform
such acts which are or may become necessary to effectuate the purposes of this Agreement.

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

29

 
 
 
 
 
 
 
 
 
 
 
10.7          Headings. The heading of the Articles and Sections used in this Agreement are included for convenience only and are not to be used in

construing or interpreting this Agreement.

10.8                    Governing Law.  Unless  any  competent  governmental  entity  or  any  other  applicable  laws  and  regulations  require  otherwise,  this
Agreement shall be governed by and construed under the laws of the State of New York as applied to agreements executed and performed solely in New
York, without regard to choice-of-law principles thereof.

10.9                    Severability.  The  provisions  of  this  Agreement  shall  be  deemed  separate.  Accordingly,  the  invalidity  or  unenforceability  of  any
particular  provision  of  this  Agreement  shall  not  affect  the  other  provisions,  and  this  Agreement  shall  be  construed  in  all  respects  as  if  such  invalid  or
unenforceable provision were omitted, except in cases where such unenforceable provision is a basic prerequisite of any Party or both Parties to enter into
this  Agreement.  The  Parties  shall  in  such  an  instance  use  their  best  efforts  to  replace  the  unenforceable  provision(s)  with  valid,  legal  and  enforceable
provision(s) which, insofar as practical, implement the purposes of this Agreement.

10.10      Entire Agreement. This Agreement including all Exhibits and Schedules attached hereto constitutes the entire Agreement between AD
Pharma and Acura with respect to the subject matter addressed herein and this Agreement supersedes all prior understandings and agreements, whether oral
or  written,  between  the  AD  Pharma  and  Acura  with  respect  thereto.  Any  amendment  to  any  provisions  set  forth  in  the  Agreement  must  be  in  writing,
signed by both AD Pharma and Acura and specifically state that it is an amendment.

10.11      Counterparts; Facsimile Signatures. This Agreement may be executed in multiple counterparts, each of which shall be deemed to be an
original and of equal force and effect, but all of which taken together shall constitute one and the same instrument. A facsimile, digital, PDF, e-mail or other
electronic copy hereof shall suffice as an original Agreement.

10.12      Waiver of Rule of Construction. Each Party has had the opportunity to consult with counsel in connection with the review, drafting and
negotiation of this Agreement. Accordingly, the rule of construction that any ambiguity in this Agreement shall be construed against the drafting Party shall
not apply.

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

30

 
 
 
 
 
 
 
 
 
 
 
IN WITNESS WHEREOF, AD Pharma and Acura have caused this Agreement to be executed by their duly authorized officers as of the day and

year first above written.

ACURA PHARMACEUTICALS, INC.

ABUSE DETERRENT PHARMA, LLC

By:

/s/ Robert B. Jones

By:

/s/ John L. Schutte

Name:

Robert B. Jones

Title:

President & CEO

Date:

June 28, 2019

Name:

John L. Schutte

Title:

Date:

Manager

June 28, 2019

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

31

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
SCHEDULE 1

LIMITx™ Regulatory Application Submission Timeline

The following comprise the LIMITx™ Regulatory Application Submission Timeline:

1. By July 30, 2019 or before, Acura shall identify a contract research organization (“CRO”) to prepare and test batches of the Product as needed for FDA
Regulatory Approval Application of the Product. AD Pharma has the right to approve or disapprove the CRO.

2. By September 30, 2019 or before, Acura shall have entered into a CRO Agreement with the CRO identified and approved as set forth above, including a
research protocol providing for preparation and testing of the Product necessary to gain timely filing acceptance by the FDA of a Regulatory Approval
Application for the Product. AD Pharma has the right to approve or disapprove such Agreement and research protocol.

3. By the last day of the calendar month when the last of the monthly payments for the Maximum Pre-Regulatory Application Submission Payment has
occurred, or before, Acura must gain filing acceptance by the FDA of a Regulatory Approval Application for the Product.

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

32

 
 
 
 
 
 
 
 
 
 
 
Exhibit A

ACURA PHARMACEUTICALS, INC.
LIMITx™ Patent Summary as of Effective Date

Case
5018-00

Patent
US 9,101,636

5018-01

US 9,320,796

5018-02

US 9,662,393

5018-03

15/588,982

File/Issue/Expire

F-11/27/2013
I-8/11/2015
E-11/27/2033
F-7/2/2015
I-4/26/2016
E-11/27/2033
F-3/18/2016
I-5/30/2017
E-11/27/2033
F-5/8/2017

Primary Subject
Drug+acid soluble cationic copolymer+buffering agent to
retard release >3 tabs (buffer limited)

Status

Drug+acid soluble cationic copolymer+buffering agent to
retard release >3 tabs (polymer limited)

Drug+acid  soluble+buffering  agent  to  retard  release  >3
tabs (buffer limited)

Drug+acid  soluble+buffer  to  retard  release  >3  tabs  –
Broad claims

Notice of Allowance
mailed June 3, 2019

Patents and applications summarized in Exhibit A include all types of patents and applications set forth in the defined term, “Patent Rights”.

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

33

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Exhibit B
Form of Royalty Report.

ROYALTY REPORT
Quarter Reported _________________

Licensee Name:
Property:
Territory:
Address:
Contact:
Phone Number:
Fax Number:

CURRENT QUARTER

Territory or
Territories

Gross Sales

Less:
Deductions/
Returns*

$ -
$ -
$ -
$ -

$ -
$ -
$ -
$ -

$ -
$ -
$ -
$ -

Total

Discounts

Net Sales

$ -
$ -
$ -
$ -

Royalty

Royalty Rate %
%
%
%
%

$ -
$ -
$ -
$ -

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

34

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Exhibit C

Acura Pharmaceuticals Licenses LIMITx™ LTX-03
Agreement Provides For Completion of Development and Commercialization
Transaction Valued at up to $21.3 Million, not including Royalties

PALATINE,  IL,  July  1,  2019:  Acura  Pharmaceuticals,  Inc.  (OTC  Pink:  ACUR)  today  announced  a  License,  Development  and  Commercialization
Agreement  (the  "Agreement")  with  Abuse  Deterrent  Pharmaceuticals,  LLC  (“AD  Pharma”),  a  special  purpose  company  representing  a  consortium  of
investors that will finance Acura’s operations and completion of development of LTX-03 (hydrocodone bitartrate with acetaminophen) immediate-release
tablets  utilizing  Acura’s  patented  LIMITx™  technology  which  addresses  the  consequences  of  excess  oral  administration  of  opioid  tablets,  the  most
prevalent  route  of  opioid  overdose  and  abuse.  AD  Pharma  retains  commercialization  rights  from  which Acura  will  receive  royalties  and  potential  sales
related milestones.

LTX-03 (hydrocodone with acetaminophen)
Recent reports suggest growing numbers of legitimate pain patients are going undertreated as they can no longer find doctors willing to treat them due to
new prescribing guidelines associated with the opioid epidemic. Suicide is increasingly seen as the only remedy for some of these patients through opioid
overdose.  Our  goal  with  LIMITx  is  to  develop  a  treatment  for  effective  pain  relief  at  a  one  or  two  tablet  dose  while  providing  overdose  protection  by
limiting high peak levels of drug in the bloodstream (Cmax) that can lead to respiratory depression and death when more than the recommended dose is
ingested.  LIMITx  works  by  neutralizing  stomach  acid  with  buffering  ingredients  as  increasing  numbers  of  tablets  are  swallowed  thereby  reducing  the
stomach  acid  available  to  cause  the  release  and  subsequent  systemic  absorption  of  the  active  ingredient  from  micro-particles  contained  in  the  LIMITx
tablets. In a human clinical study, formulations of LTX-03 demonstrated, under fasted conditions, analgesic levels of hydrocodone in the blood when taken
at a recommended one or two tablet dose but reduced the maximum blood level (Cmax) up to 34% when subjects were exposed to higher buffer ingredient
levels. Hydrocodone with acetaminophen remains the single largest prescribed opioid in the U.S. with excess oral ingestion as the most prevalent method
of misuse. Clinical studies with hydromorphone (LTX-04) demonstrated reductions in Cmax of up to 65% when up to 8 tablets were ingested. Analysis of
forensic data associated with hydrocodone overdose death suggests a typical consumption of approximately 16 immediate-release tablets, well within the
number of tablets in an average filled opioid prescription. The Company intends to demonstrate that a meaningful reduction in Cmax associated with oral
overdose can mitigate the risk of respiratory depression and death. LTX-03 may offer safety advantages over existing opioid therapies consistent with the
Food and Drug Administration’s (FDA) recently proposed new standards for the approval of opioid products.

Financial Terms
The Agreement grants AD Pharma exclusive commercialization rights in the United States to LTX-03. Financial arrangements include:

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

35

 
 
 
 
 
 
 
 
 
 
 
 
· Monthly license payments by AD Pharma of $350,000 up to the earlier of 18 months or FDA’s acceptance of a New Drug Application (“NDA”)

·
·

·
·

for LTX-03;
Reimbursement by AP Pharma of Acura’s LTX-03 outside development expenses;
A $6 million loan which consolidates $5.25 million in prior loans from Mr. John Schutte plus an additional $750 thousand loan upon execution of
the Agreement. Terms of the consolidated loan are amended to provide for a July 1, 2023 maturity date, interest at 7.5% with all payments of
principle  and  interest  deferred  to  maturity,  conversion  rights  into Acura  common  stock  at  $0.16,  the  issuance  of  a  warrant  to  AD  Pharma  to
purchase 10 million shares of the Company’s common stock at a price of $0.01 per shares and a security interest in all Acura assets;
Upon commercialization of LTX-03, Acura receives stepped royalties on sales and is eligible for certain sales related milestones; and
Acura  authorizes  MainPointe  to  assign  to  AD  Pharma  the  option  and  the  right  to  add,  as  an  Option  Product  to  the  Nexafed®  Agreement,  a
Nexafed®  12-hour  dosage  (an  extended-release  pseudoephedrine  hydrochloride  product  utilizing  the  IMPEDE®  Technology  in  120mg  dosage
strength);

AD Pharma may terminate the Agreement at any time. Additionally, if the NDA for LTX-03 is not accepted by the FDA within 18 months, AD Pharma
may terminate the Agreement and take ownership of the intellectual property.

About Acura Pharmaceuticals
Acura Pharmaceuticals is a specialty pharmaceutical company engaged in the research, development and commercialization of technologies and product
candidates  intended  to  mitigate  the  risk  of  outcomes  associated  with  product  misuse.  The  Company  has  three  proprietary  technologies:  LIMITx™,
AVERSION® and IMPEDE®.

LIMITx  utilizes  acid  neutralizing  ingredients  to  precisely  control  gastric  acidity  that  limits  the  release  of  drug  from  tablets  and  its  subsequent  systemic
absorption when multiple tablets are ingested. LIMITx is useful with products whose side effect risks can be mitigated by limiting exposure to a drug in
overdose situations.

AVERSION, used in the FDA approved drug OXAYDO® (oxycodone HCl) marketed by Egalet Corporation, utilizes polymers designed to limit the abuse
of the product by nasal snorting and injection. AVERSION is also licensed to Kempharm for use in certain of their products.

IMPEDE,  used  in  NEXAFED®  (pseudoephedrine  HCl)  and  NEXAFED®  Sinus  (pseudoephedrine  HCl/acetaminophen)  marketed  by  MainPointe
Pharmaceuticals,  utilizes  polymers  and  other  ingredients  to  disrupt  the  extraction  and  processing  of  pseudoephedrine  from  the  tablets  into
methamphetamine.

Forward-Looking Statements
Certain statements in this press release constitute “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995.
Such forward-looking statements involve known and unknown risks, uncertainties and other factors which may cause our actual results, performance or
achievements to be materially different from any future results, performance, or achievements expressed or implied by such forward-looking statements.
Forward-looking statements may include, but are not limited to:

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

36

 
 
 
 
 
 
 
 
 
 
 
 
· our ability to fund or obtain funding for our continuing operations, including the development of our products utilizing our LIMITx and IMPEDE

technologies;

· whether our licensees will terminate the license prior to commercialization;
·

the  expected  results  of  clinical  studies  relating  to  LTX-03,  IMPEDE  ER  or  any  successor  product  candidate,  the  date  by  which  such  studies  will
complete and the results will be available and whether any product candidate will ultimately receive FDA approval;
the ability of LTX-03 single tablets to achieve bioequivalence or to demonstrate efficacy in a clinical study;

·
· whether our licensing partners will exercise their options to additional products;
· whether LIMITx will retard the release of opioid active ingredients as dose levels increase;
· whether the extent to which products formulated with the LIMITx technology mitigate respiratory depression risk will be determined sufficient by

the FDA;

the market acceptance of, timing of commercial launch and competitive environment for any of our products;

· our and our licensee’s ability to successfully launch and commercialize our products and technologies;
· our and our licensee’s ability to obtain necessary regulatory approvals and commercialize products utilizing our technologies;
·
· our ability to develop and enter into additional license agreements for our product candidates using our technologies;
·
·

the ability to avoid infringement of patents, trademarks and other proprietary rights of third parties;
the ability of our patents to protect our products from generic competition and our ability to protect and enforce our patent rights in any paragraph IV
patent infringement litigation;
the adequacy of the development program for our product candidates, including whether additional clinical studies will be required to support an
NDA and FDA approval of our product candidates;

·

· changes in regulatory requirements;
· adverse safety findings relating to our commercialized products or product candidates in development;
· whether or when we are able to obtain FDA approval of labeling for our product candidates for the proposed indications and whether we will be able

to promote the features of our technologies; and

· whether our product candidates will ultimately perform as intended in commercial settings.

In some cases, you can identify forward- looking statements by terms such as "may," “will”, "should," "could," "would," "expects," "plans," "anticipates,"
"believes,"  "estimates,"  “indicates”,  "projects,"  “predicts,"  "potential"  and  similar  expressions  intended  to  identify  forward-looking  statements.  These
statements  reflect  our  current  views  with  respect  to  future  events  and  are  based  on  assumptions  and  subject  to  risks  and  uncertainties.  Given  these
uncertainties, you should not place undue reliance on these forward-looking statements. We discuss many of these risks in greater detail in our filings with
the Securities and Exchange Commission.

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

37

 
 
 
 
 
 
 
Contact:
for Acura Investor Relations
investors@acurapharm.com
847-705-7709

***** Portions of this information have been redacted pursuant to Reg S-K, items 601(b)(10)

38

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
THIS WARRANT AND THE SHARES ISSUABLE HEREUNDER HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS
AMENDED (THE “ACT”), OR THE SECURITIES LAWS OF ANY STATE AND, EXCEPT AS SET FORTH IN SECTION 5.3 BELOW, MAY NOT
BE OFFERED, SOLD, PLEDGED OR OTHERWISE TRANSFERRED UNLESS AND UNTIL REGISTERED UNDER SAID ACT AND LAWS OR, IN
THE OPINION OF LEGAL COUNSEL IN FORM AND SUBSTANCE SATISFACTORY TO THE COMPANY, SUCH OFFER, SALE, PLEDGE OR
OTHER TRANSFER IS EXEMPT FROM SUCH REGISTRATION.

Exhibit 10.51

Company:

ACURA PHARMACEUTICALS, INC., a New York corporation

COMMON STOCK PURCHASE WARRANT

Number of Shares:

10,000,000

Type/Series of Stock:

Common Stock

Warrant Price:

$0.01 per share

Issue Date:

June 28, 2019

Expiration Date:

June 28, 2024

THIS  WARRANT  CERTIFIES THAT,  for  good  and  valuable  consideration,  John  Schutte  c/o  MainPointe  Pharmaceuticals,  LLC,  333  E.  Main
Street, Suite 200, Louisville, KY 40202 (“Investor” and, together with any successor or permitted assignee or transferee of this Warrant or of any shares
issued  upon  exercise  hereof,  “Holder”)  is  entitled  to  purchase  the  number  of  fully  paid  and  non-assessable  shares  (the  “Shares”)  of  the  above-stated
Type/Series of Stock (the “Class”) of the above-named company (the “Company”) at the above-stated Warrant Price, all as set forth above and as adjusted
pursuant to Section 2 of this Warrant, subject to the provisions and upon the terms and conditions set forth in this Warrant.

SECTION 1.          EXERCISE.

1.1           Method of Exercise. Holder may at any time and from time to time exercise this Warrant, in whole or in part, by delivering to
the Company the original of this Warrant together with a duly executed Notice of Exercise in substantially the form attached hereto as Appendix 1 and a
check, wire transfer of same-day funds (to an account designated by the Company), or other form of payment acceptable to the Company for the aggregate
Warrant Price for the Shares being purchased.

1.2           Fair Market Value. If the Company’s common stock is then traded or quoted on a nationally recognized securities exchange,
inter-dealer quotation system or over-the-counter market (a “Trading Market”) and the Class is common stock, the fair market value of a Share shall be
the closing price or last sale price of a share of common stock reported for the Business Day immediately before the date on which Holder delivers this
Warrant together with its Notice of Exercise to the Company. If the Company’s common stock is not traded in a Trading Market, the Board of Directors of
the Company shall determine the fair market value of a Share in its reasonable good faith judgment.

1.3           Delivery of Certificate and New Warrant. Within a reasonable time after Holder exercises this Warrant in the manner set forth
in Section 1.1 above, the Company shall deliver to Holder a certificate representing the Shares issued to Holder upon such exercise and, if this Warrant has
not been fully exercised and has not expired, a new warrant of like tenor representing the Shares not so acquired.

1.4                      Replacement of Warrant.  On  receipt  of  evidence  reasonably  satisfactory  to  the  Company  of  the  loss,  theft,  destruction  or
mutilation of this Warrant and, in the case of loss, theft or destruction, on delivery of an indemnity agreement reasonably satisfactory in form, substance
and  amount  to  the  Company  or,  in  the  case  of  mutilation,  on  surrender  of  this  Warrant  to  the  Company  for  cancellation,  the  Company  shall,  within  a
reasonable time, execute and deliver to Holder, in lieu of this Warrant, a new warrant of like tenor and amount.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
1.5           Treatment of Warrant Upon Acquisition of Company.

(a)           Acquisition. For the purpose of this Warrant, “Acquisition” means any transaction or series of related transactions involving: (i)
the  sale,  lease,  exclusive  license,  or  other  disposition  of  all  or  substantially  all  of  the  assets  of  the  Company  (ii)  any  merger  of  the  Company  into  or
consolidation of the Company with another person or entity (other than a merger or consolidation effected exclusively to change the Company’s domicile),
or any other corporate reorganization, in which the stockholders of the Company in their capacity as such immediately prior to such merger, consolidation
or  reorganization,  own  less  than  a  majority  of  the  Company’s  (or  the  surviving  or  successor  entity’s)  outstanding  voting  power  immediately  after  such
merger, consolidation or reorganization (or, if such Company stockholders beneficially own a majority of the outstanding voting power of the surviving or
successor entity as of immediately after such merger, consolidation or reorganization, such surviving or successor entity is not the Company); or (iii) any
sale  or  other  transfer  by  the  stockholders  of  the  Company  of  shares  representing  at  least  a  majority  of  the  Company’s  then-total  outstanding  combined
voting power.

(b)           Treatment of Warrant at Acquisition. In the event of an Acquisition in which the consideration to be received by the Company’s
stockholders consists solely of cash, solely of Marketable Securities or a combination of cash and Marketable Securities (a “Cash/Public Acquisition”),
either (i) Holder shall exercise this Warrant pursuant to Section 1.1 and such exercise will be deemed effective immediately prior to and contingent upon
the consummation of such Acquisition or (ii) if Holder elects not to exercise the Warrant, this Warrant will expire immediately prior to the consummation
of such Acquisition.

(c)           The Company shall provide Holder with written notice of its request relating to the Cash/Public Acquisition (together with such
reasonable  information  as  Holder  may  reasonably  require  regarding  the  treatment  of  this  Warrant  in  connection  with  such  contemplated  Cash/Public
Acquisition  giving  rise  to  such  notice),  which  is  to  be  delivered  to  Holder  not  less  than  seven  (7)  Business  Days  prior  to  the  closing  of  the  proposed
Cash/Public Acquisition.

(d)           Upon the closing of any Acquisition other than a Cash/Public Acquisition defined above, the acquiring, surviving or successor
entity shall assume the obligations of this Warrant, and this Warrant shall thereafter be exercisable for the same securities and/or other property as would
have been paid for the Shares issuable upon exercise of the unexercised portion of this Warrant as if such Shares were outstanding on and as of the closing
of such Acquisition, subject to further adjustment from time to time in accordance with the provisions of this Warrant.

(e)           As used in this Warrant, “Marketable Securities” means securities meeting all of the following requirements: (i) the issuer
thereof is then subject to the reporting requirements of Section 13 or Section 15(d) of the Securities Exchange Act of 1934, as amended (the “Exchange
Act”), and is then current in its filing of all required reports and other information under the Act and the Exchange Act; (ii) the class and series of shares or
other security of the issuer that would be received by Holder in connection with the Acquisition were Holder to exercise this Warrant on or prior to the
closing thereof is then traded in Trading Market, and (iii) following the closing of such Acquisition, Holder would not be restricted from publicly re-selling
all of the issuer’s shares and/or other securities that would be received by Holder in such Acquisition were Holder to exercise or convert this Warrant in full
on or prior to the closing of such Acquisition, except to the extent that any such restriction (x) arises solely under federal or state securities laws, rules or
regulations, and (y) does not extend beyond six (6) months from the closing of such Acquisition.

SECTION 2.          ADJUSTMENTS TO THE SHARES AND WARRANT PRICE.

2.1           Stock Dividends, Splits, Etc. If the Company declares or pays a dividend or distribution on the outstanding shares of the Class
payable in common stock or other securities or property (other than cash), then upon exercise of this Warrant, for each Share acquired, Holder shall receive,
without additional cost to Holder, the total number and kind of securities and property which Holder would have received had Holder owned the Shares of
record as of the date the dividend or distribution occurred. If the Company subdivides the outstanding shares of the Class by reclassification or otherwise
into  a  greater  number  of  shares,  the  number  of  Shares  purchasable  hereunder  shall  be  proportionately  increased  and  the  Warrant  Price  shall  be
proportionately decreased. If the outstanding shares of the Class are combined or consolidated, by reclassification or otherwise, into a lesser number of
shares, the Warrant Price shall be proportionately increased and the number of Shares shall be proportionately decreased.

2

 
 
 
 
 
 
 
 
 
 
2.2           Reclassification, Exchange, Combinations or Substitution. Upon any event whereby all of the outstanding shares of the Class
are reclassified, exchanged, combined, substituted, or replaced for, into, with or by Company securities of a different class and/or series, then from and after
the consummation of such event, this Warrant will be exercisable for the number, class and series of Company securities that Holder would have received
had the Shares been outstanding on and as of the consummation of such event, and subject to further adjustment thereafter from time to time in accordance
with  the  provisions  of  this  Warrant.  The  provisions  of  this  Section  2.2  shall  similarly  apply  to  successive  reclassifications,  exchanges,  combinations
substitutions, replacements or other similar events.

2.3           Adjustments for Diluting Issuances. Without duplication of any adjustment otherwise provided for in this Section 2, the number
of shares of common stock issuable upon conversion of the Shares shall be subject to anti-dilution adjustment from time to time in the manner set forth in
the Company’s Articles or Certificate of Incorporation as if the Shares were issued and outstanding on and as of the date of any such required adjustment.

2.4           No Fractional Share. No fractional Share shall be issuable upon exercise of this Warrant and the number of Shares to be issued
shall be rounded down to the nearest whole Share. If a fractional Share interest arises upon any exercise of the Warrant, the Company shall eliminate such
fractional Share interest by paying Holder in cash the amount computed by multiplying the fractional interest by (i) the fair market value (as determined in
accordance with Section 1.2 above) of a full Share, less (ii) the then-effective Warrant Price.

2.5           Notice/Certificate as to Adjustments. Upon each adjustment of the Warrant Price, Class and/or number of Shares, the Company,
at the Company’s expense, shall notify Holder in writing within a reasonable time setting forth the adjustments to the Warrant Price, Class and/or number
of Shares and facts upon which such adjustment is based. The Company shall, upon written request from Holder, furnish Holder with a certificate of its
Chief  Financial  Officer,  including  computations  of  such  adjustment  and  the  Warrant  Price,  Class  and  number  of  Shares  in  effect  upon  the  date  of  such
adjustment.

SECTION 3.          REPRESENTATIONS AND COVENANTS OF THE COMPANY.

3.1           Representations and Warranties. The Company represents and warrants to, and agrees with, the Holder that all Shares which
may be issued upon the exercise of this Warrant, and all securities, if any, issuable upon conversion of the Shares, shall, upon issuance, be duly authorized,
validly  issued,  fully  paid  and  non-assessable,  and  free  of  any  liens  and  encumbrances  except  for  restrictions  on  transfer  provided  for  herein  or  under
applicable federal and state securities laws. The Company covenants that it shall at all times cause to be reserved and kept available out of its authorized
and unissued capital stock such number of shares of the Class, common stock and other securities as will be sufficient to permit the exercise in full of this
Warrant and the conversion of the Shares into common stock or such other securities.

3.2           Notice of Certain Events. If the Company proposes at any time to:

or other securities and whether or not a regular cash dividend;

(a)          declare any dividend or distribution upon the outstanding shares of the Class or common stock, whether in cash, property, stock,

3

 
 
 
 
 
 
 
 
 
 
series of the Company’s stock (other than pursuant to contractual pre-emptive rights);

(b)           offer for subscription or sale pro rata to the holders of the outstanding shares of the Class any additional shares of any class or

(c)           effect any reclassification, exchange, combination, substitution, reorganization or recapitalization of the outstanding shares of

the Class; or

(d)           effect an Acquisition or to liquidate, dissolve or wind up;

then, in connection with each such event, the Company shall give Holder:

(1)         at least seven (7) Business Days prior written notice of the date on which a record will be taken for such dividend,
distribution,  or  subscription  rights  (and  specifying  the  date  on  which  the  holders  of  outstanding  shares  of  the  Class  will  be  entitled  thereto)  or  for
determining rights to vote, if any, in respect of the matters referred to in (a) and (b) above; and

(2)         in the case of the matters referred to in (c) and (d) above at least seven (7) Business Days prior written notice of the date
when the same will take place (and specifying the date on which the holders of outstanding shares of the Class will be entitled to exchange their shares for
the securities or other property deliverable upon the occurrence of such event).

SECTION 4.          REPRESENTATIONS, WARRANTIES OF THE HOLDER.

The Holder represents and warrants to the Company as follows:

4.1           Purchase for Own Account. This Warrant and the securities to be acquired upon exercise of this Warrant by Holder are being
acquired for investment for Holder’s account, not as a nominee or agent, and not with a view to the public resale or distribution within the meaning of the
Act. Holder also represents that it has not been formed for the specific purpose of acquiring this Warrant or the Shares.

4.2           Disclosure of Information. Holder is aware of the Company’s business affairs and financial condition and has received or has
had full access to all the information it considers necessary or appropriate to make an informed investment decision with respect to the acquisition of this
Warrant and its underlying securities. Holder further has had an opportunity to ask questions and receive answers from the Company regarding the terms
and conditions of the offering of this Warrant and its underlying securities and to obtain additional information (to the extent the Company possessed such
information or could acquire it without unreasonable effort or expense) necessary to verify any information furnished to Holder or to which Holder has
access.

4.3           Investment Experience. Holder understands that the purchase of this Warrant and its underlying securities involves substantial
risk. Holder has experience as an investor in securities of companies in the development stage and acknowledges that Holder can bear the economic risk of
such Holder’s investment in this Warrant and its underlying securities and has such knowledge and experience in financial or business matters that Holder
is capable of evaluating the merits and risks of its investment in this Warrant and its underlying securities and/or has a preexisting personal or business
relationship with the Company and certain of its officers, directors or controlling persons of a nature and duration that enables Holder to be aware of the
character, business acumen and financial circumstances of such persons.

4.4           Accredited Investor Status. Holder is an “accredited investor” within the meaning of Regulation D promulgated under the Act.

4.5           The Act. Holder understands that this Warrant and the Shares issuable upon exercise hereof have not been registered under the
Act in reliance upon a specific exemption therefrom, which exemption depends upon, among other things, the bona fide nature of the Holder’s investment
intent  as  expressed  herein.  Holder  understands  that  this  Warrant  and  the  Shares  issued  upon  any  exercise  hereof  must  be  held  indefinitely  unless
subsequently registered under the Act and qualified under applicable state securities laws, or unless exemption from such registration and qualification are
otherwise available. Holder is aware of the provisions of Rule 144 promulgated under the Act.

4

 
  
 
 
 
 
 
 
 
 
 
 
 
  
 
4.6           No Voting Rights. Holder, as a Holder of this Warrant, will not have any voting rights until the exercise of this Warrant.

SECTION 5.          MISCELLANEOUS.

5.1           Term. Subject to the provisions of Section 1.5 above, this Warrant is exercisable in whole or in part at any time and from time

to time on or before 6:00 PM, Eastern time, on the Expiration Date and shall be void thereafter.

Shares, if any) shall be imprinted with a legend in substantially the following form:

5.2           Legends.  Each  certificate  evidencing  Shares  (and  each  certificate  evidencing  the  securities  issued  upon  conversion  of  any

THE SHARES EVIDENCED BY THIS CERTIFICATE HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933,
AS AMENDED (THE “ACT”), OR THE SECURITIES LAWS OF ANY STATE AND, EXCEPT AS SET FORTH IN THAT CERTAIN
WARRANT TO PURCHASE STOCK ISSUED BY THE ISSUER TO INVESTOR DATED JUNE 28, 2019, MAY NOT BE OFFERED,
SOLD, PLEDGED OR OTHERWISE TRANSFERRED UNLESS AND UNTIL REGISTERED UNDER SAID ACT AND LAWS OR,
IN THE OPINION OF LEGAL COUNSEL IN FORM AND SUBSTANCE SATISFACTORY TO THE ISSUER, SUCH OFFER, SALE,
PLEDGE OR OTHER TRANSFER IS EXEMPT FROM SUCH REGISTRATION.

5.3           Compliance with Securities Laws on Transfer. This Warrant and the Shares issued upon exercise of this Warrant (and the
securities issuable, directly or indirectly, upon conversion of the Shares, if any) may not be transferred or assigned in whole or in part except in compliance
with applicable federal and state securities laws by the transferor and the transferee (including, without limitation, the delivery of investment representation
letters  and  legal  opinions  reasonably  satisfactory  to  the  Company,  as  reasonably  requested  by  the  Company).  The  Company  shall  not  require  Holder  to
provide  an  opinion  of  counsel  if  the  transfer  is  to  an  affiliate  of  Holder,  provided  that  any  such  transferee  is  an  “accredited  investor”  as  defined  in
Regulation D promulgated under the Act. Additionally, the Company shall also not require an opinion of counsel if there is no material question as to the
availability of Rule 144 promulgated under the Act.

5.4           Transfer Procedure. After receipt by Investor of the executed Warrant, Investor may transfer all or part of this Warrant to one or
more  of  Investor’s  affiliates  (each,  an  “Investor  Affiliate”),  by  execution  of  an  Assignment  substantially  in  the  form  of  Appendix  2.  Subject  to  the
provisions  of  Article  5.3  and  upon  providing  the  Company  with  written  notice,  Investor,  any  such  Investor  Affiliate  and  any  subsequent  Holder,  may
transfer all or part of this Warrant or the Shares issuable upon exercise of this Warrant (or the Shares issuable directly or indirectly, upon conversion of the
Shares, if any) to any other transferee, provided, however, in connection with any such transfer, the Investor Affiliate(s) or any subsequent Holder will give
the Company notice of the portion of the Warrant being transferred with the name, address and taxpayer identification number of the transferee and Holder
will surrender this Warrant to the Company for reissuance to the transferee(s) (and Holder if applicable).

5.5           Notices. All notices and other communications hereunder from the Company to the Holder, or vice versa, shall be deemed
delivered and effective (i) when given personally, (ii) on the third (3rd) Business Day after being mailed by first-class registered or certified mail, postage
prepaid,  (iii)  upon  actual  receipt  if  given  by  facsimile  or  electronic  mail  and  such  receipt  is  confirmed  in  writing  by  the  recipient,  or  (iv)  on  the  first
Business Day following delivery to a reliable overnight courier service, courier fee prepaid, in any case at such address as may have been furnished to the
Company or Holder, as the case may be, in writing by the Company or such Holder from time to time in accordance with the provisions of this Section 5.5.
All notices to Holder shall be addressed as follows until the Company receives notice of a change of address in connection with a transfer or otherwise:

5

 
 
 
 
 
 
 
 
  
 
John Schutte
c/o MainPointe Pharmaceuticals, LLC
333 E. Main Street
Suite 200
Louisville, Kentucky 40202
Email: ______________

Notice to the Company shall be addressed as follows until Holder receives notice of a change in address:

ACURA PHARMACEUTICALS, INC.
616 N. North Court, Suite 120
Palatine, Illinois
Attn: Peter A. Clemens
Fax: (847) 705-5399
Email: pclemens@acurapharm.com

With a copy (which shall not constitute notice) to:

Sills Cummis & Gross P.C.
One Riverfront Plaza
Newark, New Jersey 07102    
Attn: S. Jason Teele, Esq.
Fax: (973) 643-6500
Email: steele@sillscummis.com

5.6           Waiver. This Warrant and any term hereof may be changed, waived, discharged or terminated (either generally or in a particular
instance and either retroactively or prospectively) only by an instrument in writing signed by the party against which enforcement of such change, waiver,
discharge or termination is sought.

prevailing in such dispute shall be entitled to collect from the other party all costs incurred in such dispute, including reasonable attorneys’ fees.

5.7           Attorneys’ Fees. In the event of any dispute between the parties concerning the terms and provisions of this Warrant, the party

5.8                      Counterparts;  Facsimile/Electronic  Signatures.  This  Warrant  may  be  executed  in  counterparts,  all  of  which  together  shall
constitute  one  and  the  same  agreement.  Any  signature  page  delivered  electronically  or  by  facsimile  shall  be  binding  to  the  same  extent  as  an  original
signature page with regards to any agreement subject to the terms hereof or any amendment thereto.

5.9           Governing Law. This Warrant shall be governed by and construed in accordance with the laws of the State of New York,

without giving effect to its principles regarding conflicts of law.

any provision of this Warrant.

5.10         Headings. The headings in this Warrant are for purposes of reference only and shall not limit or otherwise affect the meaning of

Commonwealth of Virginia are closed.

5.11         Business Days. “Business Day” is any day that is not a Saturday, Sunday or a day which banks in the State of New York or

[Signature page follows]

6

 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
IN WITNESS WHEREOF, the parties have caused this Warrant to Purchase Stock to be executed by their duly authorized representatives effective

as of the Issue Date written above.

“COMPANY”

ACURA PHARMACEUTICALS, INC.

By:

/s/ Peter A. Clemens

Name: Peter A. Clemens 

(Print)

Title: Senior Vice President & Chief Financial Officer 

“HOLDER”              

/s/ John Schutte
JOHN SCHUTTE

7

 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
[Signature Page to Warrant to Purchase Stock]

APPENDIX 1

NOTICE OF EXERCISE

1.                      The  undersigned  Holder  hereby  exercises  its  right  purchase  ___________  shares  of  the  Common  Stock  of  ACURA
PHARMACEUTICALS,  INC.  (the  “Company”)  in  accordance  with  the  attached  Warrant  To  Purchase  Stock,  and  tenders  payment  of  the  aggregate
Warrant Price for such shares as follows:

☐

☐

☐

check in the amount of $________ payable to order of the Company enclosed herewith

Wire transfer of immediately available funds to the Company’s account

Other [Describe] __________________________________________

2.           Please issue a certificate or certificates representing the Shares in the name specified below:

Holder’s Name

(Address)

3.           By its execution below and for the benefit of the Company, Holder hereby restates each of the representations and warranties in Section 4

of the Warrant to Purchase Stock as of the date hereof.

HOLDER:

By:

Name:  

Title:

Date:

8

 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Appendix 1

ASSIGNMENT

For value received, Holder hereby sells, assigns and transfers unto

Name:

ABUSE DETERRENT PHARMA, LLC

Address:

333 East Main Street, Suite 200,
Louisville, Kentucky 40202  

Tax ID:

that certain Warrant to Purchase Stock issued by ACURA PHARMACEUTICALS, INC. (the “Company”), on June 28, 2019 (the “Warrant”)
together with all rights, title and interest therein.

HOLDER

JOHN SCHUTTE

Date:

 June 28, 2019

By its execution below, and for the benefit of the Company, ABUSE DETERRENT PHARMA, LLC makes each of the representations and warranties set
forth in Article 4 of the Warrant and agrees to all other provisions of the Warrant as of the date hereof.

ABUSE DETERRENT PHARMA, LLC

By:

Name:  John Schutte

Title:

 Manager

9

 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Assignment of Promissory Note, Warrant and Security Agreement

Exhibit 10.52

For  value  received,  John  Schutte  (“Assignor”)  hereby  assigns  and  transfers  to  Abuse  Deterrent  Pharma,  LLC,  a  Kentucky  limited  liability
company (“Assignee”),  all  of  the  Assignor’s  right,  title  and  interest  in  and  to  (i)  that  certain  Amended,  Consolidated  and  Restated  Convertible  Secured
Promissory Note (the “Note”)  dated  June  28,  2019  made  and  delivered  by  Acura  Pharmaceuticals,  Inc.,  a  New  York  corporation  (the  “Company”),  to
Assignor in the aggregate principal sum of SIX MILLION DOLLARS ($6,000,000), (ii) that certain Warrant to purchase common stock dated June 28,
2019 made and delivered by the Company to Assignor, and (iii) that certain Security Agreement dated June 28, 2019 made by the Company in favor of
Assignor, each without recourse or any warranty.

Dated: June 28, 2019

ASSIGNOR:

/S/ JOHN SCHUTTE
JOHN SCHUTTE

BY ITS EXECUTION BELOW, AND FOR THE BENEFIT OF THE COMPANY, ASSIGNEE HEREBY MAKES EACH OF THE REPRESENTATIONS
AND WARRANTIES SET FORTH IN SECTION 8 OF THE NOTE AND AGREES TO ALL OTHER PROVISIONS OF THE NOTE AND SECURITY
AGREEMENT AS OF THE DATE HEREOF.

ASSIGNEE:

ABUSE DETERRENT PHARMA, LLC

By: /s/ John Schutte

    John Schutte, Manager

BY ITS EXECUTION BELOW, ACURA PHARMACEUTICALS, INC. HEREBY ACKNOWLEDGES, AGREES AND CONSENTS TO THIS
ASSIGNMENT:

ACURA PHARMACEUTICALS, INC.

By: /s/ Peter A. Clemens

Name: Peter A. Clemens

Title: Senior Vice President & Chief Financial Officer

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

Exhibit 23.1

Acura Pharmaceuticals, Inc.
Palatine, Illinois

We hereby consent to the incorporation by reference in the Registration Statements on Form S--3 (Nos. 333-210039, 333-146416 and 333-187075) and
Form  S-8  (Nos.  333-221645,  333-213017,  333-195612,  333-151653,  333-151620,  333-133172,  333-123615,  333-63288,  and  33-98396)  of  Acura
Pharmaceuticals, Inc. of our report dated March 30, 2020, relating to the consolidated financial statements which appear in this Form 10-K. Our report
contains an explanatory paragraph regarding the Acura Pharmaceuticals, Inc.’s ability to continue as a going concern.

/s/ BDO USA, LLP
Chicago, Illinois
March 30, 2020

 
 
 
 
 
 
 
 
EXHIBIT 31.1

I, Robert B. Jones, certify that:

CERTIFICATION

1.

2.

3.

4.

I have reviewed this Annual Report on Form 10-K of Acura Pharmaceuticals, Inc.;

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

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

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

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

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

(c) Evaluated  the  effectiveness  of  the  registrant’s  disclosure  controls  and  procedures  and  presented  in  this  report  our  conclusions  about  the

effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent
fiscal quarter (its fourth fiscal quarter) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control
over financial reporting; and

5.

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

(a) All  significant  deficiencies  and  material  weaknesses  in  the  design  or  operation  of  internal  control  over  financial  reporting  which  are

reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

(b) Any  fraud,  whether  or  not  material,  that  involves  management  or  other  employees  who  have  a  significant  role  in  the  registrant’s  internal

control over financial reporting.

Date: March 30, 2020

/s/Robert B. Jones
Robert B. Jones
President and Chief Executive Officer

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
EXHIBIT 31.2

I, Peter A. Clemens, certify that:

CERTIFICATION

1.

2.

3.

4.

I have reviewed this Annual Report on Form 10-K of Acura Pharmaceuticals, Inc.;

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

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

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

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

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

(c) Evaluated  the  effectiveness  of  the  registrant’s  disclosure  controls  and  procedures  and  presented  in  this  report  our  conclusions  about  the

effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent
fiscal quarter (its fourth fiscal quarter) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control
over financial reporting; and

5.

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

(a) All  significant  deficiencies  and  material  weaknesses  in  the  design  or  operation  of  internal  control  over  financial  reporting  which  are

reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

(b) Any  fraud,  whether  or  not  material,  that  involves  management  or  other  employees  who  have  a  significant  role  in  the  registrant’s  internal

control over financial reporting.

Date: March 30, 2020

/s/Peter A. Clemens
Peter A. Clemens
Senior Vice President and Chief Financial Officer

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CERTIFICATION OF

CHIEF EXECUTIVE OFFICER
AND
CHIEF FINANCIAL OFFICER

PURSUANT TO 18 U.S.C. SECTION 1350
AS ADOPTED PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

EXHIBIT 32

I, Robert B. Jones, certify, pursuant to 18 U.S.C. 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that the Annual Report on
Form 10-K of Acura Pharmaceuticals, Inc. for the fiscal year ended December 31, 2019 fully complies with the requirements of Section 13(a) or 15(d) of
the  Securities  Exchange  Act  of  1934  and  that  information  contained  in  such  Annual  Report  of  Form  10-K  fairly  presents,  in  all  material  respects,  the
financial condition Acura Pharmaceuticals, Inc. as of the dates presented and results of operations of Acura Pharmaceuticals, Inc. for the periods presented.

March 30, 2020

By: /s/Robert B. Jones
Robert B. Jones
President and Chief Executive Officer

I, Peter A. Clemens, certify, pursuant to 18 U.S.C. 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that the Annual Report on
Form 10-K of Acura Pharmaceuticals, Inc. for the fiscal year ended December 31, 2019 fully complies with the requirements of Section 13(a) or 15(d) of
the  Securities  Exchange  Act  of  1934  and  that  information  contained  in  such  Annual  Report  of  Form  10-K  fairly  presents,  in  all  material  respects,  the
financial condition Acura Pharmaceuticals, Inc. as of the dates presented and results of operations of Acura Pharmaceuticals, Inc. for the periods presented.

March 30, 2020

By: /s/Peter A. Clemens
Peter A. Clemens
Senior Vice President and Chief Financial Officer