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ACN080 699 065
Lodged with the ASX under Listing Rule 4.3A.
This information should be read in conjunction with the Annual report.
ANNUAL
REPORT
2025
An Alternate Future
For personal use only
Alterity Therapeutics Limited
Appendix 4E
Audited Financial Report
For the year ended 30 June 2025
Name of entity:
Alterity Therapeutics Limited
ABN:
37 080 699 065
Current reporting period:
30 June 2025
Corresponding reporting period:
30 June 2024
Results for announcement to the market
A$
Revenue from ordinary activities Up
66.3%
to
446,291
Net loss after tax (from ordinary activities) for the period attributable
to members
Down
36.5%
to
12,147,828
Net loss after tax for the period attributable to members
Down
36.5%
to
12,147,828
Net tangible assets per security
30 June 2025
cents
30 June 2024
cents
Net tangible asset backing (cents per share)
0.46
0.27
Dividends
No dividends have been paid or declared by the Group for the current financial year (2024: nil). The Directors do
not recommend the payment of a dividend in respect of the current financial year (2024: nil).
Principal activities
The group’s principal activities during the course of the year were to develop disease modifying treatments for
neurodegenerative disease. There have been no significant changes in the nature of those principal activities
during the financial year.
Explanation of results
Alterity Therapeutics Limited recorded revenue of $446,291 for the year ended 30 June 2025 (2024:
$268,419) which is interest received on the Group's bank accounts. Alterity Therapeutics Limited has incurred a
loss for the year of $12,147,828 (2024: $19,123,464).
As at 30 June 2025 the company’s cash position was $33,158,642 (30 June 2024: $12,638,885).
For further details relating to the current period’s results, please refer to the financial statements contained
within this document.
Changes in controlled entities
N/A
Other information required by Listing Rule 4.2A
N/A
Corporate structure
Alterity Therapeutics Limited is a company limited by shares that was incorporated in and is domiciled in Australia. Alterity
Therapeutics Limited has 2 wholly owned subsidiaries:
• Alterity Therapeutics Inc., a company limited by shares that was incorporated in and is domiciled in the United States;
and
• Alterity Therapeutics UK Limited, a company limited by shares that was incorporated in and is domiciled in the United
Kingdom.
For personal use only
This Appendix 4E should be read in conjunction with the Alterity Therapeutics Limited annual report on the form 20-F,
which includes:
-
Item 18 Financial Statements; and
-
Other sections as tabled below.
This preliminary final report and the associated Directors’ Report are found throughout the various sections of the
accompanying Alterity Therapeutics Limited annual report on the form 20-F.
The following table has been provided to assist readers to locate each section of the Directors’ Report within the
accompanying annual report on the form 20-F.
Sections of Directors’ Report
Form 20-F Reference
Principal activities
Item 4.A History and Development of the Company
Review of operations and activities
Item 4.B Business Overview Item
5.A Operating and Financial Review and Prospects
Business strategies and prospects for future
years
Item 4.B Business Overview
Item 5.A Operating and Financial Review and Prospects
Business risks
Item 3.D Risk Factors
Significant changes in the state of affairs
Item 5.A Operating and Financial Review and Prospects
See subheading – “Significant changes in the state of affairs”
Matters subsequent to the end of the
financial year
Item 5.A Operating and Financial Review and Prospects
See subheading – “Events since the end of financial year”
Likely developments and expected results of
operations
Item 5.A Operating and Financial Review and Prospects
See subheading – “Likely developments and expected results of
operations”
Environmental regulation
Item 5.A Operating and Financial Review and Prospects
See subheading – “Environmental regulation”
Dividends
Item 5.A Operating and Financial Review and Prospects
See subheading – “Dividends”
Information on directors
Item 6.A Directors, Senior Management and Employees
See subheading – “Directors and Senior Management”
Remuneration report
The Remuneration report starts at Item 6 and ends part way through
Item 6.B as indicated
Indemnification of officers
Item 6.C Board Practices
See subheading – “Indemnification of Directors and Officers”
Proceedings on behalf of the group
Item 6.E
See subheading – “Proceedings on behalf of our Group”
Non-Audit Services
Item 6.E
See subheading – “Non-audit services”
Auditor’s independence declaration
Exhibit 15.2
Directors’ Resolution
Item 6.E
Audit
These accounts have been audited. An unmodified audit report is provided with the accompanying financial report
For personal use only
Alterity Therapeutics Limited
ACN 080 699 065
Annual report – June 30, 2025
CONTENTS
CHAIRMAN’S LETTER
i
FORM 20-F
1
SHAREHOLDER INFORMATION
81
CORPORATE DIRECTORY
84
For personal use only
i
CHAIRMAN’S LETTER
Dear Shareholders,
I am delighted to share several remarkable highlights that exemplify the exceptional progress Alterity
Therapeutics has achieved over the past year, underscoring our commitment to driving
transformational advances in treating neurodegenerative diseases.
Demonstrated Clinical Efficacy in Multiple MSA Trials
Our lead asset, ATH434, completed two Phase 2 clinical trials, with very promising topline data
reported in our lead indication Multiple System Atrophy (MSA). MSA is a highly debilitating and rapidly
progressive Parkinsonian disorder with no approved treatment that addresses the underlying
pathology of the disease. Our team is looking to change that paradigm in a truly meaningful way.
During this calendar year, Alterity’s Phase 2 clinical program for ATH434 delivered compelling evidence
of disease-modifying potential in MSA across a range of disease severity. In the randomized, double-
blind ATH434-201 trial—our most important study—ATH434 produced clinically meaningful reduction in
disease progression at both doses studied, achieving up to a 48% treatment effect compared to
placebo on the Unified MSA Rating Scale (UMSARS), which was statistically significant (p = 0.02). The
UMSARS is the gold-standard for evaluating impairment in MSA and is recognized by regulatory
authorities such as the U.S. Food and Drug Administration (FDA) as the key endpoint on which drug
candidates are assessed. Participants showed improvement relative to placebo on symptoms of low
blood pressure when standing, termed “orthostatic hypotension”. Orthostatic hypotension is an
important symptom of MSA and can severely restrict activity and impair daily activities. In addition to
these clinical observations, treatment with ATH434 led to greater activity measured via wearable
sensors, and biological evidence of drug activity, including reduced brain iron accumulation and trends
in preserved brain volume.
The double-blind results were reinforced by data from the open-label ATH434-202 study in patients
with advanced MSA, where disease progression based on UMSARS was approximately halved relative
to historical controls over 12 months. Over the same period, 30% of participants experienced
stabilized or improved neurological function as assessed by the treating physician.
Both studies confirmed ATH434’s favorable safety profile and provided further evidence that its
mechanism of action has utility in addressing the underlying pathology of disease.
ATH434 Recognized by FDA for Unmet Need and Promising Clinical Benefit
Based on the positive clinical efficacy results from ATH434-201 and accumulated data in animal
models, in May 2025, the FDA granted Fast Track designation to ATH434 for the treatment of MSA—
further complementing our Orphan Drug Designations. This recognition by the FDA emphasizes the
urgent unmet need and the meaningful therapeutic potential of ATH434. Fast Track designation for a
drug candidate confers some or all of the following benefits: opportunities for more frequent and early
communication with the FDA throughout the development process; rolling review for the future New
Drug Application; and eligibility for Accelerated Approval and Priority Review, if relevant criteria are
met.
Scientific Leadership & Biomarker Innovation
During the year, we showcased the data from our clinical trials at several of the most prominent
neurology medical meetings, including the American Academy of Neurology. These positive data, in
such an unrelenting disease, continue to garner interest and excitement from the medical community.
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ii
Another notable achievement was the breakthrough development from our bioMUSE natural history
study. Based on the creativity and technical skill of our colleagues at Vanderbilt University Medical
Center in the U.S., we now have superior tools for diagnosing MSA and tracking brain atrophy over
time. The MSA Atrophy Index (MSA-AI) is a novel imaging biomarker that enhances diagnostic
precision and tracks disease progression. This state-of-the-art technology utilizes a form of artificial
intelligence to precisely define the neuroanatomy of MSA affected regions in the brain and provided
the basis for developing a novel brain atrophy measure for tracking disease progression in MSA. The
publication of these findings showed that the MSA-AI correlates with clinical measures of disease
severity.
These clinical and biomarker advancements deepen our scientific insight into MSA and strengthen our
development strategy moving forward.
Continuing our Momentum
On the back of these outcomes we secured significant additional funding of A$39.7 million this year. In
closing, this year has marked a pivotal turning point for Alterity. We have delivered compelling clinical
results reinforcing the therapeutic potential of ATH434, while also securing key regulatory
designations, and advancing biomarker innovation to support our scientific leadership. These
milestones bring us ever closer to delivering a potentially first-in-class, disease-modifying therapy for
MSA—an outcome of profound importance for patients and families confronted with this devastating
disease. On behalf of the Board of Directors, I extend my deepest gratitude to our shareholders,
dedicated team under the strong leadership of Dr David Stamler, clinical partners, and especially the
patients and their care partners.
Thank you for your continued support and confidence in our mission.
Geoffrey Kempler
Chairman and Founder
For personal use only
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington D.C. 20549
FORM 20-F
☐ REGISTRATION STATEMENT PURSUANT TO SECTION 12(b) OR (g) OF THE SECURITIES EXCHANGE ACT OF 1934
OR
☒ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the fiscal year ended June 30, 2025
OR
☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from __________ to __________
OR
☐ SHELL COMPANY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
Date of event requiring this shell company report ___________
Commission file number 000-49843
ALTERITY THERAPEUTICS LIMITED
(Exact name of Registrant as specified in its charter and translation of Registrant’s name into English)
Australia
(Jurisdiction of incorporation or organization)
Level 14, 350 Collins Street, Melbourne, VIC 3000, Australia
(Address of principal executive offices)
David Stamler, Chief Executive Officer
Level 14, 350 Collins Street, Melbourne, VIC 3000, Australia
+61 3 9349 4906 (phone)
(Name, telephone, e-mail and/or facsimile number and address of company contact person)
Securities registered or to be registered pursuant to Section 12(b) of the Act:
Title of each class
Trading Symbol
Name of each exchange on which registered
American Depositary Shares, each
representing 600 Ordinary Shares
ATHE
NASDAQ Capital Market
Securities registered or to be registered pursuant to Section 12(g) of the Act: None
Securities for which there is a reporting obligation pursuant to Section 15(d) of the Act: None
Indicate the number of outstanding shares of each of the issuer’s classes of capital or common stock as of the close of the period covered by the annual
report:
Ordinary Shares, as of June 30, 2025 9,127,370,686
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.
Yes ☐ No ☒
For personal use only
If this report is an annual or transition report, indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or 15(d) of the
Securities Exchange Act of 1934.
Yes ☐ No ☒
Note – Checking the box above will not relieve any registrant required to file reports pursuant to Section 13 or 15(d) of the Securities Exchange Act of
1934 from their obligations under those Sections.
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934
during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing
requirements for the past 90 days.
Yes ☒ No ☐
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of
Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such
files).
Yes ☒ No ☐
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or an emerging growth company.
See the definitions of “large accelerated filer,” “accelerated filer,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer ☐
Accelerated filer ☐
Emerging growth company ☐
Non-accelerated filer ☒
If an emerging growth company that prepares its financial statements in accordance with U.S. GAAP, 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. ☐
† The term “new or revised financial accounting standard” refers to any update issued by the Financial Accounting Standards Board to its Accounting
Standards Codification after April 5, 2012.
Indicate by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the effectiveness of its internal
control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered public accounting firm that
prepared or issued its audit report. ☐
If securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of the registrant included in the
filing reflect the correction of an error to previously issued financial statements. ☐
Indicate by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive based compensation
received by any of the registrant’s executive officers during the relevant recovery period pursuant to §240.10D-1(b). ☐
Indicate by check mark which basis of accounting the registrant has used to prepare the financial statements included in this filing:
U.S. GAAP ☐
International Financial Reporting Standards as issued by the International
Accounting Standards Board ☒
Other ☐
If “Other” has been checked in response to the previous question, indicate by check mark which financial statement item the registrant has elected to
follow:
Item 17 ☐ Item 18 ☐
If this is an annual report, indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).
Yes ☐ No ☒
This Annual Report on Form 20-F is incorporated by reference into our Registration Statements on Form S-8 (File Nos. 333-228671, 333-248980 and
333-251073) and our Registration Statements on Form F-3 (File No. 333-274816).
For personal use only
INTRODUCTION
Alterity Therapeutics Limited (formerly Prana Biotechnology Limited) was incorporated under the laws of the Commonwealth of Australia on
November 11, 1997. Our mission is to develop therapeutic drugs designed to treat neurogenerative diseases, currently focusing on Parkinsonian and other
movement disorders.
The principal listing of our ordinary shares and listed options to purchase our ordinary shares is on the Australian Securities Exchange, or ASX.
Since September 5, 2002, our American Depository Shares, or ADSs, have traded on the NASDAQ Capital Market under the symbol “PRAN.” On April
8, 2019, we changed our name to Alterity Therapeutics Limited and our ADSs have traded under the symbol “ATHE” since that date. The Bank of New
York, acting as depositary, issues American Depository Receipts, or ADRs, each of which evidences an ADS, which in turn represents 600 of our
ordinary shares. As used in this annual report, the terms “we,” “us,” “our”, “the Company”, “the Group” and “Alterity” mean Alterity Therapeutics
Limited and its subsidiaries, unless otherwise indicated.
Our consolidated financial statements appearing in this annual report are prepared in Australian dollars and in accordance with the International
Financial Reporting Standards, or IFRS, as issued by the International Accounting Standards Board, or IASB and Australian equivalents to International
Financial Reporting Standards as issued by the Australian Accounting Standards Board.
Australian Disclosure Requirements
Our ordinary shares are primarily quoted on the Australian Securities Exchange (“ASX”) in addition to our listing of our ADSs on the NASDAQ
Capital Market. As part of our ASX listing, we are required to comply with various disclosure requirements as set out under the Australian Corporations
Act 2001 and the ASX Listing Rules. Information furnished under the sub-heading “Australian Disclosure Requirements” is intended to comply with the
ASX Listing Rules and Corporations Act 2001 disclosure requirements and is not intended to fulfill information required by this Annual Report on Form
20-F.
In this annual report, all references to “U.S. dollars” or “U.S.$” are to the currency of the United States, and all references to “Australian dollars”
or “A$” are to the currency of Australia.
Statements made in this annual report concerning the contents of any contract, agreement or other document are summaries of such contracts,
agreements or documents and are not complete descriptions of all of their terms. If we filed any of these documents as an exhibit to this annual report or
to any registration statement or annual report that we previously filed, you may read the document itself for a complete description of its terms.
Forward-Looking Statements
Except for the historical information contained in this annual report, the statements contained in this annual report are “forward-looking
statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as
amended, or the Exchange Act, and the Private Securities Litigation Reform Act of 1995, as amended, with respect to our business, financial condition
and results of operations. Such forward-looking statements reflect our current view with respect to future events and financial results. We urge you to
consider that statements which use the terms “anticipate,” “believe,” “do not believe,” “expect,” “plan,” “intend,” “estimate,” and similar expressions are
intended to identify forward-looking statements. We remind readers that forward-looking statements are merely predictions and therefore inherently
subject to uncertainties and other factors and involve known and unknown risks that could cause the actual results, performance, levels of activity, or our
achievements, or industry results, to be materially different from any future results, performance, levels of activity, or our achievements expressed or
implied by such forward-looking statements. Readers are cautioned not to place undue reliance on these forward-looking statements, which speak only as
of the date hereof. Except as required by applicable law, including the securities laws of the United States, we undertake no obligation to publicly release
any update or revision to any forward-looking statements to reflect new information, future events or circumstances, or otherwise after the date hereof.
We have attempted to identify significant uncertainties and other factors affecting forward-looking statements in the Risk Factors section that appears in
Item 3.D. “Key Information-Risk Factors.”
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TABLE OF CONTENTS
Page
PART I
1
ITEM 1.
IDENTITY OF DIRECTORS, SENIOR MANAGEMENT AND ADVISERS
1
ITEM 2.
OFFER STATISTICS AND EXPECTED TIMETABLE
1
ITEM 3.
KEY INFORMATION
1
A.
[Reserved]
1
B.
Capitalization and Indebtedness
1
C.
Reasons for the Offer and Use of Proceeds
1
D.
Risk Factors
1
ITEM 4.
INFORMATION ON THE COMPANY
24
A.
History and Development of the Company
24
B.
Business Overview
25
C.
Organizational Structure
37
D.
Property, Plant and Equipment
37
ITEM 4A.
UNRESOLVED STAFF COMMENTS
38
ITEM 5.
OPERATING AND FINANCIAL REVIEW AND PROSPECTS
38
A.
Operating Results
38
B.
Liquidity and Capital Resources
41
C.
Research and Development, Patents and Licenses
43
D.
Trend Information
44
E.
Critical Accounting Estimates
44
ITEM 6.
DIRECTORS, SENIOR MANAGEMENT AND EMPLOYEES
45
A.
Directors and Senior Management
45
B.
Compensation
47
C.
Board Practices
54
D.
Employees
56
E.
Share Ownership
57
F.
Disclosure of a registrant’s action to recover erroneously awarded compensation
60
ITEM 7.
MAJOR SHAREHOLDERS AND RELATED PARTY TRANSACTIONS
61
A.
Major Shareholders
61
B.
Related Party Transactions
61
C.
Interests of Experts and Counsel
61
ITEM 8.
FINANCIAL INFORMATION
62
A.
Financial Statements and Other Financial Information
62
B.
Significant Changes
62
ITEM 9.
THE OFFER AND LISTING
62
A.
Offer and Listing Details
62
B.
Plan of Distribution
62
C.
Markets
62
D.
Selling Shareholders
63
E.
Dilution
63
F.
Expenses of the Issue
63
ITEM 10.
ADDITIONAL INFORMATION
63
A.
Share Capital
63
B.
Memorandum and Articles of Association
63
C.
Material Contracts
64
D.
Exchange Controls
64
E.
Taxation
64
F.
Dividends and Paying Agents
71
G.
Statement by Experts
71
H.
Documents on Display
71
I.
Subsidiary Information
71
J.
Annual Report to Security Holders
71
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ITEM 11.
QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
71
ITEM 12.
DESCRIPTION OF SECURITIES OTHER THAN EQUITY SECURITIES
72
PART II
73
ITEM 13.
DEFAULTS, DIVIDEND ARREARAGES AND DELINQUENCIES
73
ITEM 14.
MATERIAL MODIFICATIONS TO THE RIGHTS OF SECURITY HOLDERS AND USE OF PROCEEDS
73
ITEM 15.
CONTROLS AND PROCEDURES
73
ITEM 16.
RESERVED
74
ITEM 16A.
AUDIT COMMITTEE FINANCIAL EXPERT
74
ITEM 16B.
CODE OF ETHICS
74
ITEM 16C.
PRINCIPAL ACCOUNTANT FEES AND SERVICES
74
ITEM 16D.
EXEMPTIONS FROM THE LISTING STANDARDS FOR AUDIT COMMITTEES
74
ITEM 16E.
PURCHASES OF EQUITY SECURITIES BY THE ISSUER AND AFFILIATED PURCHASERS
74
ITEM 16F.
CHANGES IN REGISTRANT’S CERTIFYING ACCOUNTANT
75
ITEM 16G.
CORPORATE GOVERNANCE
75
ITEM 16H.
MINE SAFETY DISCLOSURE
75
ITEM 16I
DISCLOSURE REGARDING FOREIGN JURISDICTIONS THAT PREVENT INSPECTIONS
75
ITEM 16J
INSIDER TRADING POLICIES
75
ITEM 16K
CYBER SECURITY
75
PART III
77
ITEM 17.
FINANCIAL STATEMENTS
77
ITEM 18.
FINANCIAL STATEMENTS
77
ITEM 19.
EXHIBITS
79
SIGNATURES
80
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PART I
ITEM 1. IDENTITY OF DIRECTORS, SENIOR MANAGEMENT AND ADVISERS
Not applicable.
ITEM 2. OFFER STATISTICS AND EXPECTED TIMETABLE
Not applicable.
ITEM 3. KEY INFORMATION
A.
[RESERVED]
B.
CAPITALIZATION AND INDEBTEDNESS
Not applicable.
C.
REASONS FOR THE OFFER AND USE OF PROCEEDS
Not applicable.
D.
RISK FACTORS
Investing in our securities involves a high degree of risk and uncertainty. You should carefully consider the risks and uncertainties described
below before investing in our securities. Additional risks and uncertainties not presently known to us or that we believe to be immaterial may also
adversely affect our business. If any of the following risks actually occurs, our business, prospects, financial condition and results of operations could be
harmed. In that case, the daily price of our securities could decline, and you could lose all or part of your investment. These risk factors include:
Risks Related to Our Financial Condition
●
We have a history of operating losses and will continue to incur losses whilst conducting clinical trials. However, we also have a history of
successfully raising funds via equity capital raisings, and as a result, we have a strong cash position for the fiscal year ended June 30, 2025.
The continuing viability of the Group is subject to its ability to raise additional capital to finance the continuation of its planned research and
development programs, maintaining implemented cost containment and deferment strategies, and successfully commercializing its
initiatives. The Group successfully raised new equity funding during the 2025 financial year to enable progression of its planned research
and development programs for at least the next 12 months.
●
We will still need additional funding to operate our business in the future; such funding may not be available or, if it is available, such
financing is likely to substantially dilute our existing shareholders.
Risks Related to Our Business
●
We are a development stage company engaged in the development of pharmaceutical products and our success is uncertain.
●
We rely on research institutions to conduct our clinical trials and we may not be able to secure and maintain research institutions to conduct
our future trials. The institutions that we work with have their own limits and procedures that will influence or limit our ability to conduct
research and development and the conduct of clinical trials.
●
We are faced with uncertainties related to our research.
●
Clinical trials as they relate to our business are expensive and time consuming and their outcome is uncertain.
●
We may experience delays in our clinical trials that could adversely affect our business and operations.
1
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●
We may not be able to complete the development of our products candidates or develop other pharmaceutical products.
●
We may need to prioritise the development of our most promising candidates at the expense of the development of other products.
●
Our research and development efforts will be seriously jeopardised if we are unable to retain key personnel and cultivate key academic and
scientific collaborations.
●
If we are unable to successfully keep pace with technological change or with the advances of our competitors, our technology and products
may become obsolete or non-competitive.
●
Acceptance of our products in the marketplace is uncertain and failure to achieve market acceptance will negatively impact our business and
operations.
●
We have limited large scale manufacturing experience with our product candidates. Delays in manufacturing sufficient quantities of such
materials to the required standards for non-clinical and clinical development may negatively impact our business and operations.
●
The failure to establish sales, marketing and distribution capability would materially impair our ability to successfully market and sell our
pharmaceutical products.
●
If healthcare insurers and other organisations do not pay for our products, or impose limits on reimbursement, our future business may
suffer.
●
We may be exposed to product liability claims, which could harm our business.
●
Breaches of network or information technology security, natural disasters or terrorist attacks could have an adverse effect on our business.
Risks Related to Government Regulation
●
If we do not obtain the necessary governmental approvals, we will be unable to develop or commercialise our pharmaceutical products.
●
We will not be able to commercialise any current or future product candidates if we fail to adequately demonstrate their safety and efficacy.
●
Positive results in previous clinical trials of product candidates may not be replicated in future clinical trials, which could result in
development delays or a failure to obtain marketing approval.
●
Even if approved, any product candidates that we or our subsidiaries may develop and market may be later withdrawn from the market or
subject to promotional limitations.
●
Healthcare reform measures and other statutory or regulatory changes could adversely affect our business.
●
We could be adversely affected by violations of the U.S. Foreign Corrupt Practices Act.
2
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Risks Related to Intellectual Property
●
Our success depends upon our ability to protect our intellectual property and our proprietary technology, to operate without infringing the
proprietary rights of third parties and to obtain marketing exclusivity for our products and technologies.
●
We may face difficulties in certain jurisdictions in protecting our intellectual property rights, which may diminish the value of our
intellectual property rights in those jurisdictions.
●
Intellectual property rights do not address all potential threats to our competitive advantage.
●
Changes in patent laws or patent jurisprudence could diminish the value of our patents, thereby impairing our ability to protect our products
or product candidates.
●
Confidentiality agreements with employees and others may not adequately prevent disclosure of our trade secrets and protect our other
proprietary information.
Risks Related to Our Compliance with the Sarbanes-Oxley Act of 2002
●
We may fail to maintain effective internal control over financial reporting in accordance with Section 404 of the Sarbanes-Oxley Act of
2002, which could adversely affect our operating results, investor confidence in our reported financial information, and the market price of
our ordinary shares and ADSs.
●
Material weaknesses in our disclosure controls and procedures could negatively affect shareholder and customer confidence.
Risks Related to Ownership of Our Securities
●
Our stock price may be volatile and the trading markets for our securities is limited.
●
Ownership interest in our company may be further diluted as a result of additional financings.
●
There is a substantial risk that we are a passive foreign investment company, or PFIC, to some U.S. investors which will subject those
investors to adverse tax rules
●
We do not anticipate paying dividends on our ordinary shares.
●
Currency fluctuations may adversely affect the price of our securities.
●
If we fail to maintain compliance with NASDAQ’s continued listing requirements, our shares may be delisted from the NASDAQ Capital
Market.
Risks Related to Our Location in Australia
●
It may be difficult to enforce a judgment in the United States against us and our officers and directors or to assert U.S. securities laws claims
in Australia or serve process on our officers and directors.
●
As a foreign private issuer whose shares are listed on the NASDAQ Capital Market, we may follow certain home country corporate
governance practices instead of certain NASDAQ requirements.
●
We currently do not have a majority of independent directors serving on our Board of Directors, which may afford less protection to our
shareholders than if our Board of Directors had a majority of independent directors.
●
Australian takeovers laws may discourage takeover offers being made for us or may discourage the acquisition of large numbers of our
ordinary shares.
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Our Constitution and other Australian laws and regulations applicable to us may adversely affect our ability to take actions that could be
beneficial to our shareholders.
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Risks Related to Our Business
We rely on research institutions to conduct our clinical trials and we may not be able to secure and maintain research institutions to
conduct our future trials. The institutions that we work with have their own limits and procedures that may influence or limit our ability to
conduct research and development and the conduct of clinical trials.
Our reliance upon research institutions, including public and private hospitals and clinics, provides us with less control over the timing and cost
of clinical trials, clinical study management personnel and the ability to recruit subjects. If we are unable to reach agreements with suitable research
institutions on acceptable terms, or if any resulting agreement is terminated, we may be unable to secure, maintain or quickly replace the research
institution with another qualified institution on acceptable terms.
We are faced with uncertainties related to our research.
Our research programs are based on scientific hypotheses and experimental approaches that may not lead to desired results. In addition, the
timeframe for obtaining proof of principle and other results may be considerably longer than originally anticipated, or may not be possible given time,
resource, financial, strategic and collaborator scientific constraints. Success in one stage of testing is not necessarily an indication that a particular
program will succeed in later stages of testing and development. It is not possible to predict whether any of the candidate products designed for these
programs will prove to be safe, effective, and suitable for human use. Each candidate product will require additional research and development, scale-up,
formulation and extensive clinical testing in humans. Unsatisfactory results obtained from any of these activities relating to a program may cause us to
abandon our commitment to that program or product candidate being tested. The discovery of toxicities, lack of sufficient efficacy, unacceptable
pharmacology, inability to increase scale of manufacture, market attractiveness, regulatory hurdles, competition, as well as other factors, may make our
targets, lead therapies or product candidates unattractive for further development or unsuitable for human use, and we may abandon our commitment to
that program, target, or product candidate.
Clinical trials as they relate to our business are expensive and time consuming and their outcome is uncertain.
In order to obtain approvals to market a new drug product, we or our potential partners must demonstrate proof of safety and efficacy in humans.
To meet these requirements, we or our potential partners will have to conduct extensive non-clinical testing and “adequate and well-controlled” clinical
trials. Conducting clinical trials is a lengthy, time-consuming and expensive process. The length of time may vary substantially according to the type,
complexity, novelty and intended use of the product candidate, and often can be several years or more per trial. Even if we obtain positive results from
such non-clinical or initial clinical trials, we may not achieve the same success in future trials. Clinical trials may not demonstrate adequate safety or
sufficient effectiveness to obtain the requisite regulatory approvals for product candidates employing our technology. The failure of clinical trials to
demonstrate safety and efficacy for a particular desired indication could harm development of that product candidate for other indications as well as other
product candidates.
We expect to commence new clinical trials from time to time as our product development work continues. Any change in, or termination of, our
clinical trials could materially harm our business, financial condition and results of operations.
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We may experience delays in our clinical trials that could adversely affect our business and operations.
We do not know whether planned clinical trials will begin on time or whether we will complete any of our clinical trials on schedule or at all.
Our ability to commence and complete clinical trials may be delayed by many factors, including:
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government or regulatory delays, including delays in obtaining approvals from applicable hospital ethics committees and internal review
boards;
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slower than expected patient enrollment;
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our inability to manufacture sufficient quantities of our new proprietary compound or our other product candidates or matching controls;
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unforeseen safety issues; or
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lack of efficacy or unacceptable toxicity during the clinical trials or non-clinical studies.
Patient enrollment is a function of, among other things, the nature of the clinical trial protocol, the existence of competing protocols, the size and
longevity of the target patient population, and the availability of patients who comply with the eligibility criteria for the clinical trial. Delays in planned
patient enrollment may result in increased costs, delays or termination of the clinical trials. Moreover, we rely on third parties such as clinical research
organisations to assist us in clinical trial management functions including; clinical trial database management, statistical analyses, site management and
monitoring. Any failure by these third parties to perform under their agreements with us may cause the trials to be delayed or result in a failure to
complete the trials.
If we experience delays in testing or approvals or if we need to perform more, larger or more complex clinical trials than planned, our product
development costs will likely increase. Significant delays could adversely affect the commercial prospects of our product candidates and our business,
financial condition and results of operations.
We may not be able to complete the development of our product candidates or develop other pharmaceutical products.
We may not be able to progress with the development of our current or any future pharmaceutical product candidates to a stage that will attract a
suitable collaborative partner for the development of any current or future pharmaceutical product candidates. The projects initially specified in
connection with any such collaboration and any associated funding may change or be discontinued as a result of changing interests of either the
collaborator or us, and any such change may change the budget for the projects under the collaboration. Additionally, our research may not lead to the
discovery of additional product candidates, and any of our current and future product candidates may not be successfully developed, prove to be safe and
efficacious in clinical trials, meet applicable regulatory standards and receive regulatory approval, be capable of being produced in commercial quantities
at reasonable costs, or be successfully or profitably marketed, either by us or a collaborative partner. The products we develop may not be able to
penetrate the potential market for a particular therapy or indication or gain market acceptance among health care providers, patients and third-party
payers. We cannot predict if or when the development of our current product candidates or any future product candidates will be completed or
commercialised, whether funded by us, as part of a collaboration or through a grant.
We may need to prioritise the development of our most promising candidates at the expense of the development of other products.
We may need to prioritise the allocation of development resources and/or funds towards what we believe to be our most promising candidate
product or products. The nature of the drug development process is such that there is a constant availability of new information and data which could
positively or adversely affect a product in development. We cannot predict how such new information and data may impact in the future the prioritisation
of the development of our current or future product candidates or that any of our products, regardless of its development stage or the investment of time
and funds in its development, will continue to be funded or developed.
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Our research and development efforts will be seriously jeopardised if we are unable to retain key personnel and cultivate key academic
and scientific collaborations.
Our future success depends to a large extent on the continued services of our senior management and key scientific personnel. We have entered
into employment or consultancy agreements with these individuals. The loss of their services could negatively affect our business. Competition among
biotechnology and pharmaceutical companies for qualified employees is intense, including competition from larger companies with greater resources, and
we may not be able to continue to attract and retain qualified management, technical and scientific personnel critical to our success. Our success is highly
dependent on our ability to develop and maintain important relationships with leading academic institutions and scientists who conduct research at our
request or assist us in formulating our research and development strategies. These academic and scientific collaborators are not our employees and may
have commitments to, or consulting or advisory contracts with, other entities that may limit their availability to us. In addition, these collaborators may
have arrangements with other companies to assist such companies in developing technologies that may prove competitive to ours.
If we are unable to successfully keep pace with technological change or with the advances of our competitors, our technology and
products may become obsolete or non-competitive.
The biotechnology and pharmaceutical industries are subject to rapid and significant technological change. Our competitors are numerous and
include major pharmaceutical companies, biotechnology firms, universities and other research institutions. These competitors may develop technologies
and products that are more effective than any that we are developing, or which would render our technology and products obsolete or non-competitive.
Many of these competitors have greater financial and technical resources and manufacturing and marketing capabilities than we do. In addition, many of
our competitors have much more experience than we do in pre-clinical testing and human clinical trials of new or improved drugs, as well as in obtaining
regulatory approvals.
We know that competitors are developing or manufacturing various technologies or products for the treatment of diseases that we have targeted
for product development. Some of these competitive products use therapeutic approaches that compete directly with our product candidates. Our ability to
further develop our products may be adversely affected if any of our competitors were to succeed in obtaining regulatory approval for their competitive
products sooner than us.
Acceptance of our products in the marketplace is uncertain, and failure to achieve market acceptance will negatively impact our
business and operations.
Our current or future candidate products may not achieve market acceptance even if they are approved by regulatory authorities. The degree of
market acceptance of such products will depend on a number of factors, including:
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the receipt and timing of regulatory approvals for the uses that we are studying;
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the establishment and demonstration to the medical community of the safety, clinical efficacy or cost-effectiveness of our product
candidates and their potential advantages over existing therapeutics and technologies; and
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the pricing and reimbursement policies of governments and third-party payors.
Physicians, patients, payors or the medical community in general may be unwilling to accept, use or recommend any of our products.
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We lack the resources to manufacture any of our product candidates and rely on collaborators and third party contractors. Delays in
manufacturing sufficient quantities of such materials to the required standards for pre-clinical and clinical trials may negatively impact our
business and operations.
We lack the resources to manufacture any of our product candidates on a clinical or commercial scale and do not currently have, nor do we plan
to acquire the infrastructure or capability internally to manufacture our clinical drug supplies for use in the conduct of our clinical trials. We rely on
collaborators and/or third parties for development, scale-up, formulation, optimisation, management of clinical trial and commercial scale manufacturing
and commercialisation. There are no assurances we can scale-up, formulate or manufacture any product candidate in sufficient quantities with acceptable
specifications for the conduct of our clinical trials or for the regulatory agencies to grant approval of such product candidate. We have not yet
commercialized any products and have no commercial manufacturing experience. To be successful, our products must be properly formulated, scalable,
stable and safely manufactured in clinical trial and commercial quantities in compliance with good manufacturing practices (“GMP”) and other regulatory
requirements and at acceptable costs. Should any of our suppliers or our collaborators be unable to supply or be delayed in supplying us with sufficient
supplies, no assurance can be given that we will be able to find alternative means of supply in a short period of time. Should such parties’ operations
suffer a material adverse event, the manufacturing of our products would also be adversely affected. Furthermore, key raw materials could become scarce
or unavailable. We may not be able to meet specifications previously established for product candidates during scale-up and manufacturing.
There may be a limited number of third parties who can manufacture our products. Our reliance on third parties to manufacture our product
candidates will expose us and our partners to risks including the following, any of which could delay or prevent the commercialisation of our products,
result in higher costs, or deprive us of potential product revenue:
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Contract manufacturers can encounter difficulties in achieving the scale-up, optimisation, formulation, or volume production of a compound
as well as maintaining quality control with appropriate quality assurance. They may also experience shortages of qualified personnel.
Contract manufacturers are required to undergo a satisfactory GMP inspection prior to regulatory approval and are obliged to operate in
accordance with the U.S. Food & Drug Administration, or FDA, International Conference on Harmonisation of Technical Requirements for
Registration of Pharmaceuticals for Human Use (“ICH”), European and other nationally mandated GMP regulations and/or guidelines
governing manufacturing processes, stability testing, record keeping and quality standards. A failure of these contract manufacturers to
follow GMP and to document their adherence to such practices or failure of an inspection by a regulatory agency may lead to significant
delays in the availability of our product candidate materials for clinical study, leading to delays in our trials.
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For each of our current product candidates we will initially rely on a limited number of contract manufacturers. Changing these or
identifying future manufacturers may be difficult. Changing manufacturers requires re-validation of the manufacturing processes and
procedures in accordance with FDA, ICH, European and other mandated GMP regulations and/or guidelines. Such re-validation may be
costly and time-consuming. It may be difficult or impossible for us to quickly find replacement manufacturers on acceptable terms, if at all.
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Our contract manufacturers may not perform as agreed or may not remain in the contract manufacturing business for the time required to
produce, store and distribute our products successfully.
The failure to establish sales, marketing and distribution capability would materially impair our ability to successfully market and sell
our pharmaceutical products.
We currently have no experience in marketing, sales or distribution of pharmaceutical products. If we develop any commercially marketable
pharmaceutical products and decide to perform our own sales and marketing activities, we will require additional management, will need to hire sales and
marketing personnel and will require additional capital. Qualified personnel may not be available in adequate numbers or at a reasonable cost. Further,
our sales staff may not achieve success in their marketing efforts. Alternatively, we may be required to enter into marketing arrangements with other
parties who have established appropriate marketing, sales and distribution capabilities. We may not be able to enter into marketing arrangements with any
marketing partner, or if such arrangements are established, our marketing partners may not be able to commercialise our products successfully. Other
companies offering similar or substitute products may have well-established and well-funded marketing and sales operations in place that will allow them
to market their products more successfully. Failure to establish sufficient marketing capabilities would materially impair our ability to successfully
market and sell our pharmaceutical products.
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If healthcare insurers and other organisations do not pay for the products we hope to develop, or impose limits on reimbursement, our
future business may suffer.
The drugs we hope to develop may be rejected by the marketplace due to many factors, including cost. The continuing efforts of governments,
insurance companies, health maintenance organisations and other payors of healthcare costs to contain or reduce healthcare costs may affect our future
revenues and profitability and those of our potential customers, suppliers and collaborative partners, as well as the availability of capital. In Australia and
certain foreign markets, the pricing or profitability of prescription pharmaceuticals is already subject to government control. We expect initiatives for
similar government control at both the state and federal level to continue in the United States and elsewhere. The adoption of any such legislative or
regulatory proposals could adversely affect our business and prospects.
Our ability to commercially exploit our products successfully will depend in part on the extent to which reimbursement for the cost of our
products and related treatment will be available from government health administration authorities, private health coverage insurers and other
organisations. Third-party payors, such as government and private health insurers, are increasingly challenging the price of medical products and
services. Uncertainty exists as to the reimbursement status of newly approved health care products and in foreign markets, including the United States. If
third-party coverage is not available to patients for any of the products we develop, alone or with collaborators, the market acceptance of these products
may be reduced, which may adversely affect our future revenues and profitability. In addition, cost containment legislation and reductions in government
insurance programs may result in lower prices for our products and could materially adversely affect our ability to operate profitably.
In the U.S. and some jurisdictions outside the U.S., there have been a number of legislative and regulatory changes and proposed changes
regarding the healthcare system that could impact our business. Generally, there has been increasing legislative and enforcement interest in the U.S. with
respect to drug pricing, including specialty drug pricing practices, in light of the rising cost of prescription drugs and biologics. Specifically, there have
been U.S. Congressional inquiries and federal and state legislative activity designed to, among other things, bring more transparency to drug pricing,
review the relationship between pricing and manufacturer patient programs, reduce the price of drugs under Medicare, and reform government program
reimbursement methodologies for drugs and biologics. In addition, the concept of most-favored nation pricing has been raised that would seek to
establish drug prices in the U.S. to the lowest level paid by comparable countries. Such policy action could cause us to amend, suspend or terminate the
development of any or all of our product candidates if a viable commercial market did not exist, which could have a material adverse impact on our
business and ability to operate.
If future legislation were to impose direct governmental price controls and access restrictions, it could have a significant adverse impact on our
business and financial results. Managed care organizations, as well as Medicaid and other government authorities, continue to seek price discounts. At the
state level, legislatures have increasingly passed legislation and implemented regulations designed to control pharmaceutical and biologic product pricing,
including price or patient reimbursement constraints, discounts, restrictions on certain product access and marketing cost disclosure and transparency
measures, and, in some cases, to encourage importation from other countries and bulk purchasing. Due to the volatility in the current economic and
market dynamics, we are unable to predict the impact of any unforeseen or unknown legislative, regulatory, payor or policy actions, which may include
cost containment and healthcare reform measures. Such policy actions could have a material adverse impact on our business and ability to operate.
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We may be exposed to product liability claims, which could harm our business.
The testing, marketing and sale of human health care products also entails an inherent risk of product liability. We may incur substantial
liabilities or be required to limit development or commercialisation of our candidate products if we cannot successfully defend ourselves against product
liability claims. We have historically obtained no fault compensation insurance for our clinical trials and intend to obtain similar coverage for future
clinical trials. Such coverage may not be available in the future on acceptable terms, or at all. This may result in our inability to pursue further clinical
trials or to obtain adequate protection in the event of a successful claim. We may not be able to obtain product liability insurance in the event of the
commercialisation of a candidate product or such insurance may not be available on commercially reasonable terms. Even if we have adequate insurance
coverage, product liability claims or recalls could result in negative publicity or force us to devote significant time, attention and financial resources to
those matters.
Breaches of network or information technology security, natural disasters or terrorist attacks could have an adverse effect on our
business.
Our business and operations would suffer in the event of IT system failures, cybersecurity attacks, data breaches, or vulnerabilities in our or our
third-party vendors’ information security program or defenses.
Our business relies upon information technology systems operated by us and by our third-party service providers. These systems may fail or
experience operational disruption, experience cybersecurity attacks, or be damaged by computer viruses and unauthorized access. In the ordinary course
of business, we collect, store and transmit confidential information (including but not limited to intellectual property, proprietary business information
and personal information). It is critical that we do so in a secure manner to maintain the confidentiality and integrity of such confidential information. If
we fail to develop and maintain adequate policies and procedures for the protection of our information technology systems and confidential and
proprietary information, we may be vulnerable to security breaches or disruptions and system breakdowns or other damage or interruptions.
We also have outsourced elements of our operations to third parties, and as a result we manage a number of third-party vendors and other
contractors and consultants who have access to or store our confidential information. We do not conduct audits or formal evaluations of our third-party
vendors’ information technology systems and cannot be sure that our third-party vendors have sufficient measures in place to ensure the security and
integrity of their information technology systems and our confidential and proprietary information. If our third-party vendors fail to protect their
information technology systems and our confidential and proprietary information, we may be vulnerable to disruptions in service and unauthorized access
to our confidential or proprietary information and we could incur liability and reputational damage and the further development and commercialization of
our product candidates could be delayed.
We have been subject, and will likely continue to be subject, to attempts to breach the security of our networks and IT infrastructure through
cyber-attack, malware, computer viruses and other means of unauthorised access. However, to date, we have not been subject to cyber-attacks or other
cyber incidents which, individually or in the aggregate, resulted in a material impact to our operations or financial condition. We cannot assure you that
our data protection efforts and our investment in information technology will prevent significant breakdowns, data leakages, breaches in our systems or
those of our third-party vendors and other contractors and consultants, or other cyber incidents that could have a material adverse effect upon our
reputation, business, operations or financial condition. Furthermore, cyberattacks and security incidents are expected to accelerate in both frequency and
impact as the use of AI increases and attackers become increasingly sophisticated and utilize tools and techniques that are designed to circumvent
controls, avoid detection, and remove or obfuscate forensic evidence.
If such an event were to occur and cause interruptions in our operations, it could result in a material disruption of our development programs,
business operations, a breach of sensitive personal information or a loss or corruption of critical data assets including trade secrets or other proprietary
information. For example, the loss of clinical trial data from future clinical trials could result in delays in our regulatory approval efforts and significantly
increase our costs to recover or reproduce the data. Such IT system failures, cybersecurity attacks or vulnerabilities to our or our third-party vendors’
information security programs or defenses could result in legal liability, reputational damage, business interruption, and our competitive position could be
harmed and the further development and commercialization of our products or any future products could be delayed or disrupted. Moreover, containing
and remediating any IT system failure, cybersecurity attack or vulnerability may require significant investment of resources. Furthermore, significant
security breaches or disruptions of our internal information technology systems or those of our third-party vendors and other contractors and consultants
could result in the loss, misappropriation and/or unauthorized access, use, or disclosure of, or the prevention of access to, confidential information
(including trade secrets or other intellectual property, proprietary business information and personal information), which could result in financial, legal,
business and reputational harm to us.
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We and the third parties with whom we work are subject to stringent and evolving U.S. and foreign laws, regulations, rules, contractual
obligations, industry standards, policies and other obligations related to data privacy and security. Our actual or perceived failure to comply
with such obligations (or that of the third parties with whom we work) could lead to regulatory investigations or actions; litigation (including
class actions); mass arbitration demands; fines and penalties; a disruption of our business operations; reputational harm; loss of revenue or
profits; and other adverse business consequences.
In the ordinary course of business, we collect, receive, store, process, generate, use, transfer, disclose, make accessible, protect, secure, dispose
of, transmit, and share (collectively, “process”) personal data and other sensitive information including proprietary and confidential business data, trade
secrets, intellectual property, data we collect about trial participants in connection with clinical trials,and other sensitive third-party data. Our data
processing activities subject us to numerous data privacy and security obligations, such as various laws, regulations guidance, industry standards, external
and internal privacy and security policies, contractual requirements, and other obligations relating to data privacy and security.
In the United States, federal, state, and local governments have enacted numerous data privacy and security laws, including data breach
notification laws, personal data privacy laws, consumer protection laws (e.g. Section 5 of the Federal Trade Commission Act), and other similar laws
(e.g., wiretapping laws). For example HIPAA, as amended by HITECH, imposes specific requirements relating to the privacy, security, and transmission
of individually identifiable health information. In the past few years, numerous U.S. states-including California, Virginia, Colorado, Connecticut, and
Utah-have enacted comprehensive privacy laws that impose certain obligations on covered businesses, including providing specific disclosures in privacy
notices and affording residents with certain rights concerning their personal data. As applicable, such rights may include the right to access, correct, or
delete certain personal data, and to opt-out of certain data processing activities, such as targeted advertising, profiling, and automated decision-making.
The exercise of these rights may impact our business and ability to provide our products and services. Certain states also impose stricter requirements for
processing certain personal data, including sensitive information, such as conducting data privacy impact assessments. These state laws allow for
statutory fines for noncompliance. For example, the California Consumer Privacy Act of 2018 (“CCPA”) applies to personal data of consumers, business
representatives, and employees, and requires businesses to provide specific disclosures in privacy notices and honor requests of California residents to
exercise certain privacy rights. The CCPA provides for civil penalties of up to $7,500 per violation and allows private litigants affected by certain data
breaches to recover significant statutory damages. Similar laws are being considered in several other states, as well as at the federal and local levels, and
we expect more states to pass similar laws in the future.
The CCPA and other comprehensive U.S. state privacy laws exempt some data processed in the context of clinical trials, but these developments
may further complicate compliance efforts and increase legal risk and compliance costs for us and the third parties with whom we work.
Outside the United States, an increasing number of laws, regulations, and industry standards govern data privacy and security. For example, the
European Union’s General Data Protection Regulation (“EU GDPR”), the United Kingdom’s GDPR (“UK GDPR”)(collectively, “GDPR”), Brazil’s
General Data Protection Law (Lei Geral de Protecão de Dados Pessoais, or “LGPD”) (Law No. 13,709/2018), and China’s Personal Information
Protection Law (“PIPL”) impose strict requirements for processing personal data. For example, under the GDPR, companies may face temporary or
definitive bans on data processing and other corrective actions, fines of up to 20 million Euros / 17.5 million pounds sterling, or 4% of annual global
revenue, whichever is greater; or private litigation related to processing of personal data brought by classes of data subjects or consumer protection
organizations authorized at law to represent their interests. China’s PIPL imposes a set of specific obligations on covered businesses in connection with
their processing and transfer of personal data and imposes fines of up to RMB 50 million or 5% of the prior year’s total annual revenue of the violator. In
Canada, the Personal Information Protection and Electronic Documents Act (“PIPEDA”) and various related provincial laws, as well as Canada’s Anti-
Spam Legislation (“CASL”), may apply to our operations. We may be subject to new and emerging data privacy and security regimes, including
Australia’s Privacy Act, China’s Personal Information Protection Law, Japan’s Act on the Protection of Personal Information, and Singapore’s Personal
Data Protection Act.
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In the ordinary course of business, we may transfer personal data from Europe and other jurisdictions to the United States or other countries.
Europe and other jurisdictions have enacted laws requiring data to be localized or limiting the transfer of personal data to other countries. In particular,
the European Economic Area (“EEA”) and the United Kingdom (“UK”) have significantly restricted the transfer of personal data to the United States and
other countries whose privacy laws it believes are inadequate. Other jurisdictions may adopt similarly stringent interpretations of their data localization
and cross-border data transfer laws. Although there are currently various mechanisms that may be used to transfer personal data from the EEA and UK to
the United States in compliance with law, such as the EEA standard contractual clauses, the UK’s International Data Transfer Agreement / Addendum,
and the EU-U.S. Data Privacy Framework and the UK extension thereto (which allows for transfers to relevant U.S.-based organizations who self-certify
compliance and participate in the Framework), these mechanisms are subject to legal challenges, and there is no assurance that we can satisfy or rely on
these measures to lawfully transfer personal data to the United States. If there is no lawful manner for us to transfer personal data from the EEA, the UK
or other jurisdictions to the United States, or if the requirements for a legally-compliant transfer are too onerous, we could face significant adverse
consequences, including the interruption or degradation of our operations, the need to relocate part of or all of our business or data processing activities to
other jurisdictions at significant expense, increased exposure to regulatory actions, substantial fines and penalties, the inability to transfer data and work
with partners, vendors and other third parties, and injunctions against our processing or transferring of personal data necessary to operate our business.
Additionally, companies that transfer personal data out of the EEA and UK to other jurisdictions, particularly to the United States, are subject to increased
scrutiny from regulators, individual litigants, and activist groups. Some European regulators have ordered certain companies to suspend or permanently
cease certain transfers out of Europe for allegedly violating the GDPR’s cross-border data transfer limitations.
Our employees and personnel may use generative artificial intelligence (“AI”) technologies to perform their work, and the disclosure and use of
personal data in generative AI technologies is subject to various privacy laws and other privacy obligations. Governments have passed and are likely to
pass additional laws regulating generative AI. Our use of this technology could result in additional compliance costs, regulatory investigations and
actions, and lawsuits. If we are unable to use generative AI, it could make our business less efficient and result in competitive disadvantages.
In addition to data privacy and security laws, we are or may become contractually subject to industry standards adopted by industry groups. We
are also bound by contractual obligations related to data privacy and security, and our efforts to comply with such obligations may not be successful. For
example, certain data privacy laws, such as the GDPR and the CCPA, require covered businesses to impose specific contractual restrictions on their
service providers. We publish privacy policies, marketing materials and other statements, such as compliance with certain certifications or self-regulatory
principles, regarding data privacy and security. If these policies, materials or statements are found to be deficient, lacking in transparency, deceptive,
unfair, or misrepresentative of our practices, we may be subject to investigation, enforcement actions by regulators or other adverse consequences.
Obligations related to data privacy and security (and consumers’ data privacy expectations) are quickly changing, becoming increasingly
stringent, and creating uncertainty. Additionally, these obligations may be subject to differing applications and interpretations, which may be inconsistent
or conflict among jurisdictions. Preparing for and complying with these obligations requires us to devote significant resources, which may necessitate
changes to our services, information technologies, systems, and practices and to those of any third parties with whom we work. In addition, these
obligations may require us to change our business model.
We may at times fail (or be perceived to have failed) in our efforts to comply with our data privacy and security obligations. Moreover, despite
our efforts, our personnel or third parties with whom we work may fail to comply with such obligations, which could negatively impact our business
operations. If we or the third parties with whom we work fail, or are perceived to have failed, to address or comply with applicable data privacy and
security obligations, we could face significant consequences, including but not limited to: government enforcement actions (e.g., investigations, fines,
penalties, audits, inspections, and similar); litigation (including class-action claims) or mass arbitration demands; additional reporting requirements and/or
oversight; bans on processing personal data; orders to destroy or not use personal data; and imprisonment of company officials.
Any of these events could have a material adverse effect on our reputation, business, or financial condition including but not limited to: loss of
customers; interruptions or stoppages in our business operations (including clinical trials); inability to process personal data or to operate in certain
jurisdictions; limited ability to develop or commercialize our products; expenditure of time and resources to defend any claim or inquiry; adverse
publicity, or substantial changes to our business model or operations.
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Risks Related to Government Regulation
If we do not obtain the necessary governmental approvals, we will be unable to develop or commercialise our pharmaceutical products.
Our ongoing research and development activities are, and the production and marketing of our pharmaceutical product candidates derived from
such activities will be, subject to regulation by numerous international regulatory authorities. Prior to marketing, any therapeutic product developed must
undergo rigorous pre-clinical testing and clinical trials and, to the extent that any of our pharmaceutical products under development are marketed abroad,
by the relevant international regulatory authorities. For example, in Australia, principally the Therapeutics Goods Administration, or TGA; the FDA, in
the United States; the Medicines and Healthcare products Regulatory Agency, or MHRA, in the United Kingdom; the Medical Products Agency, or
MPA, in Sweden; and the European Medicines Agency, or EMA. These processes can take many years and require the expenditure of substantial
resources. Governmental authorities may not grant regulatory approval due to matters arising from pre-clinical animal toxicology, safety pharmacology,
drug formulation and purity, insufficient efficacy, clinical side effects or patient risk profiles, or medical contraindications.
Failure or delay in obtaining regulatory approvals would adversely affect the development and commercialisation of our pharmaceutical product
candidates. We may not be able to obtain the clearances and approvals necessary for clinical testing or for manufacturing and marketing our
pharmaceutical product candidates.
Even if regulatory authorities approve any of our product candidates, the manufacture, labeling, storage, recordkeeping, reporting, distribution,
advertising, promotion, marketing, sale, import and export of these drugs will be subject to strict and ongoing regulation. If we, our partners, our product
candidates or the manufacturing facilities for our product candidates fail to comply with applicable regulatory requirements, a regulatory agency may
suspend any ongoing clinical trials; issue warning letters or untitled letters; suspend or withdraw regulatory approval; refuse to approve pending
applications or supplements to applications; suspend or impose restrictions on operations; seize or detain products, prohibit the export or import of
products, or require us to initiate a product recall; seek other monetary or injunctive remedies; or impose civil or criminal penalties.
We will not be able to commercialise any current or future product candidates if we fail to adequately demonstrate their safety and
efficacy.
Before obtaining regulatory approvals for the commercial sale of any of our pharmaceutical products, we must demonstrate through pre-clinical
testing and clinical studies that our product candidates are safe and effective for use in humans for each target indication. Results from early clinical trials
may not be predictive of results obtained in large-scale, later-stage clinical testing. Even though a candidate product shows promising results in clinical
trials, regulatory authorities may not grant the necessary approvals without sufficient safety and efficacy data.
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We may not be able to undertake further clinical trials of our current and future product candidates as therapies for Parkinsonian disorders or
other indications or to demonstrate the safety and efficacy or superiority of any of these product candidates over existing therapies or other therapies
under development, or enter into any collaborative arrangement to commercialise our current or future product candidates on terms acceptable to us, or at
all. Clinical trial results that show insufficient safety and efficacy could adversely affect our business, financial condition and results of operations.
Positive results in a clinical trial of a product candidate may not be replicated in future clinical trials, which could result in development
delays or a failure to obtain marketing approval.
Positive results in a clinical trial of a product candidate may not be predictive of similar results in future clinical trials. A number of companies
in the biopharmaceutical industry have suffered significant setbacks in late-stage clinical trials even after achieving promising results in early-stage
development. Accordingly, the results from the completed pre-clinical studies and clinical trials for our product candidates may not be predictive of the
results we may obtain in later stage trials. Our clinical trials may produce negative or inconclusive results, and we may decide, or regulators may require
us, to conduct additional clinical trials. Moreover, clinical data are often susceptible to varying interpretations and analyses, and many companies that
have believed their product candidates performed satisfactorily in pre-clinical studies and clinical trials have nonetheless failed to obtain FDA or EMA
approval for their products.
Even if approved, any product candidates that we or our subsidiaries may develop and market may be later withdrawn from the market
or subject to promotional limitations.
We may not be able to obtain the labeling claims necessary or desirable for the promotion of our product candidates if approved. We may also
be required to undertake post-marketing clinical trials. If the results of such post-marketing studies are not satisfactory or if adverse events or other safety
issues arise after approval, the FDA or a comparable regulatory agency in another country may withdraw marketing authorisation or may condition
continued marketing on commitments from us or our subsidiaries that may be expensive or time consuming to complete. In addition, if we or others
identify adverse side effects after any of our products are on the market, or if manufacturing problems occur, regulatory approval may be withdrawn and
reformulation of our or our subsidiaries’ products, additional clinical trials, changes in labeling of our or our subsidiaries’ products and additional
marketing applications may be required. Any reformulation or labeling changes may limit the marketability of such products if approved.
Healthcare reform measures and other statutory or regulatory changes could adversely affect our business.
In both the United States and certain foreign jurisdictions, there have been a number of legislative and regulatory proposals to change the
healthcare system in ways that could impact our business. For example, the Patient Protection and Affordable Care Act and the Health Care and
Education Affordability Reconciliation Act of 2010 (collectively, the “ACA”), enacted in March 2010, substantially changes the way healthcare is
financed by both governmental and private insurers, and significantly impacts the pharmaceutical industry. With regard to pharmaceutical products,
among other things, the ACA is expected to expand and increase industry rebates for drugs covered under Medicaid programs and make changes to the
coverage requirements under the Medicare D program. Legislative and regulatory proposals impacting upon the healthcare system are submitted regularly
and the existing framework in force in various jurisdictions may not apply in the short to long term.
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We still cannot fully predict the impact of the ACA on our company as many of the ACA reforms require the promulgation of detailed
regulations implementing the statutory provisions which has not yet been completed.
Since its enactment, there have been judicial, executive and Congressional challenges to certain aspects of the ACA. On June 17, 2021, the U.S.
Supreme Court dismissed the most recent judicial challenge to the ACA without specifically ruling on the constitutionality of the ACA. Prior to the
Supreme Court’s decision, President Biden issued an executive order to initiate a special enrollment period from February 15, 2021 through August 15,
2021 for purposes of obtaining health insurance coverage through the ACA marketplace. The executive order also instructed certain governmental
agencies to review and reconsider their existing policies and rules that limit access to healthcare, including among others, reexamining Medicaid
demonstration projects and waiver programs that include work requirements, and policies that create unnecessary barriers to obtaining access to health
insurance coverage through Medicaid or the ACA.
In addition, other legislative changes have been proposed and adopted since the Affordable Care Act was enacted. For example, the Budget
Control Act of 2011, among other things, included reductions to Medicare payments to providers, which went into effect on April 1, 2013 and, due to
subsequent legislative amendments to the statute, will remain in effect into 2032, with the exception of a temporary suspension from May 1, 2020 through
March 31, 2022, unless additional Congressional action is taken. Additionally, the American Taxpayer Relief Act of 2012, among other things, reduced
Medicare payments to several providers, including hospitals, and increased the statute of limitations period for the government to recover overpayments
to providers from three to five years. In addition, the Medicare Access and CHIP Reauthorization Act of 2015 enacted on April 16, 2015, repealed the
formula by which Medicare made annual payment adjustments to physicians and replaced the former formula with fixed annual updates and a new
system of incentive payments began in 2019 that are based on various performance measures and physicians’ participation in alternative payment models
such as accountable care organizations.
We expect additional state, federal, and foreign healthcare reform measures to be adopted in the future, any of which could limit the amounts
that federal, state, and foreign governments will pay for healthcare products and services, which could result in reduced demand for our future products or
additional pricing pressure.
If we fail to comply with our reporting and payment obligations under the Medicaid program or other governmental pricing programs, we could
be subject to additional reimbursement requirements, penalties, sanctions and fines which could have a material adverse effect on our business, financial
condition, results of operations and growth prospects.
Pricing and rebate calculations vary among products and programs. The calculations are complex and will often be subject to interpretation by
us, governmental or regulatory agencies and the courts. If we become aware that our reporting of pricing data for a prior quarter was incorrect, we will be
obligated to resubmit the corrected data. For the Medicaid drug rebate program, corrected data must be submitted for a period not to exceed twelve
quarters from the quarter in which the data originally were due. Such restatements and recalculations increase our costs for complying with the laws and
regulations governing the Medicaid drug rebate program and other governmental pricing programs.
We may be liable for errors associated with our submission of pricing data. If we are found to have knowingly submitted false pricing data to the
Medicaid program, we may be liable for civil monetary penalties in the amount of up to U.S.$100,000 per item of false information. Our failure to submit
pricing data to the Medicaid program on a timely basis could result in a civil monetary penalty of U.S.$10,000 per day for each day the information is
late. Such failure also could be grounds to terminate our Medicaid drug rebate agreement, which is the agreement under which we might participate in the
Medicaid drug rebate program. In the event that our rebate agreement is terminated, federal payments may not be available under Medicaid for our
covered outpatient drugs. We cannot assure you that our submissions will not be found to be incomplete or incorrect.
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If we obtain FDA approval for any of our product candidates and begin commercializing those products in the United States, our operations may
be directly or indirectly through our customers, subject to various federal and state fraud and abuse laws, including, without limitation, the federal Anti-
Kickback Statute, the federal False Claims Act, and physician sunshine laws and regulations.
The Biden administration also introduced various measures in 2021 focusing on healthcare and drug pricing, in particular. For example, on
January 28, 2021, former President Biden issued an executive order that initiated a special enrollment period for purposes of obtaining health insurance
coverage through the Affordable Care Act marketplace, which began on February 15, 2021, and remained open through August 15, 2021. The executive
order also instructed certain governmental agencies to review and reconsider their existing policies and rules that limit access to healthcare, including
among others, reexamining Medicaid demonstration projects and waiver programs that include work requirements and policies that create unnecessary
barriers to obtaining access to health insurance coverage through Medicaid or the Affordable Care Act. On the legislative front, the American Rescue
Plan Act of 2021 was signed into law on March 11, 2021, which, in relevant part, eliminates the statutory Medicaid drug rebate cap, currently set at 100%
of a drug’s average manufacturer price, for single source drugs and innovator multiple source drugs, which began on January 1, 2024. And, in July 2021,
the Biden administration released an executive order entitled, “Promoting Competition in the American Economy,” with multiple provisions aimed at
prescription drugs. In response, on September 9, 2021, HHS released a “Comprehensive Plan for Addressing High Drug Prices” that outlines principles
for drug pricing reform and sets out a variety of potential legislative policies that Congress could pursue as well as potential administrative actions HHS
can take to advance these principles.
More recently, on August 16, 2022, former President Biden signed into law the Inflation Reduction Act of 2022 (the “IRA”), which, among
other provisions, included several measures intended to lower the cost of prescription drugs and related healthcare reforms. Specifically, the IRA
authorizes and directs the Department of Health and Human Services (the “DHHS”) to set drug price caps for certain high-cost Medicare Part B and Part
D qualified drugs, with the initial list of drugs announced on August 29, 2023, and the first year of maximum price applicability to begin in 2026. The
IRA further authorizes the DHHS to penalize pharmaceutical manufacturers that increase the price of certain Medicare Part B and Part D drugs faster than
the rate of inflation. Finally, the IRA creates significant changes to the Medicare Part D benefit design by capping Part D beneficiaries’ annual out-of-
pocket spending at $2,000 beginning in 2025.
On April 15, 2025, the Trump Administration released an executive order entitled, “Lower Drug Prices by Once Again Putting Americans First,”
which among other things, included multiple directives to various agencies aimed at lowering prescription drug prices. These directives included reports
and proposals for new regulations related to reforming the IRA’s Medicare Drug Price Negotiation Program, reducing the prices of high-cost drugs, and
enhancing price transparency. On May 12, 2025, President Trump issued an executive order implementing the concept of most-favored nation pricing.
Under this order, DHHS, in coordination with other federal agencies, is directed to take actions to ensure that the price of prescription drugs paid by
federal health insurers, including Medicare and Medicaid, is in line with the prices paid in comparable nations. Any reduction in reimbursement from
Medicare, Medicaid, or other government programs may result in a similar reduction in payments from private payors. Further, on July 4, 2025, President
Trump signed the One Big Beautiful Bill Act into law which, among other things, is expected to reduce funding to federal healthcare programs, imposes
additional requirements to be eligible for healthcare, and clarifies exclusions for orphan drugs under IRA’s Drug Price Negotiation Program. Current and
future legislative and regulatory changes to further reform healthcare or reduce healthcare costs may limit coverage of or lower reimbursement for
healthcare products and treatments that could significantly impact pharmaceutical companies and the success of our product candidates. At the state level,
legislatures have increasingly passed legislation and implemented regulations designed to control pharmaceutical and biological product pricing,
including price or patient reimbursement constraints, discounts, restrictions on certain product access and marketing cost disclosure and transparency
measures, and, in some cases, designed to encourage importation from other countries and bulk purchasing.
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The pharmaceutical and biotechnology industries are subject to extensive regulation, and from time to time legislative bodies and governmental
agencies consider changes to such regulations that could have significant impact on industry participants. For example, in light of certain highly-
publicised safety issues regarding certain drugs that had received marketing approval, the U.S. Congress has considered various proposals regarding drug
safety, including some which would require additional safety studies and monitoring and could make drug development more costly. The implementation
of cost containment measures or other healthcare system reforms may prevent us from being able to generate revenue, attain profitability, or
commercialise our products. Such reforms could have an adverse effect on anticipated revenues from product candidates we may successfully develop
and for which we may obtain regulatory approval and may affect our overall financial condition and ability to develop product candidates. In addition, it
is possible that there will be further legislation or regulation that could harm our business, financial condition and several results of operations.
Disruptions at the FDA and other government agencies caused by leadership changes, changes to regulatory approach, layoffs, funding
shortages or global health concerns could negatively impact our business
The ability of the FDA to review proposed clinical trials or approve new products can be affected by a variety of factors, including government
budget and funding levels, statutory, regulatory, and policy changes, the FDA’s ability to hire and retain key personnel and accept the payment of user
fees, and other events that may otherwise affect the FDA’s ability to perform routine functions. In addition, government funding of other government
agencies that fund research and development activities is subject to the political process, including executive and congressional priorities, the impacts of
which are inherently fluid and unpredictable. Disruptions at the FDA and other agencies may slow the time necessary for new product candidates to be
reviewed and/or approved, which would adversely affect our business. For example, over the last several years, including for 35 days beginning on
December 22, 2018, the U.S. government has shut down several times and certain regulatory agencies, such as the FDA, have had to furlough critical
FDA employees and stop critical activities. In addition, the current administration has proposed substantial reductions in force at various government
agencies including the FDA, which could significantly reduce the FDA’s capacity to perform its functions in a manner consistent with its past practices
and could delay reviews and negatively impact our business. There has been significant turnover and recent changes in senior leadership at the FDA and
other government agencies including the division of the FDA that would oversee and review solutions like those we currently develop and plan to
continue to develop. We believe these changes could result in changes in the FDA’s perception of the approvability of therapies, the perceived value of
certain therapies or therapeutic modalities, which could create material challenges for our development efforts. At this time, there is significant
uncertainty and risks associated with future FDA regulatory policies and actions that could have a material negative impact on our business. Any or all of
these factors could cause us to amend, suspend or terminate the development of certain of our preclinical or clinical programs, which could have material
adverse impacts on our business, our product candidates or our ability to continue operations.
We could be adversely affected by violations of the U.S. Foreign Corrupt Practices Act.
Our business operations may be subject to anti-corruption laws and regulations, including restrictions imposed by the U.S. Foreign Corrupt
Practices Act (the “FCPA”). The FCPA and similar anti-corruption laws in other jurisdictions such as the U.K. Bribery Act generally prohibit companies
and their intermediaries from making improper payments to government officials for the purpose of obtaining or retaining business. We cannot provide
assurance that our internal controls and procedures will always protect us from criminal acts committed by our employees or third parties with whom we
work. If we are found to be liable for violations of the FCPA or similar anti-corruption laws in international jurisdictions, either due to our own acts or
out of inadvertence, or due to the acts or inadvertence of others, we could suffer from criminal or civil penalties which could have a material and adverse
effect on our results of operations, financial condition and cash flows.
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Risks Related to Intellectual Property
Our success depends upon our ability to protect our intellectual property and our proprietary technology, to operate without infringing
the proprietary rights of third parties and to obtain marketing exclusivity for our products and technologies.
Any future success will depend in large part on whether we can:
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obtain and maintain patents to protect our own product candidates and technologies;
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obtain licenses to the patented technologies of third parties;
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operate without infringing on the proprietary rights of third parties; and
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protect our trade secrets, know-how and other confidential information.
Patent matters in biotechnology are highly uncertain and involve complex legal and factual questions. Accordingly, the availability and breadth
of claims allowed in biotechnology and pharmaceutical patents cannot be predicted. Any of the pending or future patent applications filed by us or on our
behalf may not be approved, we may not develop additional proprietary products or processes that are patentable, or we may not be able to license any
other patentable products or processes.
Our products may be eligible for orphan designation for particular therapeutic indications that are of relatively low prevalence. Orphan drug
designation affords market exclusivity post marketing authorisation for a product for a specified therapeutic utility. The period of orphan protection is
dependent on jurisdiction, for example, seven years in the United States and ten years in Europe. The opportunity to gain orphan drug designation
depends on a variety of requirements specific to each marketing jurisdiction and can include; a showing of improved benefit relative to marketed
products, that the mechanism of action of the product would provide plausible benefit and the nature of the unmet medical need within a therapeutic
indication. It is uncertain if our products will be able to obtain orphan drug designation for the appropriate indications and in the jurisdictions sought.
There is a risk that the U.S. Congress, for example, could amend laws to significantly shorten the exclusivity period. Once any regulatory period
of exclusivity expires, depending on the status of our patent coverage and the nature of the product, we may not be able to prevent others from marketing
products that are similar to or interchangeable with our products, which would materially adversely affect us.
Our commercial success will also depend, in part, on our ability to avoid infringement of patents issued to others. If a court determines that we
were infringing any third-party patents, we could be required to pay damages, alter our products or processes, obtain licenses or cease certain activities.
Licenses required under patents held by third parties may not be made available on terms acceptable to us or at all. To the extent that we are unable to
obtain such licenses, we could be foreclosed from the development, export, manufacture or commercialisation of the product requiring such license or
encounter delays in product introductions while we attempt to design around such patents, and any of these circumstances could adversely affect our
business, financial condition and results of operations.
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We may have to resort to litigation to enforce any patents issued or licensed to us or to determine the scope and validity of third-party
proprietary rights. We may have to defend the validity of our patents in order to protect or enforce our rights against a third party. Third parties may in the
future assert against us infringement claims or claims that we have infringed a patent, copyright, trademark or other proprietary right belonging to them.
Any infringement claim, even if not meritorious, could result in the expenditure of significant financial and managerial resources and could negatively
affect our profitability. While defending our patents, the scope of the claim may be reduced in breadth and inventorship of the claimed subject matter, and
proprietary interests in the claimed subject matter may be altered or reduced. Some of our competitors may be able to sustain the costs of such litigation
or proceedings more effectively than we can because of their substantially greater financial resources. Any such litigation, regardless of outcome, could
be expensive and time consuming, and adverse determinations in any such proceedings could prevent us from developing, manufacturing or
commercialising our products and could adversely affect our business, financial condition and results of operations.
The patents for our product candidates have varying expiration dates and, if these patents expire, we may be subject to increased competition and
we may not be able to recover our development costs or market any of our approved products profitably. In some of the larger potential market territories,
such as the United States and Europe, patent term extension or restoration may be available to compensate for time taken during aspects of the product’s
development and regulatory review or by procedural delays before the relevant patent office. However, such an extension may not be granted, or if
granted, the applicable time period or the scope of patent protection afforded during any extension period may not be sufficient. In addition, even though
some regulatory authorities may provide some other exclusivity for a product under their own laws and regulations, we may not be able to qualify the
product or obtain the exclusive time period. If we are unable to obtain patent term extension/restoration or some other exclusivity, we could be subject to
increased competition and our opportunity to establish or maintain product revenue could be substantially reduced or eliminated. Furthermore, we may
not have sufficient time to recover our development costs prior to the expiration of our U.S. and non-U.S. patents.
Tariff policies and potential countermeasures could increase our costs and disrupt our global supply chain, which could negatively
impact the results of our operations.
President Trump has increased, and has indicated his willingness to continue to increase, the use of tariffs by the U.S. to accomplish certain U.S.
policy goals. Such tariffs and any countermeasures could increase the cost of raw materials and components necessary for our operations, disrupt our
global supply chain and create additional operational challenges. Further, it is possible that government policy changes and related uncertainty about
policy changes could increase market volatility. Because of these dynamics, we cannot predict the impact of any future changes to the U.S.’s or other
countries’ trading relationships or the impact of new laws or regulations adopted by the U.S. or other countries on our business. Such changes in tariffs
and trade regulations could have a material adverse effect on our financial condition, results of operations and cash flows.
We may face difficulties in certain jurisdictions in protecting our intellectual property rights, which may diminish the value of our
intellectual property rights in those jurisdictions.
The laws of some jurisdictions do not protect intellectual property rights to the same extent as the laws in the United States and the European
Union, and many companies have encountered significant difficulties in protecting and defending such rights in such jurisdictions. If we or our
collaboration partners encounter difficulties in protecting, or are otherwise precluded from effectively protecting, the intellectual property rights
important for our business in such jurisdictions, the value of these rights may be diminished, and we may face additional competition from others in those
jurisdictions.
Many countries have compulsory licensing laws under which a patent owner may be compelled to grant licenses to third parties. In addition,
many countries limit the enforceability of patents against government agencies or government contractors. In these countries, the patent owner may have
limited remedies, which could materially diminish the value of such patent. If we or any of our licensors is forced to grant a license to third parties with
respect to any patents relevant to our business, our competitive position may be impaired and our business, financial condition and results of operations
may be adversely affected.
Intellectual property rights do not address all potential threats to our competitive advantage.
The degree of future protection afforded by our intellectual property rights is uncertain because intellectual property rights have limitations and
may not adequately permit us to maintain our competitive advantage. The following examples are illustrative:
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Others may be able to make products that are similar to ours but that are not covered by the claims of the patents that we own.
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Others may independently develop similar or alternative technologies or otherwise circumvent any of our technologies without infringing
our intellectual property rights.
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We or any of our collaboration partners might not have been the first to conceive and reduce to practice the inventions covered by the
patents or patent applications that we own, license or will own or license.
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We or any of our collaboration partners might not have been the first to file patent applications covering certain of the patents or patent
applications that we or they own or have obtained a license, or will own or will have obtained a license.
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It is possible that our pending patent applications will not result in issued patents.
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Issued patents that we own may not provide us with any competitive advantage, or may be held invalid or unenforceable, as a result of legal
challenges by our competitors.
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Our competitors might conduct research and development activities in countries where we do not have patent rights, or in countries where
research and development safe harbor laws exist, and then use the information learned from such activities to develop competitive products
for sale in our major commercial markets.
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The patents of third parties or pending or future applications of third parties, if issued, may have an adverse effect on our business.
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Compulsory licensing provisions of certain governments to patented technologies that are deemed necessary for the government to access.
Changes in patent laws or patent jurisprudence could diminish the value of our patents, thereby impairing our ability to protect our
products or product candidates.
As is the case with other biotechnology and pharmaceutical companies, our success is heavily dependent on intellectual property, particularly
patents. Obtaining and enforcing patents in the pharmaceutical industry involves both technological and legal complexity, it is costly, time-consuming
and inherently uncertain. The U.S. Supreme Court has ruled on several patent cases in recent years, either narrowing the scope of patent protection
available in certain circumstances or weakening the rights of patent owners in certain situations. Depending on decisions by the U.S. Congress, the
federal courts, and the U.S. Patent and Trademark Office, or USPTO, the laws and regulations governing patents could change in unpredictable ways that
could weaken our ability to obtain new patents or to enforce our existing patents and patents that we might obtain in the future. Similarly, the complexity
and uncertainty of European patent laws has also increased in recent years. In addition, the European patent system is relatively stringent with regard to
the type of amendments that are allowed during prosecution. These changes could limit our ability to obtain new patents in the future that may be
important for our business.
Confidentiality agreements with employees and others may not adequately prevent disclosure of our trade secrets and protect our other
proprietary information.
We consider proprietary trade secrets and/or confidential know-how and unpatented know-how to be important to our business. We may rely on
trade secrets and/or confidential know-how to protect our technology, especially where patent protection is believed by us to be of limited value.
However, trade secrets and/or confidential know-how can be difficult to maintain as confidential.
To protect this type of information against disclosure or appropriation by competitors, our policy is to require our employees, consultants,
contractors and advisors to enter into confidentiality agreements with us. However, current or former employees, consultants, contractors and advisers
may unintentionally or willfully disclose our confidential information to competitors, and confidentiality agreements may not provide an adequate
remedy in the event of unauthorized disclosure of confidential information. Enforcing a claim that a third-party obtained illegally and is using trade
secrets and/or confidential know-how is expensive, time consuming and unpredictable. The enforceability of confidentiality agreements may vary from
jurisdiction to jurisdiction.
Failure to obtain or maintain trade secrets and/or confidential know-how trade protection could adversely affect our competitive position.
Moreover, our competitors may independently develop substantially equivalent proprietary information and may even apply for patent protection in
respect of the same. If successful in obtaining such patent protection, our competitors could limit our use of our trade secrets and/or confidential know-
how.
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Risks Related to Our Compliance with the Sarbanes-Oxley Act of 2002
We may fail to maintain effective internal control over financial reporting in accordance with Section 404 of the Sarbanes-Oxley Act of
2002, which could adversely affect our operating results, investor confidence in our reported financial information, and the market price of our
ordinary shares and ADSs.
The Sarbanes-Oxley Act of 2002 imposes certain duties on us and our executives and directors. To comply with this statute, we are required to
document and test our internal control over financial reporting. Our efforts to comply with the requirements of Section 404 of the Sarbanes-Oxley Act of
2002, governing internal control and procedures for financial reporting, have resulted in increased general and administrative expenses and a diversion of
management time and attention, and we expect these efforts to require the continued commitment of significant resources. We may identify material
weaknesses or significant deficiencies in our assessments of our internal control over financial reporting. Failure to maintain effective internal control
over financial reporting, or conclusion that our disclosure controls and procedures are ineffective, could result in investigations or sanctions by regulatory
authorities and could adversely affect our operating results, investor confidence in our reported financial information, and the market price of our
ordinary shares and ADSs.
Risks Related to Ownership of Our Securities
Our stock price may be volatile and the trading market for our securities is limited.
The market price for our securities, like that of the securities of other pharmaceutical and biotechnology companies, has fluctuated substantially
and may continue to be highly volatile in the future. The market price for our securities has been affected by both broad market developments and
announcements relating to actual or potential developments concerning products under development. We believe that the following factors, in addition to
other risk factors described above and elsewhere in this annual report, will continue to significantly affect the market price of our ordinary shares:
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the results of pre-clinical testing and clinical trials by us and our competitors;
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developments concerning research and development, manufacturing, and marketing alliances or collaborations by us and our competitors;
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announcements of technological innovations or new commercial products by us and our competitors;
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determinations regarding our patent applications, patents and those of others;
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publicity regarding actual or potential results relating to medicinal products under development by us and our competitors;
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proposed governmental regulations and developments in Australia, the U.S. and elsewhere;
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litigation;
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economic and other external factors; and
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period-to-period fluctuations in our operating results.
In addition, stock markets have experienced extreme price and volume fluctuations. These fluctuations have especially affected the stock market
price of many high technology and healthcare related companies, including pharmaceutical and biotechnology companies, and, in many cases, are
unrelated to the operating performance of the particular companies. Market fluctuations, as well as general political and economic conditions, such as a
recession, interest rate or currency rate fluctuations, could adversely affect the market price of our securities.
Ownership interest in our company may be further diluted as a result of additional financings.
Potential dilution as a result of additional financings.
Ownership interest in our company may be diluted as a result of financings in the near future or over the longer term. We will need additional
funding to complete our clinical trials and to operate our business; such funding may not be available or, if it is available, such financing is likely to
substantially dilute our existing shareholders. Additional financing will comply with the relevant requirements of ASX listing rules and NASDAQ listing
requirements.
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Without shareholder approval, we may not issue more than 25% of our outstanding ordinary shares in any twelve month period other than by a
pro rata rights offering or a share purchase plan offer (of shares with a value at the issue price of up to A$30,000 per shareholder to a maximum of 30%
of our outstanding shares) in each case to the then existing shareholders in accordance with the listing rules of the ASX. Sales of our ADSs offered
through our “At-The-Market” facility and future equity offerings may result in substantial dilution to the interests of our current shareholders. The sale of
a substantial number of securities to investors, or anticipation of such sales, could make it more difficult for us to sell equity or equity-related securities in
the future at a time and at a price that we might otherwise wish to effect sales.
There is a substantial risk that we are a passive foreign investment company, or PFIC, to some U.S. investors which will subject those
investors to adverse tax rules
Holders of our ADSs who are U.S. residents face income tax risks. There is a substantial risk that we are a passive foreign investment company,
commonly referred to as a PFIC to some U.S. investors, and a controlled foreign corporation, or CFC to other U.S. investors. Our treatment as a PFIC
could result in a reduction in the after-tax return to the holders of our ADSs and would likely cause a reduction in the value of such ADSs. For U.S.
federal income tax purposes, we will be classified as a PFIC for any taxable year in which either (i) 75% or more of our gross income is passive income,
or (ii) at least 50% of the average value of all of our assets for the taxable year produce or are held for the production of passive income. For this purpose,
cash is considered to be an asset that produces passive income. As a result of our substantial cash position and the decline in the value of our stock, we
believe that we became a PFIC during the taxable year ended June 30, 2005, and were classified as a PFIC during each of the following fiscal years. We
believe that we once again will be classified as a PFIC for the taxable year ended June 30, 2025 for some U.S. investors. Highly complex rules will apply
to U.S. holders owning ADSs. Accordingly, you are urged to consult your tax advisors regarding the application of such rules.
We do not anticipate paying dividends on our ordinary shares.
We have never declared or paid cash dividends on our ordinary shares and do not expect to do so in the foreseeable future. The declaration of
dividends is subject to the discretion of our Board of Directors and will depend on various factors, including our operating results, financial condition,
future prospects and any other factors deemed relevant by our board of directors. You should not rely on an investment in our company if you require
dividend income from your investment in our company. The success of your investment will likely depend entirely upon any future appreciation of the
market price of our ordinary shares, which is uncertain and unpredictable. There is no guarantee that our ordinary shares will appreciate in value or even
maintain the price at which you purchased your ordinary shares.
Currency fluctuations may adversely affect the price of our securities.
Our ordinary shares are quoted in Australian dollars on the ASX and our ADSs trade on the NASDAQ Capital Market in U.S. dollars.
Movements in the Australian dollar/U.S. dollar exchange rate may adversely affect the U.S. dollar price of our ordinary shares. In the past year the
Australian dollar weakened against the U.S. dollar. If the Australian dollar further weakens against the U.S. dollar, this may negatively affect the U.S.
dollar price of our ordinary shares, even if the price of our ordinary shares in Australian dollars decreases or remains unchanged. If the Australian dollar
strengthens against the U.S. dollar, the U.S. dollar price of the ordinary shares could increase, even if the price of our ordinary shares in Australian dollars
decreases or remains unchanged.
If we fail to maintain compliance with NASDAQ’s continued listing requirements, our shares may be delisted from the NASDAQ
Capital Market.
Our ordinary shares are quoted on the ASX and our ADSs trade on the NASDAQ Capital Market. To continue to be listed on the NASDAQ
Capital Market, we need to satisfy a number of conditions, including a minimum closing bid price per ADS of $1.00 for 30 consecutive business days and
shareholders’ equity of at least $2.5 million.
We could in the future fail to meet this or other NASDAQ continued listing requirements and fail to cure such noncompliance, resulting in the
delisting of our ADSs from NASDAQ. If we are delisted from NASDAQ, trading in our ordinary shares could be conducted on a U.S. market where an
investor would likely find it significantly more difficult to dispose of, or to obtain accurate quotations as to the value of, our ordinary shares (such
delisting should not affect the trading over the ASX).
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We are currently operating in a period of economic uncertainty and capital markets disruption, which has been significantly impacted
by geopolitical instability due to the ongoing military conflicts such as in the Middle East and between Russia and Ukraine.
U.S. and global markets are experiencing volatility and disruption following the escalation of geopolitical tensions and the start of military
conflicts in the Middle East and the ongoing conflict between Russia and Ukraine.
In February 2022, Russia launched a full-scale military invasion of Ukraine. Although the length and impact of the ongoing military conflict is
highly unpredictable, the conflict in Ukraine could lead to market disruptions, including significant volatility in commodity prices, credit and capital
markets. Additionally, Russia’s prior annexation of Crimea, recent recognition of two separatist republics in the Donetsk and Luhansk regions of Ukraine
and subsequent military interventions in Ukraine have led to sanctions and other penalties being levied by the United States, European Union and other
countries against Russia, including agreement to remove certain Russian financial institutions from the Society for Worldwide Interbank Financial
Telecommunication (SWIFT) payment system. Additional potential sanctions and penalties have also been proposed and/or threatened. Russian military
actions and the resulting sanctions could adversely affect the global economy and financial markets and lead to instability and lack of liquidity in capital
markets, potentially making it more difficult for us to obtain additional funds. Any of the abovementioned factors could affect our business, prospects,
financial condition, and operating results. The extent and duration of the military action, sanctions and resulting market disruptions are impossible to
predict, but could be substantial.
In addition, economic and political instability in other regions, e.g., the Israel-Hamas conflict and the related instability in the Middle East, may
result in unavoidable uncertainties that could negatively affect costs of business and cause volatility in exchange rates, commodity prices, inflation and
interest rates. Such events could also impact worldwide political, regulatory, economic or market conditions, as well as causing instability in political
institutions, regulatory agencies and financial markets, any of which could have a material adverse effect on our business, operating results, cash flows
and financial position.
Any such disruptions may also magnify the impact of other risks described in this Annual Report on Form 20-F.
Risks Related to Our Location in Australia
It may be difficult to enforce a judgment in the United States against us and our officers and directors or to assert U.S. securities laws
claims in Australia or serve process on our officers and directors.
We are incorporated in Australia. More than half of our executive officers and directors are non-residents of the United States. Therefore, it may
be difficult for an investor, or any other person or entity, to enforce a U.S. court judgment based upon the civil liability provisions of the U.S. federal
securities laws in an Australian court against us or any of those persons or to effect service of process upon these persons in the United States.
Additionally, it may be difficult for an investor, or any other person or entity, to enforce civil liabilities under U.S. federal securities laws in original
actions instituted in Australia.
Australian companies may not have standing to initiate a shareholder derivative action in a federal court of the United States. The circumstances
in which any such action may be brought, and the procedures and defenses that may be available in respect to any such action, may result in the rights of
shareholders of an Australian company being more limited than those of shareholders of a company organized in the United States. Accordingly,
shareholders may have fewer alternatives available to them if they believe that corporate wrongdoing has occurred. Australian courts are also unlikely to
recognize or enforce against us judgments of courts in the United States based on certain liability provisions of U.S. securities law and to impose
liabilities against us, in original actions brought in Australia, based on certain liability provisions of U.S. securities laws that are penal in nature. There is
no statutory recognition in Australia of judgments obtained in the United States, although the courts of Australia may recognize and enforce the non-
penal judgment of a foreign court of competent jurisdiction without retrial on the merits, upon being satisfied about all the relevant circumstances in
which that judgment was obtained.
As a foreign private issuer whose shares are listed on the NASDAQ Capital Market, we may follow certain home country corporate
governance practices instead of certain NASDAQ requirements.
As a foreign private issuer whose shares are listed on the NASDAQ Capital Market, we are permitted to follow certain home country corporate
governance practices instead of certain requirements of The NASDAQ Stock Market Rules. Among other things, as a foreign private issuer we may
follow home country practice with regard to the composition of the board of directors, director nomination procedure, and quorum at shareholders’
meetings. In addition, we may follow our home country law, instead of the NASDAQ Stock Market Rules, which require that we obtain shareholder
approval for certain dilutive events such as for the establishment or amendment of certain equity based compensation plans, an issuance that will result in
a change of control of the company, certain transactions other than a public offering involving issuances of a 20% or more interest in the company, and
certain acquisitions of the stock or assets of another company. A foreign private issuer that elects to follow a home country practice instead of NASDAQ
requirements must submit to NASDAQ in advance a written statement from an independent counsel in such issuer’s home country certifying that the
issuer’s practices are not prohibited by the home country’s laws. In addition, a foreign private issuer must disclose in its annual reports filed with the SEC
each such requirement that it does not follow and describe the home country practice followed by the issuer instead of any such requirement.
Accordingly, our shareholders may not be afforded the same protection as provided under NASDAQ’s corporate governance rules
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We currently do not have a majority of independent directors serving on our Board of Directors, which may afford less protection to
our shareholders than if our Board of Directors had a majority of independent directors.
As of the date of this annual report, a majority of our directors did not satisfy the standards for independence as specified by the SEC and the
listing standards of the NASDAQ Stock Market pursuant to which we evaluate director independence. If our Board of Directors is not made up of a
majority of independent directors, there may be a lower level of oversight on executive management, and our Board of Directors may be influenced by
the concerns, issues or objectives of management, including compensation and governance issues, to a greater extent than would occur with a majority of
independent directors. As a result, the composition of our Board of Directors may afford less protection to our shareholders than if our Board of Directors
were composed of a majority of independent directors.
A lack of independent directors may also make it difficult to create board committees meeting the requirements of our board committee charters
and the NASDAQ Rules pursuant to which we evaluate director independence. Historically, we have strived to have an audit committee comprised of at
least three independent directors and other board committees comprised solely of independent directors. Currently, our audit committee has only two
members, both of who are independent under the NASDAQ Rules and applicable SEC requirements. Due to the lack of independent directors, it may be
difficult to establish effective operating board committees comprised of independent members to oversee committee functions. This structure gives our
executive officers additional control over certain corporate governance issues, including compensation matters and audit issues for internal control and
reporting purposes, with more limited oversight of our executive officers’ decisions and activities.
Australian takeovers laws may discourage takeover offers being made for us or may discourage the acquisition of large numbers of our
ordinary shares.
We are incorporated in Australia and are subject to the takeover’s laws of Australia. Among other things, we are subject to the Australian
Corporations Act 2001, or the Corporations Act. Subject to a range of exceptions, the Corporations Act prohibits the acquisition of a direct or indirect
interest in our issued voting shares if the acquisition of that interest will lead to a person’s voting power in us increasing from 20% or below to more than
20%, or increasing from a starting point that is above 20% and below 90%. Australian takeovers laws may discourage takeover offers being made for us
or may discourage the acquisition of large numbers of our ordinary shares. This may have the ancillary effect of entrenching our board of directors and
may deprive or limit our shareholders’ strategic opportunities to sell their ordinary shares and may restrict the ability of our shareholders to obtain a
premium from such transactions.
Our Constitution and other Australian laws and regulations applicable to us may adversely affect our ability to take actions that could
be beneficial to our shareholders.
As an Australian company we are subject to different corporate requirements than a corporation organized under the laws of the United States.
Our Constitution, as well as the Corporations Act, set forth various rights and obligations that are unique to us as an Australian company. These
requirements operate differently than from many U.S. companies and may limit or otherwise adversely affect our ability to take actions that could be
beneficial to our shareholders. For more information, you should carefully review the summary of these matters set forth under the section entitled, “Item
10.B - Additional Information - Memorandum and Articles of Association” as well as our Constitution.
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ITEM 4. INFORMATION ON THE COMPANY
A.
HISTORY AND DEVELOPMENT OF THE COMPANY
Our legal and commercial name is Alterity Therapeutics Limited (formerly Prana Biotechnology Limited). We were incorporated under the laws
of the Commonwealth of Australia on November 11, 1997 and began limited operations shortly thereafter. On April 8, 2019, we changed our name to
Alterity Therapeutics Limited. Our registered and principal executive office is located at Level 14, 350 Collins Street, Melbourne, Victoria, 3000,
Australia and our telephone number is +-61-3-9349-4906. Our website address is www.alteritytherapeutics.com. The information in our website is not
incorporated by reference into this annual report.
Alterity’s mission from inception was to treat neurodegenerative diseases and its mission has remained focused on this class of diseases.
Alterity is developing first-in-class therapies to treat neurodegenerative diseases. Our lead drug candidate, ATH434, is designed to block the
accumulation and aggregation of α-synuclein, a protein implicated in neurodegeneration. ATH434 has been shown preclinically to redistribute excess
labile iron in the central nervous system (CNS), reduce α-synuclein aggregation and preserve neurons and support cells, to stabilize or improve function.
In this way, it has potential to treat iron-mediated diseases including Parkinson’s disease as well as Multiple System Atrophy (MSA), a rare Parkinsonian
disorder. ATH434 has been granted Fast Track designation by the US FDA in MSA. The Fast Track Designation is intended to facilitate and expedite the
development and review of new drugs for serious conditions with unmet medical needs. The company has also been granted Orphan drug designation for
ATH434 for the treatment of MSA by both the US FDA and European Commission. The exclusivity conferred by the Orphan drug designation is
expected to persist beyond the term of the patents comprising the ATH434 global patent portfolio.
In MSA, two Phase 2 clinical trials have been completed with topline results reported in the randomized, double-blind, placebo-controlled Phase
2 study.
Our technology is the outcome of many years of intense research from leading scientists in neurodegenerative disorders and other diseases.
Beginning with the discovery and patenting of our initial clinical drug candidate, PBT2, the company continued to apply its expertise to inventing and
patenting novel molecules with potential to treat neurodegenerative diseases which resulted in ATH434.
In 2019 and 2020, we invented next generation iron chaperones, a technology designed to redistribute excess labile iron in the central nervous
system including for the treatment of Parkinson’s disease and related disorders. These compounds are the subject of composition of matter claims in
patent families which either are filed in countries and regions that represent the commercially significant economies or are earmarked to be filed in those
countries.
In 2021, we invented next generation zinc ionophores, a technology capable of modulating zinc for the treatment of various diseases such as
cancer, neurological diseases and infectious diseases. These compounds are the subject of composition of matter claims in a patent family which is
earmarked for filing in countries and regions that represent the commercially significant economies.
Our technology has progressed to create a diversified library of chemical compounds and we continue to strengthen our intellectual property
portfolio with new patents generated by our discovery and research efforts. This may yield future product candidates across various neurodegenerative
and other indications.
Since inception, we have not been required to invest material amounts for capital expenditures since our development efforts have taken place at
research facilities operated by institutions with which we have relationships. In the three fiscal years ended June 30, 2025, our capital expenditures have
totalled A$13,033.
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B.
BUSINESS OVERVIEW
Alterity’s Background
Our technology has been developed over an extended period and continues to develop through the collaborative efforts of highly regarded
scientists, company employees as well as representatives of research institutions in this field.
Since completing our initial public offering and listing process of our ordinary shares on the ASX on March 28, 2000, we have concentrated our
resources toward the pursuit of neurological diseases and creation of a chemical library of proprietary molecules. Currently, our research and clinical
development efforts are primarily focused on Parkinson’s disease and related disorders where we are identifying and developing novel compounds that
address the underlying pathology of these disorders by binding and redistributing excess labile iron, reducing alpha-synuclein (or α -synuclein)
aggregation, and rescuing neurons in the brain.
Our clinical development program is led by two Phase 2 clinical trials in Multiple System Atrophy, or MSA, a rare Parkinsonian disorder with
no approved treatments that address the underlying pathology of the disease. We have also conducted a Natural History Study in MSA and have a
preclinical program in Parkinson’s disease.
In addition, we have a robust discovery platform with over 1000 validated compounds from different chemical scaffolds in our chemical library.
Since 2009, our chemistry program is undertaken within laboratories leased from The University of Melbourne’s Bio21 Molecular Science and
Biotechnology Institute, which is a multidisciplinary research center that specializes in medical, agricultural and environmental biotechnology.
Accommodating more than 500 research scientists, students and industry participants, the Bio21 Institute is one of the largest biotechnology research
centers in Australia.
Candidate product discovery and translational Biology Programs
Alterity’s intellectual property is considered “platform technology” based on our approach that a broad spectrum of neurodegenerative and age-
related diseases can be addressed by targeting the interrelationship of metals and proteins. Historically, the majority of our research efforts have been
directed at research into potential therapeutics for the treatment of Parkinsonian disorders, Alzheimer’s disease, and Huntington disease. Published data
together with our initial findings have provided strong indications that the pathology for other certain age-related and degenerative disorders may also be
based on the interaction between certain metals and proteins, and we believe that the platform technology may also be applicable for certain cancers, age-
related macular degeneration, diabetes mellitus, cardiovascular disease and other neurodegenerative diseases.
To date, we have performed in vivo evaluations of our product candidates in a range of animal models of disease including Parkinsonian
disorders, Alzheimer’s disease, Huntington disease, and brain cancer.
Product candidates are selected from our chemical library on the basis of rational drug design. Product candidates are designed to fulfil very
specific criteria such as oral bioavailability, ability to cross the blood-brain barrier, and demonstrate significant effectiveness in both nonclinical in vitro
and in vivo testing.
To increase the depth and breadth of our pipeline into new neurodegenerative indications, we have continued to develop our ‘two tier’
Translational Research program structure. The first tier encompasses core new chemical entity design, synthesis and characterization, the ‘discovery
phase’ of the new entities as potential novel agents of interest based on their mechanism of action profile. Our discovery research has established
Structure Activity Relationships (“SAR”) within chemical moieties that guide our chemists towards the design of novel therapeutics. The discovery phase
also includes preliminary bioavailability and metabolic characterization. The second tier comprises ‘translational’ animal modeling programs to test and
validate new candidates as potential development product candidates.
Our chemical library currently includes more than 1000 novel compounds. Using SAR that has been developed over years of testing and
validation by Alterity scientists, new compounds have been generated that retain functionality across diverse and novel chemical scaffolds.
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New compounds from various scaffolds are synthesized and mechanistically profiled. These compounds are initially screened for activity in
biological systems relevant to the candidate diseases of interest. New screens are investigated and assessed for their ability to intercede in the steps
thought to underly the pathogenesis of target diseases. Such steps include pathologic protein aggregation and downstream activities such as oxidative
stress and cell death. Promising candidates arising from the Translational Research program may be progressed as back up compounds in Parkinson’s
disease and/or new indications in neurodegeneration.
We continue to strengthen our intellectual property portfolio with new patents that will be instrumental in supporting Alterity’s drug
development portfolio.
Our Target Neurodegenerative Diseases
Multiple System Atrophy
We believe that drug candidates in our library affect the aggregation of the proteins implicated in the pathology of neurodegenerative diseases
including Parkinson’s disease and related movement disorders such as MSA.
Currently, we are primarily focusing on the treatment of Parkinsonian disorders, a group of neurodegenerative disorders which have
parkinsonism as a feature.
Parkinsonism is a general term for slowed movement, stiffness and tremor, which occurs most commonly in Parkinson’s disease and also in less
common Parkinsonian disorders such as MSA and dementia with Lewy bodies, among others. These Parkinsonian disorders have a limited response to
available drugs for treating symptoms of Parkinson’s disease and prominent non-motor symptoms.
MSA is a rare, neurodegenerative disease characterized by failure of the autonomic nervous system and impaired movement. The symptoms
reflect the progressive loss of function and death of different types of neurons in the brain and spinal cord. It is a rapidly progressive disease which causes
profound disability. It is sporadic (not inherited) and typically presents in individuals between 50 and 60 years old. MSA is characterized by a variable
combination of Parkinsonism, autonomic instability that affects involuntary functions such as blood pressure maintenance and bowel/bladder control, and
impaired balance and/or coordination that predisposes to falls. A pathological hallmark of MSA is the accumulation of the protein α-synuclein within
glia, the support cells of the central nervous system, and neuron loss in multiple brain regions. According to the U.S. National Institutes of Health, MSA
affects up to 50,000 individuals in the U.S., thus it is considered an Orphan Disease. While some of the symptoms of MSA can be treated with
medications, currently there are no drugs that are able to slow disease progression and there is no cure.
Because early MSA is not well characterized, Alterity conducted a natural history study called “Biomarkers of progression in Multiple System
Atrophy (bioMUSE)” to track the progression of patients with MSA. The study was conducted in collaboration with Vanderbilt University Medical
Center in the U.S. under the direction of Daniel Claassen, MD, Professor of Neurology and Principal Investigator. Natural history studies are important
for characterizing disease progression in selected patient populations. The study provided vital information on early stage MSA patients, enabling the
selection of biomarkers suitable for evaluation of target engagement and preliminary efficacy of drug candidates, and clinical data to characterize disease
progression in patients that mirrored those enrolled in Alterity’s ATH434-201 Phase 2 clinical trial. To date, the study has provided rich data for
optimizing the design of Alterity’s clinical program (see below).
Alterity’s lead candidate, ATH434, is a small molecule drug candidate designed to inhibit the aggregation of pathological proteins implicated in
neurodegeneration. ATH434 has been shown preclinically to reduce α-synuclein pathology and preserve nerve cells by restoring normal iron balance in
the brain. In this way, it has potential to treat Parkinson’s disease and related disorders such as MSA.
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A comprehensive nonclinical program to evaluate ATH434’s profile to support clinical development is ongoing. ATH434 has also been profiled
in mouse models of Parkinsonian disorders, including MSA. In one animal model, ATH434 prevented α-synuclein aggregation and preserved neurons in
the substantia nigra and decreased the number of glial cell inclusions in the brains of treated animals. Glial cell inclusions are the pathological hallmark
of MSA and contain abundant aggregated α-synuclein that is associated with neurodegeneration. The benefits shown on pathological examination were
associated with improved motor function in treated animals.
Nonclinical safety pharmacology and toxicology studies of ATH434 that have been reviewed by regulatory authorities support clinical
administration at doses predicted to provide efficacy in MSA.
We successfully completed Phase 1 clinical studies with ATH434 demonstrating that it is well tolerated, orally bioavailable, and achieved brain
levels comparable to efficacious levels in animal models of MSA. During FY 2025 we also successfully completed two Phase 2 clinical trials with
ATH434 (see below). ATH434 has been granted Orphan designation by the FDA and the European Commission and has received a Fast Track
designation from the FDA for the treatment of MSA.
Parkinson’s Disease
Parkinson’s disease, a neurodegenerative disease of the aging population, causes a progressive slowing of movement, tremors and the loss of
fine motor control due to the death of substantia nigra cells in the brain. These cells produce the neurotransmitter dopamine in the brain, which is
required for normal motor control. Existing therapies, such as dopaminergic agents, may provide symptomatic relief, but do not address the underlying
pathology of the disease.
During 2009 and 2010, our lead Parkinson’s disease treatment candidate emerged, ATH434 (described below), based on significant
improvement in motor function and coordination in both models. Importantly, ATH434 demonstrated improved relevant indices when administered after
toxins had destroyed significant amounts of substantia nigra nerve cells, indicating that the compound can preserve normal neuronal function.
Mechanistic work during this period demonstrated that ATH434 reduced the aggregation of toxic α-synuclein species as well as markers of oxidative
stress.
Since 2011, we have continually progressed our understanding of the mechanism of action of ATH434 and its potential to treat other movement
disorders characterized by the aggregation of α-synuclein. Our non-clinical research and development activities in Parkinson’s disease were supported by
a USD $206,000 grant from the New York-based Michael J. Fox Foundation entitled, ‘ATH434, a Novel Neuroprotective Drug For Parkinson’s Disease;
Completion of Pre-Clinical Studies to Enable Human Clinical Trials.’
In 2017, Doctors Finkelstein, Cherny and colleagues published data indicating that ATH434 prevented cell death in the substantia nigra in a
dose-dependent manner. The data also demonstrated the therapeutic potential of ATH434 to slow neurodegeneration with results in multiple Parkinson’s
disease models, including a transgenic model of Parkinson’s disease (A53T) in which mice over-expressed the α-synuclein protein. In A53T mice,
animals treated with ATH434 exhibited significantly increased numbers of s. nigra neurons and a significant reduction in insoluble α-synuclein and
incidence of clasping behavior. Encouragingly, these results showed that ATH434 lowered α-synuclein, preserved neurons and simultaneously improved
motor performance. The paper was entitled, “The novel compound ATH434 prevents iron mediated neurodegeneration and α -synuclein toxicity in
multiple models of Parkinson’s disease” and was published in Acta Neuropathol Comm.
In February 2021, the Michael J. Fox Foundation awarded Alterity a second grant, entitled “Pharmacologic Evaluation of ATH434 in a
Hemiparkinsonian Nonhuman Primate Model for Dose Optimization in PD Clinical Trials” in the amount of USD $495,000. The goal of the study was to
evaluate the pharmacologic profile of ATH434 for determining the optimal doses of ATH434 for future Parkinson’s disease clinical trials. The study was
completed in late 2023.
Multiple presentations have been delivered on ATH434 in Parkinson’s Disease:
In December 2023, we announced that promising new data on the effect of ATH434 in a Parkinson’s disease primate model was presented at the
Future of Parkinson’s Disease Conference 2023. The poster, entitled, “Effects of ATH434, a Clinical-Phase Small Molecule with Moderate Affinity for
Iron, in Hemiparkinsonian Macaques”, was presented in collaboration from Vanderbilt University Medical Center and the Florey Institute of
Neuroscience in Melbourne. The presentation showed that ATH434 can reduce parkinsonism in a higher order animal, the monkey, with symptoms that
closely parallel human disease. ATH434 treatment improved motor performance and general function in monkeys with experimentally induced
Parkinson’s disease. Importantly, these improvements were associated with reductions in abnormal iron in affected brain regions. These favorable
parkinsonian outcomes observed in the ATH434-treated monkeys were also associated with increased levels of striatal synaptophysin, a protein marker
that reflects functional connections between neurons, suggesting functional recovery of nerve endings in this critical motor pathway. The data was also
presented in September 2024 at the International Congress of Parkinson’s Disease and Movement Disorders (MDS), Title: “Effects of ATH434, a
Clinical-Phase Small Molecule with Moderate Affinity for Iron, in Hemiparkinsonian Macaques”
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In September 2022, the peer-reviewed journal, Neurotherapeutics, published data that demonstrated ATH434 was neuroprotective in a genetic
model of Parkinson’s disease (PD). The publication, entitled “ATH434 Rescues Pre-motor Hyposmia in a Mouse Model of Parkinsonism” assessed the
impact of ATH434 on motor and non-motor deficits in mice with genetically induced PD. Hyposmia, defined as reduced sensitivity to odor, is an early
and common non-motor symptom of PD that precedes the typical motor symptoms by several years, occurring in approximately 90% of early-stage cases
of PD. The study found that ATH434 prevented a loss of smell in the younger mice and rescued it in older mice. More importantly, the authors also
demonstrated that ATH434 prevented the development of motor impairment in older animals, which was associated with a reduction in iron levels and
preservation of neurons in the substantia nigra, the brain region affected in Parkinson’s. These data support other studies indicating that ATH434 has a
beneficial effect on the motor and non-motor symptoms in animal models of PD.
In October 2021, The Journal of Parkinson’s Disease published the results from a preclinical study investigating the effect of ATH434 on
gastrointestinal complications titled “ATH434 Reverses Colorectal Dysfunction in the A53T Mouse Model of Parkinson’s Disease”. Non-motor
symptoms are common in patients with Parkinsonian disorders, such as Parkinson’s disease and MSA. Parkinson’s disease patients experience
gastrointestinal complications, cognitive deficits, autonomic dysfunction, and mood disturbance and these non-motor manifestations are an important
source of morbidity and reduced quality of life.
Friedreich’s Ataxia
In April 2024, a poster was presented at the World Orphan Drug Congress, entitled “Biophysical Characteristics of ATH434, a Unique Iron-
Targeting Drug for Treating Friedreich’s Ataxia”. The study evaluated the ability of ATH434 to target the toxic form of iron that drives the pathology of
Friedreich’s Ataxia, a rare neurodegenerative disease that affects young children to young adults. The study also evaluated traditional iron chelators that
are designed to bind iron and remove iron from the body. Conversely, an iron chaperone is designed to bind and redistribute iron within the body. The
results confirmed that ATH434 has properties consistent with a chaperone. These studies were published in the peer-reviewed journal Metallomics
entitled “ATH434, a promising iron-targeting compound for treating iron regulation disorders”.
Alzheimer’s disease
PBT2 was our product candidate for Alzheimer’s disease. The drug candidate is orally bioavailable and has been shown to cross the blood-brain
barrier. While PBT2 was found to be well tolerated in Phase 1 and Phase 2a trials, a Phase 2 trial did not meet its primary endpoint and the program was
ended.
In March 2023, we announced a sub-licensing agreement for PBT2 to Professor Colin Masters, M.D., A.O., to advance compounds for the
treatment of Alzheimer’s and related diseases. Under the license agreement, Alterity granted the entire rights to the acyl hydrazone patent protecting
novel zinc modulators mentioned above, as well as an exclusive worldwide license to develop and commercialize both the novel zinc modulators and
PBT2 in Alzheimer’s disease. In exchange, Alterity is entitled to future royalties of net sales from the assets.
Huntington’s disease
PBT2 was also evaluated as a treatment for Huntington’s disease. Preclinically, PBT2 has demonstrated efficacy in the R6/2 mouse model of
Huntington disease. In 2012 a Phase 2 trial to test PBT2 in patients with Huntington disease over six months was undertaken under an U.S. IND
application and achieved its primary objective with PBT2 being demonstrated as safe and well tolerated. During 2015 and 2016, three new PBT2 Phase 1
trials were completed providing further safety, pharmacokinetic and pharmacodynamic information on PBT2. In 2015 we reported that the FDA had
placed PBT2 on Partial Clinical Hold, based on toxicology findings that limited the dose of PBT2 that could be used in future trials.
Non-neurodegenerative applications
Antibiotic Resistance
In December 2020, Alterity acquired an exclusive world-wide license from UniQuest, the commercialisation company of The University of
Queensland (UQ), for the development and commercialisation of novel zinc ionophore technology to combat antimicrobial resistance in superbugs.
Under the license, Alterity has the rights to develop and commercialise therapies that re-sensitize bacteria to antibiotics. The licensed technology
combines Alterity’s PBT2 and other zinc ionophores with commonly used antibiotics to treat infections caused by multidrug resistant bacteria. A
published article in the high-impact journal Science Translational Medicine, showed that PBT2 could reverse antibiotic resistance to critical superbugs
and demonstrate efficacy in an animal model of sepsis.
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Clinical Trials for Our Product Candidates
Our Current Pipeline
ATH434
In July 2019 we announced the completion of a clinical trial evaluating the safety and pharmacokinetics of ATH434 in healthy volunteers. The
Phase 1 study, conducted in Australia, recruited 80 adult volunteers which included ten elderly people (over 65 years) with the key goals of assessing the
safety, tolerability and drug disposition within the body (pharmacokinetics) of ATH434 after single and multiple oral dose administration.
The volunteers in the single ascending dose phase of the study, made up of four individual dose levels in ascending order, received a single oral
dose of ATH434 and a blood sampling over the next 72 hours. In the multiple ascending dose phase of the study, volunteers received eight days dosing
with ATH434, administered as three successively higher dose levels, with intensive blood sampling for pharmacokinetics on days 1 and 8. At the two
highest multiple dose levels, cerebrospinal fluid was collected at steady state to determine drug penetration to the site of action in the brain. The older
adults (≥65 years) received the highest dose level for 8 days as well.
The study was successfully completed with systemic exposure to the drug comparable between adult and older adult volunteers. ATH434 was
found to be safe and well tolerated. Adverse event rates were found to be comparable with placebo and no subject experienced a serious adverse event or
an adverse event that led to discontinuation of the study drug.
The clinical data were presented at the American Academy of Neurology Annual Meeting in May 2019. The presentation was based on an
abstract entitled A phase 1 Study of ATH434, a Novel Small Molecule Inhibitor of α-synuclein Aggregation, in Adult and Older Adult Volunteers
published in the journal Neurology. In September 2019, we presented a poster titled: A First in Human Study of ATH434, a Novel Small Molecule
Inhibitor of α-Synuclein Aggregation at the 2019 International Congress of Parkinson’s Disease and Movement Disorders (MDS Congress) in Nice,
France. The poster presented findings from the completed Phase 1 trial based on an abstract published in the journal Movement Disorders.
Alterity applied to the FDA for Orphan Drug designation for the proposed use of ATH434 for the treatment of MSA, and the designation was
granted in January 2019. Orphan designation entitles Alterity to seven years of market exclusivity following approval for the use of ATH434 in the
treatment of MSA and qualifies the sponsor of the drug for various development incentives of the Orphan Drug Act, including tax credits for qualified
clinical testing. In May 2025, ATH434 was granted Fast Track designation by the US FDA in MSA based on trial data. The Fast Track Designation is
intended to facilitate and expedite the development and review of new drugs for serious conditions with unmet medical needs.
In January 2020 it was announced that the European Commission, or EC, granted Orphan Drug designation to ATH434, which entitles Alterity
to ten years of market exclusivity in the European Union, or EU, for the use of ATH434 in the treatment of MSA and other benefits including assistance
in developing clinical protocols, reduced fees and access to EU-funded research grants.
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ATH434-201 Phase 2 Clinical Trial
In July 2022, we commenced our first Phase 2 clinical trial of ATH434 in patients with MSA. The trial, known as ATH434-201, is a
randomized, double-blind, placebo-controlled investigation that explored the effect of ATH434 treatment on clinical and biomarker endpoints. Activity in
the outpatient setting was assessed with wearable movement sensors. The study was expected to enrol 60 adult patients with MSA to receive 12 months
treatment with one of two dose levels (50 mg and 75 mg twice daily) of ATH434 or matching placebo.
In November 2023, we announced completion of enrollment in the ATH434-201 clinical trial. The study enrolled 77 adults with MSA.
In May 2024, we announced that an independent Data Monitoring Committee (DMC) completed its third prespecified review of unblinded
clinical trial data from the ATH434-201 Phase 2 study. Consistent with the first two reviews, the DMC expressed no concerns about safety and
recommended that the study continue as planned without modification. This recommendation is an important milestone as participants were able to safely
tolerate ATH434 as their time on study increased.
In December 2024, we reported the completion of the ATH434-201 study as the last patient finished all clinical evaluations leading to the
announcement of the topline results.
In January 2025, we announced topline results for the trial and have since published additional data supporting the positive results for ATH434
in the treatment of MSA. ATH434 demonstrated significant slowing of clinical progression and a favorable safety profile in MSA. The results show that
ATH434’s targeting of labile iron may have a disease modifying effect. The fact that we achieved statistical significance on the key clinical endpoint,
Modified Unified MSA Rating Scale Part 1 (UMSARS Part 1), is extremely meaningful because it assesses the functional areas affected in MSA and it is
the endpoint needed to support drug approval by the FDA.
In May 2025, additional analyses evaluated the clinical analysis population (n=71) who had at least one post-baseline assessment of the key
clinical endpoint, the modified UMSARS part I activities of daily living scale. On this endpoint, ATH434 demonstrated a clinically significant reduction
in disease severity versus placebo, with a 48% relative treatment effect at the 50 mg dose (p=0.02) and a 30% relative treatment effect at the 75 mg dose
at 52 weeks.
Additional efficacy assessments showed improvement consistent with the UMSARS I findings. The Clinical Global Impression of Severity
Scale demonstrated improvement compared to placebo at both dose levels, with difference at 50 mg achieving nominal statistical significance (p=0.0088).
On the Orthostatic Hypotension Symptom Assessment (a patient reported outcome), on average, placebo patients worsened by approximately 6 points
over 52 weeks whereas both ATH434 treatment groups improved over the same period (p=0.08 at 50 mg, p=0.14 at 75 mg). Baseline differences in
disease severity likely explain the different responses in 50 mg and 75 mg treatment groups.
Increased activity in the outpatient setting was observed at both dose levels as compared to placebo as measured by the wearable sensors utilized
in the trial, with clinically meaningful improvements in step count, bouts of walking, total walking time, and total standing time. ATH434 was well
tolerated with similar adverse event rates compared to placebo and no serious or severe adverse events attributed to ATH434. Regarding neuroimaging in
61 participants, ATH434 demonstrated target engagement by stabilizing or reducing iron accumulation at both dose levels compared to placebo in MSA
affected brain regions. In addition, ATH434 demonstrated trends in reducing brain atrophy at both dose levels compared to placebo. Overall, the study
results support continued advancement of ATH434 for the treatment of MSA.
Multiple presentations have been delivered on the ATH434-201 trial:
●
May 2025 – International MSA Congress, Title: “ATH434 Slowed Disease Progression in a Phase 2 Study in Multiple System Atrophy”
●
April 2025– American Academy of Neurology (AAN), Title: “Topline Data from a Randomized, Double Blind, Placebo Controlled Phase 2
Study of ATH434 in Multiple System Atrophy”
●
April 2025– American Academy of Neurology (AAN), Title: Association Between Wearable Sensor Data and Clinical Scores in Individuals
with Early-stage Multiple System Atrophy”
●
April 2025 – MSA Research Symposium, Title: “A Randomized, Double Blind, Placebo Controlled Study of ATH434 in MSA”
●
September 2024 - International Congress of Parkinson’s Disease and Movement Disorders® (MDS), Title: “A Phase 2 Study of ATH434, a
Novel Inhibitor of α-Synuclein Aggregation, for the Treatment of Multiple System Atrophy”
●
April 2024 – American Academy of Neurology (AAN), Title: “A Phase 2 Study of ATH434, a Novel Inhibitor of α-Synuclein Aggregation,
for the Treatment of Multiple System Atrophy”
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ATH434-202 Phase 2 Clinical Trial
In May 2023, we initiated a second Phase 2 clinical trial entitled, “A Biomarker Study of ATH434 in Participants with MSA”, known as
ATH434-202. The Biomarker trial is a single arm open label study that will enroll up to 15 individuals with advanced MSA. ATH434-202 study
participants received treatment with ATH434 for 12-months. The study was designed to assess the effect of ATH434 treatment on clinical and biomarker
endpoints, safety, and pharmacokinetics. The selected biomarkers include brain iron which is an important contributor to MSA pathology. The primary
objective of this study is to evaluate the impact of 12 months treatment with ATH434 on brain iron by MRI (QSM/R2*).
The 202 study gives us the opportunity to evaluate the effects of ATH434 treatment in an MSA population more advanced than individuals
enrolled in the ATH434-201 study. Individuals with more advanced disease face severe challenges due to the stage of their illness. Data from this study
will help Alterity guide the MSA development program given the differences between the open-label 202 study and the double-blind trial.
In July 2024, we reported positive interim data from the ATH434-202 trial in participants with advanced MSA. The interim analysis included
clinical and biomarker data on 7 participants treated with ATH434 for 6 months and neuroimaging data on 3 participants who were treated for 12 months.
After 6 months of treatment, 43% of participants showed improvement on the UMSARS, indicating reduced disability on activities of daily living. Over
the same period, 29% of participants had stable or improved neurological symptoms (clinical responders) as assessed by the global impression of change
by both the treating physician and the patient. The clinical responders on average had reduced accumulation of iron on MRI in the substantia nigra,
putamen and globus pallidus and stable levels of Neurofilament Light Chain (NFL), a marker of axonal injury, when compared to participants who
declined.
In September 2024, we presented positive interim data from the ATH434-202 trial as both a late-breaking oral presentation and poster session
entitled “Preliminary Efficacy and Safety of ATH434 in Multiple System Atrophy” at the MDS meeting.
In March 2025, we announced that the last patient in the ATH434-202 Phase 2 trial completed the study. Subsequent to the end of the period, in
July 2025, we reported positive topline data that showed ATH434 conferred a clinical benefit on areas of impairment in MSA and stabilized key
biomarkers that underpin the pathology of the disease. Based on the observed clinical and neuroimaging data, ATH434 improved overall neurological
symptoms and slowed disease progression compared to historical data.
Over the 12-month treatment period, disease progression as assessed with UMSARS I was reduced by approximately half as compared to
historical controls. The mean (SD) UMSARS scores increased from baseline to 12 months by 3.5 (4.7) points. These study data compare favorably to
historical data in a similar MSA population, where an increase (worsening) of 6.5 (6.0) points over 12 months was observed. 43% (3/7) of participants
who completed the study had stable UMSARS scores. In addition, 30% of participants reported stable neurological symptoms over the course of the
study. On the important symptom of orthostatic hypotension, ATH434 on average stabilized low blood pressure symptoms in study participants.
Biomarker endpoints were used to evaluate potential drug effect and target engagement. Neuroimaging outcomes indicate that ATH434 slowed
brain atrophy in MSA affected areas, as measured by the MSA Atrophy Index (MSA-AI), when compared to placebo-treated participants in Study 201.
Moreover, the effects on brain volume were comparable to those observed in participants in the 75 mg dose group in Study 201. In addition, ATH434 led
to lower iron accumulation in the putamen and globus pallidus as compared to placebo treated patients in Study 201, providing further evidence of target
engagement.
ATH434 was well tolerated with no serious adverse events related to ATH434 reported, and most adverse events were mild to moderate in
severity.
Importantly, the aggregate data indicates that ATH434 has similar clinical efficacy in this advanced MSA population as was observed in the
earlier stage patients in Study ATH434-201. These outcomes are potentially promising as stabilization of MSA symptoms is unexpected in this patient
population.
bioMUSE natural history study for individuals with MSA
Biomarkers of progression in Multiple system atrophy (bioMUSE) is a natural history study to track the progression of individuals with early
MSA. The study was conducted in collaboration with Vanderbilt University Medical Center in the US under the direction of Daniel Claassen, MD,
Professor of Neurology and Principal Investigator. Natural history studies are important for characterizing disease progression in target patient
populations. The goal of the bioMUSE observational study was to optimize patient selection and choose endpoints in our Phase 2 clinical trials, and the
data generated was invaluable in informing and reducing risk in these trials.
In May 2024, we hosted a webinar to discuss data from the bioMUSE Natural History Study. The study enrolled 21 individuals who were
observed for 12 months to characterize early-stage MSA in terms of various biomarkers. In particular, the focus is on brain iron, brain volume, and the
pathology in glial support cells. Utilizing novel MRI technology, Alterity’s partners at Vanderbilt have optimized specialized MRI methods, including
machine learning (a form of artificial intelligence), to establish standardized methods to analyze brain iron and brain volumes with precision. Importantly,
they developed a new, novel imaging biomarker to assess brain volume in MSA affected regions. The bioMUSE data showed a statistically significant
increase in iron over 12 months in the substantia nigra, and statistically significant decreases in brain volume observed in affected regions at 12 months.
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Key data from bioMUSE have been presented at major medical and scientific meetings listed below. The study continues to generate important
scientific data validating our state-of-the-art approach to utilizing various biomarkers to improve the accuracy of diagnosing MSA. Advanced MRI
methods employed in the study, referred to as quantitative susceptibility mapping (QSM), have allowed us to measure iron accumulation in multiple areas
of the brain affected in MSA patients. Similarly, standardized methods have been established to analyze brain volumes with precision.
Findings to date indicate that advanced MRI methods for measuring iron may improve patient selection in clinical trials of disease modifying
therapy and have potential to serve as a biomarker for assessing treatment induced changes. Analysis also demonstrated that wearable sensors can
quantify motor impairment in individuals with MSA that is not captured by neurological examination. This means that wearable sensors can be used to
assess disease progression in clinical trials.
Multiple publications and presentations have been delivered on the bioMUSE natural history study:
●
July 2025 – Annals of Clinical and Translational Neurology, Title: “The MSA Atrophy Index (MSA-AI): An Imaging Marker for Diagnosis
and Clinical Progression in Multiple System Atrophy
●
May 2025 – International MSA Congress, Title: “MSA Atrophy Index (MSA-AI): A Quantitative Imaging Marker for Diagnosis and
Monitoring of Multiple System Atrophy”
●
May 2025 – International MSA Congress, Title: “Cutaneous Phosphorylated Alpha-Synuclein Deposition Informs Autonomic Function in
Individuals with Early-Stage Multiple System Atrophy”
●
November 2024 - International Symposium on the Autonomic Nervous System, Title: “The MSA Atrophy Index: A Marker of Clinical
Progression in Multiple System Atrophy”
●
September 2024 - International Congress of Parkinson’s Disease and Movement Disorders (MDS), Title: “Association Between Clinical
Progression in Multiple System Atrophy and Brain Volume Changes Evaluated via Deep Learning Segmentation”
●
April 2024 – American Academy of Neurology (AAN), Title: “Neurofilament Light Chain and Clinical Progression in Early Multiple
System Atrophy”
●
November 2023 – American Autonomic Society (AAS) 34th International Symposium on the Autonomic Nervous System, Title:
“Relationship between N-acetylaspartate and neurofilament light chain in multiple system atrophy”
●
August 2023 – International Congress of Parkinson’s Disease and Movement Disorders (MDS), Titles: “A multimodal approach for
diagnosis of early Multiple System Atrophy”; “Preliminary evidence for evolution of myoinositol and N-acetylaspartate as biomarkers of
disease severity in early-stage Multiple System Atrophy”
●
April 2023 - American Neurological Association, Title: “Wearable Sensors for Quantitative Motor Assessments in MSA”
●
November 2022 - American Autonomic Society, Title: “Urinary symptom profile in early Multiple System Atrophy”
●
October 2022 - American Neurological Association, Title: “Deep Learning Segmentation Improves Precision of Volume Assessment of
Subcortical Structures in early MSA”
●
April 2022 - American Academy of Neurology, Title: “Iron Accumulation Correlates with Disease Severity in Patients with Multiple
System Atrophy”
●
September 2021 - The International Parkinson and Movement Disorder Society Congress, Title: “Non-invasive imaging markers of iron
accumulation in Multiple System Atrophy”
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ATH434 Scientific Peer Validation
Scientific interest in ATH434 and validation of our approach to treating neurodegenerative diseases continue to grow, with data from ATH434
presented at global scientific and clinical conferences.
In November 2024, the peer-reviewed journal Metallomics published data on the importance of iron and iron-targeting agents like ATH434 to
treat neurodegenerative diseases. The publication, entitled “ATH434, a promising iron-targeting compound for treating iron regulation disorders”,
demonstrates the novel way in which ATH434 targets the labile, or reactive, form of iron which can be so damaging to cells when in excess. The iron
binding properties of ATH434 presented in the publication support the characterization of ATH434 as an iron chaperone. The publication also describes
how ATH434 targets the toxic form of iron that drives the pathology of a rare neurodegenerative disease known as Friedreich’s Ataxia. This toxic form of
iron is also involved in the pathogenesis of Parkinson’s disease and MSA.
In October 2024, promising new data related to ATH434 were presented at the Society for Neuroscience 2024 that further the understanding of
ATH434’s potential as a disease modifying treatment for neurodegenerative diseases, including Parkinson’s disease and related disorders. The poster
presentation, entitled “Potent Antioxidant and Mitochondrial-protectant Effects of ATH434, a Novel Inhibitor of α-Synuclein Aggregation with Moderate
Iron-binding Affinity,” demonstrated that the neuroprotective and mitochondrial protectant properties of ATH434 include reducing lipid damage in two
distinct and disease-relevant neuronal injury models. ATH434’s antioxidant properties were distinguished from those of another iron binding agent
approved for treating iron overload.
In November 2023, a poster was presented at the Society for Neuroscience, entitled: “Potent Antioxidant and Mitochondrial- protectant Effects
of ATH434, a Novel Inhibitor of α-Synuclein Aggregation with Moderate Iron- binding Affinity”. The study presented new data indicating that ATH434
can preserve mitochondrial function after oxidative injury and exert direct anti-oxidant activity independent of its iron binding properties, features that
were not observed with another iron binding agent approved for treating iron overload that was also investigated.
In January 2022, data in an animal model of MSA was published in the Journal of Parkinson’s Disease. The publication, entitled, “The
Compound ATH434 Prevents Alpha-Synuclein Toxicity in a Murine Model of Multiple System Atrophy” described a study evaluating the efficacy of
ATH434 in genetically altered mice that develop manifestations of MSA. The investigation demonstrated that in the studied brain region, ATH434
treatment reduced both the toxic oligomeric and aggregated forms of α-synuclein, a central nervous system protein important for normal function of nerve
cells. ATH434 treatment also reduced the cardinal pathology of MSA (glial cell inclusions), reduced brain iron, preserved neurons, and improved motor
performance. The results independently confirmed the previous findings from a study published in Movement Disorders in 2021. The 2022 publication
concluded that ATH434 is a promising small molecule drug candidate that has potential for treating MSA. The study was led by David I. Finkelstein,
Ph.D., Head of Parkinson’s Disease Laboratory at the Florey Institute of Neuroscience and Mental Health and the University of Melbourne.
In November 2021, a poster was presented at the American Autonomic Society 32nd Annual International Symposium. The poster, entitled
“Cardiovascular safety and pharmacokinetics of ATH434, a novel small molecule inhibitor of α-synuclein aggregation, in adults and older adults,
described results from the Phase 1 clinical trial conducted in healthy volunteers. In this trial, ATH434 was well tolerated in adult and ≥ 65- year-old
volunteers and demonstrated no cardiac adverse event signal and no clinically significant changes in blood pressure or heart rate at any dose. ATH434
also demonstrated dose dependent pharmacokinetics (PK) after single and multiple oral doses and a half-life that supports twice-daily dosing.
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In July 2021, Plos ONE published an in vitro study concluding that the novel mechanism of action of ATH434 provides a compelling case for its
continued development as a therapeutic agent in neurodegenerative diseases associated with iron accumulation.
In June 2021, Movement Disorders, published results from a study demonstrating that ATH434 reduces α-synuclein related neurodegeneration in
a widely accepted murine model of MSA. The study was performed at the Laboratory for Translational Neurodegeneration Research, Department of
Neurology, Medical University of Innsbruck in Austria, a leading laboratory of animal research in MSA, under the direction of Professor Nadia
Stefanova. The pre-clinical study showed that treatment with ATH434 was neuroprotective and improved motor function.
Patents and Licenses
Patent Matters
Patent matters in biotechnology are highly uncertain and involve complex legal and factual questions. Accordingly, the availability and breadth
of claims allowed in biotechnology and pharmaceutical patents cannot be predicted. Statutory differences in patentable subject matter may limit the
protection we can obtain on some or all of our inventions outside Australia or prevent us from obtaining patent protection outside Australia, either of
which could adversely affect our business, financial condition and results of operations. For example, methods of treating humans are not patentable in
many countries outside Australia and the United States. Moreover, since patent applications are not published until at least 18 months from their first
filing date and the publication of discoveries in the scientific literature often lags behind actual discoveries, we cannot be certain that we or any of our
licensors were the first creator of inventions covered by pending patent applications or that we or our licensors were the first to file patent applications for
such inventions. Additionally, the grant and enforceability of a patent is dependent on a number of factors that may vary between jurisdictions. These
factors may include the novelty of the invention, the requirement that the invention not be obvious in the light of prior art (including prior use or
publication of the invention), the utility of the invention, and the extent to which the patent clearly describes the best method of working the invention.
While we intend to seek patent protection for our therapeutic candidate products and technologies, we cannot be certain that any of the pending
or future patent applications filed by us or on our behalf will be granted, or that we will develop additional proprietary products or processes that are
patentable or that we will be able to license any other patentable products or processes. We also cannot be certain that others will not independently
develop similar products or processes, duplicate any of the products or processes developed or being developed by us or licensed to us, or design around
the patents owned or licensed by us, or that any patents owned or licensed by us will provide us with competitive advantages. Furthermore, we cannot be
certain that patents held by third parties will not prevent the commercialisation of products incorporating the technology developed by us or licensed to
us, or that third parties will not challenge or seek to narrow, invalidate or circumvent any of the issued, pending or future patents owned or licensed by us.
Our commercial success will also depend, in part, on our ability to avoid infringement of patents issued to others. If a court of competent
jurisdiction determines that we were infringing any third party patents, we could be required to pay damages, alter our products or processes, obtain
licenses or cease certain activities. We cannot be certain that the licenses required under patents held by third parties would be made available on terms
acceptable to us or at all. To the extent that we are unable to obtain such licenses, we could be barred from the development, export, manufacture or
commercialisation of the product requiring such license or encounter delays in product introductions while we attempt to design acceptable alternatives to
such patents, and any of these circumstances could adversely affect our business, financial condition and results of operations.
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We may have to resort to litigation to enforce any patents issued or licensed to us or to determine the scope and validity of third-party
proprietary rights. Such litigation could result in substantial costs and diversion of effort by us. We may have to participate in opposition proceedings
before the Australian Patent and Trademark Office or another foreign patent office, or in interference proceedings declared by the U.S. Patent and
Trademark Office, to determine the priority of invention for patent applications filed by competitors. Any such litigation, interference or opposition
proceeding, regardless of outcome, could be expensive and time consuming, and adverse determinations in any such proceedings could prevent us from
developing, manufacturing or commercializing our products and could adversely affect our business, financial condition and results of operations.
In addition to patent protection, we rely on unpatented trade secrets, know-how and other confidential information as well as proprietary
technological innovation and expertise. Although we have taken steps to protect our trade secrets and unpatented know-how, including entering into
confidentiality agreements with third parties, and confidential information and inventions agreements with employees, consultants and advisers, third
parties may still obtain this information or come upon this same or similar information independently.
Patent Portfolio
Since July 1, 2024, we have continued to advance our patent portfolio that aligns with our development programs.
We previously reported the filing of a patent family claiming over 150 imidazo[l,5-a]pyridine compounds that modulate biological iron and are
potentially useful for the treatment of neurological diseases such as Parkinson’s disease and Alzheimer’s disease. The patent was filed under the United
States expedited review procedure, known as Track One, and we announced allowance of the United States application No. 16/818,641 on November 16,
2020 and its granting on July 1, 2021. In securing the patent grant, no prior art was cited against the application. A national phase application driving
priority from PCT application, No. PCT/AU2020/050235 was filed in September 2021 in each of Europe, Japan, China, Canada, Australia and India. On
August 23, 2023, a European Patent was granted, patent number 3938364. An appeal to a rejection was filed in Japan in March 2025.
We also previously reported that on June 18, 2020, we filed a provisional application to register a patent that claims an additional 80 novel
compounds, also that modulate biological iron and also titled “Compounds for and Methods of Treating Diseases”. This application matured to a PCT
application No. PCT/AU2021/050633 on June 18, 2021. Similar to the first mentioned patent application, contemporaneously with filing the PCT
application on April 23, 2021, we also filed United States complete, application No. 17/239,375, under Track One. We announced allowance of the
United States application on August 4, 2021, and in securing the allowance, no prior art was cited against the application. On October 26, 2021, the
application was granted as US patent no. 11155547. The application is currently under examination in Europe. An application has been filed in Australia
and awaits examination. The filed application is in the examination process in the European Patent Office and Japan.
On August 27, 2021, we filed a PCT application No. PCT/AU2021/050,986 to register a patent that claims an additional 150 novel compounds,
all of which modulate biological Zinc for the potential treatment of cancer, neurological diseases and infectious diseases, and is titled “Compounds for
and Methods of Treating Diseases”. On the same date we also filed a United States complete application, application No. 17/459854, under United States
track 1 expedited review procedure. The patent was granted in the US on February 23, 2023, patent number 11603364. This patent was transferred to
Adjuvant Therapeutics in March 2023 as noted above.
On September 24, 2023, we filed a provisional application in the USA to register a patent that claims a method of use ATH434 and related
compounds in non-neurologic diseases. The application was filed in the US as PCT/AU2024/051009 in September 2024. Responses to a subsequent
search report will be addressed prior to March 2026.
On July 12, 2024, we filed a provisional application No. 63/670299 to register a patent that claims a dosing method for use by ATH434 for the
treatment of neurological disease supported by clinical data. An amendment to the provisional application was filed in January 2025.
PCT/AU2025/050750 was filed on July 11, 2025.
On July 31, 2024, we filed a provisional application with No. 2024902369 claiming 39 novel compounds potentially useful for the treatment of
neurological and non-neurological diseases. This application will be allowed to lapse and will be refiled when additional data are available to support the
claims.
On July 12, 2024, we filed a provisional application No. 2025900800 to register a patent that claims a novel salt form (HCl) and crystalline form
of ATH434 potentially useful for the treatment of neurological diseases. The application was filed as PCT/AU2025/05074 July 10, 2025.
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Patent
Status
Invention
“8-Hydroxyquinoline Derivatives”
Filed: July 16, 2003
PCT/AU03/00914
Patent in the USA has been Granted.
The invention is directed to chemical scaffolds of the
8-Hydroxyquinoline compounds class and their utility in
the treatment of neurological conditions.
8-hydroxy and 8-mercapto quinazolinones
Filed October 3, 2003
PCT/AU2003/001303
Expiry June 7, 2026
The Invention is directed towards Follow-up Scaffolds and
their utility in the treatment of neurological conditions, it
covers ATH434 composition of matter.
“Neurologically - Active Compounds”
Filed: April 1, 2005
PCT/AU2005/000477
Patents have been Granted in Australia, the
USA, Germany, Spain, France, Great Britain,
and Italy.
The invention is directed to ‘F4’ quinazolinone chemical
structures and their utility in the treatment of neurological
conditions and includes Parkinson’s Disease lead
compounds. It covers the ATH434 composition of matter.
“Quinazolinone compounds”
Filed: December 24, 2008
PCT/AU2009/001701
Patents have been Granted in Australia, the
USA, Germany, Spain, France, Great Britain,
and Italy.
The invention is directed to 2,3 disubstituted quinazolinone
compounds used in the treatment of Parkinson’s Disease.
“Method of treating immunoglobulin light
chain amyloidosis”
Filed: July 1, 2016
PCT/AU2017/050678
Patent in the USA and Japan has been
Granted.
The invention is directed to the treatment of light chain
amyloidosis with a known compound.
“Compounds for Methods of Treating
Diseases”
Filed: March 13, 2020
PCT/AU2020/050235
A US patent and an EP patent have been
granted. National phase applications have
been filed in Germany, Spain, France, Great
Britain, and Italy. Examination processes are
underway in Japan, and Australia.
The invention is directed to 150 novel compounds and their
utility in the treatment of neurodegenerative diseases.
“Compounds for Methods of Treating
Diseases”
Filed: June 18, 2021
PCT/AU2021/050633
A US patent has been granted. An application
has been filed in Australia and awaits
examination. The filed application is in the
exam process in EP and Japan.
The invention is directed to 80 novel compounds and their
utility in the treatment of neurodegenerative diseases
“Novel Therapy”
Filed: September 24, 2023
PCT/AU2025/051009
Nonprovisional PCT application filed in the
US
This invention is directed to method of use of ATH434 and
related compounds in non-neurologic diseases. Co-
inventorship with personnel from State University of
Buffalo in New York (USA).
“Novel Therapy”
Filed: July 12, 2024, amended Jan 2025
PCT/AU2025/050750
Nonprovisional PCT application filed in the
US with results from ATH434-201 and 202.
This invention is directed to clinical method of dosing of
ATH434 in neurological disorders such as Multiple System
Atrophy.
“Compounds for and Methods of Treating
Disease”
Filed: July 31, 2024
PCT application No. 2024902369
Provisional PCT application will lapse and be
refiled when more data are available.
This invention is directed to 39 novel compounds and their
utility in the treatment of neurodegenerative diseases.
“Novel Salt and Crystalline Form”
Filed: Mar 14, 2025
PCT application No. 2025900800
Provisional PCT application
This invention is directed to a novel salt and crystalline
form of ATH434.
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Competition
The pharmaceutical industry is extremely competitive. We believe that we will face competition in differing levels of intensity in all of the areas
in which we are conducting research. ATH434, if approved for the treatment of MSA, may compete in a highly competitive market. Our competitors,
which are located worldwide, are numerous and include, among others, major pharmaceutical companies, biotechnology firms, universities and other
research institutions. These competitors may develop technologies and products that are more effective than any that we are developing, or which would
render our technology and products obsolete or non-competitive. Many of these competitors have greater financial, research and screening capabilities,
technical resources and manufacturing and marketing capabilities than we do. In addition, many of our competitors may have more experience than we do
in non-clinical and human clinical trials of new or improved drugs, as well as in obtaining FDA, EMA, TGA and other regulatory approvals. We cannot
provide assurance that we can compete effectively with these other competitor companies.
There are currently no approved drugs for the treatment of Multiple System Atrophy (MSA). If we are able to successfully develop ATH434 and
gain approval for the treatment of MSA, we may compete with the following drug candidates which are in development:
●
Lu AF82422: This product is being developed by H. Lundbeck A/S. It is administered by injection and is thought to act by interfering with
the extracellular spread of the α-synuclein protein. In January 2024, Lundbeck reported that their Phase 2 trial did not show statistical
significance on its primary endpoint of slowing the rate of progression of MSA but have commenced a Phase 3 clinical trial with patient
recruitment ongoing.
●
TAK-341/MEDI341: This product is being developed by Takeda in partnership with AstraZeneca. It is administered by injection and is
thought to act by interfering with the extracellular spread of the α-synuclein protein. A Phase 2 clinical trial is ongoing.
●
Ono-2808: Ono Pharmaceuticals is developing this S1P5 receptor agonist. It is an oral agent thought to act by promoting myelin synthesis.
A Phase 2 clinical trial is ongoing.
●
TEV-56286 (formerly Anle138b): This product is being developed by Teva Pharmaceuticals. It is an oral agent and is thought to act as a
non-specific inhibitor of protein aggregation. A Phase 2 clinical trial is ongoing.
●
YA-101: Yoda Therapeutics is developing a GluN1 inhibitor. It is an oral agent thought to inhibit neuroinflammation and enhance neural
plasticity. A Phase 2 clinical trial is ongoing.
●
AAV-GDNF: AskBio is developing this gene therapy. It is administered in spinal fluid and is thought to reduce abnormal protein
accumulation. A Phase 1/2 clinical trial is ongoing.
C.
ORGANIZATIONAL STRUCTURE
We have two wholly-owned subsidiaries, Alterity Therapeutics Inc. and Alterity Therapeutics UK Limited, incorporated in the United States and
the United Kingdom, respectively.
D.
PROPERTY, PLANT AND EQUIPMENT
Our executive offices are located at Level 14, 350 Collins Street, Melbourne, VIC 3000, Australia, where we occupy approximately 105 square
meters. The lease for the facility, which expires on May 31, 2026 has an annual rent of A$56,228. Our United States office is located at Suite 360, 39899
Balentine Drive, Newark, California 94560, United States of America, where we occupy approximately 911 square feet. The lease for the facility, which
expired on May 31, 2025, and has been extended to June 30, 2027 has an annual rent of U.S.$30,610. We also utilize a facility at 30 Flemington Rd,
Parkville, VIC 3010, Australia, where we occupy approximately 44 square meters. The lease for the facility has been extended to July 31, 2026 and has
an annual rent of A$17,055.
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ITEM 4A. UNRESOLVED STAFF COMMENTS
Not applicable.
ITEM 5. OPERATING AND FINANCIAL REVIEW AND PROSPECTS
The following discussion and analysis includes certain forward-looking statements with respect to the business, financial condition and results
of operations of our company. The words “estimate,” “project,” “intend,” “expect” and similar expressions are intended to identify forward-looking
statements within the Private Securities Litigation Reform Act of 1995. These forward-looking statements are subject to risks and uncertainties that could
cause actual results to differ materially from those contemplated by such forward-looking statements, including those risk factors contained in Item 3.D.
of this annual report. You should read the following discussion and analysis in conjunction with our consolidated financial statements and the notes
thereto included in this annual report.
A.
OPERATING RESULTS
Background
We were incorporated under the laws of the Commonwealth of Australia on November 11, 1997. The principal listing of our ordinary shares and
listed options to purchase our ordinary shares is on the ASX. From September 5, 2002 until April 8, 2019, our ADSs traded on the NASDAQ Capital
Market under the symbol “PRAN.” On April 8, 2019 we changed our name to Alterity Therapeutics Limited and our ADSs have traded under the symbol
“ATHE” and our ordinary shares have traded under the symbol “ATH” since that date.
Our consolidated financial statements appearing in this annual report comply with IFRS as issued by IASB. In this annual report, all references
to “U.S. dollars” or “U.S.$” are to the currency of the United States, and all references to “Australian dollars” or “A$” are to the currency of Australia.
All of our revenues are generated in Australian dollars, except for interest earned on foreign currency bank accounts, and the majority of our expenses are
incurred in Australian dollars.
Overview
We are a development stage enterprise at an early to mid-stage in the development of our pharmaceutical products that are designed to treat the
underlying causes of neurodegeneration of the brain. We have incurred net losses since inception and expect to incur substantial and increasing losses for
the next several years as we expand our research and development activities and move our product candidates into later stages of development. All of our
product candidates are in discovery phase or early and mid-stage of development and we face the risks of failure inherent in developing drugs based on
new technologies. The process of carrying out the development of our products to later stages of development may require significant additional research
and development expenditures, including nonclinical testing and clinical trials, as well as for obtaining regulatory approval. To date, we have funded our
operations primarily through the sale of equity securities, proceeds from the exercise of options, government grants, licensing and research collaborations
and interest income.
Since completing our initial public offering and listing process on the ASX on March 28, 2000, we have concentrated our resources toward the
pursuit of our disease targets. For details regarding clinical trials for our lead compounds, see Item 4.B. “Information on the Company - Business
Overview - Clinical Trials for Our Product Candidates.”
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Going Concern Basis
The Group is a development stage medical biotechnology company and as such expects to be utilizing sources of cash funding until its research activities
have become marketable. The Group has incurred recurring losses since inception including a net loss of $12,147,828 in the year ended June 30, 2025
(2024: $19,123,464) and a net operating cash outflow of $11,451,248 in the year ended June 30, 2025 (2024: $12,605,824). The Group expects to
continue incurring losses into the foreseeable future and will need to raise additional capital to continue the development of its planned research and
development programs. The continuing viability of the Group is subject to its ability to raise additional capital to finance the continuation of its planned
research and development programs, maintaining implemented cost containment and deferment strategies, and successfully commercializing its
initiatives. The Group successfully raised new equity funding during the 2025 financial year to enable progression of its planned research and
development programs for at least the next 12 months.
Significant Costs and Expenses
Research and development expenses. Our research and development expenses consist primarily of expenses for contracted research and
development activities conducted by third parties on our behalf. Research and development expenses also include costs associated with the acquisition,
development of patents and salaries and fees paid to employees and consultants involved in research and development activities.
General and administration expenses. Our general and administration expenses consist of (i) personnel expenses such as directors’ fees, salaries
and benefits paid to employees and officers and equity-based payments awarded to directors, officers and employees; (ii) auditor and accounting
expenses which are fees paid to our auditors for services related to annual reports and interim reports filed or submitted in Australia and the United States
and fees paid to other accounting firms in respect of tax and other accounting advice; (iii) public relations and marketing expenses which are fees paid to
outside consultants for services related to ASX and SEC announcements and presentations; (iv) depreciation expenses; and (v) other administrative and
office expenses.
Intellectual property expenses. Our intellectual property expenses consist of fees paid to our outside counsel for legal fees associated with patent
applications and for the defence of patents.
Other gains and losses. Other gains and losses consist of foreign exchange gain (loss) which are the net unrealized gain or loss on cash balances
and trade and other payables held in foreign currencies (primarily U.S. dollars, British Pounds and Euros) as well as net realized gains and losses on
foreign currency transactions.
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Results of Operations
Year ended June 30, 2025 compared to year ended June 30, 2024
Interest income
Interest income increased to A$446,291 for the year ended June 30, 2025 from A$268,419 for the year ended June 30, 2024, an increase of
A$177,872, or 66.3%. The increase in interest income is primarily attributable to higher Australian dollar cash balances with higher interest rates during
the current fiscal year.
Other income
For the year ended June 30, 2024, we recognised a receivable and other income of A$4,019,285 for the R&D Tax Incentive refundable cash
offset in relation to eligible expenditure for the year.
We have recognised a receivable and other income of A$3,928,563 for the R&D Tax Incentive refundable cash offset in relation to eligible
expenditure for the year ended June 30, 2025, on which we are entitled to a 43.5% refundable offset under an Australian R&D tax incentive scheme that
was introduced on July 1, 2019. In 2025, we recognised other income of $1,513,590 from the ATO for settlement of the claim relating to the dispute
regarding the R&D Tax Incentive refundable tax offset for the year ended June 30, 2020. In 2025, we recognised other income of $1,975,056 in relation
to settlement of a dispute with Catalent and recognised other income of $227,542 in relation to settlement of an insurance claim in relation to a US
employment case.
Research and development expenses
Our research and development expenses decreased to A$14,404,282 for the year ended June 30, 2025 from A$18,644,047 for the year ended
June 30, 2024, a decrease of A$4,239,765 or 22.7%. The decrease is attributable to the finalization of certain research and development studies during the
current year.
General and administrative expenses
General and administrative expenses increased to A$5,481,399 for the year ended June 30, 2025 from A$4,762,643 for the year ended June 30,
2024, an increase of A$718,756 or 15.1%. The increase is mainly attributable to an increase in staffing costs, audit compliance expenses and consulting
expenses.
Intellectual property expenses
Intellectual property expenses, which include patent portfolio costs and intellectual property related legal costs, decreased to A$127,523 for the
year ended June 30, 2025 from A$214,304 for the year ended June 30, 2024, a decrease of A$86,781 or 40.5%. This decrease is mainly due to
management’s efforts to reduce expenses and preserve cash.
Foreign exchange gain (loss)
We recorded a foreign exchange gain of A$259,433 for the year ended June 30, 2025 compared to a foreign exchange gain of A$261,152 for the
year ended June 30, 2024. Foreign exchange gain (loss) reflects the impact of changes in foreign currency exchange rates on cash that we hold in U.S.
dollars, British Pounds and Euros. In the 2025 and 2024 fiscal years, the Australian dollar slightly depreciated against the U.S. dollar, which had a
favorable impact on the Australian dollar value of our cash held in U.S. dollars. In the 2025 fiscal year, we incurred a foreign exchange gain of
A$255,876 attributable to the cash balances that we held in U.S. dollars, and a foreign exchange gain of A$3,557 attributable to foreign currency
transactions. In the 2024 fiscal year, we incurred a foreign exchange gain of A$260,356 attributable to the cash balances that we held in U.S. dollars, and
a foreign exchange gain of A$796 attributable to foreign currency transactions.
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For a comparison of our results of operations between year ended June 30, 2024 and year ended June 2023, see Item 5.A. “Results of
Operations” of our annual report on Form 20-F as filed with the SEC on September 30, 2024.
Inflation and Seasonality
Management believes inflation has not had a material impact on our company’s operations or financial condition and that our operations are not
currently subject to seasonal influences.
Conditions in Australia
We are incorporated under the laws of, and our principal offices and research and development facilities are located in, the Commonwealth of
Australia. Therefore, we are directly affected by political and economic conditions in Australia. See Item 3.D. “Key Information – Risk Factors – Risks
Relating to Our Location in Australia” for a description of factors that could materially affect our operations.
Recently Issued International Accounting Standards and Pronouncements
New and amended Accounting Standards and Interpretations issued and effective
There were no new or amended standards adopted by the Group in the year ended June 30, 2025 that materially impacted the Group. These
financial statements follow the same accounting policies as used in the June 30, 2024 consolidated financial statements and related notes as filed with the
Australian Securities Exchange and the Securities and Exchange Commission.
Australian Disclosure Requirements
Dividends
No dividends have been paid during the financial year (2025: nil). The Directors do not recommend the payment of a dividend in respect of the
current financial year (2024: nil).
Significant changes in the state of affairs
There have been no significant changes in the state of affairs of the Group during the year.
Events since the end of the financial year
No other matters or circumstances have arisen since June 30, 2025 that have significantly affected the Group’s operations, results or state of
affairs, or may do so in future years.
Likely developments and expected results of operations
The likely developments in our operations, to the extent that such matters can be commented upon, are covered in Item 5A of this report.
Environmental regulation
We are involved in scientific research and development, and the activities do not create any significant environmental impact to any material
extent. Our scientific research activities are in full compliance with all prescribed environmental regulations.
B.
LIQUIDITY AND CAPITAL RESOURCES
We are a development stage company, have had no sales income to date and as of June 30, 2025, our accumulated deficit totaled
A$225,888,680. We had A$33,158,642 of cash and cash equivalents, and A$7,500,000 in longer dated term deposits as of June 30, 2025, compared to
A$12,638,885 as of June 30, 2024.
From inception until our initial public offering in March 2000 we financed our operations primarily through borrowings from two of our then
directors, which were repaid from the proceeds of such offering. Since our initial public offering, we have financed our operations primarily through sales
of equity securities, proceeds from the exercise of options, government grants, licensing and research collaborations and interest earned on investments.
In November 2023, we received commitments for a capital raising of $4.8 million by means of a private placement. The private placement was
conducted at 0.0035 per new share. For every new share issued, one free attaching short-dated option was issued.
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In February 2024, we received commitments for a capital raising of $3.25 million by means of a placement. The placement was conducted at
0.0038 per new share. For every three new share issued, one free attaching listed option was issued.
In February 2024, we received commitments for a capital raising of $2 million by means of a Securities Purchase Plan. The number of securities
issued to the participants on 2 February 2024 following the scaleback and pursuant to ASX Listing Rule 7.1, and which were within the volumes
approved by shareholders at the EGM, are:
●
571,428,556 SPP Shares at A$0.0035 (0.35 Australian cents) per SPP Share (ASX:ATH); and
●
571,428,556 unlisted Short-Dated Options (each with an exercise price of A$0.007, expiring on 31 August 2024) (ASX: ATHAAI); and
●
190,476,123 listed Long-Dated Options (each with an exercise price of A$0.01, expiring on 31 August 2026) (ASX: ATHO).
On February 15, 2024 we entered into a sales agreement with JonesTrading Institutional Services LLC, or JonesTrading, under which we may
issue and sell ADSs from time to time in “at the market offerings” pursuant to a Prospectus Supplement. Subject to the terms and conditions of the sales
agreement, JonesTrading agreed to use its commercially reasonable efforts to sell the ADSs from time to time as agent, based upon our instructions.
JonesTrading is entitled to a commission at a fixed commission rate equal to 3.0% of the gross sales price per shares sold. On February 15, 2024, we filed
a Prospectus Supplement relating to the offering of up to US$6,000,000 in ADSs with the SEC.
On July 18, 2024, 75,220,800 ordinary shares were issued under the ADS Sales Agreement, raising $366k net of security issuance costs.
On February 3, 2025, 164,242,200 ordinary shares were issued under the ADS Sales Agreement, raising $2,058k net of security issuance costs.
In February 2025, we received commitments for a capital raising of approximately $40 million by means of a two tranche placement (the
Placement) of fully paid ordinary shares. For every three new shares issued, one free attaching option was issued. The number of securities issued to the
Placement participants on February 17, 2025 (Tranche 1), April 4, 2025 (Tranche 2) and April 23,2025 (Options) pursuant to ASX Listing Rule 7.1, and
which are within the volumes approved by shareholders at the EGM on March 31, 2025, are:
●
3,636,363,636 ordinary shares at A$0.011 (1.1 Australian cents) per share (ASX:ATH); and
●
1,222,300,911 listed Long-Dated Options (each with an exercise price of A$0.028, expiring on February 26, 2027) (ASX: ATHOA).
On February 17, 2025, 1,165,841,830 ordinary shares were issued under Tranche 1 of the Placement, raising $12.028 million, net of security
issuance costs.
On April 4, 2025, 2,470,521,806 ordinary shares were issued under Tranche 2 of the Placement, raising $25.474m net of security issuance costs.
As of June 30, 2025, we had a total of 2,683.5 million unlisted and listed unexercised options outstanding. The options have exercise prices
ranging from A$0.004 to A$0.09. If all unlisted options were exercised in full, we would receive consideration of A$52,792,222 in total.
From inception to June 30, 2025, our capital expenditures have totaled A$849,729, consisting of computer equipment, furniture and fixtures, fit-
out costs and laboratory equipment that is being used in connection with our research facility at The University of Melbourne. Capital expenditures for
equipment are depreciated on a straight-line basis over the estimated useful lives of 3 to 20 years, with a net balance as of June 30, 2025 of A$3,848. We
currently do not have significant capital spending requirements, but we expect to continue to engage in capital spending consistent with anticipated
growth in our operations and personnel.
We believe the Australian Government tax incentive scheme relating to eligible research and development activities, introduced on July 1, 2011,
will provide us with significant benefits in future years. Such eligible R&D activities include but are not limited to:
●
Core activities, which are experimental activities whose outcome cannot be known or determined in advance, but can only be determined by
applying a systematic progression of work;
●
Core activities conducted for the purpose of generating new knowledge (including new knowledge in the form of new or improved
processes and materials); or
●
Supporting activities that are directly related and designed to support the above.
Under the research and development tax incentive scheme, entities with an aggregated turnover for the income year of less than A$20 million are
entitled to a 43.5% refundable tax incentive. In the year ended June 30, 2025, we recorded A$3.9 million in other income with respect to funds we expect
to receive in relation to the 2025 financial year under the research and development tax incentive scheme.
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We have incurred recurring losses since inception, including operating losses of $12.1 million and $19.1 million for the years ended June 30,
2025 and 2024, respectively, and an operating cash outflow of $11.5 million and $12.6 million, respectively for such years. We expect to continue
incurring losses into the foreseeable future and will need to raise additional capital to continue the development of our planned research and development
programs. The consolidated financial statements have been prepared assuming that we will continue as a going concern as a result of the funds raised
during the financial year.
Cash Flows
The following table summarizes our cash flows for the periods presented, which contemplates the realisation of its assets and the satisfaction of
our liabilities in the normal course of business :
Year ended June 30,
2025
2024
2023
(A$)
Net cash (used) in operating activities
(11,451,248)
(12,605,824)
(20,035,837)
Net cash (used) in investing activities
(7,500,000)
(5,722)
(36,461)
Net cash generated from financing activities
39,669,380
9,216,292
124,340
Net increase(decrease) in cash and cash equivalents
28,218,232
(3,395,254)
(19,947,958)
Cash and cash equivalents at beginning of period
12,638,885
15,773,783
34,806,799
Exchange rate adjustments on cash held in foreign currencies
(198,375)
260,356
914,942
Cash and cash equivalents at end of period
33,158,642
12,638,885
15,773,783
Net cash used in operating activities was A$11,451,248, A$12,605,824 and A$20,035,837 during the years ended June 30, 2025, 2024 and 2023,
respectively. Our payments to suppliers and employees during the years ended June 30, 2025, 2024 and 2023 were A$17,459,061, A$21,393,136 and
A$19,943,617, respectively. Our operating activity receipts for the years ended June 30, 2025, 2024 and 2023 of A$5,629,577, A$8,583,477 and Nil
consisted of R&D tax incentive refunds. The A$3,934,075 decrease in payments to suppliers and employees for the year ended June 30, 2025 when
compared to the year ended June 30, 2024 reflects the decrease in activity during the year due to finalization of the Phase 2 study of ATH434. During the
years ended June 30, 2025, 2024 and 2023, our payments to suppliers and employees was offset in part by interest received of A$446,291, A$269,075
and A$15,798 respectively.
Net cash used in investing activities was A$7,500,000, A$5,722 and A$36,461 during the years ended June 30, 2025, 2024 and 2023,
respectively. Cash flows used for investing activities was primarily attributable to payments for term deposit in the year ended June 30, 2025 and
purchase of property and equipment for the years ended June 30, 2024 and 2023.
Net cash generated from financing activities was A$39,669,380, A$9,216,292 and A$124,340 for the years ended June 30, 2025, 2024 and 2023.
Cash generated from financing activities in the year ended June 30, 2025, 2024 and 2023 related to proceeds from the issuance of shares amounting to
A$42,570,645, A$10,144,682 and A$316,675 respectively.
An unrealized foreign exchange loss of A$198,375 was incurred for the year ended June 30, 2025, an unrealized foreign exchange gain of
A$260,356 was incurred for the year ended June 30, 2024 and an unrealized foreign exchange gain of A$914,942 was incurred for the year ended June
30, 2023.
C.
RESEARCH AND DEVELOPMENT, PATENTS AND LICENSES
In recent years, we have continued our practice of building valuable research collaborations with institutes based in Australia, the United States
and other countries to enable us to investigate a variety of therapeutic indications including Alzheimer’s disease, Huntington disease, Parkinsonian
movement disorders and selected cancers. These collaborative arrangements ensure that we work with well-respected laboratories with specific expertise
in screening and animal modelling of relevance to the particular indication, without incurring ongoing administrative and personnel costs. We maintain
in-house patent counsel and research and development project expertise to coordinate these research collaborations.
Our research and development expenses consist primarily of expenses for contracted research and development activities conducted by third
parties on our behalf, including personnel, testing facilities and other payments in accordance with our research and clinical agreements. Research and
development expenses also include costs associated with the acquisition and development of patents. Due to the numerous variables and the uncertain
nature of the development of a clinical compound, including obtaining regulatory approvals, we are not able to reasonably estimate the nature, timing and
costs of the future expenditures necessary to complete our research and development projects, the anticipated completion dates of each project and when
material net cash flows from our research and development programs will commence.
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When a product candidate is identified as suitable for clinical development, we establish a project team to coordinate all non-clinical and clinical
development and manufacturing activities. Typically, we engage a clinical research organization to manage patient enrollment, data management, clinical
site coordination and statistical analysis, as is the case with the development of our lead compound ATH434 through Phase 1 and 2 development. We
manage our manufacturing campaigns through clinical manufacturing organisations for quality assurance and GMP compliance. All clinical, non-clinical,
clinical development and manufacturing of our compounds is performed in compliance with the appropriate governing authorities, regulators and
standards (for example, the International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use).
Our technology does not currently require the licensing of enabling technology licenses or freedom to operate licenses. Our product candidates
are designed and synthesised by our employees and the intellectual property of such product candidates is owned by us.
D.
TREND INFORMATION
We are a development stage company and while we believe that our technology will offer novel therapeutic strategies into an expanding market,
we cannot predict with any degree of accuracy the outcome of our research or commercialisation efforts.
We have not commercialised any products to date. Accordingly, any trends within the markets in which we operate are expected to have more
direct impact on our business in the event that we are successful in commercialising our product candidates, including ATH434 and new candidate
products.
We will need substantial additional funding in order to complete the development, testing and commercialisation of our product candidates. The
commitment to these projects will require additional external funding, at least until we are able to generate sufficient cash flow from sale of one or more
of our products to support our continued operations. If adequate funding is not available, we may be required to delay, scale back or eliminate certain
aspects of our operations or attempt to obtain funds through unfavorable arrangements with partners or others that may force us to relinquish rights to
certain of our technologies, products or potential markets or that could impose onerous financial or other terms. Management is continuing its efforts to
obtain additional funds so that we can meet our obligations and sustain operations.
E.
CRITICAL ACCOUNTING ESTIMATES
Estimates and judgments are continually evaluated and are based on historical experience and other factors, including expectations of future
events that may have a financial impact on the entity and that are believed to be reasonable under the circumstances.
We make estimates and assumptions concerning the future. The resulting accounting estimates will, by definition, seldom equal the related
actual results. The estimates and assumptions that have a significant risk of causing a material adjustment to the carrying amounts of assets and liabilities
within the next financial year are discussed below.
Share-based Payments
The value attributed to share options and remuneration shares issued is an estimate calculated using an appropriate mathematical formula based
on an option pricing model. The choice of models and the resultant option value require assumptions to be made in relation to the likelihood and timing
of the conversion of the options to shares and the value and volatility of the price of the underlying shares.
Clinical Trial Accruals
Clinical trial costs are charged to research and development expense as incurred. We accrue for expenses resulting from contracts with CROs,
investigators and consultants, and under certain other agreements in connection with conducting clinical trials. The financial terms of these contracts are
subject to negotiations, which vary from contract to contract and may result in payment flows that do not match the periods over which materials or
services are provided. Our objective is to reflect the appropriate trial expense in the financial statements by matching the appropriate expenses with the
period in which services and efforts are expended. In the event advance payments are made to a CRO, the payments will be recorded as a prepaid clinical
trial expenses, which will be expensed as services are rendered.
The CRO contracts generally include pass-through fees including, but not limited to, regulatory expenses, investigator fees, travel costs and
other miscellaneous costs, including shipping and printing fees. We estimate our clinical accruals based on reports from and discussion with clinical
personnel and outside services providers as to the progress or state of completion of trials, or the services completed. We estimate accrued expenses as of
each balance sheet date based on the facts and circumstances known at that time. Our clinical trial accrual is dependent, in part, upon the receipt of timely
and accurate reporting from the CROs and other third-party vendors.
R&D Tax Incentives
The Australian Government replaced the research and development tax concession with the research and development tax incentive from July 1,
2011. The provisions provide refundable or non-refundable tax offsets. The research and development tax incentive applies to expenditure incurred and
the use of depreciating assets in an income year commencing on or after July 1, 2011. A 43.5% refundable tax offset will be available to eligible small
companies with an annual aggregate turnover of less than $20 million. Management has assessed these activities and expenditures to determine which are
likely to be eligible under the incentive scheme. For the period to June 30, 2025 the Group has recorded an item in other income of A$3.9 million (2024:
A$4.0 million, 2023: A$3.9 million) to recognize this amount which relates to this period.
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ITEM 6. DIRECTORS, SENIOR MANAGEMENT AND EMPLOYEES
(Start of the Remuneration Report for Australian Disclosure Requirements)
A.
DIRECTORS AND SENIOR MANAGEMENT
Our directors are as follows:
Name
Age
Position
Geoffrey P. Kempler
70
Chairman of the Board of Directors
David A. Stamler
64
Chief Executive Officer
Lawrence B. Gozlan
46
Director
Peter A. Marks(1) (2)
69
Director
Brian D. Meltzer(1)(2)
71
Director
Outsourced Company Secretary and Chief Financial Officer were as follows during the period:
Name
Age
Position
Phillip Hains (3)
65
Company Secretary and Chief Financial Officer
Abby Macnish Niven (4)
43
Company Secretary and Chief Financial Officer
(1) Member of the Audit Committee
(2) Member of the Remuneration Committee and Share Plan Committee
(3) Phillip Hains resigned as CFO on 30 September 2024 and as Company Secretary on 17 November 2024
(4) Abby Macnish Niven was appointed as CFO on 30 September 2024 and as Company Secretary on 18 November 2024
Mr. Geoffrey Kempler has served as Chairman of our Board of Directors since November 1997; between November 1997 and August 2004 he
served as our Chief Executive Officer and again assumed the position of Chief Executive Officer from June 2005 until January 2021. Mr. Kempler is one
of the founders of our company. Mr. Kempler qualified as a psychologist with extensive experience in investment and business development. He served
as a Chairman and Non-Executive Director of Opthea Limited (NASDAQ:OPT), from November 2015 until October 2020, is immediate past Chairman
of Ausbiotech, Australia’s biotechnology organization, and is a member of the Industry Advisory Board at the Turner Institute of Brain and Mental
Health at Monash University, and Chair of Hexima Ltd. Mr. Kempler holds a B.Sc degree in science from Monash University, Grad. Dip. App. Soc.
Psych. degree from Swinburne University.
Dr. David Stamler, M.D. was appointed Chief Executive Officer in January 2021 and previously served as our Chief Medical Officer and
Senior Vice President, Clinical Development since May 2017. Prior to joining Alterity, Dr. Stamler served as the Vice President, Clinical Development
and Therapeutic Head for Movement Disorders at Teva Pharmaceutical Industries from 2015 to 2017 after Teva acquired Auspex Pharmaceuticals. Dr
Stamler was the Chief Medical Officer of Auspex from January 2011 until 2015. Dr. Stamler received an M.D. from the University of Chicago—The
Pritzker School of Medicine and a B.A. in Biology from the University of Chicago.
Mr. Lawrence Gozlan has served as a director of our Group since August 2011. Mr. Gozlan, a leading biotechnology investor and advisor, is
the Chief Investment Officer and Founder of Scientia Capital, a specialised global investment fund focused exclusively in life sciences. Scientia Capital
was founded to provide high level expertise and to manage investments for high net worth individuals, family offices and institutional investors wanting
exposure to the biotechnology industry. Prior to this, Mr. Gozlan was responsible for the largest biotechnology investment portfolio in Australia as the
institutional biotechnology analyst at QIC (“the Queensland Investment Corporation”), an investment fund with over A$60 billion under management. He
previously worked as the senior biotechnology analyst in the equities team at Foster Stockbroking Pty Ltd and gained senior corporate finance experience
advising life sciences companies at Deloitte. Mr. Gozlan is currently a Director of Opthea Limited, (NASDAQ:OPT). He holds a Bachelor of Science
with Honors in microbiology and immunology from the University of Melbourne.
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Mr. Peter Marks has served as a director of our Group since July 2005. Peter has over 35 years’ experience in corporate advisory and
investment banking. Over the course of his long career, he has specialised in capital raisings, IPOs, cross border, M&A transactions, corporate
underwriting and venture capital transactions for companies in Australia, the United States and Israel. He has been involved in a broad range of
transactions with a special focus in the life sciences, biotechnology, medical technology and high tech segments. Mr. Marks served as a director on the
Board of Elsight Limited (ASX:ELS) between January 2020 and October 2021, on the Board of Nyrada Inc. (ASX:NYR) between January 2020 and
August 2022, and currently serves on the Board of Noxopharm Limited (ASX:NOX) (appointed in March 2016), Iris Metals Limited (ASX:IR1)
(appointed in December 2020) and EverGreen Lithium Limited (ASX:EG1) (appointed in January 2022). Mr. Marks has a MBA, Bachelor of Economics,
Bachelor of Law, and Grad Dip in Commercial Law Experience and expertise.
Mr. Brian Meltzer has served as a director of our Group since December 1999. Subsequent to several years as Chief Economist of ICI Australia
(now Orica), Mr. Meltzer spent 25 years in investment banking. His breadth of expertise includes major property transactions, corporate advisory,
corporate finance, management buyouts, venture capital and large-scale syndications. He has held a number of Board and Board Advisory roles for
private companies in the human resources, health and wellness, aged care, software, entertainment and finance sectors, including Director of a federal
government licensed Innovation Investment Fund. In 2015 he acquired a corporate health division of an American multinational then grew it five-fold
before selling it in 2021 to the subsidiary of a Canadian multinational. Mr. Meltzer is also a Director of the Australia-Israel Chamber of Commerce and
Chairman of Independence Australia, a social enterprise.
Ms Abby Macnish Niven was appointed as Chief Financial Officer for our Group in September 2024 and as Company Secretary in November
2024. Ms Macnish Niven is a Chartered Finance Analyst and holds Bachelor of Commerce and Bachelor of Science degrees from the University of
Western Australia. She has extensive experience in private wealth management with groups including ANZ, UBS and Ord Minnett, and consults to a
range of listed and unlisted companies in governance, finance and corporate structure.
There are no family relationships among our directors and senior executives.
Directors’ Interests
The relevant interest of each director, as defined by section 608 of the Corporations Act, in the share capital of the Group, as notified by the
directors to the ASX in accordance with section 205G(1) of the Corporations Act, at the date of this report is as follows:
Director
Number of
ordinary
shares
Number of
options over
ordinary
shares
Geoffrey Kempler
18,011,000
74,000,000
Lawrence Gozlan
4,545,455
58,515,152
Peter Marks
9,004,150
39,987,013
Brian Meltzer
9,742,250
40,138,528
Meeting of Directors
The number of meetings our board of directors (including committee meetings of directors) held during the year ended June 30, 2025 and the
number of meetings attended by each director were:
Board Meetings
Audit Committee
Meetings
Remuneration
Committee Meetings
Director
A
B
A
B
A
B
Geoffrey Kempler
5
5
—
—
—
—
Lawrence Gozlan
5
4
—
—
—
—
Peter Marks
5
5
3
2
0
0
Brian Meltzer
5
5
3
3
0
0
A
=
Number of meetings held during the time the director held office or was a member of the committee.
B
=
Number of meetings attended
—
=
Not a member of the relevant committee
46
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B.
COMPENSATION
The remuneration report is set out under the following main headings:
a)
Principles used to determine the nature and amount of remuneration
b)
Details of remuneration
c)
Share-based compensation
d)
Key management personnel disclosure
e)
Employment contracts of Directors and other key management personnel
a)
Principles used to determine the nature and amount of remuneration
Remuneration policy
Remuneration of all Executive and Non-Executive Directors, Officers and Employees of our Group is determined by the Board following
recommendation by the Remuneration Committee.
We are committed to remunerating Senior Executives and Executive Directors in a manner that is market- competitive and consistent with “Best
Practice” including the interests of Shareholders. Remuneration packages are based on fixed and variable components, determined by the Executives’
position, experience and performance, and may be satisfied via cash or equity.
In accordance with the approval of our shareholders at our 2004 annual general meeting of shareholders, the aggregate amount available per
annum for the remuneration of our non-executive directors for their services (payable in cash, ordinary shares or options) is A$1,250,000.
2025
2024
A$
A$
Base fees
Board – member (inclusive of Superannuation)
70,000
70,000
Board Chairman (exclusive of Superannuation)
100,000
100,000
Remuneration policy versus financial performance
The Group’s remuneration policy is not entirely based on our performance, but rather on industry practice.
The Group’s primary focus is research activities with a long-term objective of developing and commercializing our research and development
results.
The tables below set out summary information about our earnings and movement in shareholder wealth for the five years to June 30, 2025:
2025
2024
2023
2022
2021
A$
A$
A$
A$
A$
Interest income
446,291
268,419
16,436
2,504
20,676
Total comprehensive loss for the year
(12,147,828)
(19,123,464)
(13,806,515)
(12,847,061)
(15,309,353)
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No dividends have been paid for the five years to June 30, 2025.
2025
2024
2023
2022
2021
A$
A$
A$
A$
A$
ASX share price at start of the year
0.01
0.01
0.01
0.03
0.03
ASX share price at end of the year
0.01
0.01
0.01
0.01
0.03
Basic and diluted loss per share (cents)
(0.19)
(0.52)
(0.57)
(0.53)
(0.90)
We believe that our performance in terms of earnings will remain negative while we continue in the research and/or trial phase. Shareholder
wealth reflects this speculative and volatile market sector. This pattern is indicative of our performance over the past 5 years. Due to the stage of the
Company, remuneration has remained consistent over this period.
Performance based remuneration
The purpose of a performance bonus is to reward individual performance in line with our Group’s objectives. Consequently, performance-based
remuneration is paid to an individual where the individual’s performance clearly contributes to a successful outcome for our Group. This is regularly
measured in respect of performance against key performance indicators (“KPI’s”).
We use a variety of KPI’s to determine achievement, depending on the role of the Executive being assessed.
For details of remuneration refer to Employment Contracts of Directors and Key Management Personnel below.
b)
Details of remuneration
The following table sets forth all compensation we paid for the year ended June 30, 2025 with respect to each of our directors and executive
officers during the 2025 fiscal year.
Short Term
Benefits
Post-
Employment
Superannuation
Long Term
Benefits
Long-
service
Termination
Equity
Base Fee
Bonus
Contribution
Leave
Benefit
Options
Total
2025
A$
A$
A$
A$
A$
A$
A$
Directors’
remuneration
Mr. Geoffrey
Kempler (2)
201,400
-
11,500
-
-
164,772
377,672
Mr. Brian Meltzer
62,780
-
7,220
-
-
82,386
152,386
Mr. Peter Marks
70,000
-
-
-
-
82,386
152,386
Mr. Lawrence Gozlan
70,000
-
-
-
-
137,310
207,310
404,180
-
18,720
-
-
466,854
889,754
Other key management
personnel
Dr. David Stamler (1)
(3)
858,898
259,472
-
-
-
335,274
1,453,644
Total
858,898
259,472
-
-
-
335,274
1,453,644
(1) Base Fee includes movements in the annual leave provision for Dr. David Stamler in accordance with his employment contract.
(2) Includes $101,400 corporate advisory fees paid to an associate entity of Mr. Geoffrey Kempler for business advisory services including investor
relations, marketing and business development.
(3) Dr. David Stamler gets paid in US dollars.
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The following table sets forth all compensation we paid for the year ended June 30, 2024 with respect to each of our directors and executive
officers during the 2024 fiscal year.
Short Term
Benefits
Post-
Employment
Superannuation
Long Term
Benefits
Long-
service
Termination
Equity
Base Fee
Bonus
Contribution
Leave
Benefit
Options
Total
2024
A$
A$
A$
A$
A$
A$
A$
Directors’
remuneration
Mr. Geoffrey
Kempler (2)
269,000
-
11,000
-
-
-
280,000
Mr. Brian Meltzer
63,063
-
6,937
-
-
-
70,000
Mr. Peter Marks
70,000
-
-
-
-
-
70,000
Mr. Lawrence Gozlan
70,000
-
-
-
-
-
70,000
472,063
-
17,937
-
-
-
490,000
Other key management
personnel
Dr. David Stamler (3)
716,615
166,063
-
(13,232)
-
552,622
1,422,068
Ms. Kathryn Andrews
(1)
196,334
-
20,549
6,616
10,215
(32,567)
201,147
912,949
166,063
20,549
(6,616)
10,215
520,055
1,623,215
Total
1,385,012
166,063
38,486
(6,616)
10,215
520,055
2,113,215
(1) Ms. Kathryn Andrews resigned 30 January 2024 and served out her notice period accordingly. The unvested FY21 equity options for Kathryn
Andrews were forfeited due to cessation of employment.
(2) Includes $169,000 corporate advisory fees paid to an associate entity of Mr. Geoffrey Kempler for business advisory services including investor
relations, marketing and business development.
(3) Dr. David Stamler gets paid in US dollars.
Performance income as a proportion of total remuneration
All executives are eligible to receive incentives as determined by the Board from time to time. Their performance payments are based on a set
monetary value, set number of shares or options or as a portion of base salary.
Non-Executive Directors are not entitled to receive bonuses and/or incentives. In the current year, the Directors have received equity as part of
their total remuneration. Employees have received equity as recommended by the Remuneration Committee.
Fixed remuneration
STI
LTI
2025
2024
2025
2024
2025
2024
%
%
%
%
%
%
Directors
Mr. Geoffrey Kempler
56
100
-
-
44
-
Mr. Brian Meltzer
46
100
-
-
54
-
Mr. Peter Marks
46
100
-
-
54
-
Mr. Lawrence Gozlan
34
100
-
-
66
-
Other key management personnel
Dr. David Stamler
59
49
18
12
23
39
Ms. Kathryn Andrews
N/A
100
N/A
-
N/A
-
Long-term incentive (“LTI”) related to remuneration were provided in the form of share-based payments.
Short-term incentives (“STI”) related to remuneration were provided in the form of cash bonus.
49
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c)
Share-based compensation
We have an Employee and Consultant Plan designed to reward Executives, Employees and/or Consultants for their contributions. Due to our
United States presence, a United States plan, and an Australian plan were also developed. At June 30, 2025, equity had been issued to four (4) Directors,
one (1) Key Management Personnel, seven (7) employees and three (3) consultants under the 2004 ASX Plan and 2018 ADS Plan which is described on
page 59.
The term and conditions of each grant of options affecting Directors and Key Management Personnel remuneration in this reporting period are as
follows:
Grant date
Date vested and
exercisable
Expiry date
Exercise
price
Vested
Value per
option at
grant date
September 18, 2020
September 18, 2020
September 17, 2025
$
0.09
Yes
$
0.03
January 7, 2021
January 6, 2023 onwards
January 6, 2026
$
0.03
Partially
$
0.03
July 31, 2021
July 31, 2021
July 31, 2024
$
0.07
Yes
$
0.03
November 29, 2021
November 29, 2022 onwards
November 29, 2026
$
0.02
Partially
$
0.02
November 29, 2021
November 29, 2022 onwards
November 29, 2026
$
0.04
Partially
$
0.02
December 21, 2023
December 21, 2023
December 19, 2026
$
0.01
Yes
$
0.005
March 13, 2024
March 13, 2024 onwards
March 13, 2029
$
0.004
Partially
$
0.004
March 13, 2024
March 13, 2024 onwards
March 13, 2029
$
0.005
Partially
$
0.004
March 21, 2024
March 21, 2024 onwards
March 21, 2029
$
0.003
Partially
$
0.004
December 30, 2024*
December 30, 2024
December 30, 2027
$
0.01
Yes
$
0.003
Options granted under the plan carry no dividend or voting rights.
When exercisable, each option is convertible into one ordinary share as soon as practical after the receipt by us of the completed exercise form
and full payment of such exercise price.
The exercise price of options will be equal to or less than the weighted average price at which our shares are traded on the Australian Securities
Exchange during the 5 days up to and including the grant date or such other exercise price that the Remuneration Committee determines to be appropriate
under the circumstances.
The plan rules contain a restriction on removing the ‘at risk’ aspect of the instruments granted to executives. Plan participants may not enter any
transaction designed to remove the ‘at risk’ aspect of an instrument before it vests.
*
As of June 30, 2025, 170,000,000 options over ordinary shares were issued to the directors during the current financial year, separate to the 2004
ASX Plan, following approval of the resolutions to issue same at the AGM in November 2024. The value per option in the table above is at 30
September 2024, as approved by the shareholders at the AGM in November 2024. There were no options over ordinary shares issued as
remuneration to any other key management personnel of our Group during the current financial year (2024: 120,000,000).
No ordinary shares were issued as a result of exercise of remuneration options by Directors and Key Management Personnel of Alterity
Therapeutics Limited during the current or previous financial year.
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d)
Key management personnel disclosure
Options and right holdings
The number of options over ordinary shares of our Group held during the financial year by each Director of Alterity Therapeutics Limited and
other Key Management Personnel of our Group, including their personally related parties, are set out below:
Share Options of the Group
Balance
July 1,
2024
No.
Granted as
Remuneration
No.
Options
Expired
No.
Other
movements
(1)
Balance
June 30,
2025
No.
Total
Vested and
Exercisable
June 30,
2025
No.
Total
Unvested
June 30,
2025
No.
Mr. Geoffrey Kempler
14,000,000
60,000,000
-
-
74,000,000
74,000,000
-
Mr. Lawrence Gozlan
7,000,000
50,000,000
-
1,515,152
58,515,152
58,515,152
-
Mr. Brian Meltzer
16,523,809
30,000,000
(7,142,857)
757,576
40,138,528
40,138,528
-
Mr. Peter Marks
16,523,809
30,000,000
(7,142,857)
606,061
39,987,013
39,987,013
-
Dr. David Stamler
220,916,529
-
(7,142,857)
1,515,152
215,288,824
161,960,719
53,328,105
274,964,147
170,000,000
(21,428,571)
4,393,941
427,929,517
374,601,412
53,328,105
All vested options are exercisable at the end of the year and there were 53,328,105 options unvested as of June 30, 2025.
(1) Other movements include options acquired through participation in the placement.
Share Options of
the Group
Balance
July 1,
2023
No.
Granted as
Remuneration
No.
Options
Expired
No.
Other
movements (2)
Balance
June 30,
2024
No.
Total
Vested and
Exercisable
June 30,
2024
No.
Total
Unvested
June 30,
2024
No.
Mr. Geoffrey Kempler
14,000,000
-
-
-
14,000,000
14,000,000
-
Mr. Lawrence Gozlan
7,000,000
-
-
-
7,000,000
7,000,000
-
Mr. Brian Meltzer
7,000,000
-
-
9,523,809
16,523,809
16,523,809
-
Mr. Peter Marks
7,000,000
-
-
9,523,809
16,523,809
16,523,809
-
Ms. Kathryn Andrews (1)
5,000,000
-
-
(5,000,000)
-
-
-
Dr. David Stamler
91,392,720
120,000,000
-
9,523,809
220,916,529
104,740,244
116,176,285
131,392,720
120,000,000
-
23,571,427
274,964,147
158,787,862
116,176,285
All vested options are exercisable at the end of the year and there were 116,176,285 options unvested as of June 30, 2024.
(1) Options held by Kathryn Andrews were forfeited upon resignation on 30 January, 2024.
(2) Other movements include options acquired through participation in the placement.
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Shares provided on exercise of remuneration options
No ordinary shares were issued to key management personnel as a result of the exercise of remuneration options during the financial year ended
June 30, 2025 and June 30, 2024.
Shareholdings
The number of our ordinary shares held during the financial year by each Director of our Group and other Key Management Personnel other
than for remuneration, including their personally related parties, are set out below:
Fully Paid Ordinary Shares of the Group
Balance
July 1,
2024
No.
Received as
Remuneration
No.
Received on
Exercise of
Options
No.
Net Change
Other
No. (1)
Balance
June 30,
2025
No.
Mr. Geoffrey Kempler
18,011,000
-
-
-
18,011,000
Mr. Lawrence Gozlan
-
-
-
4,545,455
4,545,455
Mr. Brian Meltzer
7,469,523
-
-
2,272,727
9,742,250
Mr. Peter Marks
7,185,968
-
-
1,818,182
9,004,150
Dr. David Stamler
10,697,857
-
-
4,545,455
15,243,312
43,364,348
-
-
13,181,819
56,546,167
(1) Net Change Other; include shares acquired through participation in the placement.
Fully Paid Ordinary Shares of the Group
Balance
July 1,
2023
No.
Received as
Remuneration
No.
Received on
Exercise of
Options
No.
Net Change
Other
No. (1)
Balance
June 30,
2024
No.
Mr. Geoffrey Kempler
18,011,000
-
-
-
18,011,000
Mr. Lawrence Gozlan
-
-
-
-
-
Mr. Brian Meltzer
326,666
-
-
7,142,857
7,469,523
Mr. Peter Marks
43,111
-
-
7,142,857
7,185,968
Ms. Kathryn Andrews
-
-
-
-
-
Dr. David Stamler
3,555,000
-
-
7,142,857
10,697,857
21,935,777
-
-
21,428,571
43,364,348
(1) Net Change Other; include shares acquired through participation in the placement.
Loans to key management personnel
There were no loans made to the Directors or other Key Management Personnel, including their personally related parties.
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e)
Employment contracts of Directors and other key management personnel
The following Directors and Key Management Personnel were under contract at June 30, 2025:
Key management personnel
Duration
Notice Requirements
Termination
David Stamler
Until termination by either party.
Signed 6 January 2021.
Each party will be required to
provide 6 months’ notice of
termination unless otherwise agreed
to in writing.
Accrued entitlements including all
unreimbursed business expenses
Vested but unexercised options shall be
exercisable within 30 days after the date of
termination
Unvested options will terminate automatically
without further notice
For Good Reason, Dr. Stamler may
terminate at any time upon written
notice, with 6 months’ notice.
Payment of accrued salary, accrued but unused
vacation pay and approved but unreimbursed
expenses that are owed to date of termination
Payment equivalent to 100% of current
annualized salary
Vested but unexercised options shall be
exercisable within 30 days after the date of
termination
Unvested options will terminate automatically
without further notice
With Cause, the Group may
terminate at any time upon written
notice
Payment limited to accrued salary, accrued but
unused vacation pay and approved but
unreimbursed expenses that are owed to date of
termination.
All options shall be canceled upon date of
termination
(End of Remuneration Report)
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C.
BOARD PRACTICES
Introduction
Our Board of Directors is elected by and accountable to our shareholders. Our Board of Directors’ responsibilities are divided into operating
activities, financial and capital markets activities and scientific activities. The Chairman of our Board of Directors, currently Mr. Geoffrey Kempler, is
responsible for the management of the Board of Directors and its functions.
Election of Directors
Directors are elected at our annual general meeting of shareholders. Under our Constitution, the term of office of our directors are staggered,
such that at every annual general meeting of shareholders one-third, rounded down to the nearest whole number, of the directors, except a Managing
Director, must retire from office and may offer himself/herself for re-election. No director, except a Managing Director, shall retain office for a period in
excess of three years without submitting for re-election. Our Board of Directors has the power to appoint any person to be a director, either to fill a
vacancy or as an additional director (provided that the total number of directors does not exceed the maximum allowed by law), and any director so
appointed may hold office only until the next annual general meeting when he or she shall be eligible for election.
Non-Executive and Independent Directors
Australian law does not require a company to appoint a certain number of independent directors to its board of directors or audit committee.
Under the rules of the NASDAQ Stock Market, a majority of our Board of Directors must qualify as independent directors within the meaning of
the rules of the NASDAQ Stock Market, each of whom satisfies the respective “independence” requirements of the NASDAQ Stock Market Rules and
the Securities and Exchange Commission. Our Board of Directors has determined that each of Messrs. Peter Marks and Brian Meltzer qualifies as an
independent director under the NASDAQ Stock Market and the Securities and Exchange Commission. As a foreign private issuer whose shares are listed
on The NASDAQ Capital Market, we are permitted to follow certain home country corporate governance practices instead of certain requirements of the
NASDAQ Stock Market Rules. This includes NASDAQ rule 5605(b)(1) requiring a majority of independent directors.
Committees of the Board of Directors
Our Board of Directors has established the following committees:
Audit Committee. The NASDAQ Stock Market rules require us to establish an audit committee comprised of at least three members, each of
whom is financially literate and satisfies the respective “independence” requirements of the Securities and Exchange Commission and NASDAQ and one
of whom has accounting or related financial management expertise at senior levels within a company. As a foreign private issuer whose shares are listed
on the NASDAQ Capital Market, we are permitted to follow certain home country corporate governance practices instead of certain requirements of the
NASDAQ Stock Market Rules. This includes the Rule related to Audit Committee Composition rule 5605(c)(2)(A)): we may have an audit committee
composed of two members instead of “at least three members”.
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Our Audit Committee assists our Board of Directors in overseeing the accounting and financial reporting processes of our company and audits of
our financial statements, including the integrity of our financial statements, compliance with legal and regulatory requirements, our independent public
accountants’ qualifications and independence, the performance of our internal audit function and independent public accountants, and such other duties as
may be directed by our Board of Directors. The Audit Committee is also required to assess risk management. The audit committee meets at least four
times per year.
Our Audit Committee currently consists of two board members, each of whom satisfies the “independence” requirements of the Securities and
Exchange Commission and the NASDAQ Market Rules. Our Audit Committee is currently composed of Messrs. Marks and Meltzer. Our Board of
Directors has determined that Mr. Meltzer meets the definition of an audit committee financial expert, as defined by rules of the Securities and Exchange
Commission.
Remuneration Committee. Our Board of Directors has established a Remuneration Committee, which is comprised solely of independent
directors, within the meaning of the NASDAQ Stock Market Rules. The Remuneration Committee is responsible for reviewing the salary, incentives and
other benefits of our executive officers and to make recommendations on such matters for approval by our Board of Directors. The Remuneration
Committee is also responsible for overseeing and advising our Board of Directors with regard to the adoption of policies that govern our compensation
programs, including share and ADS option and employee benefit plans. Additionally, the Remuneration Committee administers our share and ADS
option plans and any other employee benefit plans.
Directors’ Service Contracts
There are no arrangements or understandings between us and any of our subsidiaries, on the one hand, and any of our directors, on the other
hand, providing for benefits upon termination of their employment or service as directors of our company or any of our subsidiaries.
Indemnification of Directors and Officers
Our Constitution provides that, subject to the Australian Corporations Act, every director, secretary, manager or officer of our company or any
person employed by our company as auditor shall be indemnified out of our funds against all liability incurred by such person as a director or officer in
defending proceedings, whether civil or criminal, in which judgment is given in the persons favor or in which the person is acquitted in connection with
any application under the Australian Corporations Act in which relief is granted to the person by a Court.
Under our Constitution no director, auditor or other officer shall be liable for (i) any acts, receipts, neglect or defaults of any other director or
officer for joining in any receipt or other act for conformity; (ii) any loss or expense that may happen to us through the inefficiency or deficiency of title
to any property acquired by order of the directors or on our behalf; (iii) the inefficiency or deficiency of any security in or upon which any of our monies
shall be invested; (iv) any loss or damage arising from bankruptcy, insolvency or tortuous act of any person with whom any monies, securities or effects
shall be deposited; (v) any loss occasioned by any error of judgment, omission, default or oversight on the persons part; or (vi) any other loss damage or
misfortune whatsoever which shall happen in relation to those things unless the same shall happen through the persons own negligence, default, breach or
duty, breach of trust or dishonesty.
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In addition, our Constitution provides that to the extent permitted by law, we may pay, or agree to pay, a premium in respect of a contract
insuring a person who is or has been an officer of our company or one of our subsidiaries against a liability:
●
incurred by the person in his or her capacity as an officer of our company or a subsidiary of our company provided that the liability does not
arise out of a conduct involving a willful breach of duty in relation to our company or a subsidiary of our company; or
●
for costs and expenses incurred by that person defending proceedings, whatever their outcome.
We maintain a directors’ and officers’ liability insurance policy. We have established a policy for the indemnification of our directors and
officers against certain liabilities incurred as a director or officer, including costs and expenses associated in successfully defending legal proceedings.
D.
EMPLOYEES
We consider our employees the most valuable asset of our company. We offer competitive compensation and comprehensive benefits to attract
and retain our employees. We believe that an engaged workforce is key to maintaining our ability to innovate.
As of June 30, 2025, we had 9 employees. Of such employees, seven persons are employed in research and development and two persons in
management and administration. Five employees are located in Australia and four employees are located in the United States.
As of June 30, 2024, we had 10 employees. Of such employees, eight persons are employed in research and development and two persons in
management and administration. Seven employees are located in Australia and three employees are located in the United States.
As of June 30, 2023, we had 11 employees. Of such employees, eight persons are employed in research and development and three persons in
management and administration. Seven employees are located in Australia and four employees are located in the United States.
Australian and US labor laws and regulations apply to our employees accordingly. The laws concern various matters, including severance pay
rights at termination, retirement or death, length of work day and work week, minimum wage, overtime payments and insurance for work-related
accidents.
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E.
SHARE OWNERSHIP
Beneficial Ownership of Executive Officers and Directors
The following table sets forth certain information as of August 22, 2025 regarding the beneficial ownership of our ordinary shares by each of our
directors and executive officers and by all our directors and executive officers as a group:
Name
Number of
Ordinary
Shares
Beneficially
Owned (1)
Percentage of
Ownership (2)
Geoffrey P. Kempler (3)
92,011,000
0.95%
David A. Stamler (4)
353,915,757
3.65%
Lawrence B. Gozlan (5)
61,545,455
0.63%
Peter A. Marks (6)
46,004,150
0.47%
Brian D. Meltzer (7)
46,742,250
0.48%
All directors and executive officers as a group (5 persons)
600,218,612
6.19%
1.
Beneficial ownership is determined in accordance with the rules of the Securities and Exchange Commission, and generally includes voting or
investment power with respect to securities. Ordinary shares relating to options currently exercisable or exercisable within 60 days of the date of the
above table are deemed outstanding for computing the percentage of the person holding such securities but are not deemed outstanding for
computing the percentage of any other person. Except as indicated by footnote, and subject to community property laws where applicable, the
persons named in the table above have sole voting and investment power with respect to all shares shown as beneficially owned by them.
2.
The percentages shown are based on 9,693,247,308 consisting of 9,208,749,666 ordinary shares and 484,497,642 unlisted options, issued and
outstanding as of August 22, 2025.
3.
Includes options to purchase 14,000,000 ordinary shares that are exercisable for A$0.09 each on or before September 17, 2025, and options to
purchase 60,000,000 ordinary shares that are exercisable for A$0.01 each on or before December 30, 2027. Of the 18,011,000 outstanding ordinary
shares, 30,000 ordinary shares are held of record by Mr. Kempler, 14,165,000 ordinary shares are held by Baywick Pty Ltd., an Australian
corporation owned by Mr. Kempler, 756,000 ordinary shares are held by Sadarajak Pty Ltd., an Australian corporation owned by Mr. Kempler,
90,000 ordinary shares are held of record by Crystal Triangle Pty Ltd., an Australian corporation owned by Mr. Kempler and 2,970,000 ordinary
shares are held of record by NRB Developments Pty Ltd., an Australian corporation in which Mr. Kempler holds a 50% interest. Mr. Kempler may
be deemed to be the beneficial owner of the ordinary shares held of record by Baywick Pty Ltd., Crystal Triangle Pty Ltd. and NRB Developments
Pty Ltd.
4.
Includes vested options to purchase 81,872,645 ordinary shares that are exercisable for A$0.03 each on or before January 6, 2026, vested options to
purchase 200 ordinary shares that are exercisable for US$0.003 each on or before March 21, 2029 and vested options granted in August 2025 to
purchase 96,800,000 ordinary shares that are exercisable for US$0.0086 each on or before August 8, 2030. Also includes 139,258 ADSs representing
83,554,800 ordinary shares. Includes 4,545,455 ordinary shares issued as part of the placements during the 2025 year.
5.
Includes options to purchase 7,000,000 ordinary shares that are exercisable for A$0.09 each on or before September 17, 2025 and options to purchase
50,000,000 ordinary shares that are exercisable for A$0.01 each on or before December 30, 2027. All options are held by Montoya Pty Ltd, an
Australian corporation owned by Mr. Gozlan, The 4,545,455 outstanding ordinary shares are held of record by Montoya Pty Ltd. Includes 4,545,455
shares issued as part of the placements during the 2025 year, as well as 50,000,000 options separately granted by resolution at the AGM.
6.
Includes options to purchase 7,000,000 ordinary shares that are exercisable for A$0.09 each on or before September 17, 2025 and options to purchase
30,000,000 ordinary shares that are exercisable for A$0.01 each on or before December 30, 2027. Of the 9,004,150 outstanding ordinary shares,
7,185,968 ordinary shares are held of record by Lampam Pty Ltd., an Australian corporation owned by Mr. Peter Marks, and 1,818,182 ordinary
shares are held of record by Shanti Capital Pty Ltd
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