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CASI Pharmaceuticals Inc

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FY2015 Annual Report · CASI Pharmaceuticals Inc
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FORM 10-K 

SECURITIES AND EXCHANGE COMMISSION 

WASHINGTON, D. C. 20549 

ANNUAL REPORT PURSUANT TO SECTION 13 OR 15 (d) OF 
THE SECURITIES EXCHANGE ACT OF 1934  
For the fiscal year ended December 31, 2015 

Commission file number 0-20713 

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

Delaware

58-1959440

(State of Incorporation)

(I.R.S. Employer Identification No.) 

9620 Medical Center Drive, Suite 300, Rockville, MD

(Address of principal executive offices)

20850

(Zip Code)

Registrant's telephone number, including area code:   (240) 864-2600 

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

Common Stock, $0.01 par value
(Title of each class) 

The NASDAQ Stock Market LLC 
(Name of each exchange on which registered)

Securities registered pursuant to Section 12(g) of the Act: NONE  

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities 

Act.  Yes ___No X 

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or 15 (d) of the Act.              

Yes___ No X 

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  X  No ___ 

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if 
any,  every  Interactive  Data  File  required  to  be  submitted  and  posted  pursuant  to  Rule  405  of  Regulation  S-T  during  the 
preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes X No___  

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

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, 
or  a  smaller  reporting  company.   See  the definitions of  “large  accelerated filer,”  “accelerated filer”  and  “smaller  reporting 
company” in Rule 12b-2 of the Exchange Act.  (Check one): 
Large accelerated filer  

Accelerated filer  

Non-accelerated filer  

Smaller reporting company X 

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

                                                     
 
 
 
 
 
 
 
 
 
 
  
 
 
 
  
  
 
 
 
 
 
 
 
 
 
  
 
 
 
 
   
 
 
 
As  of  June  30,  2015,  the  aggregate  market  value  of  the  shares  of  common  stock  held  by  non-affiliates  was 

approximately $36,273,034.  

As of March 18, 2016, 42,583,301 shares of the Company’s common stock were outstanding. 

Documents Incorporated By Reference 

The registrant intends to file a definitive proxy statement pursuant to Regulation 14A within 
120 days of the end of the fiscal year ended December 31, 2015. The proxy statement is incorporated 
herein by reference into the following parts of the Form 10-K:  

Part III, Item 10, Directors, Executive Officers and Corporate Governance;  
Part III, Item 11, Executive Compensation;  
Part III, Item 12, Security Ownership of Certain Beneficial Owners and Management and Related  
Stockholder Matters;  
Part III, Item 13, Certain Relationships and Related Transactions, and Director Independence; and 
Part III, Item 14, Principal Accounting Fees and Services. 

================================================================================== 

 
 
 
 
 
 
 
  
  
  
  
  
  
CASI PHARMACEUTICALS, INC. 
FORM 10-K - FISCAL YEAR ENDED DECEMBER 31, 2015 

TABLE OF CONTENTS 

Form 10-K 
Part No. 

                  I 

Form 10-K 
Item No. 
1 

1A 

1B 

2 

3 

4 

5 

6 

7 

7A 

8 

9 

9A 

9B 

10 

11 

12 

13 

14 

15 

                  II 

                   III 

                   IV 

Business                                                                                                                     3

Description

  Page No.

Risk Factors                                                                                                             12   

Unresolved Staff Comments                                                                                    21

Properties                                                                                                                 21

Legal Proceedings                                                                                                    21

Mine Safety Disclosure                                                                                            21   

Market for Registrant's Common Equity,
Related Stockholder Matters                                                                                  
And Issuer Purchases of Equity Securities

                21

Selected Financial Data                                                                                           21

Management's Discussion and Analysis of
Financial Condition and Results of Operations                                                       22

Quantitative and Qualitative Disclosures
About Market Risk                                                                                                   28

Financial Statements and Supplementary Data                                                        28

Changes in and Disagreements with Accountants
On Accounting and Financial Disclosure                                                                28

Controls and Procedures               

Other Information               

                28

                29

Directors, Executive Officers and Corporate Governance                                      29

Executive Compensation

Security Ownership of Certain Beneficial Owners and  
Management and Related Stockholder Matters

Certain Relationships and Related Transactions, and Director 
Independence

Principal Accounting Fees and Services

Exhibits and Financial Statement Schedules

Signatures

Audited Consolidated Financial Statements

                29

                29

                30

                30

                30

                34

              F-1

1

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
             
 
 
SPECIAL NOTE REGARDING FORWARD-LOOKING STATEMENTS 

This  report  contains  certain  forward-looking  statements  within  the  meaning  of  Section  27A  of  the  Securities 
Exchange  Act  of  1933,  as  amended  and  Section  21E  of  the  Securities  Exchange  Act  of  1934,  as  amended.    Forward-
looking  statements  also  may  be  included  in  other  statements  that  we  make.    All  statements  that  are  not  descriptions  of 
historical facts are forward-looking statements.  These statements can generally be identified by the use of forward-looking 
terminology  such  as  “believes,”  “expects,”  “intends,”  “may,”  “will,”  “should,”  or  “anticipates”  or  similar  terminology.  
These  forward-looking  statements  include,  among  others,  statements  regarding  the  timing  of  our  clinical  trials,  our  cash 
position and future expenses, and our future revenues.  

Actual results could differ materially from those currently anticipated due to a number of factors, including:  the 
risk  that  the  second  closing  of  our  recent  private  placement  offering  does  not  occur;  the  risk  that  we  may  be  unable  to 
continue as a going concern as a result of our inability to raise sufficient capital for our operational needs; the possibility 
that we may be delisted from trading on the Nasdaq Capital Market; the volatility in the market price of our common stock; 
risks relating to interests of our largest stockholders that differ from our other stockholders; the risk of substantial dilution 
of existing stockholders in future stock issuances, including as a result of the closing of the private placement offering; the 
difficulty of executing our business strategy in China; our inability to enter into strategic partnerships for the development, 
commercialization, manufacturing and distribution of our proposed product candidates or future candidates; risks relating 
to  the  need for  additional  capital  and  the uncertainty  of  securing  additional  funding on  favorable  terms;  risks  associated 
with  our  product  candidates;  risks  associated  with  any  early-stage  products  under  development;  the  risk  that  results  in 
preclinical models are not necessarily indicative of clinical results; uncertainties relating to preclinical and clinical trials, 
including  delays  to  the  commencement  of  such  trials;  the  lack  of  success  in  the  clinical  development  of  any  of  our 
products; dependence on third parties; and risks relating to the commercialization, if any, of our proposed products (such as 
marketing, safety, regulatory, patent, product liability, supply, competition and other risks).     

We  caution  investors  that  actual  results  or  business  conditions  may  differ  materially  from  those  projected  or 
suggested in forward-looking statements as a result of various factors including, but not limited to, those described above 
and in Section IA, “Risk Factors” of this Annual Report on Form 10-K for the fiscal year ended December 31, 2015 (this 
“Annual Report”) and our other filings with the Securities and Exchange Commission (“SEC”).   We cannot assure you 
that we have identified all the factors that create uncertainties.  Moreover, new risks emerge from time to time and it is not 
possible for our management to predict all risks, nor can we assess the impact of all risks on our business or the extent to 
which  any  risk,  or  combination of  risks,  may  cause  actual  results  to  differ  from  those  contained  in any  forward-looking 
statements.  Readers  should  not  place  undue  reliance  on  forward-looking  statements.  We  undertake  no  obligation  to 
publicly release the result of any revision of these forward-looking statements to reflect events or circumstances after the 
date they are made or to reflect the occurrence of unanticipated events. 

2

 
 
 
 
 
 
 
 
 
 
ITEM 1.     BUSINESS. 

OVERVIEW 

PART I 

CASI  Pharmaceuticals,  Inc.  (“CASI”,  the  “Company”)  (Nasdaq:  CASI)  is  a  late-stage  biopharmaceutical 
company  dedicated  to  the  acquisition,  development  and  commercialization  of  innovative  therapeutics  for  the 
treatment  of  cancer  and  other  unmet  medical  needs.    Our  mission  is  to  become  a  leading  fully-integrated 
pharmaceutical  company  delivering  new  medicines  to  patients  with  unmet  medical  needs.    We  conduct  clinical 
development activities internationally and focus our commercial and marketing strategy on the China region, and the 
rest of the world through partnerships for development and commercialization.   

Our  pipeline  features  (1)  our  lead  proprietary  drug  candidate,  ENMD-2076,  in  multiple  Phase  2  clinical 
trials,  (2)  MARQIBO®,  ZEVALIN®  and  EVOMELA™,  all  U.S.  Food  and  Drug  Administration  (FDA)  approved 
drugs in-licensed from Spectrum Pharmaceuticals, Inc. for China regional rights, and currently under development 
by CASI for market approval in China, and (3) proprietary early-stage candidates in preclinical development.  We 
believe that our pipeline reflects a risk-balanced approach between products in various stages of development, and 
between  products  that  we  develop  ourselves  and  those  that  we  develop  with  our  partners  for  the  China  regional 
market.    We  intend  to  continue building  a  significant  product  pipeline  of  innovative  drug  candidates  that  we  will 
commercialize  alone  in  China  and  with  partners  for  the  rest  of  the  world.    For  ENMD-2076,  our  current 
development  is  focused  on  niche  and  orphan  indications.    For  in-licensed  products,  the  Company  uses  a  market-
oriented  approach  to  identify  pharmaceutical  candidates  that  it  believes  have  the potential  for  gaining  widespread 
market acceptance, either globally or in China, and for which development can be accelerated under the Company’s 
drug development strategy. 

Our  primary  research  and  development  focus  is  on  oncology  therapeutics.    Our  strategy  is  to  develop 
innovative  drugs  that  are  potential  first-in-class  or  market-leading  compounds  for  treatment  of  cancer.    The 
implementation of our plans will include leveraging our resources in both the United States and China.  In order to 
capitalize  on  the  drug  development  and  capital  resources  available  in  China,  the  Company  is  doing  business  in 
China  through  its  wholly-owned  Chinese  subsidiary  that  will  execute  the  China  portion  of  the  Company’s  drug 
development  strategy,  including  conducting  clinical  trials  in  China,  pursuing  local  funding  opportunities  and 
strategic collaborations, and implementing the Company’s plan for development and commercialization in the China 
market. 

ENMD-2076 

Our  lead  internal  drug  candidate  is  ENMD-2076.  ENMD-2076  is  an  orally-active,  Aurora  A/angiogenic 
kinase  inhibitor  with  a  unique  kinase  selectivity  profile  and  multiple  mechanisms  of  action  that  has  shown  anti-
angiogenic and anti-proliferative properties in multiple preclinical and clinical cancer studies. ENMD-2076 has been 
shown to inhibit a distinct profile of angiogenic tyrosine kinase targets in addition to the Aurora A kinase. Aurora 
kinases are key regulators of mitosis (cell division), and are often over-expressed in human cancers. ENMD-2076 
also targets the VEGFR, Flt-3 and FGFR3 kinases, which have been shown to play important roles in the pathology 
of several cancers.  

3

 
 
 
 
 
 
 
 
 
ENMD-2076 has demonstrated significant, dose-dependent preclinical activity as a single agent, including 
tumor  regression,  in  multiple  animal  models  (e.g.  breast,  colon,  leukemia),  as  well  as  activity  towards  ex  vivo-
treated  human  leukemia  patient  cells.  ENMD-2076  has  shown  promising  activity  in  a  completed  Phase  1  clinical 
trial  in  various  different  solid  tumor  cancers  including  ovarian,  breast,  liver,  renal  and  sarcoma,  as  well  as  in 
leukemia, and multiple myeloma, and has also completed a Phase 2 clinical trial in advanced ovarian cancer, as well 
as a healthy volunteer crossover bioavailability and food effect study.  

We are currently conducting multiple Phase 2 studies of ENMD-2076 in advanced fibrolamellar carcinoma 
(FLC), 
triple-negative  breast  cancer  (TNBC),  advanced  ovarian  clear  cell  carcinomas  (OCCC),  and 
advanced/metastatic  soft  tissue  sarcoma  (STS).    Our  development  strategy  for  clinical-stage  products  includes 
expanding the clinical trials to China allowing for more patient recruitment and the combination of clinical data to 
support the registration submission in both the U.S. and China.  We have submitted clinical trial applications with 
the China Food and Drug Administration (CFDA) for each of these indications, and to date, have received approvals 
from the CFDA to proceed with trials in China for TNBC, OCCC and STS.  In March 2015, the Company expanded 
the Phase 2 clinical trial of ENMD-2076 in TNBC to China at the Cancer Hospital of Chinese Academy of Medical 
Sciences in Beijing, China.   

The status of ENMD-2076 current trials is outlined below: 

Disease 
Indication 

Status 

Sites 

Advanced 
Fibrolamellar 
Carcinoma 

U.S. sites: 

Phase 2 trial currently enrolling 

● Memorial Sloan-Kettering Cancer Center 
● University of Colorado Cancer Center 
● University of Texas Southwestern Medical Center  
● University of California at San Francisco  
● Dana-Farber Cancer Institute  

China sites:  New trial application accepted by 

● China site(s) to be determined 

CFDA and is currently under review 

Triple-Negative 
Breast Cancer 

U.S. sites: 

Phase 2 trial enrollment ongoing; 
biomarker analysis ongoing 

China sites: 

Phase 2 trial currently enrolling 

● University of Colorado 
● Indiana University 

● Cancer Hospital of Chinese Academy of 
   Medical Sciences 
● Additional China site(s) to be determined 

Advanced/Soft 
Tissue Sarcoma 

U.S. sites: 

Phase 2 trial enrollment completed; 
biomarker analysis ongoing 

● Princess Margaret Hospital 

Advanced 
Ovarian Clear 
Cell Carcinoma 

China sites:  Received CFDA approval to expand 

● China site(s) to be determined 

U.S. sites: 

trial to China sites 
Phase 2 currently enrolling; 
biomarker analysis ongoing 

● Princess Margaret Hospital 

China sites:  Received CFDA approval to expand 

● China site(s) to be determined 

trial to China sites 

ENMD-2076  has  received  orphan  drug  designation  from  the  FDA  for  the  treatment  of  ovarian  cancer, 
multiple myeloma, acute myeloid leukemia and hepatocellular carcinoma (HCC).  In October 2015, the Company 
also  received  orphan  drug  designation  from  the  European  Medicines  Agency  (EMA)  for  the  treatment  of  HCC 
including FLC.  In the United States, the Orphan Drug Act is intended to encourage companies to develop therapies 
for  the  treatment  of  diseases  that  affect  fewer  than  200,000  people  in  this  country.    Orphan  drug  designation 
provides us with seven years of market exclusivity that begins once ENMD-2076 receives FDA marketing approval 
for  a  specific  indication.    It  also  provides  certain  financial  incentives  that  can  help  support  the  development  of 
ENMD-2076. 

4

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ENMD-2076  development  is  based  on  comprehensive  research  into  the  relationship  between  malignancy 
and  angiogenesis  (the  growth  of  new  blood  vessels).    ENMD-2076  acts  on  the  cellular  pathways  that  affect 
biological processes important in multiple diseases, specifically angiogenesis and cell cycle regulation through the 
inhibition of key kinases.  ENMD-2076 has potential applications in oncology and other diseases that are dependent 
on the regulation of these processes. 

IN-LICENSED PRODUCTS FOR THE CHINA REGIONAL MARKET 

In September 2014, we acquired from Spectrum Pharmaceuticals, Inc. and certain of its affiliates (together 
referred to as “Spectrum”) exclusive rights in greater China (including Taiwan, Hong Kong and Macau) to three in-
licensed  oncology  products,  including  MARQIBO®  (vinCRIStine  sulfate  LIPOSOME  injection)  approved  in  the 
U.S. for advanced adult Ph- acute lymphoblastic leukemia (ALL), ZEVALIN® (ibritumomab tiuxetan) approved in 
the U.S. for advanced non-Hodgkin’s lymphoma, as well as EVOMELA™ (melphalan hydrochloride for injection) 
approved  in  the  U.S.  primarily  for  use  as  a  high-dose  conditioning  treatment  prior  to  hematopoietic  progenitor 
(stem) cell transplantation in patients with multiple myeloma.  A description of the products and its current status is 
described below. 

MARQIBO® 

MARQIBO®  is  a  novel,  sphingomyelin/cholesterol  liposome-encapsulated,  formulation  of  vincristine 
sulfate,  a  microtubule  inhibitor.  MARQIBO®  is  approved  by  the  FDA  for  the  treatment  of  adult  patients  with 
Philadelphia chromosome-negative (Ph-) acute lymphoblastic leukemia (ALL) in second or greater relapse or whose 
disease  has  progressed  following  two  or  more  anti-leukemia  therapies.  We  have  initiated  the  regulatory  and 
development process towards marketing approval for MARQIBO in China.  In January 2016, the CFDA accepted 
for review our import drug registration application for MARQIBO®.   

ZEVALIN® 

ZEVALIN® injection for intravenous use is a CD20-directed radiotherapeutic antibody. It is indicated for 
the  treatment  of  patients  with  relapsed  or  refractory,  low-grade  or  follicular  B-cell  non-Hodgkin’s  lymphoma 
(NHL). ZEVALIN® is also indicated for the treatment of patients with previously untreated follicular non-Hodgkin’s 
Lymphoma who achieve a partial or complete response to first-line chemotherapy. ZEVALIN® therapeutic regimen 
consists  of  two  components:  rituximab,  and  Yttrium-90  (Y-90)  radiolabeled  ZEVALIN®  for  therapy.  ZEVALIN® 
builds on the combined effect of a targeted biologic monoclonal antibody augmented with the therapeutic effects of 
a  beta-emitting  radioisotope.  Since  ZEVALIN®  is  already  approved  in  the  U.S.  and  marketed  by  Spectrum,  we 
expect that gaining approval from local regulatory authorities for commercialization in greater China will require a 
shorter  timeframe  compared  to  clinical-stage  drugs.  We  have  initiated  the  regulatory  and  development  process 
towards  marketing  approval  for  ZEVALIN®  in  China,  and  have  initiated  commercial  activities  for  ZEVALIN®  in 
Hong Kong.  

EVOMELA™ 

EVOMELA™  is  a  new  intravenous  formulation  of  melphalan  being  investigated  by  Spectrum  in  the 
multiple  myeloma  transplant  setting.  The  formulation  avoids  the  use  of  propylene  glycol,  which  is  used  as  a  co-
solvent in the current formulation of melphalan and has been reported to cause renal and cardiac side-effects that 
limit the ability to deliver higher quantities of intended therapeutic compounds. The use of Captisol technology to 
reformulate  melphalan  is  anticipated  to  allow  for  longer  administration  durations  and  slower  infusion  rates, 
potentially  enabling  clinicians  to  avoid  reductions  and  safely  achieve  a  higher  dose  intensity  of  pre-transplant 
chemotherapy.  On  March  10,  2016,  Spectrum  received  notification  from  the  FDA  of  the  grant  of  approval  of  its 
NDA  for  EVOMELA™ (melphalan)  for  Injection  primarily  for  use  as  a  high-dose  conditioning  treatment  prior  to 
hematopoietic  progenitor  (stem)  cell  transplantation  in  patients  with  multiple  myeloma.  We  have  initiated  the 
regulatory and development process towards marketing approval for EVOMELA™ in China. 

5

 
 
 
 
 
 
 
 
 
 
 
 
 
PRECLINICAL DEVELOPMENT 

Our primary focus is on clinical-stage and late-stage drug candidates so that we can immediately employ 
our  U.S.  and  China  drug  development  model  to  accelerate  clinical  and  regulatory  progress.    In  addition  to  our 
clinical-and  late-stage  approach,  we  have  two  potential  drug  candidates  in  preclinical  development  that  we  will 
continue  to  evaluate  in  2016.    In  addition  to  these  early  compounds,  our  pipeline  includes  2ME2  (2-
methoxyestradial),  an  orally  active  compound  that  has  antiproliferative,  antiangiogenic  and  anti-inflammatory 
properties. We maintain strong intellectual property around our 2ME2 asset and are currently seeking a partner to 
advance its development. 

MANAGEMENT 

The current senior management team includes: Dr. Ken K. Ren, Chief Executive Officer; Cynthia W. Hu, 
Chief  Operating  Officer,  General  Counsel  &  Secretary;  Dr.  Rong  Chen,  Chief  Medical  Officer;  and  Sara  B. 
Capitelli, Vice President, Finance & Principal Accounting Officer.  The Company, as part of its normal operations, 
also  has  consulting  relationships  with  a  core  team  of  experts  in  clinical  trial  design,  FDA  and  CFDA  strategy, 
scientific research, manufacturing and formulation, among others. 

Our  management  team  promotes  and  instills  a  corporate  culture  of  prudent  resource  management,  fiscal 
responsibility and accountability, while maintaining an environment of innovation and entrepreneurialism in order to 
quickly respond to opportunities and to react to any changes in market conditions and in the regulatory landscape. 

BUSINESS DEVELOPMENT AND COMMERCIALIZATION STRATEGY 

We  intend  to  continue  our  path  to  become  fully  integrated  with  drug  development  and  commercial 
operations.      Our  current  external  business  development  effort  is  concentrated  on  acquiring  additional  drug 
candidates  through  in-license  and  acquisitions  to  expand  our  pipeline.    Our  pipeline  will  reflect  a  diversified  and 
risk-balanced set of assets that include (1) proprietary innovative drug candidates, such as our ENMD-2076, (2) late-
stage  clinical  drug  candidates  in-licensed  for  China  regional  rights,  such  as  MARQIBO®,  ZEVALIN®,  and 
EVOMELA™,  and  (3)  new  drug  candidates  under  internal  preclinical  development.    We  use  a  market-oriented 
approach  to  identify  pharmaceutical  candidates  that  we  believe  have  the  potential  for  gaining  widespread  market 
acceptance, either globally or in China, and for which development can be accelerated under the Company’s drug 
development strategy.  Although oncology is our principal clinical and commercial focus, we will be opportunistic 
about other pharmaceuticals that can address unmet medical needs.   

We believe that ENMD-2076 has therapeutic potential in a broad range of tumor types.  We will continue 
to advance ENMD-2076 in our current indications.  We believe that for these indications ENMD-2076 represents a 
potential  Phase  3 partnering opportunity  for  large pharmaceutical  companies  for  territory  rights outside of  greater 
China.  As a result, our strategy is to pursue the development of ENMD-2076, obtain additional clinical data while 
being  selective  and  opportunistic  in  exploring  strategic  alliances  for  territories  outside  of  greater  China.  For 
fibrolamellar carcinoma, a much smaller indication, we intend to maintain our global rights and commercialize on 
our  own.    Similarly,  we  believe  that  2ME2  and  other  new  drug  candidates  in  early  development  represent  future 
partnering opportunities for large pharmaceutical companies for territory rights outside of greater China.   

In 2012, we established a wholly-owned Chinese subsidiary that is executing the China portion of our drug 
development  strategy,  including  conducting  clinical  trials  in  China,  pursuing  local  funding  opportunities  and 
strategic  collaborations,  and  implementing  our  plan  for  accelerated  development  and  commercialization  in  the 
Chinese market.   

RELATIONSHIPS RELATING TO CLINICAL PROGRAMS  

Contract  Manufacturing.    The  manufacturing  efforts  for  the  production  of  our  clinical  trial  materials  are 
performed  by  contract  manufacturing  organizations.    Established  relationships,  coupled  with  supply  agreements, 
have secured the necessary resources to supply clinical materials for our clinical development program.  We believe 
that our current strategy of outsourcing manufacturing is cost-effective and allows for the flexibility we require.  

6

 
 
 
 
 
 
 
 
 
 
Sponsored Research Agreements.  To support development efforts, we may enter into sponsored research 
agreements with outside scientists to conduct specific projects.  Under these agreements, we have secured the rights 
to intellectual property and to develop under exclusive license any discoveries resulting from these collaborations. 
The  funds,  if  any,  we  provide  in  accordance  with  these  agreements  partially  support  the  scientists’  laboratory, 
research personnel and research supplies. 

Clinical  Trial  Centers.    As  of  March  18,  2016,  we  are  conducting  clinical  trials  for  ENMD-2076  at  the 

following institutions:   

Clinical Trial 
Phase 2 Advanced Fibrolamellar 
Carcinoma  
(currently enrolling) 

Phase 2 Triple-Negative Breast Cancer 
(currently enrolling in the U.S. and 
China) 

Institution 
● Memorial Sloan-Kettering Cancer Center, New York, NY 
● University of Colorado Cancer Center, Aurora, CO 
● University of Texas Southwestern Medical Center, Dallas, TX  
● University of California at San Francisco, San Francisco, CA  
● Dana-Farber Cancer Institute, Boston, MA 

● University of Colorado Cancer Center, Aurora, CO  
● Indiana University Melvin & Bren Simon Cancer Center, 
Indianapolis, IN  
● Cancer Hospital of Chinese Academy of Medical Sciences, 
Beijing, China 

Phase 2 Advanced/Soft Tissue Sarcoma 
(currently enrolling) 
Phase 2 Advanced Ovarian Clear Cell 
Carcinoma (currently enrolling) 

● Princess Margaret Hospital, Toronto, Ontario  

● Princess Margaret Hospital, Toronto, Ontario 

INTELLECTUAL PROPERTY  

We  generally  seek  patent  protection  for  our  technology  and  product  candidates  in  the  United  States, 
Canada,  China  and  other  key  markets.   The  patent  position  of  biopharmaceutical  companies  generally  is  highly 
uncertain and involves complex legal and factual questions.  Our success will depend, in part, on whether we can: (i) 
obtain patents to protect our own products; (ii) obtain licenses to use the technologies of third parties, which may be 
protected by patents; (iii) protect our trade secrets and know-how; and (iv) operate without infringing the intellectual 
property and proprietary rights of others. 

With  respect  to  our  lead  drug  candidate,  ENMD-2076,  we  directly  own  22  granted  patents  or  allowed 
patent applications (including 2 granted United States patents, 1 granted Chinese patent, and 18 granted patents and 
1 additional pending patent applications in Brazil).  The patent term for U.S. Patent No. 7,563,787 will expire March 
5, 2027, assuming all maintenance fees are paid.  If and when the FDA approves ENMD-2076, this patent term may 
be  extended.   The  patent  terms  of  our  granted  patents  (including  any  patents  issuing  from  our  pending  patent 
applications) in other countries will expire September 29, 2026, assuming all annuities are paid and not considering 
any term extensions for regulatory approval that might be available. 

With  regard  to  our  in-licensed  drug  candidates  (MARQIBO®,  ZEVALIN®  and  EVOMELA™),  we  have 
acquired exclusive licenses to intellectual property to enable us to develop and commercialize the drug candidates in 
our commercial markets. 

With respect to our drug candidate, 2ME2, we directly own 4 issued US patents, 5 granted foreign patents, 
and 1 pending foreign application. Assuming all maintenance fees are paid not considering any term extensions for 
regulatory approval that might be available, the patent term of US Patent No. 7,087,592 expires March 12, 2022, the 
patent  term  of  US  Patent  No.  7,235,540  expires  August  23,  2020,  the  patent  term  of  US  Patent  No.  8,399,440 
expires  September  10,  2029,  and,  if  granted,  the  patent  term  of  US  Patent  No.  9,132,138  expires  March  8,  2033.  
The corresponding foreign patents will expire August 23, 2020, and March 20, 2027, assuming all annuities are paid 
and not considering any term extensions for regulatory approval that might be available. 

We have pending trademark applications for CASI and CASI PHARMACEUTICALS. 

7

 
 
 
 
 
 
 
 
 
 
 
 
 
 
We review and assess our portfolio on a regular basis to secure protection and to align our patent strategy 

with our overall business strategy.   

GOVERNMENT REGULATION  

U.S. Food and Drug Administration (FDA) 

Our  development,  manufacture,  and  potential  sale  of  therapeutics  in  the  United  States,  China  and  other 

countries are subject to extensive regulations by federal, state, local and foreign governmental authorities.  

In the United States, the FDA regulates product candidates currently being developed as drugs or biologics.  
New  drugs  are  subject  to  regulation  under  the  Federal  Food,  Drug,  and  Cosmetic  Act  (FFDCA),  and  biological 
products, in addition to being subject to certain provisions of that Act, are regulated under the Public Health Service 
Act  (PHSA).    We  believe  that  the  FDA  will  regulate  the  products  currently  being  developed  by  us  or  our 
collaborators as new drugs.  Both the FFDCA and PHSA and corresponding regulations govern, among other things, 
the  testing,  manufacturing,  safety,  efficacy,  labeling,  storage,  recordkeeping,  advertising  and  other  promotion  of 
biologics or new drugs, as the case may be.  FDA clearances or approvals must be obtained before clinical testing, 
and before manufacturing and marketing of biologics or drugs.  

Preparing  drug  candidates  for  regulatory  approval  has  historically  been  a  costly  and  time-consuming 
process.  Generally, in order to gain FDA permission to test a new agent, a developer first must conduct preclinical 
studies in the laboratory and in animal  model systems to gain preliminary information on an agent's effectiveness 
and to identify any safety problems.  The results of these studies are submitted as a part of an Investigational New 
Drug  Application  (IND)  for  a  drug  or  biologic,  which  the  FDA  must  review  before  human  clinical  trials  of  an 
investigational drug can begin.  In addition to the known safety and effectiveness data on the drug or biologic, the 
IND  must  include  a  detailed  description  of  the  clinical  investigations  proposed.    Based  on  the  current  FDA 
organizational  structure,  ENMD-2076  is  regulated  as  a  new  chemical  entity  by  the  FDA’s  Center  for  Drug 
Evaluation and Research.  Generally, as new chemical entities like our small molecules are discovered, formal IND-
directed toxicology studies are required prior to initiating human testing.  Clinical testing may begin 30 days after 
submission of an IND to the FDA unless FDA objects to the initiation of the study or has outstanding questions to 
discuss with the IND sponsor.  

In order to commercialize any drug or biological products, we or our collaborators must sponsor and file an 
IND and conduct clinical studies to demonstrate the safety and effectiveness necessary to obtain FDA approval of 
such products.  For studies conducted under INDs sponsored by us or our collaborators, we or our collaborators will 
be  required  to  select  qualified  investigators  (usually  physicians  within  medical  institutions)  to  supervise  the 
administration of the products, test or otherwise assess patient results, and collect and maintain patient data; monitor 
the  investigations  to  ensure  that  they  are  conducted  in  accordance  with  applicable  requirements,  including  the 
requirements  set  forth  in  the  general  investigational  plan  and  protocols  contained  in  the  IND;  and  comply  with 
applicable reporting and recordkeeping requirements.  

Clinical  trials  of drugs or biologics  are normally  done  in  three phases, although  the phases  may  overlap. 
Phase  1  trials  for  drug  candidates  to  be  used  to  treat  cancer  patients  are  concerned  primarily  with  the  safety  and 
preliminary effectiveness of the drug, involve a small group ranging from 15 - 40 subjects, and may take from six 
months to over one year to complete.  Phase 2 trials normally involve 30 - 200 patients and are designed primarily to 
demonstrate effectiveness in treating or diagnosing the disease or condition for which the drug is intended, although 
short-term  side  effects  and  risks  in  people  whose  health  is  impaired  may  also  be  examined.    Phase  3  trials  are 
expanded  clinical  trials  with  larger  numbers  of  patients  which  are  intended  to  evaluate  the  overall  benefit-risk 
relationship of the drug and to gather additional information for proper dosage and labeling of the drug.  Phase 3 
clinical trials generally take two to five years to complete, but may take longer.  The FDA receives reports on the 
progress of each phase of clinical testing, as well as reports of unexpected adverse experiences occurring during the 
trial.    The  FDA  may  require  the  modification,  suspension,  or  termination  of  clinical  trials,  if  it  concludes  that  an 
unwarranted risk is presented to patients, or, in Phase 2 and 3, if it concludes that the study protocols are deficient in 
design to meet their stated objectives.  

8

 
 
 
 
 
 
 
 
 
 
If clinical trials of a new drug candidate are completed successfully, the sponsor of the product may seek 
FDA marketing approval.  If the product is classified as a new drug, an applicant must file a New Drug Application 
(NDA)  with  the  FDA  and  receive  approval  before  marketing  the  drug  commercially.    The  NDA  must  include 
detailed  information  about  the  product  and  its  manufacturer  and  the  results  of  product  development,  preclinical 
studies and clinical trials.  

The testing and approval processes require substantial time and effort, and there can be no assurance that 
any  approval  will  be  obtained  on  a  timely  basis,  if  at  all.    Although  it  is  the  policy  of  the  FDA  to  complete  the 
review  of  the  initial  submission  of  NDAs  within  six  to  twelve  months,  the  entire  FDA  review  process  may  take 
several years.  Notwithstanding the submission of relevant data, the FDA may ultimately decide that the NDA does 
not satisfy  its regulatory  criteria  and deny the  approval.  Further,  the  FDA  may  require  additional  clinical  studies 
before making a decision on approval. In addition, the FDA may condition marketing approval on the conduct of 
specific post-marketing studies to further evaluate safety and effectiveness.  Even if FDA regulatory clearances are 
obtained,  a  marketed  product  is  subject  to  continuing  regulatory  requirements  and  review  relating  to  Good 
Manufacturing  Practices,  adverse  event  reporting,  promotion  and  advertising,  and  other  matters.    Discovery  of 
previously  unknown  problems  or  failure  to  comply  with  the  applicable  regulatory  requirements  may  result  in 
restrictions on the marketing of a product or withdrawal of the product from the market, as well as possible civil or 
criminal sanctions.  

China Food and Drug Administration (CFDA) 

We  are  also  subject  to  regulation  and  oversight  by  different  levels  of  the  food  and  drug  administration  in 
China,  in  particular,  the  CFDA.    For  clinical-stage  product  candidates,  our  development  activities  in  China  can 
follow  two  purposes:  (1)  to  obtain  clinical  data  to  support  our  global  FDA-regulated  trials  as  is  the  case  for  our 
proprietary ENMD-2076, and (2) to obtain clinical data to support local registration with the CFDA.  For late-stage 
product  candidates  that  we  in-license  for  greater  China  rights,  such  as  MARQIBO®,  ZEVALIN®,  and 
EVOMELA™,  our  development  activities  in  China  are  to  secure  marketing  approval  from  CFDA  by  conducting 
import  drug  registration.    The  “Law  of  the  PRC  on  the  Administration  of  Pharmaceuticals,”  as  amended  on 
February 28,  2001,  provides  the  basic  legal  framework  for  the  administration  of  the  production  and  sale  of 
pharmaceuticals  in  China  and  covers  the  manufacturing,  distributing,  packaging,  pricing  and  advertising  of 
pharmaceutical products in China. Its implementation regulations set out detailed implementation rules with respect 
to the administration of pharmaceuticals in China.  We are also subject to other PRC laws and regulations that are 
applicable to manufacturers and distributors in general. 

Product  Manufacturing.    For  local  registration  only,  both  drug  substance  and  drug  product  need  to  be 
manufactured  locally  in  China  through  either  a  self-owned  facility  or  a  contract  manufacturing  organization.  The 
study  drug  to  be  used  for  clinical  trials  must  be  manufactured  in  compliance  with  CFDA  Good  Manufacturing 
Practice (GMP) guidelines. A manufacturer of pharmaceutical products and active pharmaceutical ingredient (API) 
must obtain the drug manufacturing license and the GMP certification to produce pharmaceutical products and API 
for marketing in China. GMP certification criteria include institution and staff qualifications, production premises 
and  facilities,  equipment,  raw  materials,  hygiene  conditions,  production  management,  quality  controls,  product 
distributions,  maintenance  of  sales  records  and  manner  of  handling  customer  complaints  and  adverse  reaction 
reports.  Both the drug manufacturing license and the GMP certificate is valid for five years, and must be renewed at 
least six months before its expiration date.  A manufacturer is required to obtain GMP certificates to cover all of its 
production operations. 

 In addition, before commencing business, a pharmaceutical manufacturer must also obtain a business license 

from the relevant administration for industry and commerce. 

Preclinical  Research  and  Clinical  Trials.    For  an  investigational  new  drug  application,  a  clinical  trial 
approval  issued  from  the  CFDA  is  required  to  conduct  clinical  trials.  Chemical  generics,  on  the  other  hand,  only 
need to undergo bioequivalent studies upon a filing for record with the CFDA.  In order to apply for a clinical trial 
application approval to support local registration in China, a pharmaceutical company is required to conduct a series 
of  preclinical  research  including  research  on  chemistry,  pharmacology,  toxicology  and  pharmacokinetics  of 
pharmaceuticals.    This  preclinical  research  should  be  conducted  in  compliance  with  the  relevant  regulatory 

9

 
  
 
 
 
 
  
guidelines  issued  by  the  CFDA.    In  particular,  safety  evaluation  research  must  be  conducted  in  compliance  with 
China’s Good Laboratory Practice.   

After  completion  of  preclinical  studies  and  obtaining  the  clinical  trial  approval  from  the  CFDA,  clinical 

trials are conducted in compliance with China’s Good Clinical Practice and include: 

Phase  1  –  preliminary  trial  of  clinical  pharmacology  and  human  safety  evaluation  studies.    The 
primary objective is to observe the pharmacokinetics and the tolerance level of the human body to the new 
medicine as a basis for ascertaining the appropriate methods of dosage. 

Phase  2  –  preliminary  exploration  on  the  therapeutic  efficacy.    The  purpose  is  to  assess 
preliminarily the efficacy and safety of pharmaceutical products on patients with the target indication of the 
pharmaceutical products and to provide the basis for the design and dosage tests for Phase 3.  The dosing 
and  methodology  of  research  in  this  phase  generally  adopts  double-blind,  random  methods  with  limited 
sample sizes. 

Phase  3  –  confirm  the  therapeutic  efficacy.    The  objective  is  to  further  verify  the  efficacy  and 
safety of pharmaceutical products on patients within the target indication, to evaluate the benefits and risks 
and finally to provide sufficient experimentally proven evidence to support the registration application of 
the  pharmaceutical  products.    In  general,  the  trial  should  adopt  double-blind  random  methods  with 
sufficient sample sizes. 

Import  Drug  Registration  or  Multi  Regional  Clinical  Trials.    CFDA  regulations  allow  foreign  drug 
developers to conduct import drug registration or multi regional clinical trials in China for a new drug as part of a 
global drug development program. A Multi Regional Clinical Trial Application needs to be filed with the CFDA and 
approval is required prior to conducting the trials. Before a Multi Regional Clinical Trial Application is filed with 
the  CFDA,  regulations  require  the  investigational  new  product  that  is  the  subject  of  the  trial  to  have  at  least 
completed a Phase 1 clinical trial overseas, and the new product must currently be in the process of later stages of 
development.  

In order to apply for a Multi Regional Clinical Trial Application in China, a biopharmaceutical company is 
required  to  submit  a  comprehensive  investigation  new  drug  application  package  filed  with  foreign  regulatory 
agency, i.e. the FDA, in a format compliant with CFDA guidance. 

After  obtaining  the  multi  regional  clinical  trial  approval  from  the  CFDA,  clinical  trials  are  conducted  in 

compliance with the both FDA/ICH and CFDA Good Clinical Practice guidelines. 

New Drug Registration and Application.  After completion of the 3 phases of clinical trials demonstrating 
the  safety  and  effectiveness  of  a  pharmaceutical  in  its  targeted  indication,  a  New  Drug  Registration  Application 
needs  to  be  filled  with  the  CFDA,  which  includes  research  data  of  chemistry,  manufacturing  and  controls,  pre-
clinical studies and clinical trial report.  

Once new drug registration approval is received, the product can be sold nationwide in China. 

COMPETITION   

Competition  in  the  pharmaceutical,  biotechnology  and  biopharmaceutical  industries  is  intense  and  based 
significantly  on  scientific  and  technological  factors,  the  availability  of  patent  and  other  protection  for  technology 
and products, the ability and length of time required to obtain governmental approval for testing, manufacturing and 
marketing and the ability to commercialize products in a timely fashion.  Moreover, the biopharmaceutical industry 
is characterized by rapidly evolving technology that could result in the technological obsolescence of any products 
that we develop. 

We  compete  with  many  specialized  biopharmaceutical  firms,  as  well  as  a  growing  number  of  large 
pharmaceutical  companies  that  are  applying  biotechnology  to  their  operations.  It  is  probable  that  the  number  of 
companies  seeking  to develop  products  and  therapies for  the  treatment  of  unmet  needs  in  oncology will  increase.  

10

 
 
 
 
 
 
 
 
 
 
 
 
  
Many  biopharmaceutical  companies  have  focused  their  development  efforts  in  the  human  therapeutics  area, 
including  oncology  and  inflammation,  and  many  major  pharmaceutical  companies  have  developed  or  acquired 
internal  biotechnology  capabilities  or  made  commercial  arrangements  with  other  biopharmaceutical  companies. 
These companies, as well as academic institutions, governmental agencies and private research organizations, also 
compete with us in recruiting and retaining highly qualified scientific personnel and consultants.  

The  biopharmaceutical  industry  has  undergone,  and  is  expected  to  continue  to  undergo,  rapid  and 
significant technological change.  Consolidation and competition are expected to intensify as technical advances in 
each field are achieved and become  more widely known.  In order to compete effectively, we will be required to 
continually  expand  our  scientific  expertise  and  technology,  identify  and  retain  capable  personnel  and  pursue 
scientifically feasible and commercially viable opportunities. 

Our competition will be determined in part by the potential indications for which our product candidates 
may  be  developed  and  ultimately  approved  by  regulatory  authorities.    The  relative  speed  with  which  we  develop 
new  products,  complete  clinical  trials,  obtain  regulatory  approvals,  and  complete  the  other  requirements  to  get  a 
pharmaceutical product on the market are critical factors in gaining a competitive advantage.  We may rely on third 
parties to commercialize our products, and accordingly, the success of these products will depend in significant part 
on these third parties' efforts and ability to compete in these markets.  The success of any collaboration will depend 
in  part  upon  our  collaborative  partners'  own  competitive,  marketing  and  strategic  considerations,  including  the 
relative  advantages  of  alternative  products  being  developed  and  marketed  by  our  collaborative  partners  and  our 
competitors.  

Many  of  our  existing  or  potential  competitors  have  substantially  greater  financial,  technical  and  human 
resources than we do and may be better equipped to develop, manufacture and market products.  In addition, many 
of  these  competitors  have  extensive  experience  in  preclinical  testing  and  human  clinical  trials  and  in  obtaining 
regulatory approvals. The existence of competitive products, including products or treatments of which we are not 
aware,  or  products  or  treatments  that  may  be  developed  in  the  future,  may  adversely  affect  the  marketability  of 
products that we may develop.  Our competitors’ drugs may be more effective than any drug we may commercialize 
and  may  render  our  product  candidates  obsolete  or  non-competitive  before  we  can  recover  the  expenses  of 
developing our product candidates.   

EMPLOYEES  

Our  work  force,  based  in  Rockville,  Maryland  and  Beijing,  China,  currently  consists  of  19  full-time 
employees and 1 part-time employee.  Certain of our activities, such as manufacturing and clinical trial operations, 
are outsourced at the present time.  We may hire additional personnel, in addition to utilizing part-time or temporary 
consultants, on an as-needed basis.  None of our employees are represented by a labor union, and we believe our 
relations with our employees are satisfactory. 

CORPORATE HEADQUARTERS 

We  were  incorporated  under  Delaware  law  in  1991.    The  Company  was  restructured  in  2012  and 
implemented a name change in 2014 to “CASI Pharmaceuticals, Inc.”  Our principal executive offices are located at 
9620 Medical Center Drive, Suite 300, Rockville, Maryland 20850, and our telephone number is (240) 864-2600.  
We also lease office space in Beijing, China, where our China operations are based, and also lease laboratory space 
in Beijing, China which serves as our R&D Center. 

CHINA OPERATIONS 

In August 2012, we established a wholly-owned Chinese subsidiary and an office in Beijing, and in 2014, 
established a R&D Center in Beijing.  Our staff in Beijing currently consists of 15 full-time employees.  Among its 
activities, our Beijing office helps to oversee the Company’s local clinical operation activities, as well as its CFDA 
regulatory activities. In addition, the Beijing office provides support to our business development activities.   

11

 
 
 
 
 
 
 
 
 
 
 
 
 
AVAILABLE INFORMATION 

Through our website at www.casipharmaceuticals.com, we make available, free of charge, our filings with 
the SEC, including our annual proxy statements, annual reports on Form 10-K, quarterly reports on Form 10-Q and 
current reports on Form 8-K, and all amendments thereto, as soon as reasonably practicable after such reports are 
filed with or furnished to the SEC.  Additionally, our board committee charters and code of ethics are available on 
our website. We intend to post to this website all amendments to the charters and code of ethics.  Our filings are also 
available through the SEC via their website, http://www.sec.gov.  You may also read and copy any materials we file 
with the SEC at the SEC’s Public Reference Room at 100 F Street, N.E., Washington, D.C. 20549.  You may obtain 
information  on  the  operation  of  the  Public  Reference  Room  by  calling  the  SEC  at  1-800-SEC-0330.    The 
information  contained  on  our  website  is  not  incorporated  by  reference  in  this  Annual  Report  on  Form  10-K  (this 
“Annual Report”) and should not be considered a part of this report. 

ITEM 1A.     RISK FACTORS.     

Risks Relating to our Financial Position and Need for Additional Capital 

We  Have a  History of  Losses  and  Anticipate  Future  Losses and  May Never  Become  Profitable on  a  Sustained 
Basis 

To date, we have been engaged primarily in research and development activities. Although in the past we 
have  received  limited  revenues  on  royalties  from  the  sales  of  pharmaceuticals,  license  fees  and  research  and 
development  funding  from  a  former  collaborator  and  limited  revenues  from  certain  research  grants,  we  have  not 
derived significant revenues from operations. 

We  have  experienced  losses  in  each  year  since  inception.  Through  December  31,  2015,  we  had  an 
accumulated deficit of approximately $432.5 million. We will seek to raise capital to continue our operations and 
although  we  have  been  successfully  funded  to  date  through  the  sales  of  our  equity  securities  and  through  limited 
royalty payments, there is no assurance that our capital-raising efforts will be able to attract the funding needed to 
sustain our operations. If we are unable to obtain additional funding for operations, we may not be able to continue 
operations as proposed, requiring us to modify our business plan, curtail various aspects of our operations or cease 
operations. In any such event, investors may lose a portion or all of their investment. 

We  expect  that  our  ongoing  clinical  and  corporate  activities  will  result  in  operating  losses  for  the 
foreseeable  future  before  we  commercialize  any  products,  if  ever.  In  addition,  to  the  extent  we  rely  on  others  to 
develop and commercialize our products, our ability to achieve profitability will depend upon the success of these 
other  parties.  To  support  our  research  and  development  of  certain  product  candidates,  we  may  seek  and  rely  on 
cooperative  agreements  from  governmental  and  other  organizations  as  a  source  of  support.  If  a  cooperative 
agreement  were  to  be  reduced  to  any  substantial  extent,  it  may  impair  our  ability  to  continue  our  research  and 
development efforts. Even if we do achieve profitability, we may be unable to sustain or increase it. 

Our Common Stock Could Be Delisted From The NASDAQ Capital Market, Which Could Affect Our Common 
Stock’s Market Price and Liquidity. 

Our  listing  on  the  NASDAQ  Capital  Market  is  contingent  upon  meeting  all  the  continued  listing 
requirements  of  the  NASDAQ  Capital  Market  which  include  maintaining  a  minimum  bid  price  of  not  less  than 
$1.00  per  share  and  a  minimum  of  $2.5  million  in  stockholders’  equity.  NASDAQ  Listing  Rule  5810(c)(3)(A) 
provides that a failure to meet the minimum bid price requirement exists if the deficiency continues for a period of 
30 consecutive business days. 

On March 15, 2016, we received written notice from NASDAQ that the closing bid price for our common 
stock had been below $1.00 per share for the previous 30 consecutive business days, and that we were therefore not 
in  compliance  with  the  requirements  for  continued  inclusion  on  the  NASDAQ  Capital  Market  under  NASDAQ 
Listing Rule 5550(a)(2). In accordance with NASDAQ Listing Rule 5810(c)(3)(A), we have 180 calendar days, or 
until September 12, 2016, to regain compliance with the minimum bid price requirement. To regain compliance with 
the $1.00 minimum bid listing requirement of the NASDAQ Capital Market, the closing bid price per share of our 

12

 
 
 
 
  
 
 
 
 
 
 
 
 
common stock would have to be $1.00 or higher for a minimum of ten consecutive business days during this initial 
180-day compliance period. 

If  we  do  not  regain  compliance  with  the  minimum  $1.00  bid  price  per  share  requirement,  we  may  be 
eligible  for  an   additional  180  calendar  day  period  to  regain  compliance  if  we  meet  certain  conditions,  including 
providing notice to NASDAQ that we intend to regain compliance by undertaking a reverse stock split, if necessary. 
This second 180 day period would relate exclusively to the bid price deficiency. Our common stock may be delisted 
during  the  180  days  for  failure  to  maintain  compliance  with  any  other  listing  requirements.  There  can  be  no 
assurance that we will be able to regain compliance with the minimum bid price requirement or will otherwise be in 
compliance with other NASDAQ listing criteria. 

If our common stock is delisted from the NASDAQ Capital Market, our ability to raise capital in the future 

may be limited. Delisting could also result in less liquidity for our stockholders and a lower stock price. 

We May Engage in Strategic and Other Corporate Transactions, Which Could Negatively Affect Our Financial 
Condition and Prospects 

We may consider strategic and other corporate transactions as opportunities present themselves. There are 
risks  associated  with  such  activities. These  risks  include,  among  others,  incorrectly  assessing  the  quality  of  a 
prospective  strategic  partner,  encountering  greater  than  anticipated  costs  in  integration,  being  unable  to  profitably 
deploy assets acquired in the transaction, such as drug candidates, possible dilution to our stockholders, and the loss 
of key employees due to changes in management. Further, strategic transactions may place additional constraints on 
our  resources  by  diverting  the  attention  of  our  management  from  our  business  operations. To  the  extent  we  issue 
securities  in  connection  with  additional  transactions,  these  transactions  and  related  issuances  may  have  a  dilutive 
effect on earnings per share and our ownership. Our financial condition and prospects after an acquisition depend in 
part  on  our  ability  to  successfully  integrate  the  operations  of  the  acquired  business  or  technologies. We  may  be 
unable to integrate operations successfully or to achieve expected cost savings. Any cost savings which are realized 
may be offset by losses in revenues or other charges to earnings. 

The Current Capital and Credit Market Conditions May Adversely Affect the Company’s Access to Capital, Cost 
of Capital, and Ability to Execute its Business Plan as Scheduled 

Access to capital  markets is  critical to our ability to operate. Traditionally, biopharmaceutical companies 
(such as we) have funded their research and development expenditures through raising capital in the equity markets. 
Declines and uncertainties in these markets over the past few years have severely restricted raising new capital in 
amounts sufficient to conduct our ENMD-2076 program and have affected our ability to continue to expand or fund 
research and development efforts with our other product candidates. We require significant capital for research and 
development for our product candidates and clinical trials. In recent years, the general economic and capital market 
conditions in the United States have deteriorated significantly and have adversely affected our access to capital and 
increased the cost of capital, and there is no certainty that a recovery in the capital and credit markets, enabling us to 
raise  capital  in  an  amount  to  sufficiently  fund  our  short-term  and  long-term  plans,  will  occur  in  2016.  If  these 
economic conditions continue or become worse, our future cost of equity or debt capital and access to the capital 
markets  could  be  adversely  affected.  In  addition,  our  inability  to  access  the  capital  markets  on  favorable  terms 
because of our low stock price, or upon our delisting from the NASDAQ Capital Market if we fail to satisfy a listing 
requirement, could affect our ability to execute our business plan as scheduled. Moreover, we rely and intend to rely 
on third parties, including our clinical research organizations, third party manufacturers, and certain other important 
vendors and consultants. As a result of the current volatile and unpredictable global economic situation, there may 
be  a  disruption  or  delay  in  the  performance  of  our  third-party  contractors  and  suppliers.  If  such  third  parties  are 
unable to adequately satisfy their contractual commitments to us in a timely manner, our business could be adversely 
affected. 

We  Do  Not  Have  Any  Active  Revenue  Streams  and  We  Are  Uncertain  Whether  Additional  Funding  Will  Be 
Available For Our Future Capital Needs and Commitments. If We Cannot Raise Additional Funding, or Access 
the Capital Markets, We May Be Unable to Complete Development of Our Product Candidates 

We  will  require  substantial  funds  in  addition  to  our  existing  working  capital  to  develop  our  product 
candidates and otherwise to meet our business objectives. We have never generated sufficient revenue during any 
13

 
 
 
 
 
 
 
 
 
period since our inception to cover our expenses and have spent, and expect to continue to spend, substantial funds 
to continue our clinical development programs. Any one of the following factors, among others, could cause us to 
require additional funds or otherwise cause our cash requirements in the future to increase materially: 

• 

• 

• 

• 

• 

• 

progress of our clinical trials or correlative studies; 

results of clinical trials; 

changes in or terminations of our relationships with strategic partners; 

changes in the focus, direction, or costs of our research and development programs; 

competitive and technological advances; 

establishment of marketing and sales capabilities; 

•  manufacturing; 

• 

• 

the regulatory approval process; or 

product launch. 

At December 31, 2015, we had cash of approximately $5,131,000.  On January 15, 2016, we completed an 
initial closing of the Company’s strategic financing resulting in net proceeds of approximately $10.2 million to the 
Company.  We currently have additional commitments for a remaining $14.8 million of strategic financing that is 
expected to close in the first half of 2016. There can be no assurance that this additional closing will occur. We may 
continue  to  seek  additional  capital  through  public  or  private  financing  or  collaborative  agreements  in  2016  and 
beyond. Our operations require significant amounts of cash. We may be required to seek additional capital for the 
future growth and development of our business. We can give no assurance as to the availability of such additional 
capital or, if available, whether it would be on terms acceptable to us. In addition, we may continue to seek capital 
through the public or private sale of securities, if market conditions are favorable for doing so. If we are successful 
in raising additional funds through the issuance of equity securities, stockholders will likely experience substantial 
dilution. If we are not successful in obtaining sufficient capital because we are unable to access the capital markets 
on favorable terms, it could reduce our research and development efforts, curtail significantly our development of 
ENMD-2076 and materially adversely affect our future growth, results of operations and financial results. 

Risks Relating to Our Business 

We  Plan  To  Conduct  Development  And  Operations  In  China,  Which  Exposes  Us  To  Risks  Inherent  In  Doing 
Business In China 

We expect to continue to conduct clinical development related activities in China in 2016. To be successful 
in  China  we  will  need  to:  establish  clinical  trials;  attract  and  retain  qualified  personnel  to  operate  our  Chinese 
subsidiary; and attract and retain research and development employees. We cannot assure you that we will be able to 
do any of these. Employee turnover in China is high due to the intensely competitive and fluid market for skilled 
labor.  Operations  in  China  are  subject  to  greater  political,  legal  and  economic  risks  than  our  operations  in  other 
countries. In particular, the political, legal and economic climate in China, both nationally and regionally, is fluid 
and  unpredictable.  Our  ability  to  operate  in  China  may  be  adversely  affected  by  changes  in  Chinese  laws  and 
regulations  such  as  those  related  to,  among  other  things,  taxation,  import  and  export  tariffs,  environmental 
regulations,  land  use  rights,  intellectual  property,  employee  benefits  and  other  matters.  In  addition,  we  may  not 
obtain or retain the requisite legal permits to operate in China, and costs or operational limitations may be imposed 
in connection with obtaining and complying with such permits. Any one of the factors cited above, or a combination 
of them, could result in unanticipated costs, which could materially and adversely affect our business and planned 
operations and development in China. 

We May Not Be Able To Successfully Identify And Acquire New Product Candidates 

Our growth strategy relies on our in-license of new product candidates from third parties. Our pipeline will 
be  dependent  upon  the  availability  of  suitable  acquisition  candidates  at  favorable  prices  and  upon  advantageous 

14

 
 
 
 
 
 
 
  
terms and conditions. Even if such opportunities are present, we may not be able to successfully identify appropriate 
acquisition  candidates.  Moreover,  other  companies,  many  of  which  may  have  substantially  greater  financial 
resources are competing with us for the right to acquire such product candidates. 

If a product candidate is identified, the third parties with whom we seek to cooperate may not select us as a 
potential  partner  or  we  may  not  be  able  to  enter  into  arrangements  on  commercially  reasonable  terms  or  at  all. 
Furthermore,  the  negotiation  and  completion  of  collaborative  and  license  arrangements  could  cause  significant 
diversion of management’s time and resources and potential disruption of our ongoing business. 

Development of Our Products is Uncertain 

ENMD-2076 is in Phase 2 development and our other product candidates were in the early stage of clinical 
development and require significant, time-consuming and costly research and development, testing and regulatory 
clearances. In  developing  our  products,  we  are  subject  to  risks  of  failure  that  are  inherent  in  the  development  of 
these product candidates. For example, it is possible that any or all of our proposed products will be ineffective or 
toxic,  or  otherwise  will  fail  to  receive  necessary  FDA  and  CFDA  clearances. There  is  a  risk  that  the  proposed 
products will be uneconomical to manufacture or market or will not achieve market acceptance. There is also a risk 
that third parties may hold proprietary rights that preclude us from marketing our proposed products or that others 
will market a superior or equivalent product. Further, our research and development activities might never result in 
commercially viable products. 

A  number  of  companies  in  the  pharmaceutical  and  biotechnology  industries  have  suffered  significant 
setbacks in advanced clinical trials even after promising results in earlier trials. Since ENMD-2076 is our primary 
product candidate any significant clinical setback or an unfavorable outcome in our Phase 2 trials for ENMD-2076 
may require us to delay, reduce the scope of, or eliminate this program and could have a material adverse effect on 
our company and the value of our common stock. 

Once  a  clinical  trial  has  begun,  it  may  be  delayed,  suspended  or  terminated  due  to  a  number  of  factors, 

including: 

• 

• 
• 
• 
• 

ongoing discussions with regulatory authorities regarding the scope or design of our clinical trials 
or requests by them for supplemental information with respect to our clinical trial results; 
failure to conduct clinical trials in accordance with regulatory requirements; 
lower than anticipated retention rate of patients in clinical trials; 
serious adverse events or side effects experienced by participants; and 
insufficient supply or deficient quality of product candidates or other materials necessary for the 
conduct of our clinical trials. 

Many of these factors may also ultimately lead to denial of regulatory approval of a product candidate. If 
we  experience  delays,  suspensions  or  terminations  in  a  clinical  trial,  the  commercial  prospects  for  the  related 
product candidate will be harmed, and our ability to generate product revenues will be delayed. 

Although  product  candidates  may  demonstrate  promising  results  in  early  clinical  (human)  trials  and 
preclinical (animal) studies, they may not prove to be effective in subsequent clinical trials. For example, testing on 
animals may occur under different conditions than testing in humans and therefore the results of animal studies may 
not accurately predict human experience. Likewise, early clinical studies may not be predictive of eventual safety or 
effectiveness  results  in  larger-scale  pivotal  clinical  trials. Our  clinical  development  primary  focus  is  on  ENMD-
2076, and as such we do not expect to internally pursue clinical investigation of our other product candidates. 

There are many regulatory steps that must be taken before any of these product candidates will be eligible 
for regulatory approval and subsequent sale, including the completion of preclinical and clinical trials. We do not 
expect that our product candidates will be commercially available for several years, if ever. 

We May Not Be Able to Commercialize Our Drugs or Drug Candidates in China 

We have exclusive licenses to develop and commercialize MARQIBO® (vinCRIStine sulfate LIPOSOME 

15

 
  
  
  
  
  
 
  
  
  
 
 
injection), EVOMELA™ (melphalan hydrochloride) for injection and ZEVALIN® (ibritumomab tiuxetan) in Greater 
China. Our success in commercializing these drugs may be inhibited by a number of factors, including:  

• 

• 

• 

• 

• 

our inability to obtain regulatory approvals; 

our  inability  to  recruit,  train  and  retain  adequate  numbers  of  effective  sales  and  marketing 
personnel; 

the  inability  of  sales  personnel  to  obtain  access  to  or  educate  physicians  on  the  benefits  of  our 
products; 

the  lack  of  complementary  products  to  be  offered  by  sales  personnel,  which  may  put  us  at  a 
competitive disadvantage relative to companies with more extensive product lines; and 

unforeseen  costs  and  expenses  associated  with  creating  an  independent  sales  and  marketing 
organization. 

If we decide to rely on third parties to sell, market and distribute our product candidates, we may not be 
successful  in  entering  into  arrangements  with  such  third  parties  or  may  be  unable  to  do  so  on  terms  that  are 
favorable  to  us.  In  addition,  our  product  revenues  and  our  profitability,  if  any,  may  be  lower  if  we  rely  on  third 
parties for these functions than if we were to market, sell and distribute any products that we develop ourselves. We 
likely will have little control over such third parties, and any of them may fail to devote the necessary resources and 
attention  to  sell  and  market  our  products  effectively.  If  we  do  not  establish  sales,  marketing  and  distribution 
capabilities  successfully,  either  on  our  own  or  in  collaboration  with  third  parties,  we  will  not  be  successful  in 
commercializing our product candidates, which would adversely affect our business and financial condition. 

Developments By Competitors May Render Our Products Obsolete 

If competitors were to develop superior drug candidates, our products could be rendered noncompetitive or 
obsolete,  resulting  in  a  material  adverse  effect  to  our  business. Developments  in  the  biotechnology  and 
pharmaceutical industries are expected to continue at a rapid pace. Success depends upon achieving and maintaining 
a competitive position in the development of products and technologies. Competition from other biotechnology and 
pharmaceutical  companies  can  be  intense. Many  competitors  have  substantially  greater  research  and  development 
capabilities,  marketing,  financial  and  managerial  resources  and  experience  in  the  industry. Even  if  a  competitor 
creates a product that is not superior, we may not be able to compete. 

We Must Show the Safety and Efficacy of Our Product Candidates Through Clinical Trials, the Results of Which 
are Uncertain 

Before  obtaining  regulatory  approvals  for  the  commercial  sale  of  our  products,  we  must  demonstrate, 
through preclinical studies (animal testing) and clinical trials (human testing), that our proposed products are safe 
and  effective  for use  in  each  target  indication. Testing of our product  candidates  will  be  required,  and  failure  can 
occur at any stage of testing. Clinical trials may not demonstrate sufficient safety and efficacy to obtain the required 
regulatory approvals or result in marketable products. The failure to adequately demonstrate the safety and efficacy 
of a product under development could delay or prevent regulatory approval of the potential product. 

Clinical trials for the product candidates we are developing may be delayed by many factors, including that 
potential  patients  for  testing are  limited  in  number. The  failure  of  any  clinical  trials  to  meet  applicable  regulatory 
standards could cause such trials to be delayed or terminated, which could further delay the commercialization of 
any of our product candidates. Newly emerging safety risks observed in animal or human studies also can result in 
delays of ongoing or proposed clinical trials. Any such delays will increase our product development costs. If such 
delays  are  significant,  they  could  negatively  affect  our  financial  results  and  the  commercial  prospects  for  our 
products. 

The  Success  of  Our  Business  Depends  Upon  the  Members  of  Our  Senior  Management  Team,  Our  Clinical 
Development  Expertise  in  Both  U.S.  and  China,  and  Our  Ability  to  Continue  to  Attract  and  Retain  Qualified 
Clinical, Technical and Business Personnel 

16

 
 
 
 
 
  
 
 
  
We are dependent on the principal members of our senior management team and clinical development team 
for  our  business  success. The  loss  of  any  of  these  people  could  impede  the  achievement  of  our  development  and 
business  objectives. We  do  not  carry  key  man  life  insurance  on  the  lives  of  any  of  our  key  personnel. There  is 
intense  competition  for  human  resources,  including  management,  in  the  scientific  fields  in  which  we  operate  and 
there can be no assurance that we will be able to attract and retain qualified personnel necessary for the successful 
development of ENMD-2076 and any new product candidates, and any expansion into areas and activities requiring 
additional expertise. In addition, there can be no assurance that such personnel or resources will be available when 
needed. In addition, we rely on a significant number of consultants to assist us in formulating our clinical strategy 
and other business activities. All of our consultants may have commitments to, or advisory or consulting agreements 
with, other entities that may limit their availability to us. 

We  May  Need  New  Collaborative  Partners  to  Further  Develop  and  Commercialize  Products,  and  if  We  Enter 
Into Such Arrangements, We May Give Up Control Over the Development and Approval Process and Decrease 
our Potential Revenue 

We plan to develop and commercialize our product candidates both with and without corporate alliances 
and  partners.  Nonetheless,  we  intend  to  explore  opportunities  for  new  corporate  alliances  and  partners  to  help  us 
develop,  commercialize  and  market  our  product  candidates. We  expect  to  grant  to  our  partners  certain  rights  to 
commercialize any products developed under these agreements, and we may rely on our partners to conduct research 
and  development  efforts  and  clinical  trials  on,  obtain  regulatory  approvals  for,  and  manufacture  and  market  any 
products licensed to them. Each individual partner will seek to control the amount and timing of resources devoted 
to these activities generally. We anticipate obtaining revenues from our strategic partners under such relationships in 
the  form  of  research  and development  payments  and  payments  upon  achievement  of  certain  milestones. Since we 
generally  expect  to  obtain  a  royalty  for  sales  or  a  percentage  of  profits  of  products  licensed  to  third  parties,  our 
revenues may be less than if we retained all commercialization rights and marketed products directly. In addition, 
there is a risk that our corporate partners will pursue alternative technologies or develop competitive products as a 
means for developing treatments for the diseases targeted by our programs. 

We  may  not  be  successful  in  establishing  any  collaborative  arrangements.  Even  if  we  do  establish  such 
collaborations,  we  may  not  successfully  commercialize  any  products  under  or  derive  any  revenues  from  these 
arrangements.  There  is  a  risk  that  we  will  be  unable  to  manage  simultaneous  collaborations,  if  any, 
successfully. With respect to existing and potential future strategic alliances and collaborative arrangements, we will 
depend on the expertise and dedication of sufficient resources by these outside parties to develop, manufacture, or 
market products. If a strategic alliance or collaborative partner fails to develop or commercialize a product to which 
it has rights, we may not recognize any revenues on that particular product. 

We Depend on Patents and Other Proprietary Rights, Some of Which are Uncertain 

Our success will depend in part on our ability to obtain and maintain patents for ENMD-2076 and our other 
products,  in  the  United  States,  China  and  elsewhere. The  patent  position  of  biotechnology  and  pharmaceutical 
companies  in  general  is  highly  uncertain  and  involves  complex  legal  and  factual  questions. Risks  that  relate  to 
patenting our products include the following: 

• 

• 

• 

• 

• 

our failure to obtain additional patents; 

challenge, invalidation, or circumvention of patents already issued to us; 

failure of the rights granted under our patents to provide sufficient protection; 

independent development of similar products by third parties; or 

ability of third parties to design around patents issued to our collaborators or us. 

Our potential products may conflict with composition, method, and use of patents that have been or may be 
granted to competitors, universities or others. As the biotechnology industry expands and more patents are issued, 
the risk increases that our potential products may give rise to claims that may infringe the patents of others. Such 
other  persons  could  bring  legal  actions  against  us  claiming  damages  and  seeking  to  enjoin  clinical  testing, 
17

 
 
 
 
 
  
 
 
 
manufacturing and marketing of the affected products. Any such litigation could result in substantial cost to us and 
diversion of effort by our management and technical personnel. If any of these actions are successful, in addition to 
any potential liability for damages, we could be required to obtain a license in order to continue to manufacture or 
market the affected products. We may not prevail in any action and any license required under any needed patent 
might not be made available on acceptable terms, if at all. 

We  also  rely  on  trade  secret  protection  for  our  confidential  and  proprietary  information. However,  trade 
secrets are difficult to protect and others may independently develop substantially equivalent proprietary information 
and techniques and gain access to our trade secrets and disclose our technology. We may be unable to meaningfully 
protect  our  rights  to  unpatented  trade  secrets. We  require  our  employees  to  complete  confidentiality  training  that 
specifically  addresses  trade  secrets. All  employees,  consultants,  and  advisors  are  required  to  execute  a 
confidentiality  agreement  when  beginning  an  employment  or  a  consulting  relationship  with  us. The  agreements 
generally provide that all trade secrets and inventions conceived by the individual and all confidential information 
developed or made known to the individual during the term of the relationship automatically become our exclusive 
property.  Employees  and  consultants  must  keep  such  information  confidential  and  may  not  disclose  such 
information  to  third  parties  except  in  specified  circumstances. However,  these  agreements  may  not  provide 
meaningful  protection  for  our  proprietary  information  in  the  event  of  unauthorized  use  or  disclosure  of  such 
information. 

To  the  extent  that  consultants,  key  employees,  or  other  third  parties  apply  technological  information 
independently  developed  by  them  or  by  others  to  our  proposed  projects,  disputes  may  arise  as  to  the  proprietary 
rights  to  such  information. Any  such  disputes  may  not  be  resolved  in  our  favor. Certain  of  our  consultants  are 
employed by or have consulting agreements with other companies and any inventions discovered by them generally 
will not become our property. 

Our Potential Products Are Subject to Government Regulatory Requirements and an Extensive Approval Process 

Our  research,  development,  preclinical  and  clinical  trials,  manufacturing,  and  marketing  of  our  product 
candidates  are  subject  to  an  extensive  regulatory  approval  process  by  the  FDA,  the  CFDA  in  China  and  other 
regulatory  agencies. The  process  of  obtaining  FDA,  CFDA  and  other  required  regulatory  approvals  for  drug  and 
biologic products, including required preclinical and clinical testing, is time consuming and expensive. Even after 
spending time and money, we may not receive regulatory approvals for clinical testing or for the manufacturing or 
marketing of any products. Our collaborators or we may encounter significant delays or costs in the effort to secure 
necessary approvals or licenses. Even if we obtain regulatory clearance for a product, that product will be subject to 
continuing  review.  Later  discovery  of  previously  unknown  defects  or  failure  to  comply  with  the  applicable 
regulatory requirements may result in restrictions on a product’s marketing or withdrawal of the product from the 
market, as well as possible civil or criminal penalties. 

Potential Products May Subject Us to Product Liability for Which Insurance May Not Be Available 

The use of our potential products in clinical trials and the marketing of any pharmaceutical products may 
expose  us  to  product  liability  claims. We  have  obtained  a  level  of  liability  insurance  coverage  that  we  believe  is 
adequate in scope and coverage for our current stage of development. However, our present insurance coverage may 
not be adequate to protect us from liabilities we might incur. In addition, our existing coverage will not be adequate 
as we further develop products and, in the future, adequate insurance coverage and indemnification by collaborative 
partners may not be available in sufficient amounts or at a reasonable cost. If a product liability claim or series of 
claims are brought against us for uninsured liabilities, or in excess of our insurance coverage, the payment of such 
liabilities could have a negative effect on our business and financial condition. 

Risks Relating to Our Reliance on Third Parties 

The Independent Clinical Investigators and Contract Research Organizations That We Rely Upon to Assist in the 
Conduct of Our Clinical Trials May Not Be Diligent, Careful or Timely, and May Make Mistakes, in the Conduct 
of Our Trials 

We depend on independent clinical investigators and contract research organizations, or CROs, to assist in 
the conduct of our clinical trials under their agreements with us. The investigators are not our employees, and we 
18

 
 
 
 
 
 
 
 
 
 
cannot control the amount or timing of resources that they devote to our programs. If independent investigators fail 
to devote sufficient time and resources to our drug development programs, or if their performance is substandard, it 
could delay the approval of our FDA applications and our introduction of new drugs. The CROs we contract with to 
assist with the execution of our clinical trials play a significant role in the conduct of the trials and the subsequent 
collection  and  analysis  of  data.  Failure  of  the  CROs  to  meet  their  obligations  could  adversely  affect  clinical 
development of our products. 

We Have No Current Manufacturing or Marketing Capacity and Rely on Only One Supplier For Some of Our 
Products 

We do not expect to manufacture or market products in the near term, but we may try to do so in certain 
cases. We do not currently have the capacity to manufacture or market products and we have limited experience in 
these  activities.  The  manufacturing  processes  for  all  of  the  small  molecules  we  are  developing  have  not  yet  been 
tested at commercial levels, and it may not be possible to manufacture these materials in a cost-effective manner. If 
we elect to perform these functions, we will be required to either develop these capacities, or contract with others to 
perform some or all of these tasks. We may be dependent to a significant extent on corporate partners, licensees, or 
other entities for manufacturing and marketing of products. If we engage directly in manufacturing or marketing, we 
will  require substantial  additional funds  and  personnel  and  will  be required  to  comply  with  extensive  regulations. 
We  may  be  unable  to  develop  or  contract  for  these  capacities  when  required  to  do  so  in  connection  with  our 
business. 

We depend on our third-party manufacturers to perform their obligations effectively and on a timely basis. 
These third parties may not meet their obligations and any such non-performance may delay clinical development or 
submission  of  products  for  regulatory  approval,  or  otherwise  impair  our  competitive  position.  Any  significant 
problem experienced by one of our suppliers could result in a delay or interruption in the supply of materials to us 
until  such  supplier  resolves  the  problem  or  an  alternative  source  of  supply  is  located.  Any  delay  or  interruption 
would  likely  lead  to  a  delay  or  interruption  of  manufacturing  operations,  which  could  negatively  affect  our 
operations. Although we have identified alternative suppliers for our product candidates, we have not entered into 
contractual or other arrangements with them. If we needed to use an alternate supplier for any product, we would 
experience delays while we negotiated an agreement with them for the manufacture of such product. In addition, we 
may  be  unable  to  negotiate  manufacturing  terms  with  a  new  supplier  as  favorable  as  the  terms  we  have  with  our 
current suppliers. 

Problems with any manufacturing processes could result in product defects, which could require us to delay 
shipment of products or recall products previously shipped. In addition, any prolonged interruption in the operations 
of the manufacturing facilities of one of our sole-source suppliers could result in the cancellation of shipments. A 
number of factors could cause interruptions, including equipment malfunctions or failures, or damage to a facility 
due to natural disasters or otherwise. Because our manufacturing processes are or are expected to be highly complex 
and subject to a lengthy regulatory approval process, alternative qualified production capacity may not be available 
on  a  timely  basis  or  at  all.  Difficulties  or  delays  in  our  manufacturing  could  increase  our  costs  and  damage  our 
reputation. 

The manufacture of pharmaceutical products can be an expensive, time consuming, and complex process. 
Manufacturers often encounter difficulties in scaling-up production of new products, including quality control and 
assurance and shortages of personnel. Delays in formulation and scale-up to commercial quantities could result in 
additional expense and delays in our clinical trials, regulatory submissions, and commercialization. 

Failure of Manufacturing Facilities Producing Our Product Candidates to Maintain Regulatory Approval Could 
Delay or Otherwise Hinder Our Ability to Market Our Product Candidates 

Any  manufacturer  of  our  product  candidates  will  be  subject  to  applicable  Good  Manufacturing  Practices 
(GMP) prescribed by the FDA or other rules and regulations prescribed by the CFDA and other foreign regulatory 
authorities.  We  and  any  of  our  collaborators  may  be  unable  to  enter  into  or  maintain  relationships  either 
domestically or abroad with manufacturers whose facilities and procedures comply or will continue to comply with 
GMP and who are able to produce our small molecules in accordance with applicable regulatory standards. Failure 
by a  manufacturer of our products to comply with GMP could result in significant time delays or our inability to 

19

 
 
 
 
 
 
  
 
obtain  marketing  approval  or,  should  we  have  market  approval,  for  such  approval  to  continue.  Changes  in  our 
manufacturers could require new product testing and facility compliance inspections. In the United States, failure to 
comply with GMP or other applicable legal requirements can lead to federal seizure of violated products, injunctive 
actions brought by the federal government, inability to export product, and potential criminal and civil liability on 
the part of a company and its officers and employees. 

Risks Relating to Our Common Stock 

The Market Price of Our Common Stock May Be Highly Volatile or May Decline Regardless of Our Operating 
Performance 

Our common stock price has fluctuated from year-to-year and quarter-to-quarter and will likely continue to 
be volatile. During 2015, our stock price has ranged from  $0.91 to $1.92. We expect that the trading price of our 
common  stock  is  likely  to  be  highly  volatile  in  response  to  factors  that are  beyond our  control. The valuations of 
many biotechnology companies without consistent product revenues and earnings are extraordinarily high based on 
conventional  valuation  standards,  such  as  price  to  earnings  and  price  to  sales  ratios. These  trading  prices  and 
valuations  may  not  be  sustained. In  the  future,  our  operating  results  in  a  particular  period  may  not  meet  the 
expectations of any securities analysts whose attention we may attract, or those of our investors, which may result in 
a decline in the market price of our common stock. Any negative change in the public’s perception of the prospects 
of biotechnology companies could depress our stock price regardless of our results of operations. These factors may 
materially and adversely affect the market price of our common stock. 

Our Largest Holders Of Common Stock May Have Different Interests Than Our Other Stockholders 

A  small  number  of  our  stockholders  hold  a  significant  amount  of  our  outstanding  common  stock.  These 
stockholders may have interests that are different from the interests of our other stockholders. We cannot assure that 
our largest stockholders will not seek to influence our business in a manner that is contrary to our goals or strategies 
or  the  interests  of  our  other  stockholders.  In  addition,  the  significant  concentration  of  ownership  in  our  common 
stock may adversely affect the trading price for our common stock because investors often perceive disadvantages in 
owning  stock  in  companies  with significant  stockholders.  Our  largest  stockholders,  if  they  acted  together,  could 
significantly influence all matters requiring approval by our stockholders, including the election of directors and the 
approval of  mergers or  other  business  combination  transactions.  Our  largest  stockholders  together  may  be  able  to 
determine all matters requiring stockholder approval. 

Subsequent Resales Of Shares Of Our Common Stock In The Public Market May Cause The Market Price Of 
Our Common Stock To Fall 

The market value of our common stock could decline as a result of sales by investors from time to time, or 

perceptions that such sales may occur, of a substantial amount of the shares of common stock held by them. 

Issuances of Additional Shares of Our Common Stock May Cause Substantial Dilution of Existing Stockholders 

Spectrum has a contingent right to purchase shares of our common stock at par value ($0.01 per share) in 
order to maintain its post-investment equity ownership percentage as of September 17, 2014, which was 16.66%, if 
we issue securities (subject to a limited exception for certain equity compensation grants) in the future. This right 
expires  upon  the  earliest  of  (1)  the  date  on  which  we  have  raised,  in  the  aggregate,  $50  million  in  net  proceeds 
through capital raising activities or (2) September 17, 2019 (subject to extension for certain outstanding derivative 
securities). The future exercise of this contingent purchase right will subject our existing stockholders to immediate 
dilution of their ownership interests. We may also issue additional shares of common stock or other securities that 
are  convertible  into  or  exercisable  for  common  stock  in  connection  with  future  acquisitions,  future  sales  of  our 
securities  for  capital  raising  purposes,  future  strategic  relationships,  or  for  other  business  purposes.  The  future 
issuance of any additional shares of our common stock may create downward pressure on the trading price of our 
common stock. There can be no assurance that we will not be required to issue additional shares, warrants or other 
convertible securities in the future in conjunction with any capital raising efforts, including at a price (or exercise 
prices) below the price at which shares of our common stock are then traded. 

20

 
 
 
 
 
  
 
  
 
 
 
 
ITEM 1B.   UNRESOLVED STAFF COMMENTS. 

  We are a smaller reporting company as defined by Rule 12b-2 of the Securities Exchange Act of 1934 and 

are not required to provide the information under this item. 

ITEM 2.     PROPERTIES. 

As  of  December  31,  2015,  we  leased  approximately  4,200  square  feet  of  office  space  in  Rockville, 
Maryland where our headquarters are located.  In addition, as of December 31, 2015, we leased approximately 4,100 
square feet of office space in Beijing, China where our China operations are based and approximately 3,400 square 
feet of laboratory space in Beijing, China.  We believe that our existing facilities are adequate to meet our needs for 
the foreseeable future.   We do not own any real property. 

ITEM 3.     LEGAL PROCEEDINGS.           

CASI is subject in the normal course of business to various legal proceedings in which claims for monetary 
or other damages may be asserted.  Management does not believe such legal proceedings, unless otherwise disclosed 
herein, are material. 

ITEM 4.     MINE SAFETY DISCLOSURES. 

Not applicable. 

PART II 

ITEM 5.     MARKET FOR REGISTRANT'S COMMON EQUITY RELATED STOCKHOLDER  
                    MATTERS AND ISSUER PURCHASES OF EQUITY SECURITIES.  

Market for Common Equity   

The following table sets forth the high and low closing price for our common stock by quarter, as reported 

by the NASDAQ Capital Market, for the periods indicated:  

Closing Prices 

2015: 
  First Quarter .................................................
  Second Quarter ............................................
  Third Quarter ...............................................
  Fourth Quarter..............................................
2014: 
  First Quarter .................................................
  Second Quarter ............................................
  Third Quarter ...............................................
  Fourth Quarter……………………………..

HIGH

LOW

$

1.71
1.92
1.82
1.46

$

2.17
1.97
2.03
     1.79

$

1.22
1.34
0.91
     0.96

$

1.69
1.62
1.55
     1.16

On March 18, 2016, the closing price of our common stock, as reported by The NASDAQ Capital Market, 

was $1.45 per share.  As of March 18, 2016 there were approximately 359 holders of record of our common stock. 

Dividend Policy  

Since  our  initial  public  offering  in  1996,  we  have  not  paid  cash  dividends  on  our  common  stock.  We 
currently anticipate that any earnings will be retained for the continued development of our business and we do not 
anticipate paying any cash dividends on our common stock in the foreseeable future.  

ITEM 6.     SELECTED FINANCIAL DATA. 

We are a smaller reporting company as defined by Rule 12b-2 of the Securities Exchange Act of 1934 and 

are not required to provide the information under this item. 

21

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

The  following  discussion  should  be  read  in  conjunction  with  the  Consolidated  Financial  Statements  and 

Notes thereto appearing elsewhere in this report. See also “Risk Factors” in Item 1A of this Annual Report.  

OVERVIEW 

We  are  a  late-stage  biopharmaceutical  company  dedicated  to  the  acquisition,  development  and 
commercialization  of  innovative  therapeutics  for  the  treatment  of  cancer  and  other  unmet  medical  needs.    Our 
mission is to become a leading fully-integrated pharmaceutical company delivering new medicines to patients with 
unmet  medical  needs.    We  conduct  clinical  development  activities  internationally  and  focus  our  commercial  and 
marketing  strategy  on  the  China  region,  and  the  rest  of  the  world  through  partnerships  for  development  and 
commercialization.   

Our  pipeline  features  (1)  our  lead  proprietary  drug  candidate,  ENMD-2076,  in  multiple  Phase  2  clinical 
trials,  (2)  MARQIBO®,  ZEVALIN®  and  EVOMELA™,  all  FDA  approved  drugs  in-licensed  from  Spectrum 
Pharmaceuticals, Inc. for China regional rights, and currently under development by CASI for market approval in 
China, and (3) proprietary early-stage candidates in preclinical development.  We believe our pipeline reflects a risk-
balanced  approach  between  products  in  various  stages  of  development,  and  between  products  that  we  develop 
ourselves and those that we develop with our partners for the China regional market.  We intend to continue building 
a  significant  product  pipeline  of  innovative  drug  candidates  that  we  will  commercialize  alone  in  China  and  with 
partners  for  the  rest  of  the  world.    For  ENMD-2076,  our  current  development  is  focused  on  niche  and  orphan 
indications.    For  in-licensed  products,  the  Company  uses  a  market-oriented  approach  to  identify  pharmaceutical 
candidates that it believes have the potential for gaining widespread market acceptance, either globally or in China, 
and for which development can be accelerated under the Company’s drug development strategy. 

Our  primary  research  and  development  focus  is  on  oncology  therapeutics.    Our  strategy  is  to  develop 
innovative  drugs  that  are  potential  first-in-class  or  market-leading  compounds  for  treatment  of  cancer.    The 
implementation of our plans will include leveraging our resources in both the United States and China.  In order to 
capitalize  on  the  drug  development  and  capital  resources  available  in  China,  the  Company  is  doing  business  in 
China  through  its  wholly-owned  Chinese  subsidiary  that  will  execute  the  China  portion  of  the  Company’s  drug 
development  strategy,  including  conducting  clinical  trials  in  China,  pursuing  local  funding  opportunities  and 
strategic collaborations, and implementing the Company’s plan for development and commercialization in the China 
market. 

Since  inception,  the  Company  has  incurred  significant  losses  from  operations  and  has  incurred  an 
accumulated  deficit  of  $432.5  million.  The  Company  expects  to  continue  to  incur  operating  losses  for  the 
foreseeable future due to, among other factors, its continuing clinical activities.  In September 2015, the Company 
entered into stock purchase agreements for a $25.1 million strategic financing, the closing of which was subject to 
certain regulatory and customary closing conditions.  In January 2016, the Company completed the first closing and 
received approximately $10.3 million (“Initial Closing”). The Company and Investors are working to close on the 
remaining  $14.8  million  (“Second  Closing”)  which  is  expected  during  the  first  half  of  2016.    There  can  be  no 
assurance that the Second Closing will occur.  Net proceeds of the closing will be used to further fund its operations, 
accelerate  its  clinical  and  regulatory  activities,  expand  its  product  pipeline,  and  support  its  marketing  and 
commercial planning activities.   

As a result of the Initial Closing, the Company believes that it has sufficient resources to fund its operations 
for at least the twelve months subsequent to December 31, 2015.  We intend to continue to exercise tight controls 
over operating expenditures.  In developing drug candidates, we intend to use and leverage resources available to us 
in both the United States and China.  We intend to pursue additional financing opportunities as well as opportunities 
to raise capital through forms of non- or less- dilutive arrangements, such as partnerships and collaborations with 
organizations that have capabilities and/or products that are complementary to our capabilities and products in order 
to  continue  the  development  of  our  product  candidate  that  we  intend  to  pursue  to  commercialization.    However, 
there  can  be  no  assurance  that  adequate  additional  financing  under  such  arrangements  will  be  available  to  us  on 
terms that we deem acceptable, if at all.   

Additional funds raised by issuing equity securities may result in dilution to existing stockholders.   
22

 
 
 
 
 
 
   
 
 
CRITICAL ACCOUNTING POLICIES AND THE USE OF ESTIMATES  

The preparation of our financial statements in conformity with accounting principles generally accepted in 
the United States requires management to make estimates and assumptions that affect the amounts reported in our 
condensed consolidated financial statements and accompanying notes.  Actual results could differ materially from 
those estimates.  Our critical accounting policies, including the items in our financial statements requiring significant 
estimates and judgments, are as follows:   

-  Revenue Recognition - We recognize revenue in accordance with the provisions of authoritative guidance 
issued,  whereby  revenue  is  not  recognized  until  it  is  realized  or  realizable  and  earned.    Revenue  is 
recognized  when  all  of  the  following  criteria  are  met:    persuasive  evidence  of  an  arrangement  exists, 
delivery has occurred or services have been rendered, the price to the buyer is fixed and determinable and 
collectibility is reasonably assured. 

-  Research and Development - Research and development expenses consist primarily of compensation and 
other  expenses  related  to  research  and  development  personnel,  research  collaborations,  costs  associated 
with preclinical testing and clinical trials of our product candidates, including the costs of manufacturing 
drug  substance  and  drug  product,  regulatory  maintenance  costs,  and  facilities  expenses.    Research  and 
development costs are expensed as incurred. 

-  Expenses  for  Clinical  Trials  –  Expenses  for  clinical  trials  are  incurred  from  planning  through  patient 
enrollment  to  reporting  of  the  data.    We  estimate  expenses  incurred  for  clinical  trials  that  are  in  process 
based  on  patient  enrollment  and  based  on  clinical  data  collection  and  management.    Costs  that  are 
associated  with  patient  enrollment  are  recognized  as  each  patient  in  the  clinical  trial  completes  the 
enrollment process.  Estimated clinical trial costs related to enrollment can vary based on numerous factors, 
including expected number of patients in trials, the number of patients that do not complete participation in 
a  trial,  and  when  a  patient  drops  out  of  a  trial.    Costs  that  are  based  on  clinical  data  collection  and 
management are recognized in the reporting period in which services are provided.  In the event of early 
termination  of  a  clinical  trial,  we  accrue  an  amount  based  on  estimates  of  the  remaining  non-cancelable 
obligations associated with winding down the clinical trial. 

−  Stock-Based  Compensation  –  All  share-based  payment  transactions  are  recognized  in  the  financial 
statements  at  their  fair  values.    Compensation  expense  associated  with  service,  performance,  market 
condition  based  stock  options  and  other  equity-based  compensation  is  recorded  in  accordance  with 
provisions of authoritative guidance.  The fair value of awards whose fair values are calculated using the 
Black-Scholes option pricing model is generally being amortized on a straight-line basis over the requisite 
service period and is recognized based on the proportionate amount of the requisite service period that has 
been  rendered  during  each  reporting  period.  The  fair  value  of  awards  with  market  conditions,  which  are 
valued using a binomial model, is being amortized based upon the estimated derived service period.  Share 
based  awards  granted  to  employees  with  a  performance  condition  are  measured  based  on  the  probable 
outcome  of  that  performance  condition  during  the  requisite  service  period.    Such  an  award  with  a 
performance condition will be expensed if it is probable that a performance condition will be achieved.  For 
the year ended December 31, 2014, $686,600 was expensed for share awards with performance conditions 
that  became  probable  during  that  period.  For  the  year  ended  December  31,  2015,  no  expense  has  been 
recorded for share awards with performance conditions. Using the straight-line expense attribution method 
over the requisite service period, which is generally the option vesting term ranging from immediately to 
one to three years, share-based compensation expense recognized for the year ended December 31, 2015 
and 2014 totaled approximately $1,541,000 and $2,189,000, respectively. 

The  determination  of  fair  value  of  stock-based  payment  awards  on  the  date  of  grant  using  the 
Black-Scholes  valuation  model  is  affected  by  our  stock  price,  as  well  as  the  input  of  other  subjective 
assumptions.  These assumptions include, but are not limited to, the expected forfeiture rate and expected 
term of stock options and our expected stock price volatility over the term of the awards.  Changes in the 
assumptions can materially affect the fair value estimates.   

23

 
 
 
  
 
 
 
 
 
Any future changes to our share-based compensation strategy or programs would likely affect the 

amount of compensation expense recognized.   

−  Fair  Value  Measurements  –  At  each  reporting  period,  we  perform  a  detailed  analysis  of  our  assets  and 
liabilities that are measured at fair value. All assets and liabilities for which the fair value measurement is 
based on significant unobservable inputs or instruments which trade infrequently and therefore have little 
or  no  price  transparency  are  classified  as  Level  3  in  accordance  with  the  hierarchy  established  by  U.S. 
GAAP.   As  of  December  31,  2015,  we  remeasured  the  Contingent  Rights  and  will  continue  to  do  so  at 
every balance sheet date until settlement.  In measuring the fair value of both financial instruments we used 
Level 3 unobservable inputs, including such inputs as our estimated borrowing rate and our future capital 
requirements,  and  the  timing,  probability,  size  and  characteristics  of  those  capital  raises,  among  other 
inputs.  

RESULTS OF OPERATIONS   

Years Ended December 31, 2015 and 2014.     

Revenues  and  Cost  of  Product  Sales.    Revenues  were  approximately  $47,700  and  $23,700  in  2015  and 
2014, respectively.  Our product sales related to the dosing of ZEVALIN® to patients in Hong Kong.  The cost of 
sales for 2015 and 2014 were $6,274 and $7,467, respectively. These expenses include the cost of the Zevalin Kit 
and Isotope purchase.    

Research and Development Expenses.  Our 2015 research and development expenses totaled $4,076,000 as 
compared to $2,765,000 in 2014, a 47% increase.  In 2015, our research and development expenses reflect direct 
project costs for ENMD-2076 of $1,555,000 and $744,000 for development of our drug delivery platform in China.  
The 2014 amount reflects direct project costs for ENMD-2076 of $970,000 and $419,000 for development of our 
drug delivery platform. The increase in 2015 research and development spending reflects higher clinical trial costs in 
2015  due  to  costs  associated  with  our  food  effect  study  of  ENMD-2076  in  healthy  human  subjects  in  advance of 
initiating our FLC trial, an increase in start-up costs and patient enrollment in the FLC trial and TNBC trial in China, 
costs  related  to  our  new  Chief  Medical  Officer,  as  well  as  increased  costs  associated  with  our  research  and 
development operations, in China during 2015. 

At  December  31,  2015,  and,  since  acquired,  accumulated  direct  project  expenses  for  ENMD-2076  totaled 
$25,959,000,  and  for  development  of  our  new  drug  delivery  platform,  accumulated  project  expenses  totaled 
$1,176,000.    Our  research  and  development  expenses  also  include  non-cash  stock-based  compensation  totaling 
$747,000  and  $690,000,  respectively,  for  2015  and  2014.    The  increase  in  stock-based  compensation  expense  is 
related to the increase in stock options granted in 2015. The balance of our research and development expenditures 
includes facility costs and other departmental overhead, and expenditures related to the non-clinical support of our 
programs. 

  We expect the majority of our research and development expenses in 2016 to be devoted to the development 
of our ENMD-2076 program, our early-stage candidates in preclinical development, and advancing our in-licensed 
products  towards  market  approval  in  China.    We  expect  our  expenses  in  2016  to  increase  based  on  our  clinical 
development  plan.    Completion  of  clinical  development  may  take  several  years  or  more,  but  the  length  of  time 
generally varies substantially according to the type, complexity, novelty and intended use of a product candidate.   

We estimate that clinical trials of the type we generally conduct are typically completed over the following 
timelines:  

Global FDA Trial: 

CLINICAL PHASE 
Phase 1 
Phase 2 
Phase 3 

24

ESTIMATED 
COMPLETION 
PERIOD 
1-2 Years 
2-3 Years 
2-4 Years 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Local CFDA Trial: 

CLINICAL PHASE 
Phase 1 
Phase 2 
Phase 3 

ESTIMATED 
COMPLETION 
PERIOD 
1 Year                  
2 Years 
2-3 Years 

  The duration and the cost of clinical trials may vary significantly over the life of a project as a result of 

differences arising during the clinical trial protocol, including, among others, the following:  

-       the number of patients that ultimately participate in the trial; 

-       the duration of patient follow-up that seems appropriate in view of the results; 

-       the number of clinical sites included in the trials; and 

− 

 the length of time required to enroll suitable patient subjects. 

  We test our potential product candidates in numerous preclinical studies to identify indications for which they 
may  be  product  candidates.    We  may  conduct  multiple  clinical  trials  to  cover  a  variety  of  indications  for  each 
product candidate.  As we obtain results from trials, we may elect to discontinue clinical trials for certain indications 
in order to focus our resources on more promising indications. 

  Our proprietary product candidates have also not yet achieved regulatory approval, which is required before 
we can market them as therapeutic products. In order to proceed to subsequent clinical trial stages and to ultimately 
achieve regulatory approval, regulatory agencies must conclude that our clinical data establish safety and efficacy.  
Historically,  the  results  from  preclinical  testing  and  early  clinical  trials  have  often  not  been  predictive  of  results 
obtained in later clinical trials.  A number of new drugs and biologics have shown promising results in clinical trials, 
but subsequently failed to establish sufficient safety and efficacy data to obtain necessary regulatory approvals. 

  Our  business  strategy  includes  being  opportunistic  with  collaborative  arrangements  with  third  parties  to 
complete the development and commercialization of our product candidates.  In the event that third parties take over 
the clinical trial process for one of our product candidates, the estimated completion date would largely be under the 
control  of  that  third  party  rather  than  us.    We  cannot  forecast  with  any  degree  of  certainty  which  proprietary 
products  or  indications,  if  any,  will  be  subject  to  future  collaborative  arrangements,  in  whole  or  in  part,  and how 
such arrangements would affect our capital requirements.  

  As  a  result  of  the  uncertainties  discussed  above,  among  others,  we  are  unable  to  estimate  the  duration  and 
completion costs of our research and development projects.  Our inability to complete our research and development 
projects  in  a  timely  manner  or  our  failure  to  enter  into  collaborative  agreements,  when  appropriate,  could 
significantly increase our capital requirements and could adversely impact our liquidity.  These uncertainties could 
force us to seek additional, external sources of financing from time to time in order to continue with our business 
strategy.  There can be no assurance that we will be able to successfully access external sources of financing in the 
future.  Our inability to raise additional capital, or to do so on terms reasonably acceptable to us, would jeopardize 
the future success of our business.  

  Research and development expenses consist primarily of compensation and other expenses related to research 
and  development  personnel,  research  collaborations,  costs  associated  with  internal  and  contract  preclinical  testing 
and clinical trials of our product candidates, including the costs of manufacturing drug substance and drug product, 
regulatory  maintenance  costs,  and  facilities  expenses.    Overall  research  and  development  expenses  increased  to 
$4,076,000 in 2015 from $2,765,000 in 2014.     

25

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The fluctuations in research and development expenses were specifically impacted by the following: 

-  Outside  Services  –  We  utilize  outsourcing  to  conduct  our  product  development  activities.  We  spent 
$186,000  in  2015  and  $127,000  in  2014.    The  increase  in  2015  is  primarily  associated  with  greater 
regulatory activities for MARQIBO® and ZEVALIN®.        

-  Clinical  Trial  Costs  –  Clinical  trial  costs,  which  include  clinical  site  fees,  monitoring  costs  and  data 
management costs, increased to $939,000 in 2015, from $175,000 in 2014.  This increase primarily relates 
to costs associated with our food effect study of ENMD-2076 in healthy human subjects in 2015, as well as 
costs associated with our Phase 2 clinical trials in TNBC, OCCC and STS during 2015, and start-up costs 
and patient enrollment associated with the FLC trial that we initiated in November 2015.  

-  Contract  Manufacturing  Costs  –  The  costs  of  manufacturing  the  material  used  in  clinical  trials  for  our 
product  candidates  is  reflected  in  contract  manufacturing.  These  costs  include  bulk  manufacturing, 
encapsulation  and  fill  and  finish  services,  and  product  release  costs.    Contract  manufacturing  costs 
decreased  in  2015  to  $171,000,  from  $388,000  in  2014.    The  decrease  in  2015  primarily  reflects  the 
manufacturing costs incurred in 2014 in the U.S. related to the production of new formulated capsules of 
ENMD-2076 as well as manufacturing of 2ME2 in China.  

-  Personnel Costs – Personnel costs increased to $1,754,000 in 2015 from $1,514,000 in 2014.  This variance 
is primarily attributed to increased salary and benefit costs associated with new employees, including our 
Chief Medical Officer, in China during 2015.     

-  Also reflected in our 2015 research and development expenses are outsourced consultant costs of $306,000, 
and  facility  and  related  expenses  of  $402,000.    In  2014,  these  expenses  totaled  $151,000  and  $214,000, 
respectively.  The  fluctuation  in  outsourced  consultant  costs  reflects  higher  costs  associated  with  clinical 
trial  management,  including  site  visits  and  regulatory  activities.  The  increase  in  costs  associated  with 
facilities and related expenses in 2015 resulted from more leased laboratory and office space in China.  

  General and Administrative Expenses.  General and administrative expenses include compensation and other 
expenses related to finance, business development and administrative personnel, professional services and facilities. 

General  and  administrative  expenses  decreased  to  $3,118,000  in  2015  from  $3,757,000  in  2014.    This 
decrease is primarily related to a decrease of $705,000 related to non-cash stock-based compensation in 2015 due 
mainly  to  the  vesting  of  performance  based  options  that  occurred  during  2014,  offset  by  increase  in  legal 
professional  fees  and  travel  related  costs  associated  with  business  development  and  investor  relations  activities 
during 2015. 

In-process R&D.  In September 2014, we acquired certain product rights and perpetual exclusive licenses 
from Spectrum to develop and commercialize the three commercial oncology drugs and drug candidates in China, 
Taiwan,  Hong  Kong  and  Macau.  As  consideration  for  the  acquisition,  we  issued  a  total  5,405,382  shares  of  our 
common stock, a $1.5 million 0.5% secured promissory note due in March 2016 (which has been extended to March 
2017), and certain contingent rights (“Contingent Rights”) to purchase additional shares of our common stock.  We 
accounted for the acquisition of the product rights and licenses as an “asset acquisition” and, accordingly, recorded 
the  acquired  product  rights  and  licenses  at  their  estimate  fair  values  based  on  the  fair  value  of  the  consideration 
exchanged  (including  transaction  costs)  of  approximately  $19.7  million.    Because  the  products  underlying  the 
acquired product rights and licenses have not reached technological feasibility and have no alternative uses, they are 
considered  “in-process  research  and  development”  costs;  as  such,  we  expensed  the  total  purchase  price  at  the 
acquisition  date  as  acquired  in-process  R&D  in  the  accompanying  December  31,  2014  consolidated  statement  of 
operations. 

Interest expense, net.  Interest expense, net for year ended December 31, 2015 and 2014 was $81,533 and 
$26,581,  respectively.    This  includes  interest  on  our  note  payable  of  $7,500  and  $2,142,  respectively;  non-cash 
interest of $74,955 and $25,922, respectively, representing the amortization of the debt discount; offset by interest 
income of $922 and $1,483, respectively.   

26

 
 
 
 
 
 
 
 
 
 
 
 
 
 
   Change in fair value of contingent rights.  The Contingent Rights issued to Spectrum in connection with the 
license  arrangements  are  considered  derivative  liabilities  and  were  recorded  initially  at  their  estimated  fair  value, 
and are marked to market each reporting period until settlement.  The change in fair value of the Contingent Rights 
for the years ended December 31, 2015 and 2014 was $27,513 and $11,764, respectively. 

LIQUIDITY AND CAPITAL RESOURCES   

To  date,  we  have  been  engaged  primarily  in  research  and  development  activities.    As  a  result,  we  have 
incurred  and  expect  to  continue  to  incur  operating  losses  in  2016  and  the  foreseeable  future  before  we 
commercialize any products and penetrate significant markets such as China. Based on our current plans, we expect 
our  current  available  cash  and  cash  equivalents  to  meet  our  cash  requirements  for  at  least  the  twelve  months 
subsequent to December 31, 2015.   

We  will  require  significant  additional  funding  to  fund  operations  until  such  time,  if  ever,  we  become 
profitable.  We intend to augment our cash balances by pursuing other forms of capital infusion, including strategic 
alliances or collaborative development opportunities with organizations that have capabilities and/or products that 
are complementary to our capabilities and products in order to continue the development of our potential product 
candidates  that  we  intend  to  pursue  to  commercialization.    If  we  seek  strategic  alliances,  licenses,  or  other 
alternative arrangements, such as arrangements with collaborative partners or others, to raise further financing, we 
may need to relinquish rights to certain of our existing product candidates, or products we would otherwise seek to 
develop  or  commercialize  on  our  own,  or  to  license  the  rights  to  our  product  candidates  on  terms  that  are  not 
favorable to us.     

We will continue to seek to raise additional capital to fund our research and development and advance the 
clinical development of ENMD-2076 and new product candidates, if any.  We intend to explore one or more of the 
following alternatives to raise additional capital: 

• 
• 
• 
• 

selling additional equity securities; 
out-licensing product candidates to one or more corporate partners; 
completing an outright sale of non-priority assets; and/or 
engaging in one or more strategic transactions. 

We also will continue to manage our cash resources prudently and cost-effectively. 

There can be no assurance that adequate additional financing under such arrangements will be available to 
us on terms that we deem acceptable, if at all.  If additional funds are raised by issuing equity securities, dilution to 
existing shareholders may result, or the equity securities may have rights, preferences, or privileges senior to those 
of  the  holders of  our  common  stock.    If  we  fail  to  obtain  additional  capital  when  needed,  we  may  be  required  to 
delay or scale back our Phase 2 plans for ENMD-2076 or plans for other product candidates, if any. 

At December 31, 2015, we had cash of $5,131,114, with working capital of $4,515,781.  

FINANCING ACTIVITIES 

On October 6, 2015, we filed a Form S-3 registration statement with the SEC utilizing a “shelf” registration 
process.  On October 15, 2015, the Form S-3 registration statement was declared effective by the SEC.  Pursuant to 
this shelf registration statement, we may sell debt or equity securities in one or more offerings up to a total public 
offering  price  of  $30  million.    We  believe  that  this  shelf  registration  statement  currently  provides  us  additional 
flexibility with regard to potential financings that we may undertake when market conditions permit or our financial 
condition may require.   

As  discussed  above,  on  January  15,  2016,  the  Company  completed  the  Initial  Closing  and  received 
approximately $10.3 million and yielded approximately $10.2 million after minimum offering expenses.  The Initial 
Closing  resulted  in  the  issuance  of  8,448,613  shares  of  Common  Stock,  priced  at  $1.19  per  share,  and  1,689,722 
warrants, with a purchase price of $0.125 per warrant.  The warrants will become exercisable on April 15, 2016 at 

27

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
$1.69 per share exercise price, and will expire on April 15, 2019.  The fair value of the warrants issued is $321,047, 
calculated using the Black-Scholes-Merton valuation model value of $0.19 with an expected and contractual life of 
3.25 years, an assumed volatility of 70.1%, and a risk-free interest rate of 1.08%. 

The Company and Investors are working to close on the remaining $14.8 million which is expected during 
the  first  half  of  2016.    There  can  be  no  assurance  that  the  Second  Closing  will  occur  or  will  occur  within  our 
expected timeline. 

INFLATION AND INTEREST RATE CHANGES 

Management  does  not  believe  that  our  working  capital  needs  are  sensitive  to  inflation  and  changes  in 

interest rates. 

TABLE OF CONTRACTUAL OBLIGATIONS 

We are a smaller reporting company as defined by Rule 12b-2 of the Securities Exchange Act of 1934 and 

are not required to provide the information under this item. 

OFF-BALANCE-SHEET ARRANGEMENTS 

We had no off-balance sheet arrangements during fiscal year 2015. 

ITEM 7A.   QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK.  

We are a smaller reporting company as defined by Rule 12b-2 of the Securities Exchange Act of 1934 and 

are not required to provide the information under this item. 

ITEM 8.     FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA. 

The  response  to  this  item  is  submitted  in  a  separate  section  of  this  report.  See  Index  to  Consolidated 

Financial Statements on page F-1.  

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

None. 

ITEM 9A.    CONTROLS AND PROCEDURES. 

Disclosure Controls and Procedures 

  As of December 31, 2015, we carried out an evaluation, under the supervision and with the participation of 
our management, including our Chief Executive Officer and Principal Accounting Officer (our principal executive 
officer  and  principal  financial  officer,  respectively)  and  our  Chief  Operating  Officer  &  General  Counsel,  of  the 
effectiveness  of  the  design  and  operation  of  our  disclosure  controls  and  procedures  (as  defined  in  the  Securities 
Exchange Act of 1934 Rules 13a-15(e) and 15d-15(e)).  Our Chief Executive Officer,  Principal Accounting Officer 
and  Chief  Operating  Officer  &  General  Counsel  have  concluded  that  our  disclosure  controls  and  procedures  are 
effective  to  ensure  that  information  required  to  be  disclosed  by  us  in  the  reports  that  we  file  or  submit  under  the 
Exchange Act is  recorded,  processed,  summarized  and reported within  the  time  periods  specified  in  the  rules  and 
forms of the Securities and Exchange Commission and that such information is accumulated and communicated to 
our management (including our Chief Executive Officer,  Principal Accounting Officer, and Chief Operating Officer 
& General Counsel) to allow timely decisions regarding required disclosures.  Based on such evaluation, our Chief 
Executive Officer, Principal Accounting Officer, and Chief Operating Officer & General Counsel have concluded 
these disclosure controls are effective as of December 31, 2015. 

Changes in Internal Control Over Financial Reporting  

There have not been any changes in our internal control over financial reporting during the fiscal quarter 
ended  December  31,  2015  that  have  materially  affected,  or  are  reasonably  likely  to  materially  affect,  our  internal 
control over financial reporting.  

28

 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
Management's Report on Internal Control Over Financial Reporting    

Our  management  is  responsible  for  establishing  and  maintaining  adequate  internal  control  over  financial 
reporting, as such term is defined in Securities Exchange Act Rules 13a-15(f) and 15d-15(f).  Our internal control 
over  financial  reporting  is  designed  to  provide  reasonable  assurance  to  our  management  and  board  of  directors 
regarding the reliability of financial reporting and the preparation and fair presentation  of financial statements for 
external purposes in accordance with generally accepted accounting principles. Any internal control over financial 
reporting, no matter how well designed, has inherent limitations.  As a result of these inherent limitations, internal 
control  over  financial  reporting  may  not  prevent  or  detect  misstatements.    Therefore,  even  those  internal  controls 
determined  to  be  effective  can  provide  only  reasonable  assurance  with  respect  to  reliability  of  financial  reporting 
and the preparation of financial statements for external purposes in accordance with generally accepted accounting 
principles. 

Under  the  supervision  and  with  the  participation  of  our  management,  including  our  Chief  Executive 
Officer, Chief Operating Officer & General Counsel and Principal Accounting Officer, we conducted an assessment 
of the effectiveness of our internal control over financial reporting using the criteria set forth by the Committee of 
Sponsoring  Organizations  of  the  Treadway  Commission  (COSO)  in  Internal  Control —  Integrated  Framework.  
Based  on  our  assessment,  we  concluded  that  our  internal  control  over  financial  reporting  was  effective  as  of 
December 31, 2015. 

ITEM 9B.   OTHER INFORMATION. 

Our  2016  Annual  Meeting  of  Stockholders  will  be  held  on  June  2,  2016.    Further  information  will  be 
provided  in  our  proxy  statement  that  will  be  filed  with  the  SEC  and  mailed  to  stockholders  of  record  as  soon  as 
practicable. 

PART III   

ITEM 10.     DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE. 

The information required under this item is incorporated herein by reference to the Company’s definitive 
proxy statement pursuant to Regulation 14A, which proxy statement will be filed with the SEC not later than 120 
days after the close of the Company’s fiscal year ended December 31, 2015. 

We have adopted a Code of Ethics, as defined in applicable SEC rules, that applies to directors, officers and 
employees,  including  our  principal  executive  officer  and  principal  accounting  officer.    The  Code  of  Ethics  is 
available on the Company’s website at www.casipharmaceuticals.com.   

ITEM 11.     EXECUTIVE COMPENSATION. 

The information required under this item is incorporated herein by reference to the Company’s definitive 
proxy statement pursuant to Regulation 14A, which proxy statement will be filed with the SEC not later than 120 
days after the close of the Company’s fiscal year ended December 31, 2015. 

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

The information required under this item, with the exception of information relating to compensation plans 
under which equity securities of the Company are authorized for issue, which appears below, is incorporated herein 
by reference to the Company’s definitive proxy statement pursuant to Regulation 14A, which proxy statement will 
be filed with the SEC not later than 120 days after the close of the Company’s fiscal year ended December 31, 2015. 

29

 
 
  
  
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
Options under Employee Benefit Plans    

The following table discloses certain information about the options issued and available for issuance under 

all outstanding Company option plans, as of December 31, 2015.  

Plan category 

(a) 
Number of securities to 
be issued upon exercise 
of outstanding options, 
warrants and rights 

(b) 

Weighted-average 
exercise price of 
outstanding options, 
warrants and rights 

(c) 

Number of securities 
remaining available for 
future issuance under 
equity compensation 
plans [excluding 
securities reflected in 
column (a)] 

Equity compensation 
plans approved by 
security holders 
Equity compensation 
plans not approved by 
security holders 
Total 

               6,694,744 

                    $1.99 

1,957,876 

                             0 

                    $  0.00 

              0 

               6,694,744 

                    $1.99 

1,957,876 

Warrants issued under the unauthorized plans represent compensation for consulting services rendered by 

the holders. 

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

The information required under this item is incorporated herein by reference to the Company’s definitive 
proxy statement pursuant to Regulation 14A, which proxy statement will be filed with the SEC not later than 120 
days after the close of the Company’s fiscal year ended December 31, 2015.  

ITEM 14.     PRINCIPAL ACCOUNTING FEES AND SERVICES. 

The information required under this item is incorporated herein by reference to the Company’s definitive 
proxy statement pursuant to Regulation 14A, which proxy statement will be filed with the SEC not later than 120 
days after the close of the Company’s fiscal year ended December 31, 2015.  

PART IV 

ITEM 15.     EXHIBITS AND FINANCIAL STATEMENT SCHEDULES.   

(a) 1. FINANCIAL STATEMENTS - See index to Consolidated Financial Statements.  

      2. Schedules 

All  financial  statement  schedules  are  omitted  because  they  are  not  applicable,  not  required  under  the 

instructions or all the information required is set forth in the financial statements or notes thereto.  

      3. Exhibits    

2.1 

3.1 

Agreement and Plan of Merger, dated as of December 22, 2005 among EntreMed, Inc., E.M.K. Sub, 
Inc., Miikana Therapeutics, Inc., and Andrew Schwab (incorporated by reference to Exhibit 2.1 of our 
Form 8-K filed with the Securities and Exchange Commission on December 29, 2005) 

Amended  and  Restated  Certificate  of  Incorporation  of  EntreMed,  Inc.  (incorporated  by  reference  to 
Exhibit  3.1  of  our  Form  10-Q  for  the  quarter  ended  June  30,  2006  filed  with  the  Securities  and 
Exchange Commission)    

30

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
3.2 

3.3 

3.4 

4.1 

4.2  

4.3 

4.4 

4.5 

4.6 

4.7 

4.8 

10.1 

10.2    

Certificate  of  Amendment  to  Amended  and  Restated  Certificate  of  Incorporation  (incorporated  by 
reference to Exhibit 3.1 of our Form 8-K filed with the Securities and Exchange Commission on July 
7, 2010) 

Amended  and  Restated  Bylaws  of  EntreMed,  Inc.  (incorporated  by  reference  to  Exhibit  3.1  of  our 
Form 8-K filed with the Securities and Exchange Commission on December 12, 2007)  

Certificate  of  Amendment  to  Amended  and  Restated  Certificate  of  Incorporation  (incorporated  by 
reference to Exhibit 3.1 of our Form 8-K filed with the Securities and Exchange Commission on June 
13, 2014) 

Certificate of Elimination of Series A Preferred Stock filed with the Secretary of State of Delaware on 
September  13,  2012.  (Incorporated  by  reference  to  Exhibit 3.1  of  our  Form  8-K  filed  with  the 
Securities and Exchange Commission on September 20, 2012.) 

Form of Common Stock Purchase Warrant (incorporated by reference to Exhibit 10.1 of our Form 8-K 
filed with the Securities and Exchange Commission on January 26, 2012) 

Form of Common Stock Purchase Warrant (incorporated by reference to Exhibit 4.1 of our Form 8-K 
filed with the Securities and Exchange Commission on March 6, 2013) 

Form of Agent’s Common Stock Purchase Warrant (incorporated by reference to Exhibit 4.2 of our 
Form 8-K filed with the Securities and Exchange Commission on March 6, 2013) 

Form of Common Stock Purchase Warrant (incorporated by reference to Exhibit 4.2 (included in 
Exhibit 10.1) of our Form 10-Q filed with the Securities and Exchange Commission on November 13, 
2015) 

Certificate of Designation of Series A Preferred Stock (incorporated by reference to Exhibit 4.1 of our 
Form 8-K filed with the Securities and Exchange Commission on September 19, 2014) 

Secured Promissory Note, dated as of September 17, 2014, issued to Talon Therapeutics, Inc. 
(incorporated by reference to Exhibit 4.2 of our Form 8-K filed with the Securities and Exchange 
Commission on September 19, 2014) 

First Amendment to Secured Promissory Note, dated as of September 28, 2015, by and between the 
CASI Pharmaceuticals, Inc. and Talon Therapeutics, Inc. (incorporated by reference to Exhibit 4.2 of 
our Form 8-K filed with the Securities and Exchange Commission on October 1, 2015) 

License  Agreement  between  Celgene  Corporation  and  EntreMed,  Inc.  signed  December  9,  1998 
regarding thalidomide intellectual property + (incorporated by reference to Exhibit 10.28 of our Form 
10-K for the year ended December 31, 1998 filed with the Securities and Exchange Commission) 

Lease Agreement between EntreMed, Inc. and Red Gate III Limited Partnership, dated June 10, 1998 
(incorporated by reference to Exhibit 10.31 our Form 10-K for the year ended December 31, 1998 filed 
with the Securities and Exchange Commission)  

10.3 

EntreMed,  Inc.  2001  Long-Term  Incentive  Plan*  (incorporated  by  reference  to  Appendix  A  to  our 
Definitive Proxy Statement filed with the Securities and Exchange Commission on May 12, 2006) 

10.4.1    

Purchase  Agreement  between  Bioventure  Investments  kft  and  EntreMed,  Inc.,  dated  June  15,  2001+ 
(incorporated by reference to Exhibit 10.39.1 of our Form 10-Q for the quarter ended June 30, 2001 
filed with the Securities and Exchange Commission) 

10.4.2 

Amendment 1 to Purchase Agreement between Bioventure Investments kft and EntreMed, Inc., dated 

31

 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
                                
10.4.3 

10.4.4 

10.5 

10.6 

10.7 

10.8 

10.9 

10.10 

10.11 

10.12 

July  13,  2001(incorporated  by  reference  to  Exhibit  10.39.2  of  our  Form  10-Q  for  the  quarter  ended 
June 30, 2001 filed with the Securities and Exchange Commission) 

Amendment 2 to Purchase Agreement between Bioventure Investments kft and EntreMed, Inc., dated 
July  30,  2001(incorporated  by  reference  to  Exhibit  10.39.3  of  our  Form  10-Q  for  the  quarter  ended 
June 30, 2001 filed with the Securities and Exchange Commission) 

Amendment 3 to Purchase Agreement between Bioventure Investments kft and EntreMed, Inc., dated 
August 3, 2001 (incorporated by reference to Exhibit 10.39.4 of our Form 10-Q for the quarter ended 
June 30, 2001 filed with the Securities and Exchange Commission) 

EntreMed,  Inc.  2001  Long  Term  Incentive  Plan  Non-Qualified  Stock  Option  Grant  Agreement 
(Director)* (incorporated by reference to Exhibit 10.7 of our Form 8-K filed with the Securities and 
Exchange Commission on April 17, 2007) 

EntreMed, Inc. 2001 Long Term Incentive Plan Non-Qualified Stock Option Grant Agreement (Non-
Director  Employee)*  (incorporated  by  reference  to  Exhibit  10.8  of  our  Form  8-K  filed  with  the 
Securities and Exchange Commission on April 17, 2007) 

Form of Change in Control Agreement* (incorporated by reference to Exhibit 19.1 of our Form 8-K 
filed with the Securities and Exchange Commission on April 17, 2007) 

Employment  Agreement  by  and  between  EntreMed  and  Cynthia  W.  Hu,  dated  as  of  June  1,  2006* 
(incorporated  by  reference  to  Exhibit  10.1  of  Form  8-K  filed  with  the  Securities  and  Exchange 
Commission on June 6, 2006)  

Amendment to Employment Agreement by and between the Company and Cynthia W. Hu, effective 
April 16, 2007* (incorporated by reference to Exhibit 10.5 of our Form 8-K filed with the Securities 
and Exchange Commission on April 17, 2007) 

Form of Restricted Stock Award under EntreMed, Inc. 2001 Long Term Incentive Plan* (incorporated 
by reference to Exhibit 10.2 of our Form 8-K filed with the Securities and Exchange Commission on 
March 11, 2005) 

License Agreement between EntreMed and Celgene Corporation signed March 23, 2005 regarding the 
development and commercialization of Celgene’s small molecule tubulin inhibitor compounds for the 
treatment  of  cancer+  (incorporated  by  reference  to  Exhibit  10.25  of  our  Form  10-Q  for  the  quarter 
ended March 31, 2005 filed with the Securities and Exchange Commission) 

Securities  Purchase  Agreement,  dated  September  7,  2010  by  and  between  EntreMed,  Inc.  and  the 
investors  party  thereto  (incorporated  by  reference  to  Exhibit  10.1  of  our  Form  8-K  filed  with  the 
Securities and Exchange Commission on September 10, 2010) 

10.13     

Employment  Agreement, by and between EntreMed, Inc. and Sara Capitelli, dated as of January 10, 
2011*  (incorporated  by  reference  to  Exhibit  10.33  of  our  Form  10-K  for  the  fiscal  year  ended 
December 31, 2010 filed with the Securities and Exchange Commission) 

10.14            Convertible Note and Warrant Purchase Agreement, dated January 20, 2012, by and among EntreMed,  

Inc. and the investors party thereto (incorporated by reference to Exhibit 10.1 of our Form 8-K filed 
with the Securities and Exchange Commission on January 26, 2012) 

10.15 

Securities Purchase Agreement, dated March 1, 2013, by and among EntreMed, Inc. and the investors 
thereto (incorporated by reference to Exhibit 10.1 of  our Form 8-K filed with the Securities and 
Exchange Commission on March 6, 2013) 

32

 
 
 
 
 
 
 
 
 
 
 
 
 
10.16 

10.17 

10.18 

10.19 

10.20 

10.21 

10.22 

10.23 

Employment Agreement by and between EntreMed, Inc. and Ken K. Ren, dated as of April 2, 2013* 
(incorporated by reference to Exhibit 10.1 of our Form 10-Q filed with the Securities and Exchange 
Commission on May 15, 2013) 

Investment Agreement, dated as of September 17, 2014, by and between CASI Pharmaceuticals, Inc. 
and Spectrum Pharmaceuticals, Inc. (incorporated by reference to Exhibit 10.1 of our Form 8-K filed 
with the Securities and Exchange Commission on September 19, 2014) 

Investment Agreement, dated as of September 17, 2014, by and between CASI Pharmaceuticals, Inc. 
the Company and Spectrum Pharmaceuticals Cayman, L.P (incorporated by reference to Exhibit 10.2 
of our Form 8-K filed with the Securities and Exchange Commission on September 19, 2014) 

License Agreement, dated as of September 17, 2014, by and between CASI Pharmaceuticals, Inc. and 
Spectrum Pharmaceuticals, Inc. + (incorporated by reference to Exhibit 10.3 of our Form 10-Q/A filed 
with the Securities and Exchange Commission on January 21, 2015) 

License Agreement, dated as of September 17, 2014, by and between CASI Pharmaceuticals, Inc. and 
Spectrum Pharmaceuticals Cayman, L.P. + (incorporated by reference to Exhibit 10.4 of our Form 10-
Q/A filed with the Securities and Exchange Commission on January 21, 2015) 

License Agreement, dated as of September 17, 2014, by and between CASI Pharmaceuticals, Inc. and 
Talon Therapeutics, Inc. + (incorporated by reference to Exhibit 10.5 of our Form 10-Q/A filed with 
the Securities and Exchange Commission on January 21, 2015) 

CASI Pharmaceuticals, Inc. 2011 Long-Term Incentive Plan, as amended* (incorporated by reference 
to Appendix A to the Company’s Definitive Proxy Statement filed with the Securities and Exchange 
Commission on April 17, 2015) 

Form of Securities Purchase Agreement, dated September 20, 2015, by and among CASI 
Pharmaceuticals, Inc. and the investors thereto (incorporated by reference to Exhibit 10.1 of our Form 
10-Q filed with the Securities and Exchange Commission on November 13, 2015) 

23.1              Consent of Independent Registered Public Accounting Firm  

31.1 

31.2 

32.1 

32.2 

101** 

Rule 13a-14(a) Certification of Chief Executive Officer 

Rule 13a-14(a) Certification of Principal Accounting Officer  

Rule 13a-14(b) Certification by Chief Executive Officer 

Rule 13a-14(b) Certification by Principal Accounting Officer 

Interactive  Data  Files  The  following  financial  information  from  the  Registrant’s  Annual  Report  on 
Form 10-K  for  the  year  ended  December  31,  2015,  formatted  in  eXtensible  Business  Reporting 
Language  (XBRL): 
  (i) Consolidated  Balance  Sheets  as  of  December 31,  2015  and  2014, 
(ii)   Consolidated  Statements  of  Operations  for  the  years  ended  December  31,  2015  and  2014, 
(iii)   Consolidated  Statements  of  Stockholders’  Equity  (Deficit)  for  the  years  ended  December  31, 
2015 and 2014 (iv)  Consolidated Statements of Cash Flows for the years ended December 31, 2015 
and 2014 and (v) Notes to Consolidated Financial Statements. 

*                   Management Contract or any compensatory plan, contract or arrangement.  

+                 Certain portions of this exhibit have been omitted based upon a request for confidential treatment. The 
omitted  portions  have  been  filed  with  the  Commission  pursuant  to  our  application  for  confidential 
treatment.  

** 

Filed herewith 

33

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
SIGNATURES 

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant 

has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.  

Date:  March 28, 2016 

              CASI Pharmaceuticals, Inc. 

By: /s/Ken K. Ren          
Ken K. Ren 
Chief Executive Officer     

Pursuant  to  the  requirements  of  the  Securities  Act  of  1934,  this  report  has  been  signed  below  by  the 

following persons in the capacities and on the dates indicated.  

SIGNATURE 

/s/Ken K. Ren 

Ken K. Ren 

TITLE

DATE

Chief Executive Officer
and Director
(Principal Executive 
Officer)

March 28, 2016 

/s/Sara B. Capitelli 
Sara B. Capitelli 

Principal Accounting 
Officer 

March 28, 2016 

/s/Wei-Wu He 
Wei-Wu He 

/s/James Z. Huang 
James Z. Huang 

/s/Tak W. Mak 
Tak W. Mak 

/s/Franklin C. Salisbury
Franklin C. Salisbury 

/s/Rajesh C. Shrotriya 
Rajesh C. Shrotriya 

/s/Y. Alexander Wu 
Y. Alexander Wu 

Chairman

March 28, 2016 

Director

March 28, 2016 

Director

March 28, 2016 

Director

March 28, 2016 

Director

March 28, 2016 

Director

March 28, 2016 

34

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The following consolidated financial statements of CASI Pharmaceuticals, Inc. are included in Item 8:  

Report of Independent Registered Public Accounting Firm.........................................................................................  F-2 
Consolidated Balance Sheets as of December 31, 2015 and 2014 ...............................................................................  F-3 
Consolidated Statements of Operations for the years ended December 31, 2015 and 2014........................................  F-4 
Consolidated Statements of Stockholders' Equity (Deficit) for the years ended December 31, 2015 and 2014.........  F-5 
Consolidated Statements of Cash Flows for the years ended December 31, 2015 and 2014 ......................................  F-6 
Notes to Consolidated Financial Statements .................................................................................................................  F-7 

F-1 

 
 
 
 
 
 
 
 
 
 
 
 
 
Report of Independent Registered Public Accounting Firm 

The Board of Directors and Stockholders  
CASI Pharmaceuticals, Inc. 

We  have  audited  the  accompanying  consolidated  balance  sheets  of  CASI  Pharmaceuticals,  Inc.  as  of 
December 31, 2015 and 2014, and the related consolidated statements of operations, stockholders’ equity (deficit) 
and  cash  flows  for  the  years  then  ended.  CASI  Pharmaceuticals,  Inc.’s  management  is  responsible  for  these 
consolidated  financial  statements.  Our  responsibility  is  to  express  an  opinion  on  these  consolidated  financial 
statements based on our audits. 

We conducted our audits in accordance with the standards of the Public Company Accounting Oversight 
Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance 
about whether the consolidated financial statements are free of material misstatement. The company is not required 
to have, nor were we engaged to perform, an audit of its internal control over financial reporting. Our audit included 
consideration  of  internal  control  over  financial  reporting  as  a  basis  for  designing  audit  procedures  that  are 
appropriate  in  the  circumstances,  but  not  for  the  purpose  of  expressing  an  opinion  on  the  effectiveness  of  the 
company’s  internal  control  over  financial  reporting.  Accordingly,  we  express  no  such  opinion.  An  audit  also 
includes examining, on a test basis, evidence supporting the amounts and disclosures in the consolidated financial 
statements,  assessing  the  accounting  principles  used  and  significant  estimates  made  by  management,  as  well  as 
evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our 
opinion. 

In  our  opinion,  the  consolidated  financial  statements  referred  to  above  present  fairly,  in  all  material 
respects, the financial position of CASI Pharmaceuticals, Inc. as of December 31, 2015 and 2014, and the results of 
their operations  and  their cash flows for  the  years  then  ended,  in  conformity  with  accounting principles generally 
accepted in the United States of America. 

/s/ CohnReznick LLP 

Roseland, New Jersey 
March 28, 2016 

F-2 

 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CASI Pharmaceuticals, Inc. 
Consolidated Balance Sheets 

ASSETS 
Current assets: 
   Cash and cash equivalents 
   Accounts receivable, net of allowance for doubtful accounts of
   $12,536 at December 31, 2014  
   Prepaid expenses and other 
Total current assets 

Property and equipment, net 

Other assets 
Total assets 

LIABILITIES AND STOCKHOLDERS' DEFICIT
Current liabilities: 
   Accounts payable 
   Accrued liabilities 
Total current liabilities 

Note payable, net of discount 
Contingent rights derivative liability 
Total liabilities 

Commitments and contingencies 

DECEMBER 31, 

2015

 2014

$       5,131,114 

 $       10,669,919

                       -

438,231 
5,569,345 

218,796 

38,174 
5,826,315 

                        23,727
328,150
11,021,796

261,781

26,011
11,309,588

$ 

884,100 
169,464 
1,053,564 

$ 

754,628
164,420
             919,048

                  1,464,970 
                  9,395,222 
                11,913,756 

                   1,390,015
                   9,422,735
                 11,731,798

$

$

Stockholders' deficit: 
   Convertible preferred stock, $1.00 par  value; 
      5,000,000 shares authorized and 0 shares issued and 

outstanding at December 31, 2015 and 2014 

   Common stock, $.01 par value: 
      170,000,000 shares authorized at December 31, 2015 and    
      2014; 32,525,356 shares issued at December 31, 2015 and 2014
   Additional paid-in capital 
   Treasury stock, at cost:  79,545 shares held at December 31, 2015 and               
      December 31, 2014 
   Accumulated deficit 
Total stockholders' deficit 
Total liabilities and stockholders' deficit 

                                 - 

                                  -

325,252 
434,099,890 

                      325,252
432,558,698

(8,034,244) 
(432,478,339) 
(6,087,441) 
5,826,315 

$

(8,034,244)
(425,271,916)
(422,210)
11,309,588

$ 

    See accompanying notes. 

F-3 

 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
                               
                                   
                                
                                   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CASI Pharmaceuticals, Inc. 
Consolidated Statements of Operations 

Revenues: 

   Product sales 

Costs and expenses: 
   Cost of product sales 

   Research and development  

   General and administrative 

   Acquired in-process research and development 

        YEAR ENDED DECEMBER 31,

2015

2014

      $           47,712
47,712

      $           23,727 
23,727 

                     6,274

                     7,467 

4,075,572

2,765,492 

              3,118,269

              3,756,548 

-

7,200,115

19,681,711 

26,211,218 

Interest expense, net 

                   81,533

                   26,581 

Change in fair value of contingent rights 

                (27,513)

                (11,764) 

Net loss  

$

(7,206,423)

$ (26,202,308) 

Net loss per share (basic and diluted) 
Weighted average number of shares outstanding (basic 

$

(0.22)

$

(0.92) 

and  diluted) 

32,445,811

28,595,402 

         See accompanying notes. 

F-4 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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F

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CASI Pharmaceuticals, Inc. 
Consolidated Statements of Cash Flows 

CASH FLOWS FROM OPERATING ACTIVITIES 
Net loss 
Adjustments to reconcile net loss to net cash used in operating
   activities: 
      Depreciation and amortization 
      Stock-based compensation expense 
      Acquired in-process research and development 
      Non-cash interest 
      Change in fair value of contingent rights 
      Changes in operating assets and liabilities: 
        Accounts receivable 
        Prepaid expenses and other 
        Accounts payable 
        Accrued liabilities 
Net cash used in operating activities 

CASH FLOWS FROM INVESTING ACTIVITIES 
Purchases of furniture and equipment 
Cash paid for acquired in-process research and development
Net cash used in investing activities 

                        YEAR ENDED DECEMBER 31, 

                       2015  

                           2014    

$

(7,206,423)

$        (26,202,308)

68,381
1,541,192
-
74,955
(27,513)

23,727
(122,244)
129,472
               5,044
     (5,513,409)

48,179
2,189,102
19,681,711
25,922
(11,764)

(23,727)
(56,423)
352,172
                     1,710
           (3,995,426)

(25,396)
                      -
                    (25,396)

(231,818)

              (234,508)   
                                   (466,326)    

Net decrease in cash and cash equivalents 

(5,538,805)

(4,461,752)

Cash and cash equivalents at beginning of year 
Cash and cash equivalents at end of year 

Supplemental disclosure of cash flow information: 

            10,669,919
$       5,131,114

                  15,131,671
$         10,669,919

     Cash paid for interest 

$    

        7,500

$                          -

     Non-cash financing activity: 
        Common stock issued in connection with acquired in-process research 
and development  

$                      - 

$           8,648,611 

       Promissory note, net of discount, issued in connection with acquired in-
process research and development       

          $                     - 

                       $           1,364,093 

        Contingent rights issued in connection with acquired in-process 
research and development  

          $                     - 

                       $           9,434,499 

See accompanying notes. 

F-6 

 
 
 
 
     
      
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
        
 
      
 
 
 
       
 
 
  
 
       
 
 
 
 
 
 
 
 
 
CASI Pharmaceuticals, Inc. 

Notes to Consolidated Financial Statements 
December 31, 2015 and 2014 

1.  DESCRIPTION OF BUSINESS AND BASIS OF PRESENTATION 

CASI  Pharmaceuticals,  Inc.  (“CASI”  or  the  “Company”)  is  a  late-stage  biopharmaceutical  company 
dedicated  to  the  acquisition,  development  and  commercialization  of  innovative  therapeutics  for  the  treatment  of 
cancer  and  other  unmet  medical  needs.    The  Company’s  mission  is  to  become  a  leading  fully-integrated 
pharmaceutical company delivering new medicines to patients with unmet medical needs.  The Company conducts 
clinical  development  activities  internationally  and  focuses  its  commercial  and  marketing  strategy  on  the  China 
region, and in the rest of the world through partnerships.   

The Company’s pipeline features (1) its lead proprietary drug candidate, ENMD-2076, in multiple Phase 2 
clinical  trials,  (2)  MARQIBO®,  ZEVALIN®  and  EVOMELA™,  all  U.S.  Food  and  Drug  Administration  (FDA) 
approved  drugs  in-licensed  from  Spectrum  Pharmaceuticals,  Inc.  for  China  regional  rights,  and  currently  under 
development  by  CASI  for  market  approval  in  China,  and  (3)  proprietary  early-stage  candidates  in  preclinical 
development.    The  Company’s  pipeline  reflects  a  risk-balanced  approach  between  products  in  various  stages  of 
development, and between products that it develops itself and those that it develops with the Company’s partners for 
the China regional market.  The Company intends to continue building a significant product pipeline of innovative 
drug candidates that it will commercialize alone in China and with partners for the rest of the world.  For ENMD-
2076, the Company’s current development is focused on niche and orphan indications.  For in-licensed products, the 
Company uses a market-oriented approach to identify pharmaceutical candidates that it believes have the potential 
for  gaining  widespread  market  acceptance,  either  globally  or  in  China,  and  for  which  development  can  be 
accelerated under the Company’s drug development strategy. 

The  Company’s  primary  research  and  development  focus  is  on  oncology  therapeutics.    The  Company’s 
strategy is to develop innovative drugs that are potential first-in-class or market-leading compounds for treatment of 
cancer.  The implementation of its plans will include leveraging the Company’s resources in both the United States 
and China.  In order to capitalize on the drug development and capital resources available in China, the Company is 
doing  business  in  China  through  its  wholly-owned  Chinese  subsidiary  that  will  execute  the  China  portion  of  the 
Company’s  drug  development  strategy,  including  conducting  clinical  trials  in  China,  pursuing  local  funding 
opportunities  and  strategic  collaborations,  and  implementing  the  Company’s  plan  for  development  and 
commercialization in the China market. 

ENMD-2076  has  received  orphan  drug  designation  from  the  FDA  for  the  treatment  of  ovarian  cancer, 
multiple myeloma, acute myeloid leukemia and hepatocellular carcinoma (HCC).  In October 2015, the Company 
also received orphan drug designation from the European Medicines Agency (EMA) for the treatment of HCC.   

In September 2014, the Company acquired from Spectrum Pharmaceuticals, Inc. and certain of its affiliates 
(together referred to as “Spectrum”) exclusive rights in greater China (including Taiwan, Hong Kong and Macau) to 
three in-licensed oncology products, including MARQIBO® (vinCRIStine sulfate LIPOSOME injection) approved 
in  the  U.S.  for  advanced  adult  Ph-  acute  lymphoblastic  leukemia  (ALL),  ZEVALIN®  (ibritumomab  tiuxetan) 
approved in the U.S. for advanced non-Hodgkin’s lymphoma, as well as EVOMELA™ (melphalan hydrochloride for 
injection)  approved  in  the  U.S.  primarily  for  use  as  a  high-dose  conditioning  treatment  prior  to  hematopoietic 
progenitor (stem) cell transplantation in patients with multiple myeloma. 

The Company’s primary focus is on clinical-stage and late-stage drug candidates so that it can immediately 
employ its U.S. and China drug development model to accelerate clinical and regulatory progress.  In addition to its 
clinical-and late-stage approach, the Company has two potential drug candidates in preclinical development which it 
will continue to evaluate in 2016.  In addition to these early compounds, the Company’s pipeline includes 2ME2 (2-
methoxyestradial),  an  orally  active  compound  that  has  antiproliferative,  antiangiogenic  and  anti-inflammatory 
properties. 

F-7 

 
 
 
 
The  accompanying  consolidated  financial  statements  include  the  accounts  of  CASI  Pharmaceuticals,  Inc. 
and its subsidiaries, Miikana Therapeutics, Inc. (“Miikana”) and CASI Pharmaceuticals (Beijing) Co., Ltd. (“CASI 
China”).  CASI China is a non-stock Chinese entity with 100% of its interest owned by CASI.  CASI China received 
approval for a business license from the Beijing Industry and Commercial Administration in August 2012 and has 
operating facilities in Beijing.   All inter-company balances and transactions have been eliminated in consolidation.   

LIQUIDITY RISKS AND MANAGEMENT’S PLANS 

Since  inception,  the  Company  has  incurred  significant  losses  from  operations  and  has  incurred  an 
accumulated  deficit  of  $432.5  million.  The  Company  expects  to  continue  to  incur  operating  losses  for  the 
foreseeable future due to, among other factors, its continuing clinical activities.  In September 2015, the Company 
entered into stock purchase agreements for a $25.1 million strategic financing, the closing of which was subject to 
certain  regulatory  and  customary  conditions.    In  January  2016,  the  Company  completed  the  first  closing  and 
received approximately $10.3 million (“Initial Closing”) (see Note 8).  The Company and Investors are working to 
close on the remaining $14.8 million (“Second Closing”) which is expected during the first half of 2016.  There can 
be  no  assurance  that  the  Second  Closing  will  occur.    Net  proceeds  of  the  closing  will  be  used  to  further  fund  its 
operations, accelerate its clinical and regulatory activities, expand its product pipeline, and support its marketing and 
commercial  planning  activities.    As  a  result  of  the  Initial  Closing,  the  Company  believes  that  it  has  sufficient 
resources  to  fund  its  operations  for  at  least  the  twelve  months  subsequent  to  December  31,  2015.    The  Company 
intends to continue to exercise tight controls over operating expenditures and will continue to pursue opportunities, 
as required, to raise additional capital and will also actively pursue non- or less-dilutive capital raising arrangements 
in China to support the Company’s dual-country approach to drug development.   

The  Company  intends  to  advance  clinical  development  of  its  drugs  and  drug  candidates,  and  the 
implementation of the Company’s plans will include leveraging its resources in both the United States and China.  In 
order to capitalize on the drug development and capital resources available in China, the Company is doing business 
in China through its wholly-owned Chinese subsidiary that will execute the China portion of the Company’s drug 
development  strategy,  including  conducting  clinical  trials  in  China,  pursuing  local  funding  opportunities  and 
strategic  collaborations,  and  implementing  the  Company’s  plan  for  development  and  commercialization  in  the 
Chinese market. 

The Company intends to pursue additional financing opportunities as well as opportunities to raise capital 
through forms of non- or less- dilutive arrangements, such as partnerships and collaborations with organizations that 
have  capabilities  and/or  products  that  are  complementary  to  the  Company’s  capabilities  and  products  in  order  to 
continue the development of the product candidate that the Company intends to pursue to commercialization.  

2.  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES 

SEGMENT INFORMATION 

The  Company  currently  operates  in  one  business  segment,  which  is  the  development  of  targeted 
therapeutics primarily for the treatment of cancer.  The Company is managed and operated as one business.  CASI’s 
senior management team reports to the Board of Directors and is responsible for aligning the Company’s business 
strategy with its core scientific strengths, while maintaining prudent resource management, fiscal responsibility and 
accountability.  The  Company  employs  a  drug  development  strategy  in  the  United  States  and  China  to  develop 
targeted  therapeutics  for  the  global  market  and  its  current  lead  drug  candidate  is  ENMD-2076,  an  Aurora  A  and 
angiogenic kinase inhibitor for the treatment of cancer.   

The  Company  does  not  operate  separate  lines  of  business  with  respect  to  its  product  candidates. 
Accordingly, the Company does not have separately reportable segments as defined by authoritative guidance issued 
by the Financial Accounting Standards Board (FASB). 

RESEARCH AND DEVELOPMENT 

Research  and  development  expenses  consist  primarily  of  compensation  and  other  expenses  related  to 
research  and  development  personnel,  research  collaborations,  costs  associated  with  pre-clinical  correlative  testing 

F-8 

 
 
 
   
  
 
 
 
 
 
 
and clinical trials of the Company’s drug candidates, including the costs of manufacturing drug substance and drug 
product,  regulatory  maintenance  costs,  and  facilities  expenses.  Research  and  development  costs  are  expensed  as 
incurred. 

PROPERTY AND EQUIPMENT      

Furniture  and  equipment  and  leasehold  improvements  are  stated  at  cost  and  are  depreciated  over  their 
estimated  useful  lives  of  3  to  5  years.  Depreciation  and  amortization  is  determined  on  a  straight-line  basis.  
Depreciation and amortization expense was $68,381 and $48,179 in 2015 and 2014, respectively.   

Property and equipment consists of the following:  

Furniture and equipment 
Leasehold improvements

Less:  accumulated depreciation 
and amortization 

DECEMBER 31,

2015

505,946
6,382
512,328

(293,532)
218,796

$

$

2014

480,550 
6,382 
486,932 

(225,151) 
261,781 

$

$

IMPAIRMENT OF LONG-LIVED ASSETS 

In  accordance  with  authoritative  guidance  issued  by  the  FASB,  the  Company  periodically  evaluates  the 
value  reflected  in  its  consolidated  balance  sheets  of  long-lived  assets,  such  as  equipment,  when  events  and 
circumstances indicate that the carrying amount of an asset may not be recovered.  Such events and circumstances 
include the use of the asset in current research and development projects, any potential alternative uses of the asset 
in other research and development projects in the short to medium term and restructuring plans entered into by the 
Company.  No impairment charges were recorded in 2015 and 2014. 

CASH AND CASH EQUIVALENTS 

Cash and cash equivalents include cash and highly liquid investments with original maturities of less than 

90 days. Substantially all of the Company's cash equivalents are held in short-term money market accounts.  

ACCOUNTS RECEIVABLE 

Accounts receivable are stated net of allowances for doubtful accounts.  Allowances for doubtful accounts 
are determined on a specific item basis.  Management reviews the credit worthiness of individual customers and past 
payment history to determine the allowance for doubtful accounts.  There was an allowance for doubtful accounts of 
$12,536 at December 31, 2014. 

For  the  years  ended  December  31,  2015  and  2014,  one  customer  represented  100%  of  revenue.    As  of 

December 31, 2014, one customer represented 100% of net accounts receivable.   

FOREIGN CURRENCY TRANSLATION  

The U.S. dollar is the functional and reporting currency of the Company.  Foreign currency denominated 
assets  and  liabilities  of  the  Company  and  all  of  its  subsidiaries  are  translated  into  U.S.  dollars.    Accordingly, 
monetary assets and liabilities are translated using the exchange rates in effect at the consolidated balance sheet date 
and  revenues  and  expenses  at  the  rates  of  exchange  prevailing  when  the  transactions  occurred.    Remeasurement 
adjustments are included in income (loss). 

DEFERRED RENT  

    The  Company  accounts  for  rent  expense  related  to  operating  leases  by  determining  total  minimum  rent 
payments on the leases over their respective periods and recognizing the rent expense on a straight-line basis. The 
difference between the actual amount paid and the amount recorded as rent expense in each fiscal year is recorded as 
F-9 

 
 
 
 
 
 
 
       
       
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
an  adjustment  to  deferred  rent.  Deferred  rent  as  of  December  31,  2015  and  2014  was  $4,086  and  $9,593, 
respectively, and is included in accrued liabilities in the accompanying consolidated balance sheets. 

EXPENSES FOR CLINICAL TRIALS  

Expenses for clinical trials are incurred from planning through patient enrollment to reporting of the data.  
The  Company  estimates  expenses  incurred  for  clinical  trials  that  are  in  process  based  on  patient  enrollment  and 
based on clinical data collection and management.  Costs that are associated with patient enrollment are recognized 
as  each  patient  in  the  clinical  trial  completes  the  enrollment  process.    Estimated  clinical  trial  costs  related  to 
enrollment  can  vary  based  on  numerous  factors,  including  expected  number  of  patients  in  trials,  the  number  of 
patients that do not complete participation in a trial, and the length of participation for each patient.  Costs that are 
based  on  clinical  data  collection  and  management  are  recognized  in  the  reporting  period  in  which  services  are 
provided.  In the event of early termination of a clinical trial, the Company accrues an amount based on estimates of 
the remaining non-cancelable obligations associated with winding down the clinical trial.  As of December 31, 2015 
and 2014, clinical trial accruals were $187,322 and $262,997, respectively, and are included in accounts payable in 
the accompanying consolidated balance sheets. 

INCOME TAXES 

Income tax expense is accounted for in accordance with authoritative guidance issued by FASB.  Income 
tax  expense  has  been  provided  using  the  asset  and  liability  method.    Deferred  tax  assets  and  liabilities  are 
determined  based  on  the  difference  between  the  financial  statement  and  tax  bases  of  assets  and  liabilities  as 
measured by  the  enacted  tax  rates  that  will  be  in  effect when  these differences  reverse.  The  Company  provides  a 
valuation allowance against net deferred tax assets if, based upon the available evidence, it is not more likely than 
not that the deferred tax assets will be realized. 

The Company accounts for uncertain tax positions pursuant to the guidance of FASB Accounting Standards 
Codification  Topic  740,  Income  Taxes.  The  Company  recognizes  interest  and  penalties  related  to  uncertain  tax 
positions,  if  any,  in  income  tax  expense.  As  of  December 31,  2015  and  2014,  the  Company  did  not  accrue  any 
interest related to uncertain tax positions. To date, there have been no interest or penalties charged to the Company 
in relation to the underpayment of income taxes.  

REVENUE RECOGNITION 

Revenue  for  product  sales  is  not  recognized  until  it  is  realized  or  realizable  and  earned.    Revenue  is 
recognized when all of the following criteria are met:  persuasive evidence of an arrangement exists, delivery has 
occurred  or  services  have  been  rendered,  the  price  to  the  buyer  is  fixed  and  determinable  and  collectibility  is 
reasonably assured.   

NET LOSS PER SHARE 

Net  loss  per  share  (basic  and  diluted)  was  computed  by  dividing  net  loss  attributable  to  common 
shareholders  by  the  weighted  average  number  of  shares  of  common  stock  outstanding.  Outstanding  options  and 
warrants totaling 10,705,647 and 8,568,585 as of December 31, 2015 and 2014, respectively, were anti-dilutive and, 
therefore, were not included in the computation of weighted average shares used in computing diluted loss per share.  

SHARE-BASED COMPENSATION  

The Company records compensation expense associated with service, performance, market condition based 
stock  options  and  other  equity-based  compensation  in  accordance  with  provisions  of  authoritative  guidance.    The 
fair  value  of  awards  whose  fair  values  are  calculated  using  the  Black-Scholes  option  pricing  model  is  generally 
being  amortized  on  a  straight-line  basis  over  the  requisite  service  period  and  is  recognized  based  on  the 
proportionate amount of the requisite service period that has been rendered during each reporting period.  The fair 
value of awards with market conditions, which are valued using a binomial model, is being amortized based upon 
the derived service period.  Share based awards granted to employees with a performance condition are measured 
based  on  the  probable  outcome  of  that  performance  condition  during  the  requisite  service  period.    Awards  with 

F-10 

 
 
 
 
 
 
  
   
 
 
 
 
 
 
performance conditions will be expensed if it is probable that the performance condition will be achieved.  During 
the year ended December 31, 2014, $686,600 of stock compensation expense was recorded for share awards with 
performance conditions.  For the year ended December 31, 2015, no expense has been recorded for share awards 
with performance conditions. 

NEW ACCOUNTING PRONOUNCEMENTS 

The Company has implemented all new accounting pronouncements that are in effect and that may impact 

the Company’s consolidated financial statements. 

In August 2014, the Financial Accounting Standards Board (“FASB”) issued Accounting Standard Update 
(“ASU”) 2014-15, Presentation of Financial Statements – Going Concern. The new standard requires management 
to evaluate on a regular basis whether any conditions or events have arisen that could raise substantial doubt about 
the entity’s ability to continue as a going concern. The guidance 1) provides a definition for the term “substantial 
doubt,”  2)  requires  an  evaluation  every  reporting  period,  interim  periods  included,  3)  provides  principles  for 
considering  the  mitigating  effect  of  management’s  plans  to  alleviate  the  substantial  doubt,  4)  requires  certain 
disclosures if the substantial doubt is alleviated as a result of management’s plans, 5) requires an express statement, 
as well as other disclosures, if the substantial doubt is not alleviated, and 6) requires an assessment period of one 
year from the date the financial statements are issued.  The standard is effective for the Company’s reporting year 
beginning January 1, 2017 and early adoption is not permitted. The Company is currently evaluating the impact, if 
any, that this new accounting pronouncement will have on its financial statements. 

In  May  2014,  the  FASB  issued  ASU  2014-09, Revenue  from  Contracts  with  Customers,  which  provides 
guidance  for  revenue  recognition  for  contracts,  superseding  the  previous  revenue  recognition  requirements,  along 
with most existing industry-specific guidance. The guidance requires an entity to review contracts in five steps: 1) 
identify  the  contract,  2)  identify  performance  obligations,  3)  determine  the  transaction  price,  4)  allocate  the 
transaction  price,  and  5)  recognize  revenue.  The  new  standard  will  result  in  enhanced  disclosures  regarding  the 
nature, amount, timing and uncertainty of revenue arising from contracts with customers. In July 2015, the FASB 
delayed  the  effective  date  of  this  standard  by  one  year.  The  new  standard  will  be  effective  for  the  Company’s 
reporting year beginning on January 1, 2018, and early adoption of the standard as of January 1, 2017 is permitted. 
The Company is currently evaluating the impact, if any, that this new accounting pronouncement will have on its 
financial statements. 

In April 2015, the FASB issued an accounting standards update amending the presentation of debt issuance 
costs.  These costs will now be presented as a direct reduction from the carrying amount of that debt liability.   The 
update  is  effective  for  financial  statements  issued  for  reporting  periods  beginning  after  December 15,  2015.   This 
guidance  should  be  applied  on  a  retrospective  basis  with  disclosures  for  a  change  in  accounting  principle,  if 
applicable.  The Company adopted this update on January 1, 2016.  The adoption of this guidance did not have an 
impact on the Company’s consolidated financial statements. 

    In November 2015, the FASB issued new guidance on the balance sheet classification of deferred taxes. To 
simplify  presentation,  the new  guidance requires  that  all deferred  tax  assets  and  liabilities,  along with  any  related 
valuation allowance, be classified as noncurrent on the balance sheet. The accounting standard is effective for public 
business entities for annual reporting periods (including interim reporting periods within those periods) beginning 
after December 15, 2016. Early adoption is permitted.  The Company has not yet adopted this pronouncement and is 
currently evaluating the impact, if any, it may have on its consolidated financial statements. 

   In January 2016, the FASB issued a new accounting standard on recognition and measurement of financial 
assets  and  financial  liabilities.  The  accounting  standard  primarily  affects  the  accounting  for  equity  investments, 
financial  liabilities  under  the  fair  value  option,  and  the  presentation  and  disclosure  requirements  for  financial 
instruments.  In addition, it includes a clarification related to the valuation allowance assessment when recognizing 
deferred tax assets resulting from unrealized losses on available-for-sale debt securities. The accounting guidance is 
effective for annual reporting periods (including interim periods within those periods) beginning after December 15, 
2017. Early adoption is permitted for the provision to record fair value changes for financial liabilities under the fair 

F-11 

 
  
  
  
 
 
 
 
 
 
 
value  option  resulting  from  instrument-specific  credit  risk  in  other  comprehensive  income.  The  Company  is 
currently evaluating the impact, if any, that the pronouncement will have on the consolidated financial statements. 

FAIR VALUE OF FINANCIAL INSTRUMENTS AND CONCENTRATIONS OF CREDIT RISK 

Financial  instruments  that  potentially  subject  the  Company  to  concentrations  of  credit  risk  consist 
principally of cash and cash equivalents and accounts receivable.  The Company maintains its cash in bank deposit 
accounts,  which,  at  times,  may  exceed  federally  insured  amounts.  The  Company  believes  it  is  not  exposed  to 
significant  credit  risk  on  cash  and  cash  equivalents.    The  carrying  amount  of  current  assets  and  liabilities 
approximates their fair values due to their short-term maturities. 

USE OF ESTIMATES 

The  preparation  of  consolidated  financial  statements  in  conformity  with  accounting  principles  generally 
accepted  in  the  United  States  requires  management  to  make  estimates  and  assumptions  that  affect  the  amounts 
reported  in  the  financial  statements  and  accompanying  notes.  The  Company’s  most  critical  accounting  estimates 
relate  to  accounting  policies  for  derivatives,  notes  payable  valuation,  clinical  trial  accruals  and  share-based 
arrangements.  Management  bases  its  estimates  on  historical  experience  and  on  various  other  assumptions  that  it 
believes  are  reasonable  under  the  circumstances.  Actual  results  may  differ  from  those  estimates,  and  such 
differences may be material to the consolidated financial statements.      

DERIVATIVES 

The Company entered into investment agreements with Spectrum (see Note 4) resulting in a purchase price 
derivative.    In  accordance  with  GAAP,  derivative  instruments  are  recognized  as  either  assets  or  liabilities  on  the 
consolidated  balance  sheets  and  are  measured  at  fair  value  with  gains  or  losses  recognized  in  earnings  or  other 
comprehensive  income  depending  on  the  nature  of  the  derivative.  The  Company  determines  the  fair  value  of 
derivative instruments based on available market data using appropriate valuation models, giving consideration to all 
of the rights and obligations of each instrument.  The derivative liability is re-measured at fair value at the end of 
each reporting period as long as it is outstanding. 

3.  RELATED PARTY TRANSACTIONS  

In 2015, the Company began utilizing the services of Crown Biosciences, Inc. (“Crown Bio”) to perform 
certain research and development testing.  The CEO of Crown Bio is also a board member of CASI.  The total value 
of the services is $66,545, of which $20,898 was payable as of December 31, 2015.  The research and development 
expense recognized for the services provided for the year ended December 31, 2015 was $33,648.  

In  October  2015,  the  Company  entered  into  a  material  transfer  and  research  agreement  with  Origene 
Technologies,  Inc.  (“Origene”)  for  certain  research  materials.   The  CEO  of  Origene  is  also  the  Chairman  of  the 
Board of CASI.  No materials have been purchased as of December 31, 2015, and there is no minimum commitment 
associated with this agreement.  

4.   LICENSE ARRANGEMENTS AND ACQUISITION OF IN-PROCESS RESEARCH AND 
DEVELOPMENT 

In  September  2014,  the  Company  acquired  certain  product  rights  and  perpetual  exclusive  licenses  from 
Spectrum  to  develop  and  commercialize  the  following  commercial  oncology  drugs  and  drug  candidates  in  China, 
Taiwan, Hong Kong and Macau (the “Territories”): 

•  MARQIBO® (vinCRIStine sulfate LIPOSOME injection) (“Marqibo”);  
•  ZEVALIN® (ibritumomab tiuxetan) (“Zevalin”); and 
•  EVOMELA™ (melphalan hydrochloride) for injection (“Evomela”). 

F-12 

 
 
 
 
 
 
 
 
 
 
              CASI is responsible for developing and commercializing these three drugs in the Territories, including the 
submission of import drug registration applications and conducting confirmatory clinical trials as needed. 

The  Company  has  initiated  the  regulatory  and  development  process  to  obtain  marketing  approval  for 
MARQIBO®  and  ZEVALIN®  in  its  territorial  region,  and  has  initiated  commercial  activities  for  ZEVALIN®  in 
Hong  Kong.    In  January  2016,  the  China  Food  and  Drug  Administration  (CFDA)  accepted  for  review  the 
Company’s  import  drug  registration  application  for  MARQIBO®.    On  March  10,  2016,  Spectrum  received 
notification from the FDA of the grant of approval of its NDA for EVOMELA™ primarily for use as a high-dose 
conditioning  treatment  prior  to  hematopoietic  progenitor  (stem)  cell  transplantation  in  patients  with  multiple 
myeloma.  The  Company  has  initiated  the  regulatory  and  development  process  towards  marketing  approval  for 
EVOMELA™ in China.  

As  consideration  for  the  acquisition  from  Spectrum,  the  Company  issued  a  total  5,405,382  shares  of  its 
common stock, a $1.5 million 0.5% secured promissory note originally due in March 2016, and certain contingent 
rights  (“Contingent  Rights”)  to  purchase  additional  shares  of  its  common  stock,  which  Contingent  Rights  expire 
upon the occurrence of certain events.  The note was subsequently amended to extend the due date to March 2017 
(see Note 4).  The Company accounted for the acquisition of the product rights and licenses as an asset acquisition 
and, accordingly, recorded the acquired product rights and licenses at their estimated fair values based on the fair 
value  of  the  consideration  exchanged  (including  transaction  costs)  of  approximately  $19.7  million.    Because  the 
products underlying the acquired product rights and licenses have not reached technological feasibility and have no 
alternative uses, they are considered “in-process research and development” costs; as such, the Company expensed 
the total purchase price at the acquisition date as acquired in-process research and development in the consolidated 
statement of operations for the year ended December 31, 2014. 

The  fair  value  of  the  common  stock  issued  was  based  on  the  closing  market  price  of  the  Company’s 
common  stock  on  the  acquisition  date.    The  fair  value  of  the  promissory  note  was  measured  using  Level  3 
unobservable  inputs  including  primarily  the  Company’s  estimated  incremental  borrowing  rate  as  provided  by  a 
commercial lending institution. 

The Contingent Rights provide Spectrum with the option to acquire, at a strike price of par value, a variable 
number  of  additional  shares  of  common  stock  that  allows  Spectrum  to  maintain  its  fully-diluted  ownership 
percentage for a certain time period and under certain terms and conditions. These Contingent Rights will expire on 
the  earlier  of  raising  an  aggregate  of  $50  million  or  September  17,  2019  (subject  to  possible  extension  only  for 
certain outstanding derivative securities). Based on the terms and conditions of the Contingent Rights, the Company 
has determined that the Contingent Rights are a derivative financial instrument that is not indexed to its common 
stock and therefore is required to be accounted for at fair value, initially and on a recurring basis.  The fair value of 
the Contingent Rights was measured using Level 3 unobservable inputs; the unobservable inputs include estimates 
of the Company’s future capital requirements, and the timing, probability, size and characteristics of those capital 
raises, among other inputs.  The total estimated fair value of the Contingent Rights was $9,395,222 and $9,422,735 
as  of  December  31,  2015  and  2014,  respectively;  the  change  in  fair  value  is  reflected  as  change  in  fair  value  of 
contingent rights in the accompanying consolidated statements of operations. 

As a result of the Initial Closing (see Note 8), Spectrum exercised its Contingent Rights in February 2016, 
and the Company issued Spectrum 1,688,877 shares of common stock.  The Company has recorded a reduction to 
the contingent rights derivative liability and an increase to additional paid-in capital of $1,922,312 in February 2016 
which will be reflected in the Company’s March 31, 2016 consolidated financial statements. 

5.        NOTE PAYABLE 

As part of the license arrangements with Spectrum (see Note 4), the Company issued to Spectrum a $1.5 
million 0.5% secured promissory note originally due March 17, 2016.  The promissory note was recorded initially at 
its fair value, giving rise to a discount of approximately $136,000; the promissory note is presented as note payable, 
net of discount in the accompanying consolidated balance sheets. For the years ended December 31, 2015 and 2014, 
the Company recognized approximately $75,000 and $26,000 of non-cash interest expense, respectively, related to 
the  amortization  of  the  debt  discount,  using  the  effective  interest  rate  method.    On  September  28,  2015,  the 

F-13 

               
 
 
 
 
 
Company  entered  into  a  First  Amendment  to  Secured  Promissory  Note  (the  “Amendment”)  with  Spectrum.  
Pursuant to the Amendment, the Company and Spectrum agreed to extend the maturity date of the note to March 17, 
2017.  All other terms remain the same.  

6.   

FAIR VALUE MEASUREMENTS 

Fair  value  is  the  price  that  would  be  received  from  the  sale  of  an  asset  or  paid  to  transfer  a  liability 
assuming an orderly transaction in the most advantageous market at the measurement date. U.S. GAAP establishes a 
hierarchical disclosure framework which prioritizes and ranks the level of observability of inputs used in measuring 
fair value. These tiers include: 

•  Level 1, defined as observable inputs such as quoted prices in active markets for identical assets; 
•  Level  2,  defined  as  observable  inputs  other  than  Level  1  prices  such  as  quoted  prices  for  similar  assets; 
quoted prices in markets that are not active; or other inputs that are observable or can be corroborated by 
observable market data for substantially the full term of the assets or liabilities; and 

•  Level  3,  defined  as  unobservable  inputs  in  which  little  or  no  market  data  exists,  therefore  requiring  an 

entity to develop its own assumptions. 

An asset’s or liability’s level within the fair value hierarchy is based on the lowest level of any input that is 
significant to the fair value measurement. At each reporting period, the Company performs a detailed analysis of its 
assets and liabilities that are measured at fair value. All assets and liabilities for which the fair value measurement is 
based on significant unobservable inputs or instruments which trade infrequently and therefore have little or no price 
transparency are classified as Level 3. 

The inputs used in measuring the fair value of cash and cash equivalents are considered to be Level 1 in 
accordance  with  the  three-tier  fair  value  hierarchy.  The  fair  market  values  are  based  on  period-end  statements 
supplied by the various banks and brokers that held the majority of the Company’s funds. The fair value of short-
term  financial  instruments  (primarily  accounts  receivable,  prepaid  expenses,  accounts  payable,  accrued  expenses, 
and other current assets and liabilities) approximate their carrying values because of their short-term nature. 

Financial Assets and Liabilities Measured at Fair Value on a Recurring Basis:   

The  Contingent  Rights  issued  to  Spectrum  in  connection  with  the  license  arrangements  (see  Note  4)  are 
considered derivative liabilities and were recorded initially at their estimated fair value, and are marked to market 
each  reporting  period  until  settlement.    The  fair  value  of  the  Contingent  Rights  was  measured  using  Level  3 
unobservable inputs; the unobservable inputs include estimates of the Company’s future capital requirements, and 
the  timing,  probability,  size  and  characteristics  of  those  capital  raises,  among  other  inputs.    Generally,  if  the 
estimates  of  the  size  and  probability  of  the  Company’s  future  capital  requirements  increase,  the  fair  value  of  the 
Contingent Rights will also increase.  

The following table presents the Company’s financial liabilities accounted for at fair value on a recurring 
hierarchy:
by 
as 

of  December 

level  within 

value 

2015 

2014 

and 

fair 

31, 

the 

basis 

As of December 31, 2015

Level 1

Level 2

Level 3

Total

Liabilities - Contingent Rights

$           
-

$           
-

$            

9,395,222

$            

9,395,222

As of December 31, 2014

Level 1

Level 2

Level 3

Total

Liabilities - Contingent Rights

$           
-

$           
-

$            

9,422,735

$            

9,422,735

F-14 

 
 
  
  
 
 
 
 
The following table presents the changes in the Company’s financial liabilities accounted for at fair value 

on a recurring basis using Level 3 unobservable inputs: 

December 31, 2014

$            

9,422,735

Change in fair value of Contingent Rights

(27,513)

Balance at December 31, 2015

$            

9,395,222

Financial Assets and Liabilities Measured at Fair Value on a Non-Recurring Basis: 

The  promissory  note  issued  to  Spectrum  in  connection  with  the  license  arrangements  (see  Note  4)  was 
initially recorded at its fair value using Level 3 unobservable inputs including primarily the Company’s estimated 
incremental borrowing rate as provided by a commercial lending institution. 

Non-Financial Assets and Liabilities Measured at Fair Value on a Recurring Basis: 

The  Company  does  not  have  any  non-financial  assets  and  liabilities  that  are  measured  at  fair  value  on  a 

recurring basis.  

Non-Financial Assets and Liabilities Measured at Fair Value on a Non-Recurring Basis: 

The  Company  measures  its  long-lived  assets,  including  property  and  equipment,  at  fair  value  on  a  non-
recurring basis. These assets are recognized at fair value when they are deemed to be impaired. No such fair value 
impairment was recognized for the years ended December 31, 2015 and 2014. 

7.  INCOME TAXES   

The income tax provision is based on loss before income taxes of $(5,670,207) in the U.S. and $(1,536,216) 
in  China.    The  Company  has  net  operating  loss  carryforwards  for  income  tax  purposes  of  approximately 
$352,574,000 at December 31, 2015 that expire in years 2018 through 2035. The Company also has research and 
development (“R&D”) tax credit carryforwards of approximately $9,291,000 as of December 31, 2015 that expire in 
years  2018  through  2035.  These  net  operating  loss  carryforwards  include  approximately  $20,000,000,  related  to 
exercises of  stock options for  which  the  income  tax  benefit,  if  realized,  would  increase  additional  paid-in  capital. 
The utilization of the net operating loss and research and development carryforwards may be limited in future years 
due  to  changes  in  ownership  of  the  Company  pursuant  to  Internal  Revenue  Code  Section  382.  For  financial 
reporting purposes, a valuation allowance has been recognized to reduce the net deferred tax assets to zero due to 
uncertainties with respect to the Company's ability to generate taxable income in the future sufficient to realize the 
benefit of deferred income tax assets.  

Deferred  income  taxes  reflect  the  net  effect  of  temporary  differences  between  the  carrying  amounts  of 
assets  and  liabilities  for  financial  reporting  purposes  and  the  amounts  used  for  income  tax  purposes.    Significant 
components of the Company's deferred income tax assets and liabilities as of December 31, 2015 and 2014 are as 
follows:  

Deferred income tax assets (liabilities): 
Net operating loss carryforwards 
   Research and development credit carryforward
   Intangible assets 
   Equity based compensation 
   Other 
   Valuation allowance for deferred income tax assets
Net deferred income tax assets 

DECEMBER 31, 

2015

2014 

$ 137,811,000
                9,291,000
                7,273,000
                4,510,000
                   309,000
          (159,194,000)
$                    -

$ 135,607,000 
                9,201,000 
                8,079,000 
                4,316,000 
                   297,000 
          (157,500,000) 
$                    - 

F-15 

 
 
                 
  
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
A reconciliation of the provision for income taxes to the federal statutory rate is as follows:  

Tax benefit at statutory rate 
State taxes 
Net R&D credit adjustment 
Attribute expiration and other 
Nondeductible expenses 
Change in valuation allowance 
Other 
Changes in applicable tax rates 

                 2015
$   (2,450,000)
        (128,000)
(101,000)
-
5,000
1,694,000
     143,000
          837,000
-
$

     2014
$   (8,909,000)
     (1,273,000)
(104,000)
8,000
4,000
9,631,000
     (38,000)
          681,000
-
$

The Company had $3,067,000 of unrecognized tax benefits as of December 31, 2014 related to net R&D 
tax credit carryforwards. The Company had a full valuation allowance on the net deferred tax asset recognized in the 
consolidated financial statements.  For the year ended December 31, 2015, there were net additional unrecognized 
tax benefits of $30,000 related to R&D tax credits.  The Company has a full valuation allowance at December 31, 
2014  and  at  December  31, 2015  against  the  full  amount  of  its  net  deferred  tax  assets  and  therefore, there  was  no 
impact on the Company’s financial position. 

A reconciliation of the beginning and ending amount of gross unrecognized tax benefits is as follows: 

Unrecognized tax benefits balance at January 1 

2014 
$3,013,000 
              Additions for Tax Positions of Prior Periods                                    -                  20,000  
           - 
         34,000 

Reductions for Tax Positions of Prior Periods 
(4,000) 
Additions for Tax Positions of Current Period                        34,000 

2015 
$3,067,000 

Unrecognized tax benefits balance at December 31 

  $3,097,000           $3,067,000            

The Company recognizes interest and penalties related to uncertain tax positions as a component of income 
tax  expense.    As  of  December  31,  2015  and  2014,  the  Company  had  no  accrued  interest  or  penalties  related  to 
uncertain tax positions, respectively. 

The tax returns for all years in the Company’s major tax jurisdictions are not settled as of December 31, 
2015.  Due to the existence of tax attribute carryforwards (which are currently offset by a full valuation allowance), 
the  Company  treats  all  years’  tax  positions  as  unsettled  due  to  the  taxing  authorities’  ability  to  modify  these 
attributes. 

The  Company  believes  that  the  total  unrecognized  tax  benefit,  if  recognized,  would  impact  the  effective 

rate, however, such reversal may be offset by a corresponding adjustment to the valuation allowance. 

8.  STOCKHOLDERS' EQUITY 

SECURITIES PURCHASE AGREEMENTS  

As described in Note 1, on September 20, 2015, the Company entered into stock purchase agreements with 
certain  institutional  and  accredited  investors  (the  “Investors”)  for  a  $25.1  million  financing.    Pursuant  to  these 
agreements, the Company agreed to sell to the Investors in a private placement an aggregate of 20,658,434 shares of 
the Company's common stock, at $1.19 per share, based on the closing bid price of the Company's common stock on 
the Nasdaq Capital Market on September 18, 2015, and a total of 4,131,686 warrants, representing a 20% warrant 
coverage, with a purchase price of $0.125 per whole warrant share. The warrants become exercisable three months 
after  issuance  at  $1.69  per  share  exercise  price,  and  expire  three  years  from  the  date  the  warrants  become 
exercisable.   

The offering was expected to close after satisfaction of certain regulatory and customary closing conditions, 
with  the  net  proceeds  being  subject  to  payment  of  offering  expenses,  including  fees  and  expenses  to  be  finalized 
prior to the closing.   

F-16 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
  
 
On January 15, 2016, the Company completed the Initial Closing and received approximately $10.3 million 
and  yielded  approximately  $10.2  million  after  minimum  offering  expenses.    The  Initial  Closing  resulted  in  the 
issuance of 8,448,613 shares of Common Stock, priced at $1.19 per share, and 1,689,722 warrants, with a purchase 
price of $0.125 per warrant.  The warrants will become exercisable on April 15, 2016 at $1.69 per share exercise 
price,  and  will  expire  on  April  15,  2019.    The  fair  value  of  the  warrants  issued  is  $321,047,  calculated  using  the 
Black-Scholes-Merton  valuation  model  value  of  $0.19  with  an  expected  and  contractual  life  of  3.25  years,  an 
assumed volatility of 70.1%, and a risk-free interest rate of 1.08%. 

The Company and Investors are working to close on the remaining $14.8 million (“Second Closing”) which 

is expected during the first half of 2016.  There can be no assurance that the Second Closing will occur. 

The  Company  has  granted  registration  rights  to  the  Investors  and  has  agreed  to  file  a  resale  registration 
statement covering the shares of common stock and the shares of common stock underlying the warrants within 120 
days of the closing. 

9.  SHARE-BASED COMPENSATION 

The  Company  has  adopted  incentive  and  nonqualified  stock  option  plans  for  executive,  scientific  and 
administrative personnel of the Company as well as outside directors and consultants.  In June 2015, the Company’s 
shareholders  approved  an  amendment  to  the  2011  Long-Term  Incentive  Plan,  increasing  the  number  of  shares 
reserved for issuance from 5,730,000 to 8,230,000 shares of common stock to be available for grants and awards.  
As  of  December  31,  2015,  there  are  6,694,744  shares  issuable  under  options  previously  granted  and  currently 
outstanding, with exercise prices ranging from $1.30 to $19.36.  During the year ended December 31, 2015, 963,000 
options were awarded to certain board members, officers and employees, in which vesting is subject to achievement 
of  certain  performance  milestones.    Options  granted  under  the  plans  generally  vest  over  periods  varying  from 
immediately to one to three years, are not transferable and generally expire ten years from the date of grant.  As of 
December 31, 2015, 1,957,876 shares remained available for grant under the Company’s 2011 Long-Term Incentive 
Plan. 

On September 17, 2014, the vesting of all of the performance condition options awarded in 2014 became 
probable as a result of the Spectrum transaction discussed in Note 4.  Therefore, for the year ended December 31, 
2014, non-cash compensation expense of $686,600 was recorded for share awards with performance conditions. For 
the year ended December 31, 2015, no expense was recorded for share awards with performance conditions. 

The  Company’s  net  loss  for  the  years  ended  December  31,  2015  and  2014  includes  $1,541,192  and 
$2,189,102,  respectively,  of  non-cash  compensation  expense  related  to  the  Company’s  share-based  compensation 
awards.  The compensation expense related to the Company’s share-based compensation arrangements is recorded 
as components of general and administrative expense and research and development expense, as follows: 

Research and development 
General and administrative 

Share-based compensation expense 

Net share-based compensation expense, per common share:

Basic and diluted 

  2015  
$    747,285 
      793,907 
$ 1,541,192 

  2014  

  $    690,409 
   1,498,693 
  $ 2,189,102 

$        0.05 

  $        0.08 

Stock Options 

The Company uses the Black-Scholes-Merton valuation model to estimate the fair value of service based 
and performance based stock options granted to employees. For market condition based options, the Company uses 
a  binomial  model  to  estimate  fair  value.    These  option  valuation  models  require  the  input  of  highly  subjective 
assumptions, and changes in the assumptions used can materially affect the grant date fair value of an award. These 
assumptions include the risk free rate of interest, expected dividend yield, expected volatility, and the expected life 
of the award. 

Expected Volatility—Volatility is a measure of the amount by which a financial variable such as a share 
price  has  fluctuated  (historical  volatility)  or  is  expected  to  fluctuate  (expected  volatility)  during  a  period.  The 
Company uses the historical volatility based on the daily price observations of its common stock during the period 
F-17 

 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
immediately  preceding  the  share-based  award  grant  that  is  equal  in  length  to  the  award’s  expected  term.  The 
Company believes that historical volatility represents the best estimate of future long term volatility.  

Risk-Free  Interest  Rate—This  is  the  average  interest  rate  consistent  with  the  yield  available  on  a  U.S. 

Treasury note (with a term equal to the expected term of the underlying grants) at the date the option was granted. 

Expected  Term  of  Options—This  is  the  period  of  time  that  the  options  granted  are  expected  to  remain 
outstanding.  The  Company  uses  a  simplified  method  for  estimating  the  expected  term  of  service  based  awards 
granted.    For  performance  based  and  market  based  awards,  the  expected  term  of  service  is  based  on  the  derived 
service period.  

Expected Dividend Yield—The Company has never declared or paid dividends on its common stock and 
does  not  anticipate  paying  any  dividends  in  the  foreseeable  future.  As  such,  the  dividend  yield  percentage  is 
assumed to be zero. 

Forfeiture  Rate—This  is  the  estimated  percentage  of  options  granted  that  are  expected  to  be  forfeited  or 
cancelled  on  an  annual  basis  before  becoming  fully  vested.  The  Company  estimates  the  forfeiture  rate  based  on 
historical forfeiture experience for similar levels of employees to whom options were granted. 

Following  are  the  weighted-average  assumptions  used  in  valuing  the  stock  options  granted  to  employees 

during the years ended December 31, 2015 and 2014: 

Years ended December 31,  

Expected volatility 
Risk free interest rate 
Expected term of option 
Forfeiture rate 
Expected dividend yield                                                                                -                            -                           

2014 
102.41% 
1.78% 
5.63 years 
*3.00%               

2015 
85.17% 
1.57% 
5.67 years 
*3.00% 

*-Throughout 2015 and 2014, forfeitures were estimated at 3%; the actual forfeiture rate was 0% and 1% for 2015 
and 2014, respectively.  The Company adjusted stock compensation expense for 2015 and 2014 based on the actual 
forfeiture rate. 

The  weighted  average  fair  value  of  stock  options  granted  was  $1.02  and  $1.44  in  2015  and  2014, 

respectively. 

Share-based  compensation  expense  recognized  in  the  consolidated  statements  of  operations  is  based  on 
awards ultimately expected to vest, net of estimated forfeitures.  The authoritative guidance requires forfeitures to be 
estimated at the time of grant and revised, if necessary, in subsequent periods if actual forfeitures differ from those 
estimates. 

A  summary  of  the  Company's  stock  option  plans  and  of  changes  in  options  outstanding  under  the  plans 

during the years ended December 31, 2015 and 2014 is as follows: 

Number of Options

Weighted Average 
Exercise Price

Weighted Average 
Remaining 
Contractual Term 
In years

Aggregate Intrinsic 
Value

Outstanding at December 31, 2013 
   Exercised 
   Granted 
   Expired 
   Forfeited 
Outstanding at December 31, 2014 
   Exercised 
   Granted 
   Expired 
   Forfeited 
Outstanding at December 31, 2015 
Vested and expected to vest at          

December 31, 2015 

Exercisable at December 31, 2015 

3,586,394
-
 1,090,000
(107,168)
(11,544)
4,557,682
-
 2,775,000
(637,938)
-
 6,694,744

6,634,597
4,689,850

2.69
$
-
$
1.83
$
$
6.21
$    1.78
$
2.40
$          -
1.43
$
2.47
$
-
$
1.99
$

$
$

1.99
2.20

F-18 

7.80

7.73
7.30

       $ - 

       $ - 
       $ - 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The aggregate intrinsic value is calculated as the difference between (i) the closing price of the common 
stock at December 31, 2015 and (ii) the weighted average exercise price of the underlying awards, multiplied by the 
number of options that had an exercise price less than the closing price on the last trading day of the year.  There 
were no options exercised in 2015 or 2014.  

The following summarizes information about stock options granted to employees and directors outstanding 

at December 31, 2015:  

Range of 
Exercise Prices 

$0.00 - $2.00 
     $2.01 - $5.00 
    $5.01 - $10.00 
    $10.01 - $15.00 
    $15.01 - $20.00 

Number 
Outstanding at 
December 31, 2015 
5,982,678 
475,000 
176,540 
5,268 
55,258 

Options Outstanding
Weighted
Average 
Remaining 
Contractual 
Life in Years
8.1
6.2
4.6
2.0
0.9

 6,694,744 

7.8

Weighted 
Average 
Exercise 
Price

1.68
$
2.26
$
6.56
$
$ 13.75
$ 17.64

$

1.99

Options Exercisable

Number 
Exercisable at 
December 31, 2015 
3,977,784 
475,000 
176,540 
5,268 
55,258 

4,689,850 

Weighted 
Average 
Exercise 
Price

1.77
$
2.26
$
6.56
$
$ 13.75
$ 17.64

$

2.20

As  of  December  31,  2015,  there  was  approximately  $966,000  of  total  unrecognized  compensation  cost 
related to non-vested stock options. That cost is expected to be recognized over a weighted-average period of 1.2 
years. 

Warrants   

Warrants  granted  generally  expire  after  3-5  years  from  the  date  of  grant.  Stock  warrant  activity  to  non-

employees is as follows: 

Outstanding at December 31, 2013
   Granted 
   Exercised 
   Expired 
Outstanding at December 31, 2014
   Granted 
   Exercised 
   Expired 
Outstanding at December 31, 2015
Exercisable at December 31, 2015

Number of Shares
4,321,565
-
-   

310,662
    4,010,903
-
-

   4,010,903
 4,010,903

Weighted Average 
Exercise Price 
$    2.31
-
$
-
         $
$    2.83
$
2.27
$        -
$
-
$    -
$
$

2.27
2.27

10.  COMMITMENTS AND CONTINGENCIES 

COMMITMENTS    

ENMD-2076.    In  January  2006,  the  Company  acquired  Miikana,  a  private  biotechnology  company.  
Pursuant  to  the  Merger  Agreement,  the  Company  acquired  all  of  the  outstanding  capital  stock  of  Miikana 
Therapeutics, Inc.  In 2008, the Company initiated a Phase 1 clinical trial with its Aurora A and angiogenic kinase 
inhibitor,  ENMD-2076,  in patients  with  solid  tumors.    A  dosing  of  the  first  patient  with  ENMD-2076  triggered  a 
purchase  price  adjustment  milestone  of  $2  million,  which  the  Company  opted  to  pay  in  stock.    As  ENMD-2076 
successfully  completed  Phase  1  clinical  trials  and  advanced  to  Phase  2,  the  dosing  of  the  first  patient  in  2010 
triggered an additional purchase price adjustment milestone of $3 million, which was paid stock in 2010. Under the 
terms of the merger agreement, the former Miikana stockholders may earn up to an additional $4 million of potential 
payments  upon  the  satisfaction of  additional  clinical  and  regulatory  milestones  for  ENMD-2076  and  up  to  the  $9 
million of potential milestone payments that pertain to a preclinical program that the Company has discontinued. As 
of December 31, 2015, a $4 million potential milestone payment remains, payable in cash or shares of stock at the 
Company’s option, related to the ENMD-2076 program and the dosing of the first patient in a Phase 3 pivotal trial.   

F-19 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
MKC-1.    The  Company  acquired  rights  to  MKC-1,  a  Phase  2  clinical  candidate  licensed  from  Hoffman-
LaRoche, Inc. (“Roche”) by Miikana in April 2005.  Under the terms of the agreement, Roche may be entitled to 
receive future payments upon successful completion of Phase 3 developmental milestones.  The Company does not 
anticipate reaching any of these milestones in 2016.  Roche is also eligible to receive royalties on sales and certain 
one-time payments based on attainment of annual sales milestones. The Company is also obligated to make certain 
“success fee” payments to ProPharma based on successful completion of developmental milestones under the Roche 
license  agreement.    MKC-1  is  currently  not  under  active  clinical  evaluation  and  the  Company  has  no  plans  to 
advance the program. 

2ME2  NCD  (2-methoxyestradiol,  NanoCrystal  Dispersion,  2ME2  NCD)  for  Oncology.    In  January  2006, 
the Company entered into a License Agreement with Elan Corporation, plc (“Elan”) in which the Company has been 
granted  rights  to  utilize  Elan’s  proprietary  NanoCrystal  Technology  in  connection  with  the  development  of  the 
oncology  product  candidate,  2ME2  using  its  nanocrystal  dispersion  formulation.  Under  the  terms  of  the  License 
Agreement, Elan is eligible to receive payments upon the achievement of certain milestones and to receive royalty 
payments  based  on  sales  of  2ME2  NCD.    Additionally,  under  the  agreement  and  the  corresponding  Services 
Agreement, Elan has the right to manufacture the Company’s 2ME2 NCD.  Milestones related to the initiation of 
Phase  2  clinical  trials  for  2ME2  NCD  have  been  paid  and  there  are  no  additional  milestones  achieved  as  of 
December 31, 2015. The Company has discontinued clinical development of the NCD formulation of 2ME2.    

Endostatin and Angiostatin for Eye Diseases.  The Company is a party to a February 2004 agreement with 
Children’s  Medical  Center  Corporation  (“CMCC”)  and  Alchemgen  Therapeutics  pertaining  to  Endostatin  and 
Angiostatin proteins, programs which have been discontinued by the Company, and pursuant to which Alchemgen 
received  rights  to  market  Endostatin  and  Angiostatin  in  Asia.    In  April  2008,  the  Company  was  advised  that 
Alchemgen  Therapeutics  ceased  operations,  therefore  eliminating  the  Company’s  ability  to  receive  any  royalties 
from Alchemgen under the agreement.  However, the Company is a party to a sublicense agreement with Oxford 
BioMedica PLC (“Oxford”) to develop and market Endostatin and Angiostatin for ophthalmologic (eye) diseases.  
Pursuant  to  this  sublicense,  the  Company  is  eligible  to  receive  a  portion  of  upfront  payments  and  royalties  from 
Oxford based on a portion of the payments received and net sales of gene products of Endostatin and Angiostatin 
and  certain  development  milestone  payments.    There  was  no  royalty  payment  received  in  2015  or  2014.    The 
Company does not control the drug development efforts of Oxford and has no information or control over when or 
whether any milestones will be reached that would result in additional payments to the Company in 2016 or beyond. 

Pursuant to the Company’s commitments for ENMD-2076, it could potentially pay $4 million, in stock or 
cash  at  the  Company’s  election,  when  the  pivotal  trial  development  milestone  is  reached.    With  respect  to  the 
Company’s  other  product  candidates,  which  are  not  actively  pursued  or  have  been  discontinued  pursuant  to  the 
commitments  detailed  above, in  aggregate,  the  Company  could potentially  pay  up  to  $41  million  if  each  licensed 
product candidate is fully developed and approved for commercial use in all of the major territories of the world.  In 
this event, the Company would also be obligated to pay annual sales-based royalties under the license agreements.  
However,  the  Company  does  not  expect  that  these  other  product  candidates  will  reach  additional  developmental 
milestones in 2015 and accordingly does not anticipate any future milestone payments for these programs.   

With  respect  to  the  Company’s  in-licensed  drug  candidates  for  the  Greater  China  market,  the  Company 
does  not  have  to  pay  any  milestone  payments  or  royalties  to  Spectrum;  however,  CASI  is  responsible  for  paying 
royalties  or  milestones,  if  and  when  applicable,  owed  by  Spectrum  to  upstream  licensors  that  licensed  related 
technology to Spectrum in accordance with the terms of the relevant upstream licenses, and only to the extent of the 
Greater China portion of such upstream royalties or milestones. The Company’s sales of Zevalin in Hong Kong are 
subject to royalties.  In 2015, the Company paid royalties of approximately $9,500 related to Zevalin sales in 2014 
and 2015.  The Company does not expect to pay royalties for ZEVALIN® in China and Taiwan until commercial 
activities  begin  which  will  not  occur  until  after  ZEVALIN®  receives  marketing  approval  from  the  regulatory 
agencies and which is not expected to occur in 2016.  The Company does not expect to have sales of MARQIBO® 
and EVOMELA™ in 2016 as these products are not yet approved for marketing in the Greater China market, and 
accordingly the Company does not anticipate any payment obligations for these programs in 2016.  

As of December 31, 2015, the Company also has purchase obligation commitments, in the normal course of 

business, for clinical trial contracts totaling approximately $690,000.   

F-20 

 
 
 
 
  
 
The  Company  leases  its  principal  executive  offices  in  Rockville,  MD  under  a  lease  agreement  that 
continues  through  December  31,  2016.        Effective  February  23,  2016,  the  Company  extended  the  lease  through 
December 31, 2019, under the same terms.  The Company leases office space in China under a lease agreement that 
continues through June 2017.  Effective February 1, 2016, the Company renewed a one year lease in China for lab 
space.   

The future minimum payments under its facilities leases are as follows:  

2016
2017
2018
2019
Thereafter
Total minimum 
payments

$ 350,744
265,773
 159,959
    84,000
-

$ 860,476

Rental  expense  for  the  years  ended  December  31,  2015  and  2014  was  approximately  $309,000  and 

$240,000, respectively.  

CONTINGENCIES 

The Company is subject in the normal course of business to various legal proceedings in which claims for 
monetary or other damages may be asserted.  Management does not believe such legal proceedings, unless otherwise 
disclosed herein, are material. 

11.  EMPLOYEE RETIREMENT PLAN 

The Company sponsors the CASI Pharmaceuticals, Inc. 401(k) and Trust. The plan covers substantially all 
employees  and  enables  participants  to  contribute  a  portion  of  salary  and  wages  on  a  tax-deferred  basis.  
Contributions to the plan by the Company are discretionary.  Contributions by the Company totaled approximately 
$29,200 and $28,400 in 2015 and 2014, respectively.  

F-21 

 
 
 
 
 
 
 
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