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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10‑K
(Mark One)
☒ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the fiscal year ended December 31, 2016
OR
☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
Commission File No. 001‑37590
Cerecor Inc.
(Exact name of registrant as specified in its charter)
Delaware
(State or other jurisdiction of
incorporation or organization)
45‑0705648
(I.R.S. Employer
Identification No.)
400 E. Pratt Street, Suite 606
Baltimore, Maryland 21202
(Address of principal executive offices)
Telephone: (410) 522-8707
(Registrant’s telephone number, including area code)
Securities registered pursuant to Section 12(b) of the Act:
Title of each class
Common Stock, $0.001, par value
Class A Warrants, consisting of the right to purchase one share
of common stock at an exercise price of $4.55 per share
Class B Warrants, consisting of the right to purchase one-half
share of common stock at an exercise price of $3.90 per share
Name of each exchange on which registered
NASDAQ Stock Market
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 ☒
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes ☐ No ☒
Indicate by check mark whether the registrant (1) has filed reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of
1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and
(2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate web site, if any, every Interactive Data
File required to be submitted and posted pursuant to Rule 405 of Regulation S‑T (§232.405 of this chapter) during the preceding 12 months (or for such
shorter period that the registrant was required to submit and post such files). Yes ☒ No ☐
Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S‑K (§299.405 of this chapter) is not contained
herein, and will not be contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in
Part III of this Form 10‑K or any amendment to this Form 10‑K. ☐
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non‑accelerated filer, 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.
Large accelerated filer ☐
Accelerated filer ☐
Non‑accelerated filer ☐
(Do not check if a
smaller reporting company)
Smaller reporting company ☒
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b‑2 of the Exchange Act). Yes ☐ No ☒
As of March 10, 2017, there were 10,744,959 outstanding shares of the registrant’s common stock, par value $0.001 per share. The aggregate
market value of shares of common stock held by non-affiliates as of December 31, 2016 was $6.8 million.
Documents Incorporated by Reference: Portions of the registrant’s Definitive Proxy Statement to be filed with the Securities and Exchange
Commission no later than 120 days after the end of the registrant’s fiscal year ended December 31, 2016, are incorporated by reference in Part III of
this Annual Report on Form 10-K.
Table of Contents
TABLE OF CONTENTS
PART I
Item 1. Business
Item 1A. Risk Factors
Item 1B. Unresolved Staff Comments
Item 2. Properties
Item 3. Legal Proceedings
Item 4. Mine Safety Disclosures
PART II
Item 5. Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity
Securities
Item 6. Selected Financial Data
Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations
Item 7A. Quantitative and Qualitative Disclosures About Market Risk
Item 8. Financial Statements and Supplementary Data
Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure
Item 9A. Controls and Procedures
Item 9B. Other Information
PART III
Item 10. Directors, Executive Officers and Corporate Governance
Item 11. Executive Compensation
Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
Item 13. Certain Relationships and Related Transactions, and Director Independence
Item 14. Principal Accountant Fees and Services
PART IV.
Item 15. Exhibits and Financial Statement Schedules
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PART I
FORWARD‑LOOKING STATEMENTS
This report and the information incorporated herein by reference contain forward-looking statements that involve a number of
risks and uncertainties, as well as assumptions that, if they never materialize or prove incorrect, could cause our results to differ materially
from those expressed or implied by such forward-looking statements. Although our forward-looking statements reflect the good faith
judgment of our management, these statements can only be based on facts and factors currently known by us. Consequently, forward-
looking statements are inherently subject to risks and uncertainties, and actual results and outcomes may differ materially from results and
outcomes discussed in the forward-looking statements.
Forward-looking statements can be identified by the use of forward-looking words such as “believes,” “expects,” “may,” “will,”
“plans,” “intends,” “estimates,” “could,” “should,” “would,” “continue,” “seeks,” “aims,” “projects,” “predicts,” “pro forma,” “anticipates,”
“potential” or other similar words (including their use in the negative), or by discussions of future matters such as the development of
product candidates or products, the timing and results of clinical trials, the potential attributes and benefits of our product candidates, the
use and sufficiency of capital resources and other statements that are not historical. These statements include but are not limited to
statements under the captions “Business,” “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results
of Operations” as well as other sections in this report. You should be aware that the occurrence of any of the events discussed under the
caption “Risk Factors” and elsewhere in this report could substantially harm our business, results of operations and financial condition and
cause our results to differ materially from those expressed or implied by our forward-looking statements. If any of these events occurs, the
trading price of our common stock could decline and you could lose all or a part of the value of your shares of our common stock.
The cautionary statements made in this report are intended to be applicable to all related forward-looking statements wherever
they may appear in this report. We urge you not to place undue reliance on these forward-looking statements, which speak only as of the
date of this report.
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Item 1. Business
Overview
We are a biopharmaceutical company that is developing innovative drug candidates to make a difference in the lives of patients
with neurological and psychiatric disorders. We have a portfolio of novel clinical and preclinical compounds that we are developing for a
variety of indications. Other than three third-party sponsored trials of one of our product candidates, CERC-501, we do not have any
ongoing clinical trials of our product candidates. We will require additional funding to further advance the development of our product
candidates. We are currently preparing an investigational new drug application, or IND, for CERC-611, but we would require additional
funding to advance it into clinical trials. Our portfolio of product candidates is summarized below:
•
•
•
CERC-501: Adjunctive Treatment of Major Depressive Disorder. CERC-501 is a potent and selective kappa opioid receptor,
or KOR, antagonist, or inhibitor, taken by mouth. It is being developed as an adjunctive treatment of major depressive
disorder, or MDD. KORs have been shown to play an important role in stress, mood and addiction. CERC-501 is active in
animal models of depression and addiction, and it has been generally well tolerated in four human clinical trials. Currently,
three externally funded clinical trials are being conducted to evaluate the use of CERC-501 in treating depressive symptoms,
stress-related smoking relapse and cocaine addiction. One trial is being conducted under the auspices of the National Institute
of Mental Health, the second trial is a collaboration between Cerecor and Yale University with funding from the National
Institutes of Health and the third trial is being conducted at Rockefeller University Hospital with funding from a private
foundation. We recently completed a Phase 2 clinical trial for CERC-501 for smoking cessation that was partially funded by a
grant from the National Institute on Drug Abuse at NIH. This trial evaluated the effect of 15 mg of CERC-501 administered
orally once per day on tobacco reinstatement behavior and assessed subjects’ craving, mood and anxiety during abstinence
periods. In December 2016, we reported that CERC-501 did not meet its primary efficacy endpoint in this trial, but it was
generally well tolerated. We plan to initiate a Phase 2/3 clinical trial with CERC-501 as an adjunctive treatment of MDD in the
next year, subject to the availability of additional funding.
CERC-301: Adjunctive Treatment of Major Depressive Disorder. We are developing CERC-301 as an oral, adjunctive
treatment for patients with MDD who are failing to achieve an adequate response to their current antidepressant treatment and
are severely depressed. We received fast track designation by the U.S. Food and Drug Administration, or FDA, in 2013 for
CERC‑301 for the treatment of MDD. CERC‑301 belongs to a class of compounds known as antagonists of the
N‑methyl‑D‑aspartate, or NMDA, receptor, a receptor subtype of the glutamate neurotransmitter system that is responsible for
controlling neurological adaptation. We believe CERC‑301 has the potential to produce a significant reduction in depression
symptoms in a matter of days, as compared to weeks or months with conventional therapies, because it specifically blocks the
NMDA receptor subunit 2B, or NR2B. We believe this mechanism of action may provide rapid and significant antidepressant
activity without the adverse side effect profile of non‑selective NMDA receptor antagonists, such as ketamine. We recently
completed a Phase 2 clinical trial for CERC-301 for the treatment of MDD, in which we evaluated the effect of intermittent
oral doses of 12 mg and 20 mg versus placebo. In November 2016, we reported that CERC-301 did not meet its primary
endpoint in this trial, but we observed a numerical separation from placebo of the 20 mg dose on day 2, which we believe may
correspond to a clinically meaningful treatment effect. We are currently evaluating potential next steps for this program.
CERC-611: Adjunctive Treatment of Partial-Onset Seizures in Epilepsy. CERC-611 is a potent and selective transmembrane
AMPA receptor regulatory proteins, or TARP, γ-8-dependent α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid, or
AMPA, receptor antagonist, or inhibitor. TARPs are a recently discovered family of proteins that have been found to associate
with, and modulate the activity of, AMPA receptors. TARP γ-8-dependent AMPA receptors are localized primarily in the
hippocampus, a region of the brain with importance in complex partial seizures and particularly relevant to seizure origination
and/or propagation. We believe CERC-611 is the first drug candidate to selectively target and functionally block region-
specific AMPA receptors after oral dosing, which we believe may improve the efficacy and side effect profile of CERC-611
over current anti-epileptics. Research also suggests that selectively targeting individual TARPs may enable selective
modulation of specific brain circuits without globally affecting synaptic transmission. We plan to file an IND, with the FDA
in 2017. Subject to the availability of additional funding, and, if clearance is received from the FDA, we plan to commence
Phase 1 development in 2017. We intend to develop CERC-611 as an adjunctive therapy for the treatment of partial-onset
seizures, with or without secondarily generalized seizures, in patients with epilepsy.
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•
CERC-406: Cognitive Impairment. CERC‑406 is our preclinical candidate that inhibits catechol‑O‑methyltransferase, or
COMT, within the brain. We believe CERC‑406 has potential as a treatment of residual cognitive impairment symptoms in
patients with MDD among other psychiatric and neurological conditions frequently impacted by impaired cognition.
Members of our management team have extensive pharmaceutical product development and commercialization experience and
they have played key roles in the development or commercialization of Abilify®, BuSpar®, Cymbalta®, Nuplazid™, Prozac ®, Serzone® and
Zyprexa®. Collectively, our officers and directors have contributed to the submission of numerous INDs and New Drug Applications, or
NDAs, to the FDA.
Our Strategy
Our goal is to be a leader in the development of innovative drugs that make a difference in the lives of patients with neurological
and psychiatric disorders. We systematically identify potential product candidates, ideally those for which human proof of concept exists in
the intended indication, for either the target or the compound, and for which biomarkers are available to measure therapeutic response. We
target conditions where current treatments fail to address unmet medical needs, and where we believe we can apply clinical strategies to
increase efficacy signal detection with a view to optimizing the clinical development and regulatory pathway for our product candidates.
Our key strategic objectives include:
•
•
•
Pursue financing arrangements to fund pipeline development. We are evaluating opportunities to fund the future
development of our clinical product candidates through financing arrangements that provide us with the capital required to
achieve our development objectives.
Pursue non-dilutive funding of pipeline development. We are exploring opportunities to fund our development programs
through collaborations and grants from the government and private foundations, as well as out-licensing arrangements.
Explore strategic alternatives focused on maximizing stockholder value. We are reviewing a range of strategic alternatives
focused on maximizing stockholder value. Potential strategic alternatives that may be explored or evaluated include an
acquisition, merger, business combination or other strategic transaction.
• Develop CERC-501 as an adjunctive treatment of MDD. Subject to the availability of additional funding, in the next year we
will prepare CERC-501 for a Phase 2/3 clinical trial as an adjunctive treatment of MDD in patients with an inadequate
response to standard antidepressant therapies. We believe that preclinical and recent clinical evidence supports the use of
other KOR antagonists as novel medicines for the treatment of mood- and stress-related conditions, such as MDD. We believe
CERC-501 has similar potential.
• Develop CERC-611 as an adjunctive therapy for seizures in patients with epilepsy. We believe CERC-611 is the first
molecule to selectively target and functionally block regionally-specific AMPA receptors after oral dosing and the efficacy
and side effect profile may represent an improvement compared to current antiepileptics. We intend to submit an IND with the
FDA and, upon acceptance, commence Phase 1 development of CERC-611 in 2017, subject to the availability of additional
funding.
Disease Overview
Major Depressive Disorder
Current Depression Treatment Paradigm and Limitations
Depression is one of the most common serious medical and psychiatric disorders, with greater than 150 million adults worldwide
suffering from MDD at any given time, according to a 2003 report by the World Health Organization, or WHO, titled Investing In Mental
Health. According to the U.S. National Comorbidity Survey Replication published in 2007, or the NCS‑R, more than 16 million adults in
the United States, which represents approximately 6.7% of its entire adult population, will suffer from a MDD episode in a 12 month
period. Furthermore, according to the NCS‑R, approximately 45% of these cases can be classified as severe, and suicide is often a grave
complication associated with depression. Studies have shown that approximately 50% to 70% of severely depressed patients have
experienced suicidal ideation. Over time, the understanding of psychiatric and neurological disorders, as well as their biological
underpinnings, has evolved based on a combination of clinical
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and preclinical research. Over the past 50 years, many depression therapies and hypotheses have primarily been based on changing the
levels of monoamine neurotransmitters, such as serotonin, norepinephrine and dopamine, in the brain. Manipulating these
neurotransmitters impacts mood, but monoamine antidepressants are slow in onset, requiring multiple weeks for patients to obtain a
response, and patients may suffer from sexual dysfunction and other side effects from such treatment.
Numerous studies have shown that many patients do not respond to their initial antidepressant therapy. For example, according to
a 2006 report titled Acute and Longer‑Term Outcomes in Depressed Outpatients Requiring One or Several Treatment Steps: A STAR‑D
Report, or the STAR‑D Report, which was funded by the NIMH, 51.4% of patients failed to respond, defined as achieving a 50% reduction
in symptoms, and only 36.8% became symptom free, or achieved remission, after their initial 12‑week treatment course with monoamine
antidepressants. As such, physicians commonly will switch patients’ antidepressants to manage depression, and patients may require two or
three courses of treatment, before achieving satisfactory relief. The depression may persist following a course of treatment and additional
medications may need to be used adjunctively. These adjunctive agents may include atypical antipsychotics, like aripiprazole and
quetiapine, or other agents such as bupropion, and lithium. While certain patients experience improvement in their depressive symptoms
when these additional therapies are added to their existing treatments, many do not. For example, according to a study published by
Dr. Robert Berman and others in 2007, entitled The Efficacy and Safety of Aripiprazole as Adjunctive Therapy in Major Depressive
Disorder: A Multicenter, Randomized, Double‑Blind, Placebo‑Controlled Study, only 32.4% of patients with treatment resistant depression
responded to six weeks of adjunct treatment of the atypical antipsychotic aripiprazole.
According to the IMS Institute for Healthcare Informatics’ 2012 report titled The Use of Medicines in the United States: Review of
2011, over 264 million prescriptions totaling $11 billion were filled for depression in the United States in 2011. According to the STAR‑D
Report most marketed depression therapies are subject to significant limitations, including:
•
Time to therapeutic response. Current monoamine antidepressants are slow in onset, allowing depressive symptoms to persist
for multiple weeks before patients experience the onset of the drugs’ therapeutic effect or a conclusion can be made that the
drug is not working for the patient. Full effect is frequently not seen until 12 weeks.
• High rates of treatment failures and low rates of remission. Even with the widespread availability of serotonin reuptake
inhibitors, or SSRIs, or serotonin norepinephrine reuptake inhibitors, or SNRIs, MDD remains a leading cause of disability in
the world. According to the STAR‑D Report despite four courses of different antidepressant medications, 33% of patients did
not achieve remission.
•
Side effects. Common side effects seen with current depression therapies include gastrointestinal disturbance, dizziness,
drowsiness, insomnia and sexual dysfunction. A common symptom of depression is a loss of libido. Compounding this issue,
although most side effects associated with SSRIs and SNRIs subside within the first few weeks of treatment, sexual
dysfunction often persists throughout the course of treatment. According to the STAR‑D Report, many patients who
experience side effects discontinue treatment. In addition, currently used adjunctive treatments include antipsychotic agents
which have both efficacy and treatment‑limiting side effects, including weight gain, increased risk of diabetes and
cardiovascular risk.
Residual Cognitive Impairment Symptoms in Major Depressive Disorder
Several publications, including the 2014 article by Lam et al., titled Cognitive Dysfunction in MDD: Effects on Psychosocial
Functions and Implications for Treatment published in the Canadian Journal of Psychiatry, indicate that cognitive dysfunction is an
important mediator of disability in MDD. Self‑perceived cognitive impairment has always been recognized as a clinical manifestation of
MDD. Cognitive domains that are measurably impaired in MDD include attention, memory, processing speed and executive function. Up to
50% of patients with MDD exhibit measureable cognitive deficits. Deficits in attention and executive function may persist even after
remission. Cognitive dysfunction and functional impairments are two of the most common residual complaints among patients with MDD
who achieve symptomatic remission. In a study of patients with MDD treated with antidepressants for at least three months who were
considered to be in partial or complete remission, 30% to 50% reported residual cognitive symptoms that interfered with functioning. Thus,
we believe cognitive dysfunction may represent a dimension of MDD that is independent of mood symptoms. Although standard
antidepressants may improve cognitive deficits in MDD, we believe these effects may be limited in magnitude. We believe there is a
subgroup of patients who require additional treatment alternatives. Accumulating clinical evidence suggests that cognitive dysfunction is a
core psychopathological feature of the disorder.
Epilepsy
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Disease Overview and Treatment Limitations
It is estimated the epilepsy patient population in the US, Japan, and five major EU markets (France, Germany, Italy, Spain, and the
UK) will increase from 4.6 million cases in 2012 to 5.1 million cases by 2020, representing an increase of 10.7%. The US will have the
largest number of diagnosed epilepsy cases across the aforementioned markets, with approximately 2.35 million patients by 2020. It has
been reported that there are approximately 150,000 new cases of epilepsy diagnosed annually in the US alone. Epilepsy constitutes an area
in which there is still significant unmet medical need, with up to 40% of patients not achieving seizure freedom despite therapy with
currently available antiepileptic drugs, or AEDs.
Epilepsy is broadly classified according to whether the contributing seizures are partial-onset or generalized. While the two
subtypes produce seizures with different characteristics, the differentiation is most important when deciding upon the appropriate course of
treatment. Certain therapies are more effective in partial-onset or generalized seizures, and drugs only gain approval for the seizure subtype
in which there is proven efficacy.
According to research conducted by Datamonitor Healthcare of 217 neurologists in the US, Japan, and the five major EU markets ,
two-thirds of epilepsy patients experience partial-onset seizures, while generalized seizures account for around one-third of cases. There
was broad agreement across the countries investigated, with neurologists from every market stating that partial-onset seizures are the
predominant seizure type. These figures are consistent with the published literature, with multiple studies also assigning the proportion of
epilepsy cases being due to partial-onset seizures in the range of 60% to 67%
Although a large number of treatment options, both pharmacologic and non-pharmacologic, are available to epilepsy patients, a
sizable proportion fail to respond to therapy and have so-called treatment-resistant epilepsy. According to the International League Against
Epilepsy, or ILAE, treatment-resistant epilepsy, also known as drug-resistant epilepsy, is defined as the failure of adequate trials of two
tolerated, appropriately chosen and used anti-epileptic drug schedules (whether as monotherapies or in combination) to achieve sustained
seizure freedom. These patients continue to experience seizures, which not only affects quality of life, but may lead to serious
consequences, including shortened lifespan, bodily injury, neuropsychologic and psychiatric impairment, and social disability. Mortality
rates are estimated to be four to seven times higher in people with treatment-resistant seizures compared to the general population. The
results from Datamonitor Healthcare’s research are broadly in line with the latest estimates in the published literature. As the definition of
treatment-resistant epilepsy is not yet standardized - the ILAE definition is only a proposal - reported prevalence varies between 20% and
40% of all epilepsy cases.
One type of epilepsy of particular interest is temporal lobe epilepsy, or TLE. TLE is the most common form of partial-onset or
localization related epilepsy. It accounts for approximately 60% of all patients with epilepsy. There are two types of TLE; one involves the
medial or internal structures of the temporal lobe, or MTLE, while the second, called neocortical temporal lobe epilepsy, involves the
outer portion of the temporal lobes. The most common is MTLE, which accounts for 80% of all TLEs. MTLE often begins within a
structure of the brain called the hippocampus. It is frequently resistant to currently available medications and is associated with
hippocampal sclerosis. Surgery is often the only treatment available.
Current AED therapies target a variety of mechanisms, including gamma-aminobutyric acid, or GABA, receptor agonism, T-type
calcium channel blockers, sodium channel modulators, synaptic vesicle glycoprotein 2A, or SV2A, modulation, and inhibition of GABA
transaminase. More recently, AMPA receptor antagonists have been investigated and approved for treatment of epilepsy as well.
The chosen AEDs are very similar for partial-onset seizures, irrespective of whether patients respond to treatment or remain
refractory. According to Datamonitor Healthcare’s research, levetiracetam remains the most commonly prescribed drug (50.6% of
patients), with lamotrigine (32.4%) and carbamazepine (27.3%) second and third, respectively. However, it is notable that each drug’s
patient share is increased, reflecting the increased willingness of neurologists to prescribe each drug as part of a combination therapy. The
National Institute for Health and Care Excellence guidelines state that various drugs - including carbamazepine, clobazam, gabapentin,
lamotrigine, levetiracetam, oxcarbazepine, sodium valproate, or topiramate - should all be considered as adjunctive treatment if initial
monotherapy was ineffective or not tolerated.
The sum of all drugs patient shares in the Datamonitor Healthcare survey is over 200%, suggesting that the typical patient receives
two AEDs on average to control their treatment-refractory partial-onset seizures. This trend is apparent in each of the US, Japan, and the
five major EU markets.
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Unmet Needs
Continuous medication with AEDs is necessary even after the seizures have long been suppressed with treatments. AEDs can
prevent seizures from happening but are not effective in stopping seizures once they are underway and do not cure epilepsy; that is, they are
anti-seizure, but not anti-epileptogenic. Therefore, currently available AEDs should be classified as symptomatic drugs against ictogenesis.
No marketed or pipeline drugs have yet demonstrated anti-epileptogenic properties in humans. In the past 20 years, many new
AEDs have come on to the market with the promise of improved seizure control and minimal side effects. Nevertheless, there remain
several key unmet needs in the treatment of epilepsy that pharmaceutical companies can target.
1.
2.
3.
Effective treatments for refractory epilepsy subtypes: Despite advances in treatment, the efficacy of current AEDs remains
limited, with up to 40% of patients continuing to suffer from uncontrolled seizures (known as refractory epilepsy) despite
trying several medications. When two AEDs have failed as monotherapy, the chance of seizure freedom with further
monotherapy is very low. Uncontrolled seizures have approximately 40 times higher risk of inflicting mortality.
These patients not only continue to have quality of life-limiting seizures, but may also have other serious consequences,
including shortened lifespan, bodily injury, neuropsychologic and psychiatric impairment, and social disability. Mortality rates
are estimated to be four to seven times higher in people with treatment-resistant seizures compared to the general population.
Consequently, the development of new AEDs with efficacy in treatment-refractory seizures remains an unmet need for
improving the quality of life for a substantial proportion of epilepsy sufferers.
AEDs with safer and more tolerable side-effect profiles: Adverse effects from AEDs are common and a major cause of
discontinuing drug treatment. The side effects of epilepsy drugs vary widely, and include fatigue, nausea, vomiting, and long-
term problems such as osteoporosis. Additionally, some AEDs may produce weight gain (such as valproate), while others
may induce weight loss (such as zonisamide and topiramate). Therefore, a significant unmet need in epilepsy treatment is the
availability of AEDs that are effective in controlling seizure activity in doses that do not induce adverse side effects.
In producing a dampening effect on neuronal activity in the brain, AEDs have the potential to alter the neurochemical
mechanisms that are responsible for thinking skills and mood. Therefore, AEDs often lead to cognitive and behavioral side
effects. These side effects include impaired attention, depression, anxiety, and irritability.
Adverse effects on cognition and behavior are an important concern with AED therapy because of the negative effect they can
have on activities of daily living, such as driving and occupational functioning. For pediatric patients, reducing cognitive and
behavioral side effects is of particular importance due to the potential impact they can have on learning and development.
Because these side effects occur while the child’s brain is still developing, long-term effects of the medication remain a
possibility. Research has found that adults with childhood-onset epilepsy have fewer educational qualifications and poorer job
prospects. Furthermore, the fact that these long term effects were present in adults no longer taking AEDs is indicative that drug
treatment or the seizures themselves can permanently impair development. Differential cognitive and behavioral side effects
have been established for some AEDs. For example, the sedating AEDs (such as valproate and carbamazepine) can cause
fatigue, impaired attention, and depression, while the activating AEDs (such as felbamate and lamotrigine) can cause anxiety,
insomnia, and agitation. The most commonly reported adverse effects are also similar to marketed agents and include dizziness,
somnolence, irritability, headache, falls, and ataxia.
Better treatment options for elderly patients: According to Datamonitor Healthcare’s research, there are over 1.3 million
prevalent epilepsy patients aged 60 or older in the US, Japan, and the five major EU markets, representing 29% of the total
prevalent epilepsy population. The management of epilepsy in the elderly population is becoming a global challenge because
elderly patients frequently present with concomitant disease and age-related alterations in renal and hepatic function that alter
drug metabolism. The changes in metabolism and excretion of drugs associated with aging can result in increased
susceptibility to neurotoxic side effects. Furthermore, as many elderly patients are on existing drug treatment for other
disorders, the risk of drug interactions is exacerbated.
Product Pipeline
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The following table summarizes key information about our product candidates and further detail regarding each product candidate
follows:
Product Candidate / Platform
CERC‑501
Potential Indication(s)
Adjunctive treatment of MDD
Stage of Development
Phase 2
Anticipated Milestones
Initiate Phase 2/3 studies in the
next year, subject to the
availability of additional
funding
CERC‑301
CERC‑611
CERC‑406
CERC‑501
Adjunctive treatment of MDD with
rapid onset
Phase 2
Next steps being evaluated
Adjunctive treatment of partial-
onset seizures in epilepsy
Preclinical
Residual cognitive impairment
symptoms in MDD
Preclinical
IND submission and initiate
Phase 1 studies in 2017, subject
to the availability of additional
funding
IND submission (timing
dependent on the availability of
additional funding)
Adjunctive Treatment of Major Depressive Disorder
In February 2015, we acquired rights to CERC‑501, which was previously referred to as LY2456302 and OpRA Kappa, through an
exclusive, worldwide, license from Eli Lilly and Company, or Lilly. CERC‑501 is a high‑binding, selective KOR antagonist. We believe
that the availability of a selective, potentially well tolerated and oral kappa antagonist like CERC‑501 represents a unique drug
development opportunity for adjunctive treatment of MDD.
We believe CERC‑501 may have the following advantages over conventional antidepressant therapies:
• highly specific and selective to KOR and, therefore, minimal off‑target
pharmacology;
• available in convenient, once‑a‑day oral dosing;
and
• potential efficacy against addictive
disorders.
Mood, Stress, Addiction and Kappa Opioid Receptors
Kappa opioid receptors, or KORs, and their native ligand dynorphin are localized in areas of the brain which effect reward and
stress and are believed to impact mood, stress and addictive disorders. As discussed in a paper by Shippenberg et al., titled Dynorphin and
the Pathophysiology of Drug Addiction and published in the Journal of Pharmacology and Therapeutics in 2007, both KORs and dynorphin,
together comprising the kappa opioid system, are upregulated by stress and chronic exposure to drugs of abuse, are thought to mediate the
negative emotional states seen in drug withdrawal and contribute to stress‑induced reinstatement of drug seeking behavior. In animal
models it has been observed that stress produces a depressive state that is believed to be associated with the activation of KOR and
subsequent downstream signaling events. Administration of agents that stimulate the KOR system, or KOR agonists, that act like
dynorphin, decrease dopamine levels in areas of the brain involved with executive function, produce anxiety‑like and depression‑like
behaviors in animals, exacerbate behaviors associated with drug withdrawal and increase the reinforcing effects of substances of abuse.
KOR Antagonism
Much of the current knowledge of the kappa opioid system comes from studies of two prototypical KOR antagonists, nor‑BNI and
JDTic. In studies, such as those discussed by Lalanne et al. in a paper titled The Kappa Opioid Receptor from Addiction to Depression and
Back and published in Frontiers in Psychiatry in 2014, KOR antagonists induced antidepressant‑like effects in animal models and
attenuated symptoms associated with withdrawal, such as anxiety behaviors. The therapeutic potential of KOR antagonism has been
suggested in animal models of anhedonia, depression, and anxiety, and KOR antagonists reduced the signs of nicotine, heroin and alcohol
withdrawal in rodent models of dependence. In these studies
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conducted by other parties, stress‑induced reinstatement to drug seeking was blunted in mice who had their KOR system genetically
deleted, and was also blocked in wild‑type mice by treatment with nor‑BNI and rats treated with JDTic. In the studies summarized by
Lalanne et al., KOR antagonists reduced ethanol intake in a number of animal models. Overall, we believe the preclinical data to date
support the emerging consensus that selective kappa opioid antagonists may have antidepressant‑ and antianxiety‑ like effects, reduce
addictive substance consumption, and reduce behaviors and signs of drug withdrawal. We believe these studies provide the basis for
further evaluation of the use of KOR antagonists, like CERC-501, in mood and substance use disorders.
Our Program
Current Development Status
Subject to the availability of additional funding, we intend to develop CERC-501 as an adjunctive treatment of MDD. We believe
CERC‑501 has potential as an adjunctive treatment of MDD taken once-a-day by mouth.
Overview of Externally Funded and Conducted Studies
In connection with our in‑license of CERC‑501 from Lilly, we expect to receive the results of three external clinical trials that are
currently being conducted to evaluate the use of CERC-501 in treating depressive symptoms, stress-related smoking relapse and cocaine
addiction. The following is a summary of these three clinical trials:
•
•
Impact of the KOPr Antagonist OpRA Kappa in Persons at Specific Stages of Cocaine Addiction Trajectory, Versus Normal
Volunteers. This single site trial, which began in September 2014, is being conducted under the leadership of Mary Jeanne
Kreek, MD, Professor and Head of Laboratory, The Rockefeller University, and Senior Physician, The Rockefeller University
Hospital.
A Phase 2 Study to Evaluate the Kappa Opioid Receptor As a Target for the Treatment of Mood and Anxiety Spectrum
Disorders by Evaluation of Whether LY2456302 Engages Key Neural Circuitry Related to the Hedonic Response.
Dr. Andrew Krystal of Duke University Medical Center serves as the principal investigator of this 6 site clinical study, which
began in 2015 and is being conducted under the auspices of the National Institute of Mental Health.
• Does CERC-501 Attenuate Stress-Related Smoking Lapse? This trial, which enrolled its first subject in August 2016, is a
collaborative effort between Cerecor and Dr. Sherry McKee of Yale University and is supported by funding from the National
Institutes of Health.
CERC‑301
Adjunctive Treatment of Major Depressive Disorder
CERC‑301 is an oral and specific NR2B antagonist that we are developing as a novel oral adjunctive medication for patients with
severe MDD who are failing to achieve an adequate response to their current antidepressant treatment. We believe CERC‑301 may have a
rapid onset of effect, be well tolerated and have fewer side effects than the leading adjunctive treatments currently available, such as
atypical antipsychotics, whose treatment efficacy is hindered by side effects such as weight gain and increased risk of diabetes. We expect
that a drug with these attributes would lead to improved compliance and outcomes.
We acquired MK‑0657, which is now known as CERC‑301, from Merck & Co., Inc., or Merck, in 2013 through an exclusive
worldwide license. We believe that its specific NR2B inhibition has the potential to provide both the rapid antidepressant and suicidality
reduction effects of non‑selective NMDA antagonists, without many of their side effects, including increases in heart rate and mental status
changes. Preliminary trials of CERC-301 by Merck in healthy subjects failed to demonstrate clinically significant changes in mental status,
although modest changes in blood pressure were observed. As discussed in a 2009 article titled Allosteric Modulators of NR2B‑Containing
NMDA Receptors: Molecular Mechanisms and Therapeutic Potential, there is animal evidence that compounds selectively targeting NR2B
receptor subunits, such as CERC‑301, retain many of the beneficial effects while reducing many of the less desirable side effects of other
NMDA antagonists.
Research on ketamine, such as A Randomized Trial of an N methyl D aspartate Antagonist in Treatment Resistant Major
Depression study conducted from November 2004 to September 2005 by Dr. Carlos A. Zarate, Jr. and others, has
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provided evidence that NMDA antagonists can provide significant antidepressant mood effects within 24 hours of administration, acting as
rapid acting antidepressants, or RAADs, in MDD and bipolar depression. Moreover, research has also demonstrated that ketamine causes a
rapid reduction in suicidal ideation, in contrast to conventional antidepressants that may actually worsen suicidal ideation in children,
adolescents, and young adults. We believe efficacy of the class is further supported by the off‑label use of ketamine throughout the United
States for treatment resistant bipolar depression and MDD.
Accumulating evidence, such as that discussed in an article published in 2014 by Ronald Duman and others, titled Neurobiology of
Stress, Depression, and Rapid Acting Antidepressants: Remodeling Synaptic Connections, suggests that the antidepressant effect of this
new class of antidepressant, as demonstrated by the study of ketamine, is associated with increasing synaptic connections in the brain,
which is driven by increases in the synthesis of neuronal proteins. A messenger of this synthetic activity is brain derived neurotrophic
factor, or BDNF, which we believe is increasingly considered to be a biomarker of depression and anti‑depressant effect. BDNF levels have
been found to be low in subjects with major depression compared to normal controls, correlate negatively with the severity of depression
and recover to levels associated with normal subjects after successful antidepressant treatment. However, non-selective NMDA antagonists
such as ketamine have significant limitations. Ketamine is an anesthetic, is not approved for use as an antidepressant, and causes increases
in heart rate and blood pressure, hallucinations and other psychological manifestations. In addition, psychiatric use of ketamine may be
limited by the need for intravenous administration, the unapproved nature of the use of the drug for the sub chronic treatment of MDD and,
as a result, the unknown safety profile, and the need for repeated infusions to maintain a treatment response. Ketamine is scheduled by the
Drug Enforcement Administration or DEA, as a Schedule III controlled substance and is prone to abuse. The classification of ketamine as a
Schedule III controlled substance means that manufacturers, distributors, and health care providers that handle or prescribe ketamine must,
among other things, register with the DEA, keep accurate and complete records, take special precautions to secure the drug and prevent its
loss or theft, and may need to periodically file reports with the DEA. These extra regulatory requirements may increase the cost of
manufacturing, distributing and prescribing the drug.
We believe that NR2B inhibitors, which work on the glutamate system by blocking only NR2B containing NMDA receptors, have
the potential to provide rapid and significant antidepressant activity without many of the adverse side effects of ketamine and other non-
selective NMDA receptor antagonists, as demonstrated in clinical trial published in 2012, titled Investigational NMDA Receptor
Modulators for Depression, conducted by Bernadeta Szewczyk and others. According to a 2013 Decision Resources report, Unipolar
Depression, patients suffering from MDD need more effective agents with a faster onset of action, a higher remission rate, better efficacy
for comorbid symptoms and a better side effect profile than that of conventional monoamine drugs—all potential qualities of this new class
of antidepressants.
We believe CERC‑301 may have some of the following advantages over ketamine and other non‑selective NMDA antagonists:
•minimal, if any, psychotomimetic effects, such as hallucinations and
intoxication;
•available in a convenient, oral dosing form suitable for intermittent dosing;
and
•ability to use for the prevention of a relapse of
depression.
Additionally, we believe that CERC‑301 may have the following advantages over conventional antidepressant therapies and
currently approved adjunctive therapies:
•more rapid onset of
action;
•higher rate of response and
remission;
•reduced/absent sexual side‑effect profile;
and
•enhanced safety profile with respect to weight gain and increased risk of
diabetes.
We received fast track designation for CERC‑301 in November 2013 for the treatment of MDD. Fast track designation may help
facilitate our development of CERC‑301 and expedite the FDA’s review of our marketing application as it may allow us to have more
frequent meetings and correspondence with the FDA and the FDA may initiate review of sections of an NDA on a rolling basis before the
application is complete. In November 2016, we announced the top-line clinical results from our Phase 2 clinical trial (Clin301-203) with
CERC-301 for the adjunctive treatment of MDD. CERC-301 missed the primary endpoint but the 20 mg dose showed signals of efficacy at
day 2. We are currently assessing the next steps for development of this product candidate.
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CERC-611
Adjunctive Treatment of Partial-Onset Seizures in Epilepsy
We acquired LY3130481, which is now known as CERC-611, from Lilly in June, 2016 through an exclusive worldwide license.
We believe CERC-611is the first molecule to selectively target and functionally block region-specific AMPA receptors after oral dosing.
This selectivity was engineered into CERC-611 by chemical SAR studies to achieve selective blockade of the AMPA receptor regulator
protein or TARP γ-8 (high density in hippocampus, a region of importance in partial-onset epilepsies) while sparing AMPA receptors
associated with TARP γ-2 (high density in cerebellum regulating the ataxia and falling associated with perampanel-Fycompa™). Because
of the predominant hippocampal location of TARP γ-8-dependent AMPA receptors, we believe that the efficacy and side effect profile of
CERC-611 may be improved compared to current antiepileptics.
We believe CERC-611may:
Have efficacy in refractory partial-onset seizures as an adjunctive therapy. It may be uniquely qualified to treat temporal lobe
seizures, unlike any other current or pipeline therapy, due to its selectivity for the TARP γ-8-dependent AMPA receptors
Lack sedative, ataxic, or falling side effects of global AMPA receptor antagonists such as perampanel-
Fycompa™
Have a reduced or absent requirement for multi-week dose
titration
Potentially mitigate some of the side-effect liabilities associated with other conjointly administered antiepileptic
medications.
•
•
•
•
Emergence of AMPA Receptor Antagonists as Anti-Epileptic Drugs (AEDs)
AMPA receptors are glutamate-sensitive ion channels on postsynaptic membranes of excitatory synapses in the central nervous
system and are largely responsible for mediating fast neurotransmission across synaptic gaps. AMPA receptor antagonists are known
anticonvulsant agents and their ability to down modulate excitatory neurotransmission is key to their anti-epileptic therapeutic potential.
However, because AMPA receptor activity is so ubiquitous in the central nervous system, or CNS, general antagonism affects most areas of
the CNS, resulting in undesired effects, such as ataxia, falls, sedation, and/or dizziness, which are shared by all known general or broad
spectrum AMPA receptor antagonists, e.g., parampanel, talampanel. Typically these general or broad spectrum antagonists have a very
narrow therapeutic dosing window, meaning that typically the doses needed to obtain anticonvulsant activity are close to or overlap with
doses at which undesired effects are observed.
TARPs are a fairly recently discovered family of proteins that have been found to associate with and modulate the activity of
AMPA receptors. Several TARPs are fairly region-specific in the brain, leading to physiological differentiation of the AMPA receptor
activity. As for example, TARP γ-2 (stargazing)-dependent AMPA receptors are primarily localized in the cerebellum and cerebral cortex
and TARP γ-8-dependent AMPA receptors are localized primarily in the hippocampus, a region particularly relevant to seizures origination
and/or propagation. It has been theorized that targeting individual TARPs may enable selective modulation of specific brain circuits
without globally affecting synaptic transmission.
Our Program
Current Development Status
Our plan is to develop, register and commercialize CERC-611 as an adjunctive therapy for the treatment of partial-onset seizures,
with or without secondarily generalized seizures, in patients with epilepsy aged 12 years and older. Our first step is to simultaneously
complete technology transfer with Lilly and also complete and submit the IND to the FDA. Once the IND has been reviewed and accepted
we plan to initiate Phase 1 single ascending dose (SAD) and multiple ascending dose (MAD) clinical studies, subject to the availability of
additional funding. If we are successful in demonstrating continued safety and tolerability in these studies we anticipate progressing
development into Phase 2 efficacy and dose ranging studies in epilepsy.
COMTi Platform
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In 2013, we acquired rights to our COMTi platform by means of an exclusive, worldwide license from Merck. COMT is an
enzyme that is critical for the inactivation and metabolism of dopamine and its inhibition in the brain has potential applicability in treating
subjects with neuropsychiatric conditions, including MDD, schizophrenia, Parkinson’s disease and pathological gambling. We believe
compounds from this platform increase dopamine levels in the prefrontal cortex, or PFC, which is the region of the brain that is responsible
for working memory, attention tasks and decision making, all of which are human attributes that we collectively refer to as executive
function. We have selected CERC-406 as our first preclinical candidate from the COMTi platform. We anticipate establishing the data set
necessary to select additional preclinical lead candidates for treatment of various conditions where impaired executive function is a core
symptom, subject to the availability of funding. These programs will target the improvement of working memory and executive function,
which are key components of cognition.
Entacapone and tolcapone are two commercially available COMT inhibitors used to treat aspects of Parkinson’s disease. Both
drugs inhibit COMT outside of the nervous system, or peripheral COMT, and may be administered, with levodopa, which is the precursor
to the neurotransmitter dopamine, multiple times per day. Tolcapone, which has modest brain penetration and inhibits brain COMT, is
hampered by side effects including diarrhea and liver toxicity. Entacapone does not penetrate the brain. Because of these factors, neither
drug is used clinically to treat executive function impairment. Nonetheless, pilot studies using tolcapone have repeatedly suggested an
improvement in aspects of executive function in normal volunteers and in subjects with various conditions that are associated with
cognitive impairment. Improvements in aspects of the underlying conditions were also found.
CERC‑406
CERC‑406 is a small, orally active molecule and is a selective COMT inhibitor with low inhibitory activity on peripheral COMT.
We intend to develop CERC‑406 as an oral adjunctive medication for patients with residual cognitive impairment symptoms suffering from
MDD. We selected CERC‑406 as our lead preclinical candidate from our COMTi platform because in preclinical testing we observed that
it had lower potential of peripheral, off target side effects, rapid absorption and bioavailability, good brain penetration and a favorable
dose‑dependent biomarker profile in rats. We have also observed that CERC‑406 has an off‑rate on brain COMT that is slower than
tolcapone, potentially implying a good duration of effect. In preclinical studies it appears that CERC‑406 may have favorable drug
distribution and metabolism properties, suggesting that it has the potential to be administered orally on a once or twice daily basis.
We believe that CERC‑406 may:
• demonstrate efficacy as it is a brain penetrant COMT inhibitor with selectivity for MB‑COMT to target the PFC dopamine
deficit in this patient population;
• be more effective in Val homozygotes population, who have higher levels of COMT activity and lower prefrontal dopamine
receptor activation; and
• be safer than existing COMT inhibitors—existing COMT inhibitors are not ideal as such inhibitors have adverse events such as
liver toxicity and diarrhea.
Our Program
We are anticipating to develop CERC‑406 for the enhancement of executive function and working memory in MDD, where we
believe a new therapy with efficacy in residual cognitive symptoms may be associated with improved functional outcomes.
Current Development Status
We anticipate to advance the characterization of the safety and efficacy of CERC‑406 in preclinical animal studies, to advance
manufacturing of product for potential clinical trials, and to file an IND for CERC‑406, subject to the availability of additional funding.
Other Business Development Activities
From time to time we may consider strategic transactions, such as mergers and acquisitions of companies, asset purchases and
in‑licensing of products, product candidates or technologies. Additional potential transactions that we may
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consider include a variety of different business arrangements, including strategic partnerships, collaborations, joint ventures, business
combinations and investments. We believe we have the ability to identify, evaluate and procure valuable product programs that are
consistent with our goal of becoming a leader in the development of innovative drugs that make a difference in the lives of patients with
neurological and psychiatric disorders. We plan to continue to evaluate these opportunities to expand our product candidate portfolio in a
fashion that fits within our core strategy and enhances our overall value.
Intellectual Property
We strive to protect the proprietary technologies that we believe are important to our business, including seeking and maintaining
patent protection intended to cover the composition of matter of our product candidates, their methods of use, related technology and other
inventions that are important to our business. As more fully described below, we have issued patents covering the compounds and
compositions of CERC‑501, CERC-301, CERC‑611 and CERC-406. We also may rely on trade secrets and careful monitoring of our
proprietary information to protect aspects of our business that are not amenable to, or that we do not consider appropriate for, patent
protection.
Our success will depend significantly on our ability to obtain and maintain patent and other proprietary protection for
commercially important technology, inventions and know‑how related to our business, defend and enforce our patents, maintain our
licenses to use intellectual property owned by third parties, preserve the confidentiality of our trade secrets and operate without infringing
the valid and enforceable patents and other proprietary rights of third parties. We also rely on know‑how, continuing technological
innovation and in‑licensing opportunities to develop, strengthen, and maintain our proprietary position in the field of central nervous system
disorders.
The patent positions of biopharmaceutical companies are generally uncertain and involve complex legal, scientific and factual
questions. In addition, the coverage claimed in a patent application can be significantly reduced before the patent is issued, and its scope can
be reinterpreted after issuance. Consequently, we do not know whether any of our product candidates will be protectable or remain
protected by enforceable patents. We cannot predict whether the patent applications we are currently pursuing will issue as patents in any
particular jurisdiction or whether the claims of any issued patents will provide sufficient proprietary protection from competitors. Any
patents that we hold may be challenged, circumvented or invalidated by third parties.
Because patent applications in the United States and certain other jurisdictions are maintained in secrecy for 18 months, and since
publication of discoveries in the scientific or patent literature often lags behind actual discoveries, we cannot be certain of the priority of
inventions covered by pending patent applications. Moreover, we may have to participate in interference proceedings declared by the
United States Patent and Trademark Office, or USPTO, or a foreign patent office to determine priority of invention or in post‑grant
challenge proceedings, such as oppositions, that challenge priority of invention or other features of patentability. Such proceedings could
result in substantial cost, even if the eventual outcome is favorable to us.
The patent portfolios for our most advanced programs are summarized below.
•
•
CERC‑501. We possess worldwide exclusive rights to manufacture, use and sell certain KOR antagonist compounds. The
CERC‑501 patent portfolio consists of a single patent family with dozens of issued patents and pending patent applications,
including patents issued in the U.S., Australia, Canada, China, Europe and Japan. The patents in this family include
composition of matter claims, including picture claims to CERC‑501 or a pharmaceutically acceptable salt thereof, and/or use
claims of varying scope. The expiration date of the two U.S. patents is January 13, 2029, not including any potential patent
term extension or market exclusivity period.
CERC‑301. We possess worldwide exclusive rights to manufacture, use and sell certain NR2B antagonist compounds. The
CERC‑301 patent portfolio consists of three patent families. The first family consists of patents that have issued in the United
States, Australia, Canada, Germany, France, Great Britain, Switzerland and Japan. The patents in the first family include
composition of matter and use claims of varying scope, including picture claims to CERC‑301 or a pharmaceutically
acceptable salt thereof. The expiration date of the U.S. patent in the first family is August 31, 2026, not including any patent
term extension or market exclusivity period which may apply. The second family consists of patents that have issued in the
United States, Germany, France and Great Britain. The patents in the second family include composition of matter claims (in
U.S. patent only) and use claims that generically cover CERC‑301. The expiration date of the U.S. patent is June 3, 2022, not
including any potential patent term extension or market exclusivity period. The third family consists of a U.S. provisional
patent application which includes claims to compositions of matter, methods of use, and methods of manufacture. U.S.
nonprovisional and international patent applications that claim priority to the provisional application were filed in
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December 2015. Any patent issuing from the U.S. nonprovisional applications would expire in 2035 at the earliest, not
including any potential patent term extension or market exclusivity period.
•
•
CERC-611. We possess worldwide exclusive rights to manufacture, use and sell LY3130481, now known as CERC-611. The
CERC-611 patent portfolio consists of two patent families. The first family includes a U.S. patent and close to 50
international applications with composition of matter and use claims for CERC-611. The projected expiration date of the U.S.
patent, exclusive of any patent term extension, is November 20, 2033. The second family includes U.S. and international
applications with composition of matter and use claims of varying scope for additional selective TARP γ-8-dependent AMPA
receptor antagonists. If granted, patents in the second family are expected to expire on or after May 21, 2035, depending on
possible patent term adjustment and/or extension.
CERC‑406 and COMTi Platform. We possess worldwide exclusive rights to manufacture, use and sell COMT inhibitor
compounds. The COMT patent portfolio includes three patent families. Each patent family consists of patent applications filed
in the United States, Australia, Brazil, Canada, China, Europe, India, Japan, South Korea, Mexico and Russia. Any patents
issuing from these patent applications are predicted to expire at the earliest in 2031, not including any potential patent term
extension or market exclusivity period.
The term of any individual patent depends upon the legal term of the patents in the countries in which they are obtained. In most
countries where we file, the patent term is 20 years from the earliest date of filing a non‑provisional patent application.
In the United States, the patent term of a patent that covers an FDA‑approved drug that contains an active ingredient or salt or
ester of the active ingredient that has not previously been marketed may also be eligible for patent term extension, which permits patent
term restoration to account for the patent term lost during the FDA regulatory review process. The Hatch‑Waxman Act permits a patent
term extension of up to five years beyond the expiration of the patent. The length of the patent term extension is based upon one half of the
time between the IND effective date and a company’s initial submission of a marketing application, plus the entire time between the
submission of the marketing application and the FDA’s approval of the application. Patent extension cannot extend the remaining term of a
patent beyond a total of 14 years from the date of product approval and only one patent applicable to an approved drug may be extended.
Similar provisions are available in Europe and other non‑United States jurisdictions to extend the term of a patent that covers an approved
drug. In the future, if and when our product candidates receive FDA approval, we expect to apply for patent term extensions on patents
covering those product candidates. We intend to seek patent term extensions to any of our issued patents in any jurisdiction where these are
available, however there is no guarantee that the applicable authorities, including the FDA in the United States, will agree with our
assessment of whether such extensions should be granted, and even if granted, the length of such extensions.
For all of our product candidates, we intend to explore at each stage of the drug discovery process opportunities for follow‑on
patent filings to maximize patent terms and market exclusivities. Such follow‑on patent filings may be directed to new indications,
formulations, combination therapies, manufacturing methods, dosages, routes of administration, patient populations, contraindications, drug
interactions (or absence of interactions) or other aspects of drug labels.
We also rely on trade secret protection for our confidential and proprietary information. Although we take steps to protect our
proprietary information and trade secrets, including through contractual means with our employees and consultants, third parties may
independently develop substantially equivalent proprietary information and techniques or otherwise gain access to our trade secrets or
disclose our technology. Thus, we may not be able to meaningfully protect our trade secrets. It is our policy to require our employees,
consultants, outside scientific collaborators, sponsored researchers and other advisors to execute confidentiality agreements upon the
commencement of employment or consulting relationships with us. These agreements provide that all confidential information concerning
our business or financial affairs developed or made known to the individual during the course of the individual’s relationship with us is to
be kept confidential and not disclosed to third parties except in specific circumstances. In the case of employees, the agreements provide
that all inventions conceived by the individual, and which are related to our current or planned business or research and development or
made during normal working hours, on our premises or using our equipment or proprietary information, are our exclusive property.
Manufacturing and Clinical Research
We do not have any manufacturing facilities or personnel. We rely on contract manufacturing organizations, or CMOs, to produce
our drug candidates in accordance with applicable provisions of the FDA’s current Good Manufacturing Practice, or GMP, regulations for
use in our clinical studies. The manufacture of pharmaceuticals is subject to extensive GMP regulations,
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which impose various procedural and documentation requirements and govern all areas of record keeping, production processes and
controls, personnel and quality control.
CERC‑501
As part of the exclusive license agreement with Lilly, we assumed all accountability and responsibility for existing drug substance,
drug product and packaged clinical trial material of CERC‑501, as well as all future manufacturing of CERC‑501 for development and
commercialization. Currently, clinical trial material necessary for supplying the existing studies for CERC‑501 are warehoused with one
supplier, BioConvergence LLC, or BioConvergence. BioConvergence is a provider of a comprehensive range of services extending from
pharmaceutical and clinical development through production and testing to commercialization of product. We intend to identify and qualify
multiple manufacturers to provide the active pharmaceutical ingredient, drug product and fill‑and‑finish services prior to submission of a
new drug application to the FDA.
CERC-611
As part of the exclusive license agreement with Lilly, we assumed all accountability and responsibility for existing drug substance
of CERC‑611, as well as all future manufacturing of CERC‑611 for development and commercialization. Technology transfer from Lilly to
Cerecor is ongoing including identifying and qualifying manufacturers to provide the active pharmaceutical ingredient, drug product and
fill‑and‑finish services prior to submission of the IND and start of Phase 1 clinical studies.
License Agreements
Lilly CERC‑501 License
In February 2015, we entered into an exclusive license agreement with Lilly pursuant to which Lilly granted us rights relating to
certain small molecule compounds which are potent and selective KOR antagonists and any pharmaceutical product containing such
compounds, or a KOR Product, for the prevention, diagnosis and/or treatment of all disease in humans. In consideration of the license, we
are required to make an initial aggregate payment of $1.0 million. We made an initial payment of $750,000 pursuant to the terms of the
license within 30 days of the execution of the license agreement. The balance of the initial payment is due 30 days after completion of the
final study report for the 9‑month toxicology study to be conducted by us in non‑human primates. For the first KOR Product we develop,
we are required to make milestone payments in an amount not to exceed, in the aggregate, $19.0 million upon the achievement of various
development and regulatory milestones, including first commercial sale. Additionally, we are required to make sales milestone payments in
an amount not to exceed $30.0 million. Upon commercialization of a KOR Product, we will pay Lilly a tiered royalty on net sales of KOR
Product from mid‑single digits to low‑double digits. The royalty obligation will be on a product by product and country by country basis
until the later of (i) the expiration of the last to expire valid patent claim of a patent licensed to us under the license agreement covering the
KOR Product in such country, and (ii) eleven years from the first commercial sale of the KOR Product in such country.
Our license agreement with Lilly will remain in effect on a product by product and country by country basis until our obligation to
pay royalties under the license agreement expires with respect to such product in such country. Upon expiration of the license agreement
with respect to a product in a country, our license grant for such product in such country will become a fully paid up, royalty free,
irrevocable, perpetual non-exclusive license.
We have the unilateral right to terminate the license agreement in its entirety without cause upon 90 days prior written notice to
Lilly. Either party may terminate the license agreement in its entirety in the event of an uncured material breach by the other party, upon
the other party’s filing or institution of bankruptcy, reorganization, liquidation or receivership proceeding or upon an assignment of a
substantial portion of its assets for the benefit of creditors. If Lilly terminates the agreement for cause, or if we exercise our right to
terminate the agreement without cause, the rights granted to us under this license will revert to Lilly.
Merck CERC‑301 License
In 2013, we entered into an exclusive license agreement with Merck pursuant to which Merck granted us rights relating to certain
small molecule compounds which are known to inhibit or antagonize the activity of the NR2B receptor as its primary mechanism of action
and any pharmaceutical product containing such compounds, or an NR2B Product, for the prevention, diagnosis and/or treatment of all
disease in humans. Merck retained a co‑exclusive right to conduct non‑human and non‑clinical research under patents for the licensed
NR2B antagonist compounds and NR2B Products. In addition to the license
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grant, Merck agreed that for a period of three years from the effective date of the license agreement that it would not, either by itself or
through collaboration with a third party, develop, manufacture or commercialize anywhere any product comprising an NR2B antagonist
compound.
In connection with the license grant of certain NR2B antagonist compounds and NR2B Products, we granted Merck a right of first
negotiation to obtain an exclusive, worldwide license and/or other worldwide rights to research, develop, commercialize, sell and/or offer
for sale any such NR2B Product. Pursuant to such right of first negotiation, we must provide advance notice to Merck if we intend to offer a
license of any kind, or to assign or transfer or otherwise convey any other rights related to the development or commercialization of an
NR2B Product. If Merck either chooses not to exercise its right of first negotiation or we fail to enter into an agreement with Merck as
provided in the agreement, we will be free to enter into negotiations and contract with third parties with respect to such NR2B Product and
will have no further obligation to Merck regarding such NR2B Product. In November 2013, we provided notice to Merck of our intent to
potentially license or transfer CERC‑301 and, after evaluating, Merck ultimately decided not to exercise its right of first negotiation with
respect to CEC‑301. As a result, pursuant to the terms of the license agreement, Merck no longer has, and we no longer have an obligation
to provide, a right of first negotiation to Merck with respect to CERC‑301.
In consideration of the license, we are required to make an initial aggregate payment of $1.5 million. We made an initial payment
of $750,000 pursuant to the terms of the license within 45 days of the execution of the license agreement. The balance of the initial
payment is due upon the later of (i) FDA acceptance of Merck preclinical data and (ii) FDA acceptance of data from a study that results in
the FDA approving a Phase 3 clinical trial for an NR2B Product candidate. For each NR2B Product we develop, we are required to make
milestone payments in an amount not to exceed, in the aggregate, $40.5 million upon the achievement of various development and
regulatory milestones, including first commercial sale. Additionally, we are required to make sales milestone payments in an amount not to
exceed $15.0 million. Upon commercialization of an NR2B Product, we will pay Merck a royalty in the high single digits on net sales of
NR2B Product. The royalty obligation will be on a product‑by‑product and country‑by‑country basis until the later of (i) the expiration of
the last to expire valid patent claim of a patent licensed to us under the license agreement covering the NR2B Product in such country, and
(ii) ten years from the first commercial sale of the NR2B Product in such country.
Our license agreement with Merck will remain in effect on a product‑by‑product and country‑by‑country basis until our obligation
to pay royalties under the license agreement expires with respect to such product in such country. Upon expiration of the license agreement
with respect to a product in a country, our license grant for such product in such country will become a fully paid‑up, royalty‑free,
irrevocable, perpetual non‑exclusive license.
We have the unilateral right to terminate the license agreement in its entirety without cause upon 90 days prior written notice to
Merck. Either party may terminate the license agreement in its entirety in the event of an uncured material breach by the other party, upon
the other party’s filing or institution of bankruptcy, reorganization, liquidation or receivership proceeding or upon an assignment of a
substantial portion of its assets for the benefit of creditors. Merck may terminate the license agreement with respect to a particular patent
licensed to us if we challenge the validity or enforceability of such patent. If Merck terminates the agreement for cause, or if we exercise
our right to terminate the agreement without cause, the rights granted to us under this license will revert to Merck.
Lilly CERC-611 License
In September 2016, we entered into an exclusive license agreement with Lilly pursuant to which we received exclusive, global
rights to develop and commercialize CERC-611, previously referred to as LY3130481. In connection with the license, we granted Lilly a
right of first negotiation to obtain an exclusive, worldwide license and/or other worldwide rights to develop or commercialize a licensed
product. Pursuant to such right of first negotiation, we must provide advance notice to Lilly if we intend to offer a license of any kind, or to
assign or transfer or otherwise convey any other rights related to the development or commercialization of a licensed product. If Lilly either
chooses not to exercise its right of first negotiation or we fail to enter into an agreement with Lilly as provided in the agreement, we will be
free to enter into negotiations and contract with third parties with respect to any licensed products and will have no further obligation to
Lilly regarding such licensed products.
The terms of the license agreement provide for an upfront payment of $2.0 million, of which $750,000 was due within 30 days of
the effective date of the license agreement, and the remaining balance of $1.25 million is due after the first subject is dosed with CERC-611
in a multiple ascending dose study. For the first licensed product we develop, we are required to make milestone payments in an amount not
to exceed, in the aggregate, $17.5 million upon the achievement of various development and regulatory milestones, including first
commercial sale. Additionally, we are required to make sales milestone payments in an amount not to exceed $50.0 million. Upon
commercialization of a licensed product, we will pay Lilly a tiered royalty on net
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sales from mid-single digits to low-double digits. The royalty obligation will be on a product by product and country by country basis until
the later of (i) the expiration of the last to expire valid patent claim covering the licensed product in such country, or (ii) 11 years from the
first commercial sale of the licensed product in such country.
Our license agreement with Lilly will remain in effect on a product by product and country by country basis until our obligation to
pay royalties under the license agreement expires with respect to such product in such country. Upon expiration of the license agreement
with respect to a product in a country, our license grant for such product in such country will become a fully paid up, royalty free,
irrevocable, perpetual non-exclusive license.
We have the unilateral right to terminate the license agreement in its entirety without cause upon 90 days prior written notice to
Lilly. Either party may terminate the license agreement in its entirety in the event of an uncured material breach by the other party, upon
the other party's filing or institution of bankruptcy, reorganization, liquidation or receivership proceeding or upon an assignment of a
substantial portion of its assets for the benefit of creditors. If Lilly terminates the agreement for cause, or if we exercise our right to
terminate the agreement without cause, the rights granted to us under this license will revert to Lilly.
Merck COMTi License
In 2013, we entered into an exclusive license agreement with Merck pursuant to which Merck granted to us certain rights in small
molecule compounds which are known to inhibit the activity of COMT as its primary mechanism of action and any pharmaceutical product
containing such compounds, or a COMTi Product, in each case for the prevention, diagnosis and/or treatment of all disease in humans.
Merck retained a co‑exclusive right to conduct non‑human and non‑clinical research under such patents for certain COMT compounds.
In connection with the license grant of certain COMT compounds and COMT Products, we granted Merck a right of first
negotiation to obtain an exclusive, worldwide license and/or other worldwide rights to research, develop, commercialize, sell and/or offer
for sale any such COMT Product. Pursuant to such right of first negotiation, we must provide advance notice to Merck if we intend to offer
a license of any kind or to assign or transfer or otherwise convey any other rights related to the development or commercialization of a
COMT Product. If Merck either chooses not to exercise its right of first negotiation or we fail to enter into an agreement with Merck as
provided in the agreement, we will be free to enter into negotiations and contract with respect to such COMT Product with a third party and
will have no further obligation to Merck regarding such COMT Product.
In consideration of the license, we made a $200,000 upfront payment to Merck. For each COMT Product we develop, we are
required to pay up to $6.15 million in milestone payments upon achievement of various development and regulatory milestones. Upon
commercialization of a COMT Product, we are required to pay Merck a royalty of a low single digit on net sales of a COMT Product. The
royalty obligation will be on a product‑by‑product and country‑by‑country basis until the later of (a) the expiration of the last to expire
valid patent claim of a patent licensed to us under the license agreement covering the COMT Product in such country, and (b) ten years
from the first commercial sale of the COMT Product in such country.
Our license agreement with Merck will remain in effect on a product‑by‑product and country‑by‑country basis until our obligation
to pay royalties under the license agreement expire with respect to such product in such country. Upon expiration of the license agreement
with respect to a product in a country, our license grant for such product in such country will become a fully paid‑up, royalty‑free,
irrevocable, perpetual non‑exclusive license.
We have the unilateral right to terminate the license agreement in its entirety without cause upon 90 days prior written notice to
Merck. Either party may terminate the license agreement in its entirety in the event of an uncured material breach by the other party, upon
the other party’s filing or institution of bankruptcy, reorganization, liquidation or receivership proceeding or upon an assignment of a
substantial portion of its assets for the benefit of creditors. Merck may terminate the license agreement with respect to a particular patent
licensed to us if we challenge the validity or enforceability of such patent. If Merck terminates the agreement for cause, or if we exercise
our right to terminate the agreement without cause, the rights granted to us under this license will revert to Merck.
Commercialization
We have not yet established a sales, marketing or product distribution infrastructure because our candidates are still in preclinical
or early clinical development. We intend to selectively retain commercialization or co‑commercialization rights in the United States for
CERC‑501, CERC‑301, CERC-611 and certain indications of our COMTi platform, which we may complement with co‑promotion
agreements with partners. For those product candidates for which we receive marketing
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approval, we plan to build a specialty sales force and marketing team as well as to collaborate with third parties to market the approved
product candidates in the United States. We may also seek to commercialize any of our approved products outside of the United States,
although we only plan to do so with one or more collaborators.
Competition
We face, and will continue to face, intense competition from pharmaceutical and biotechnology companies, as well as numerous
academic and research institutions and governmental agencies, both in the United States and abroad. We compete, or will compete, with
existing and new products being developed by our competitors. Some of these competitors are pursuing the development of
pharmaceuticals that target the same diseases and conditions that our research and development programs target. Even if we and our
potential collaborators are successful in developing our product candidates, the resulting products would compete with a variety of
established drugs in the areas of depression, bipolar depression, schizophrenia, epilepsy, Parkinson’s disease, substance use disorders and
pain and impulse control disorders, or ICDs.
CERC‑501
To our knowledge, there are no other single moiety selective KOR antagonists in development to date. ALKS 5461, however, is
believed to be acting as a functional KOR antagonist that successfully completed its Phase 3 development for MDD as an adjunctive
antidepressant in patients with MDD. To our knowledge, the only other competitive program that is being studied in depression and
substance use disorders is LY2940094 by Lilly that is in Phase 2 development for the treatment of both MDD and alcohol dependence.
CERC‑301
CERC‑301 will compete with other drugs used as adjunctive therapies for the treatment of MDD, such as Abilify, marketed by
Otsuka America Pharmaceutical, Inc. and Bristol‑Myers Squibb; Seroquel XR, marketed by Astra Zeneca; and bupropion, a generic drug.
Furthermore, to our knowledge, there are five competitive rapid onset antidepressant or anti‑suicide programs in development:
• Esketamine is in Phase 3 development by Johnson & Johnson, or J&J, for administration as a nasal
spray;
• AZD8108 has completed Phase 1 development by AstraZeneca Pharmaceuticals LP, for oral
administration;
• Rapastinel is approaching Phase 3 development by Allergan plc, or Allergan, for intravenous
administration;
• NRX 1074 is approaching Phase 2 development by Allergan for oral administration;
and
• AV-101, an oral prodrug of 7-chlorokynurenic acid, is in Phase 2 development by VistaGen
Therapeutics
CERC-611
The epilepsy market is crowded with current therapies targeting a variety of mechanisms, including GABA receptor agonism, T-
type calcium channel blockers, sodium channel modulators, synaptic vesicle protein SV2A modulation, and inhibition of GABA
transaminase. More recently, a new class of AMPA receptor antagonists have been approved for the treatment of epilepsy.
CERC-611, if we are successful in developing it and it gains regulatory approval, would compete with a number of branded and
generic AEDs. A few major pharmaceutical companies (GSK (Lamictal/XR), Pfizer (Lyrica)) and specialty players (UCB (Vimpat,
Keppra), Lundbeck (Sabril) and Supernus (Trokendi XR)) dominate the anti-epilepsy drug therapy market. New market entrants such as
Sage Pharmaceuticals and GW Pharmaceuticals are targeting difficult to treat orphan patient populations such as super-refractory status
epilepticus and Dravet Syndrome, respectively. To our knowledge, there are no other TARP γ-8-dependent AMPA receptor antagonist s in
development other than CERC-611.
CERC‑406
There are no approved pharmacologic treatments for cognitive impairment associated with MDD in the U.S. at this time. In March
2015, vortioxetine (Brintellix®), marketed in the United States by Lundbeck Pharmaceuticals, which was originally developed and
commercialized for the treatment of MDD, received a positive opinion from the Committee for Medicinal Products for Human Use of the
European Medicines Agency to expand the label to include information for cognitive
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function in patients with depression. A supplemental application for the addition of clinical data to the FDA approved product label for
Brintellix was not approved by the FDA.
COMT Inhibitor Platform
Our potential products for the treatment of schizophrenia would compete with Zyprexa, marketed by Lilly; Risperdal, marketed by
J&J; Abilify, Seroquel, and Clozaril. Zyprexa (olanzapine), Risperdal (risperidone), Seroquel (quetiapine) and Clozaril (clozapine) are all
now generic in the United States. Currently, no treatments are approved for cognitive impairment associated with schizophrenia.
Our potential products for the treatment of the cognitive impairment of Parkinson’s disease may compete with existing COMT
inhibitors Comtan (entacapone), marketed by Novartis Pharmaceuticals Corp., or Novartis, (licensed from Orion), Tasmar (tolcapone),
marketed by Valeant, and Stalevo (fixed combinations of entacapone and levodopa/carbidopa), also marketed by Novartis (licensed from
Orion). Comtan, Tasmar, and Stalevo are all generic in the United States. Currently, no treatments are approved for cognitive impairment
in Parkinson’s disease.
Our potential products for the treatment of ICDs would compete with the off‑label use of SSRIs. In addition, the pure opioid
antagonist, Revia (naltrexone) is approved for treating alcohol dependence and the blockage of the effects of exogenously administered
opioids and is marketed by Teva Women’s. The FDA has not approved specific medications in the treatment of ICDs; however, some
medications have proven effective, including SSRI antidepressants.
Overall Competitive Climate and Risks
In addition, the companies described above and other competitors may have a variety of drugs in development or may be awaiting
FDA approval that could reach the market and become established before we have a product to sell. Our competitors may also develop
alternative therapies that could further limit the market for any drugs that we may develop. Many of our competitors are using technologies
or methods different or similar to ours to identify and validate drug targets and to discover novel small compound drugs. Many of our
competitors and their collaborators have significantly greater experience than we do in the following:
• identifying and validating
targets;
• screening compounds against
targets;
• preclinical and clinical trials of potential pharmaceutical products;
and
• obtaining FDA and other regulatory
clearances.
In addition, many of our competitors and their collaborators have substantially greater advantages in the following areas:
• capital
resources;
• research and development
resources;
• manufacturing capabilities;
and
• sales and
marketing.
Smaller companies may also prove to be significant competitors, particularly through proprietary research discoveries and
collaborative arrangements with large pharmaceutical and established biotechnology companies. Many of our competitors have products
that have been approved or are in advanced development. We face competition from other companies, academic institutions, governmental
agencies and other public and private research organizations for collaborative arrangements with pharmaceutical and biotechnology
companies, in recruiting and retaining highly qualified scientific and management personnel and for licenses to additional technologies.
Our competitors, either alone or with their collaborators, may succeed in developing technologies or drugs that are more effective, safer,
and more affordable or more easily administered than ours and may achieve patent protection or commercialize drugs sooner than us.
Developments by others may render our product candidates or our technologies obsolete. Our failure to compete effectively could have a
material adverse effect on our business.
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For additional information on risks regarding our competition, refer to the section entitled “Risk Factors” in Item 1A of this
Annual Report on Form 10-K.
Government Regulation and Product Approval
Government authorities in the United States, at the federal, state and local level, and in other countries extensively regulate,
among other things, the research, development, testing, manufacture, packaging, storage, recordkeeping, labeling, advertising, promotion,
distribution, marketing, import and export, pricing, and government contracting related to pharmaceutical products such as those we are
developing. The processes for obtaining marketing approvals in the United States and in foreign countries, along with subsequent
compliance with applicable statutes and regulations, require the expenditure of substantial time and financial resources.
United States Government Regulation
In the United States, the FDA regulates drugs under the Federal Food, Drug, and Cosmetic Act, or FDCA, and its implementing
regulations. The process of obtaining marketing approvals and the subsequent compliance with appropriate federal, state, local and foreign
statutes and regulations requires the expenditure of substantial time and financial resources. Failure to comply with the applicable United
States requirements at any time during the product development process, approval process or after approval, may subject an applicant to a
variety of administrative or judicial sanctions, or other actions, such as the FDA’s delay in review of or refusal to approve a pending NDA,
withdrawal of an approval, imposition of a clinical hold or study termination, issuance of Warning Letters or Untitled Letters, mandated
modifications to promotional materials or issuance of corrective information, requests for product recalls, consent decrees, corporate
integrity agreements, deferred prosecution agreements, product seizures or detentions, refusal to allow product import or export, total or
partial suspension of or restriction of or imposition of other requirements relating to production or distribution, injunctions, fines,
debarment from government contracts and refusal of future orders under existing contracts, exclusion from participation in federal and state
healthcare programs, FDA debarment, restitution, disgorgement or civil or criminal penalties, including fines and imprisonment.
The process required by the FDA before a new drug may be marketed in the United States generally involves the following:
• completion of preclinical laboratory tests, animal studies and formulation studies in compliance with the FDA’s good laboratory
practice, or GLP, regulations;
• submission to the FDA of an IND which must become effective before human clinical trials may
begin;
• approval by local or central independent institutional review boards, or IRB, before each clinical trial may be
initiated;
• performance of human clinical trials, including adequate and well‑controlled clinical trials, in accordance with good clinical
practices, or GCP, and regulations to establish the safety and efficacy of the proposed drug product for each indication;
• submission to the FDA of an
NDA;
• satisfactory completion of an FDA advisory committee review, if
applicable;
• satisfactory completion of an FDA inspection of the manufacturing facility or facilities at which the product is produced to
assess compliance with current good manufacturing practice, or GMP, regulations and to assure that the facilities, methods and
controls are adequate to preserve the drug’s identity, strength, quality and purity, as well as satisfactory completion of an FDA
inspection of selected clinical sites to determine GCP compliance; and
• FDA review and approval of the
NDA.
Additionally, if a drug is considered a controlled substance, prior to the commencement of marketing, the DEA must also
determine the controlled substance schedule, taking into account the recommendation of the FDA.
Preclinical Studies and IND Submission
Preclinical studies include laboratory evaluation of product chemistry, pharmacology, toxicity and formulation, as well as animal
studies to assess potential safety and efficacy. An IND sponsor must submit the results of the preclinical tests,
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together with manufacturing information, analytical data and any available clinical data or literature, among other things, to the FDA as part
of an IND. Some preclinical testing may continue even after the IND is submitted. Once the IND is submitted, the sponsor must wait 30
calendar days before initiating any clinical trials. During this time, among other things, the FDA has an opportunity to review the IND for
safety to assure that research subjects will not be subjected to unreasonable risk. The FDA may raise concerns or questions related to one or
more proposed clinical trials and place the clinical trial on a clinical hold. In such a case, the IND sponsor and the FDA must resolve any
outstanding concerns before the clinical trial can begin. As a result, submission of an IND may not result in the FDA allowing clinical trials
to commence.
Clinical Trials
Clinical trials involve the administration of the investigational new drug to human subjects under the supervision of qualified
investigators in accordance with GCP requirements, which include the requirement that all research subjects provide their informed consent
in writing for their participation in any clinical trial, and review and approval by an IRB. Clinical trials are conducted under protocols
detailing, among other things, the objectives of the trial, the trial procedures, the parameters to be used in monitoring safety and the
effectiveness criteria to be evaluated, and a statistical analysis plan. A protocol for each clinical trial and any subsequent protocol
amendments must be submitted to the FDA as part of the IND. In addition, a central IRB or local IRB at each institution participating in the
clinical trial must review and approve the plan for any clinical trial before it commences at that institution, and the IRB must continue to
oversee the clinical trial, including any changes, while it is being conducted. Information about certain clinical trials, including a
description of the study and study results, must be submitted within specific timeframes to the National Institutes of Health, or NIH, for
public dissemination on their ClinicalTrials.gov website.
Human clinical trials are typically conducted in three sequential phases, which may overlap or be combined. In Phase 1, the drug is
initially introduced into healthy human subjects or subjects with the target disease or condition and tested for safety, dosage tolerance,
absorption, metabolism, distribution, excretion and, if possible, to gain an early indication of its effectiveness. In Phase 2, the drug typically
is administered through well‑controlled studies to a limited subject population with the target disease or condition to identify possible
adverse effects and safety risks, to preliminarily evaluate the efficacy of the product for specific targeted diseases and to determine dosage
tolerance and optimal dosage. In Phase 3, the drug is administered to an expanded subject population, generally at geographically dispersed
clinical trial sites, in two adequate and well‑controlled clinical trials to generate enough data to statistically evaluate the efficacy and safety
of the product for approval, to establish the overall risk‑benefit profile of the product and to provide adequate information for the labeling
of the product.
The manufacture of investigational drugs for the conduct of human clinical trials is subject to GMP requirements. Investigational
drugs and active pharmaceutical ingredients imported into the United States are also subject to regulation by the FDA relating to their
labeling and distribution. Further, the export of investigational drug products outside of the United States is subject to regulatory
requirements of the receiving country as well as United States export requirements under the FDCA.
Progress reports and other summary information detailing the results of the clinical trials must be submitted at least annually to the
FDA and more frequently if certain serious adverse events occur or other significant safety information is found. Phase 1, Phase 2 and
Phase 3 clinical trials may not be completed successfully within any specified period, or at all. Furthermore, the FDA or the sponsor may
suspend or terminate a clinical trial at any time on various grounds, including a finding that the research subjects are being exposed to an
unacceptable health risk or the trial is not being conducted in accordance with the applicable regulatory requirements or the protocol.
Similarly, an IRB can suspend or terminate approval of a clinical trial at its institution if the clinical trial is not being conducted in
accordance with the IRB’s requirements or if the drug has been associated with unexpected serious harm to subjects. Additionally, some
clinical trials are overseen by an independent group of qualified experts organized by the clinical trial sponsor, known as a data safety
monitoring board or committee. This group regularly reviews accumulated data and advises the study sponsor regarding the continuing
safety of trial subjects, potential trial subjects, and the continuing validity and scientific merit of the clinical trial. We may also suspend or
terminate a clinical trial based on evolving business objectives and/or competitive climate.
Marketing Approval
Assuming successful completion of the required clinical testing, the results of the preclinical and clinical studies, together with
detailed information relating to the product’s chemistry, manufacture, controls and proposed labeling, among other things, are submitted to
the FDA as part of an NDA requesting approval to market the product for one or more indications. In most cases, the submission of an
NDA is subject to a substantial application user fee. These user fees must be filed at the time of the first submission of the application, even
if the application is being submitted on a rolling basis. A waiver from the application user fee may be sought by an applicant. One basis for
a waiver of the application user fee is if the applicant employs
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fewer than 500 employees, including employees of affiliates, the applicant does not have a drug product that has been approved under a
human drug application and introduced or delivered for introduction into interstate commerce, and the applicant, including its affiliates, is
submitting its first human drug application. Under the Prescription Drug User Fee Act, or PDUFA, guidelines that are currently in effect,
the FDA has agreed to certain performance goals regarding the timing of its review of an application. The FDA aims to review 90% of all
standard review applications within ten months of acceptance for filing and six months of acceptance for filing for priority review
applications.
In addition, under the Pediatric Research Equity Act, or PREA, an NDA or supplement to an NDA for a new active ingredient,
indication, dosage form, dosage regimen or route of administration must contain data that are adequate to assess the safety and effectiveness
of the drug for the claimed indications in all relevant pediatric subpopulations, and to support dosing and administration for each pediatric
subpopulation for which the product is safe and effective. The FDA may, on its own initiative or at the request of the applicant, grant
deferrals for submission of some or all pediatric data until after approval of the product for use in adults, or full or partial waivers from the
pediatric data requirements.
The FDA also may require submission of a risk evaluation and mitigation strategy, or REMS, either during the application process
or after the approval of the drug to ensure the benefits of the drug outweigh the risks. The REMS plan could include medication guides,
physician communication plans, assessment plans, and elements to assure safe use, such as restricted distribution methods, patient registries
or other risk minimization tools.
The FDA conducts a preliminary review of all NDAs within the first 60 days after submission, before accepting them for filing, to
determine whether they are sufficiently complete to permit substantive review. The FDA may request additional information rather than
accept an NDA for filing. In this event, the application must be resubmitted with the additional information. The resubmitted application is
also subject to review before the FDA accepts it for filing. Once the submission is accepted for filing, the FDA begins an in‑depth
substantive review. The FDA reviews an NDA to determine, among other things, whether the drug is safe and effective and whether the
facility in which it is manufactured, processed, packaged or held meets standards designed to assure the product’s continued safety, quality
and purity.
Under the FDCA, before approving a drug for which no active ingredient (including any ester or salt of active ingredients) has
previously been approved by the FDA, the FDA must either refer that drug to an external advisory committee or provide in an action letter,
a summary of the reasons why the FDA did not refer the drug to an advisory committee. The external advisory committee review may also
be required for other drugs because of certain other issues, including clinical trial design, safety and effectiveness, and public health
questions. An advisory committee is a panel of independent experts, including clinicians and other scientific experts, that reviews,
evaluates and provides a recommendation as to whether the application should be approved and under what conditions. The FDA is not
bound by the recommendations of an advisory committee, but it considers such recommendations carefully when making decisions.
Before approving an NDA, the FDA will inspect the facility or facilities where the product is manufactured. The FDA will not
approve an application unless it determines that the manufacturing processes and facilities are in compliance with GMP requirements and
adequate to assure consistent production of the product within required specifications by the manufacturer and all of its subcontractors and
contract manufacturers. Additionally, before approving an NDA, the FDA will inspect one or more clinical trial sites to assure compliance
with GCP regulations.
The testing and approval process for an NDA requires substantial time, effort and financial resources, and each may take several
years to complete. Data obtained from preclinical and clinical testing are not always conclusive and may be susceptible to varying
interpretations, which could delay, limit or prevent marketing approval. The FDA may not grant approval of an NDA on a timely basis, or
at all.
After evaluating the NDA and all related information, including the advisory committee recommendation, if any, and inspection
reports regarding the manufacturing facilities and clinical trial sites, the FDA may issue an approval letter, or, in some cases, a complete
response letter. A complete response letter generally contains a statement of specific conditions that must be met in order to secure final
approval of the NDA and may require additional clinical or preclinical testing, or other information, in order for FDA to reconsider the
application. The FDA has a review goal of completing its review of 90% of resubmissions within two or six months after receipt,
depending on the type of information included. Even with submission of this additional information, the FDA ultimately may decide that
the application does not satisfy the regulatory criteria for approval. If and when those conditions have been met to the FDA’s satisfaction,
the FDA may issue an approval letter. An approval letter authorizes commercial marketing of the drug with specific prescribing
information for specific indications.
Even if the FDA approves a product, it may limit the approved indications for use of the product, require that contraindications,
warnings or precautions be included in the product labeling, including a black boxed warning, require that
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post‑approval studies, including Phase 4 clinical trials, be conducted to further assess a drug’s safety after approval, require testing and
surveillance programs to monitor the product after commercialization, or impose other conditions, including distribution restrictions or
other risk management mechanisms under a REMS which can materially affect the potential market and profitability of the product. The
FDA may prevent or limit further marketing of a product based on the results of post‑marketing studies or surveillance programs. After
approval, certain circumstances may require FDA notification, review, or approval, as well as further testing. These may include some
types of changes to the approved product, such as adding new indications, manufacturing changes, and additional labeling claims, or new
safety information
Special FDA Expedited Review and Approval Programs
The FDA has various programs, including fast track designation, accelerated approval, priority review and breakthrough
designation, that are intended to expedite or simplify the process for the development and FDA review of drugs that are intended for the
treatment of serious or life threatening diseases or conditions, and demonstrate the potential to address unmet medical needs or present a
significant improvement over existing therapy. The purpose of these programs is to provide important new drugs to patients earlier than
under standard FDA review procedures.
To be eligible for a fast track designation, the FDA must determine, based on the request of a sponsor, that a product is intended to
treat a serious or life threatening disease or condition and demonstrates the potential to address an unmet medical need. The FDA will
determine that a product will fill an unmet medical need if the product will provide a therapy where none exists or provide a therapy that
may be potentially superior to existing therapy based on efficacy, safety, or public health factors. If fast track designation is obtained, drug
sponsors may be eligible for more frequent development meetings and correspondence with the FDA. In addition, the FDA may initiate
review of sections of an NDA before the application is complete. This “rolling review” is available if the applicant provides and the FDA
approves a schedule for the remaining information. In some cases, a fast track product may be eligible for accelerated approval or priority
review.
The FDA may give a priority review designation to drugs that are intended to treat serious conditions and provide significant
improvements in the safety or effectiveness of the treatment, diagnosis, or prevention of serious conditions. A priority review means that
the goal for the FDA is to review an application in six months, rather than the standard review of ten months under current PDUFA
guidelines. These six and ten month review periods are measured from the “filing” date rather than the receipt date for NDAs, which
typically adds approximately two months to the timeline for review and decision from the date of submission. Products that are eligible for
fast track designation may also be considered appropriate to receive a priority review.
In addition, products studied for their safety and effectiveness in treating serious or life‑threatening illnesses or conditions and that
fill an unmet medical need may be eligible for accelerated approval and may be approved on the basis of adequate and well‑controlled
clinical trials establishing that the drug product has an effect on a surrogate endpoint that is reasonably likely to predict clinical benefit, or
on a clinical endpoint that can be measured earlier than irreversible morbidity or mortality, that is reasonably likely to predict an effect on
irreversible morbidity or mortality or other clinical benefit, taking into account the severity, rarity or prevalence of the condition and the
availability or lack of alternative treatments. As a condition of approval, the FDA may require a sponsor of a drug receiving accelerated
approval to perform post‑marketing studies to verify and describe the predicted effect on irreversible morbidity or mortality or other
clinical endpoints, and the drug may be subject to accelerated withdrawal procedures.
Moreover, under the provisions of the new Food and Drug Administration Safety and Innovation Act, or FDASIA, enacted in
2012, a sponsor can request designation of a product candidate as a “breakthrough therapy.” A breakthrough therapy is defined as a drug
that is intended, alone or in combination with one or more other drugs, to treat a serious or life‑threatening disease or condition, and
preliminary clinical evidence indicates that the drug may demonstrate substantial improvement over existing therapies on one or more
clinically significant endpoints, such as substantial treatment effects observed early in clinical development. Drugs designated as
breakthrough therapies are eligible for the fast track designation features as described above, intensive guidance on an efficient drug
development program beginning as early as Phase 1 trials, and a commitment from the FDA to involve senior managers and experienced
review staff in a proactive collaborative, cross‑disciplinary review.
Even if a product qualifies for one or more of these programs, the FDA may later decide that the product no longer meets the
conditions for qualification or decide that the time period for FDA review or approval will not be shortened.
Post‑Approval Requirements
Drugs manufactured or distributed pursuant to FDA approvals are subject to pervasive and continuing regulation by the FDA,
including, among other things, requirements relating to recordkeeping, manufacturing, periodic reporting, product
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sampling and distribution, advertising and promotion, and reporting of adverse experiences with the product and drug shortages. After
approval, most changes to the approved product, such as adding new indications or other labeling claims are subject to prior FDA review
and approval. There also are continuing, annual user fee requirements for any marketed products and the establishments at which such
products are manufactured, as well as new application fees for supplemental applications with clinical data.
The FDA may impose a number of post‑approval requirements as a condition of approval of an NDA. For example, the FDA may
require post‑marketing testing, including Phase 4 clinical trials and surveillance to further assess and monitor the product’s safety and
effectiveness after commercialization.
In addition, drug manufacturers and other entities involved in the manufacture and distribution of approved drugs are required to
register their establishments with the FDA and state agencies and list drugs manufactured at their facilities with the FDA. These facilities
are further subject to periodic announced and unannounced inspections by the FDA and these state agencies for compliance with GMP and
other regulatory requirements. Changes to the manufacturing process are strictly regulated and may require prior approval by the FDA or
notification to the FDA before or after being implemented. FDA regulations also require investigation and correction of any deviations
from GMP and impose reporting and documentation requirements upon the sponsor and any third‑party manufacturers that the sponsor may
decide to use. Accordingly, manufacturers must continue to expend time, money and effort in the area of production and quality control to
maintain GMP compliance.
Once an approval is granted, the FDA may withdraw the approval if compliance with regulatory requirements and standards is not
maintained or if problems occur after the product becomes available in the market.
Later discovery of previously unknown problems with a product, including adverse events of unanticipated severity or frequency,
or with manufacturing processes, or failure to comply with regulatory requirements, may result in mandatory revisions to the approved
labeling to add new safety information; imposition of post‑market studies or clinical trials to assess new safety risks; or imposition of
distribution or other restrictions under a REMS program. Other potential consequences include, among other things:
• restrictions on the marketing or manufacturing of the product, complete withdrawal of the product from the market or product
recalls;
• fines, Warning Letters or Untitled Letters, holds or termination of post‑approval clinical trials or FDA
debarment;
• delay or refusal of the FDA to approve pending NDAs or supplements to approved NDAs, or suspension or revocation of
product license approvals;
• regulatory authority, including the FDA, issued safety alerts, Dear Healthcare Provider letters, press releases or other
communications containing warnings about such products;
• mandated modifications to promotional material or issuance of corrective
information;
• product seizure or detention, or refusal to permit the import or export of products;
or
• injunctions or the imposition of civil or criminal penalties, including imprisonment, disgorgement and restitution, as well as
consent decrees, corporate integrity agreements, deferred prosecution agreements and exclusion from federal healthcare
programs.
The FDA strictly regulates marketing, labeling, advertising and promotion of products that are placed on the market. Although
physicians, in the practice of medicine, may prescribe approved drugs for unapproved indications, pharmaceutical companies are
prohibited from marketing or promoting their drug products for uses outside of the approved indications in the approved prescribing
information. The FDA and other agencies actively enforce the laws and regulations prohibiting the promotion of off‑label uses, and a
company that is found to have improperly marketed or promoted off‑label uses may be subject to significant liability, including criminal
and civil penalties under the FDCA and False Claims Act, exclusion from participation in federal healthcare programs debarment from
government contracts and refusal of future orders under existing contracts, and mandatory compliance programs under corporate integrity
agreements or deferred prosecution agreements.
In addition, the distribution of prescription pharmaceutical products, including samples, is subject to the Prescription Drug
Marketing Act, or PDMA, which, among other things, regulates the distribution of drugs and drug samples at the federal level, and sets
minimum standards for the registration and regulation of drug distributors by the states. Both the PDMA and
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state laws limit the distribution of prescription pharmaceutical product samples and impose requirements to ensure accountability in
distribution.
Moreover, the recently enacted Drug Quality and Security Act, imposes new obligations on manufacturers of pharmaceutical
products related to product tracking and tracing. Among the requirements of this new legislation, manufacturers will be required to provide
certain information regarding drug products to individuals and entities to which product ownership is transferred, label drug products with a
product identifier, and keep certain records regarding drug products. The transfer of information to subsequent product owners by
manufacturers will eventually be required to be done electronically. Manufacturers will also be required to verify that purchasers of the
manufacturers’ products are appropriately licensed. Further, under this new legislation, manufactures will have drug product investigation,
quarantine, disposition, and FDA and trading partner notification responsibilities related to counterfeit, diverted, stolen, and intentionally
adulterated products such that they would result in serious adverse health consequences or death, as well as products that are the subject of
fraudulent transactions or which are otherwise unfit for distribution such that they would be reasonably likely to result in serious health
consequences or death.
DEA Regulation
While we currently do not know whether any of our product candidates will be considered to be controlled substances, we will be
required to evaluate the abuse potential of our product candidates. If any of our product candidates are considered controlled substances,
we will need to comply with additional regulatory requirements.
Certain drug products may be regulated as “controlled substances” as defined in the Controlled Substances Act of 1970, or CSA,
and the United States Drug Enforcement Administration’s, or DEA’s, implementing regulations. The DEA regulates controlled substances
as Schedule I, II, III, IV or V substances. Schedule I substances by definition have no established medicinal use, and may not be marketed
or sold in the United States. A pharmaceutical product may be listed as Schedule II, III, IV or V, with Schedule II substances considered to
present the highest risk of abuse and Schedule V substances the lowest relative risk of abuse among such substances. FDA provides a
recommendation to DEA as to whether a drug should be classified as a controlled substance and the appropriate level of control. If DEA
scheduling is required, a drug product may not be marketed until the scheduling process is completed, which could delay the launch of the
product.
Depending on the Schedule, drug products may be subject to registration, security, recordkeeping, reporting, storage, distribution,
importation, exportation, inventory, quota and other requirements administered by the DEA, which are directly applicable to product
applicants, contract manufacturers and to distributors, prescribers and dispensers of controlled substances. The DEA regulates the handling
of controlled substances through a closed chain of distribution. This control extends to the equipment and raw materials used in their
manufacture and packaging in order to prevent loss and diversion into illicit channels of commerce.
Annual registration is required for any facility that manufactures, distributes, dispenses, imports or exports any controlled
substance. The registration is specific to the particular location, activity and controlled substance schedule. For example, separate
registrations are needed for import and manufacturing, and each registration will specify which schedules of controlled substances are
authorized. Similarly, separate registrations are also required for separate facilities.
The DEA typically inspects a facility to review its security measures prior to issuing a registration and on a periodic basis. Security
requirements vary by controlled substance schedule, with the most stringent requirements applying to Schedule I and Schedule II
substances. Records must be maintained for the handling of all controlled substances, and periodic reports may be required to made to the
DEA for the distribution of certain controlled substances. Reports must also be made for thefts or significant losses of any controlled
substance. To enforce these requirements, the DEA conducts periodic inspections of registered establishments that handle controlled
substances. Failure to maintain compliance with applicable requirements, particularly as manifested in loss or diversion, can result in
administrative, civil or criminal enforcement. The DEA may seek civil penalties, refuse to renew necessary registrations, or initiate
administrative proceedings to revoke those registrations. In some circumstances, violations could result in criminal proceedings or consent
decrees. Individual states also independently regulate controlled substances.
Federal and State Healthcare related, Fraud and Abuse and Data Privacy and Security Laws and Regulations
In addition to FDA restrictions on marketing of pharmaceutical products, federal and state fraud and abuse, and other laws
regulations, and requirements restrict business practices in the biopharmaceutical industry. These laws include anti‑kickback and false
claims laws and regulations, state and federal transparency laws regarding payments or other items of value provided to health care
professionals, as well as data privacy and security laws and regulations and other requirements
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applicable to the healthcare industry, including pharmaceutical manufacturers. There are also laws, regulations, and requirements applicable
to the award and performance of federal contracts and grants.
The federal Anti-Kickback Statute prohibits, among other things, knowingly and willfully offering, paying, soliciting or receiving
remuneration to induce or in return for purchasing, leasing, ordering, or arranging for or recommending the purchase, lease, or order of any
item or service reimbursable, in whole or in part, under Medicare, Medicaid or other federal healthcare programs. The term “remuneration”
has been broadly interpreted to include anything of value. The Anti‑Kickback Statute has been interpreted to apply to arrangements
between pharmaceutical manufacturers on one hand and prescribers, purchasers, formulary managers, and beneficiaries on the other.
Although there are a number of statutory exceptions and regulatory safe harbors protecting some common activities from prosecution, the
exceptions and safe harbors are narrowly drawn. Practices that involve remuneration that may be alleged to be intended to induce
prescribing, purchases, or recommendations may be subject to scrutiny if they do not meet the requirements of a statutory or regulatory
exception or safe harbor. Several courts have interpreted the statute’s intent requirement to mean that if any one purpose of an arrangement
involving remuneration is to induce referrals of federal healthcare covered business, the statute has been violated.
The reach of the Anti-Kickback Statute was also broadened by the Patient Protection and Affordable Care Act of 2010, as
amended by the Health Care and Education Reconciliation Act of 2010, or collectively Affordable Care Act, which, among other things,
amended the intent requirement of the federal Anti-Kickback Statute and certain provisions of the criminal health care fraud statute
(discussed below) such that a person or entity no longer needs to have actual knowledge of the statute or specific intent to violate it in order
to have committed a violation. In addition, the Affordable Care Act provides that the government may assert that a claim for payment for
items or services resulting from a violation of the federal Anti-Kickback Statute constitutes a false or fraudulent claim for purposes of the
civil False Claims Act. Penalties for violation of the Anti-Kickback Statute include criminal fines, imprisonment, civil penalties and
damages, exclusion from participation in federal healthcare programs and corporate integrity agreements or deferred prosecution
agreements. Conviction or civil judgments are also grounds for debarment from government contracts.
The federal civil False Claims Act prohibits any person from knowingly presenting, or causing to be presented, a false claim for
payment to the federal government or knowingly making, using, or causing to be made or used a false record or statement material to a false
or fraudulent claim to the federal government, including payments under a federal grant. A claim includes “any request or demand” for
money or property presented to the United States government. The False Claims Act also applies to false submissions that cause the
government to be paid less than the amount to which it is entitled, such as a rebate. Intent to deceive is not required to establish liability
under the civil False Claims Act. Several pharmaceutical and other healthcare companies have been sued under these laws for allegedly
providing free product to customers with the expectation that the customers would bill federal programs for the product. Companies have
also been sued for causing false claims to be submitted because of the companies’ marketing of products for unapproved, or off‑label, uses.
In addition, federal health care programs require drug manufacturers to report drug pricing information, which is used to quantify discounts
and establish reimbursement rates. Several pharmaceutical and other healthcare companies have been sued for reporting allegedly false
pricing information, which caused the manufacturer to understate rebates owed or, when used to determine reimbursement rates, caused
overpayment to providers. Violations of the civil False Claims Act may result in civil penalties and damages as well as exclusion from
federal healthcare programs and corporate integrity agreements or deferred prosecution agreements. The government may further prosecute
conduct constituting a false claim under the criminal False Claims Act. The criminal False Claims Act prohibits the making or presenting
of a claim to the government knowing such claim to be false, fictitious, or fraudulent and, unlike the civil False Claims Act, requires proof
of intent to submit a false claim. Violations of the criminal False Claims Act can result in criminal fines and/or imprisonment, as well as
exclusion from participation in federal healthcare programs. Conviction or civil judgments and other conduct are also grounds for
debarment from government contracts and grants.
The federal Health Insurance Portability and Accountability Act of 1996, or HIPAA, also created federal criminal statutes that
prohibit, among other actions, knowingly and willfully executing, or attempting to execute, a scheme to defraud any healthcare benefit
program, including private third‑party payers, knowingly and willfully embezzling or stealing from a health care benefit program, willfully
obstructing a criminal investigation of a health care offense, and knowingly and willfully falsifying, concealing or covering up a material
fact or making any materially false, fictitious or fraudulent statement in connection with the delivery of or payment for healthcare benefits,
items or services. As discussed above, the Affordable Care Act amended the intent standard for certain of HIPAA’s healthcare fraud
provisions such that a person or entity no longer needs to have actual knowledge of the statute or specific intent to violate it in order to have
committed a violation. Violations of HIPAA’s fraud and abuse provisions may result in fines or imprisonment, as well as exclusion from
participation in federal healthcare programs, depending on the conduct in question. Also, many states have similar fraud and abuse statutes
or regulations that apply to items and services reimbursed under Medicaid and other state programs, or, in several states, apply regardless of
the payor.
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The civil monetary penalties statute imposes penalties against any person or entity who, among other things, is determined to have
presented or caused to be presented a claim to a federal health program that the person knows or should know is for an item or service that
was not provided as claimed or is false or fraudulent.
The Veterans Health Care Act requires manufacturers of covered drugs to offer them for sale on the Federal Supply Schedule,
which requires compliance with applicable federal procurement laws and regulations and subjects us to contractual remedies as well as
administrative, civil and criminal sanctions.
In addition, there has been a recent trend of increased federal and state regulation of payments made to physicians and other health
care providers. The Affordable Care Act created new federal requirements for reporting, by applicable manufacturers of covered drugs,
payments and other transfers of value to physicians and teaching hospitals, and ownership and investment interests held by physicians and
other healthcare providers and their immediate family members. Certain states also require implementation of commercial compliance
programs and compliance with the pharmaceutical industry’s voluntary compliance guidelines and the applicable compliance guidance
promulgated by the federal government, or otherwise restrict payments or the provision of other items of value that may be made to
healthcare providers and other potential referral sources; impose restrictions on marketing practices; and/or require drug manufacturers to
track and report information related to payments, gifts and other items of value to physicians and other healthcare providers.
We may also be subject to data privacy and security regulation by both the federal government and the states in which we conduct
our business. HIPAA, as amended by the Health Information Technology for Economic and Clinical Health Act, or HITECH, and its
implementing regulations, imposes specified requirements relating to the privacy, security and transmission of individually identifiable
health information. Penalties for violating HIPAA include civil penalties, criminal penalties and imprisonment. Among other things,
HITECH, through its implementing regulations, makes HIPAA’s privacy and security standards directly applicable to “business associates,”
defined as a person or organization, other than a member of a covered entity’s workforce, that creates, receives, maintains or transmits
protected health information on behalf of a covered entity for a function or activity regulated by HIPAA. HITECH also increased the civil
and criminal penalties that may be imposed against covered entities, business associates and possibly other persons, and gave state
attorneys general new authority to file civil actions for damages or injunctions in federal courts to enforce the federal HIPAA laws and seek
attorneys’ fees and costs associated with pursuing federal civil actions. In addition, other federal and state laws govern the privacy and
security of health and other information in certain circumstances, many of which differ from each other in significant ways and may not
have the same requirements, thus complicating compliance efforts.
To the extent that any of our products are sold in a foreign country, we may be subject to similar foreign laws and regulations,
which may include, for instance, applicable post‑marketing requirements, including safety surveillance, anti‑fraud and abuse laws, and
implementation of corporate compliance programs and reporting of payments or transfers of value to healthcare professionals.
Coverage and Reimbursement
The commercial success of our product candidates and our ability to commercialize any approved product candidates successfully
will depend in part on the extent to which governmental authorities, private health insurers and other third‑party payers provide coverage
for and establish adequate reimbursement levels for our therapeutic product candidates. In the United States, the European Union and other
potentially significant markets for our product candidates, government authorities and third‑party payers are increasingly imposing
additional requirements and restrictions on coverage, attempting to limit reimbursement levels or regulate the price of drugs and other
medical products and services, particularly for new and innovative products and therapies, which often has resulted in average selling prices
lower than they would otherwise be. For example, in the United States, federal and state governments reimburse covered prescription drugs
at varying rates generally below average wholesale price. Federal programs also impose price controls through mandatory ceiling prices on
purchases by federal agencies and federally funded hospitals and clinics and mandatory rebates on retail pharmacy prescriptions paid by
Medicaid and Tricare. These restrictions and limitations influence the purchase of healthcare services and products. Legislative proposals to
reform healthcare or reduce costs under government programs may result in lower reimbursement for our product candidates or exclusion
of our product candidates from coverage. Moreover, the Medicare and Medicaid programs increasingly are used as models for how private
payers and other governmental payers develop their coverage and reimbursement policies.
In addition, the increased emphasis on managed healthcare in the United States and on country and regional pricing and
reimbursement controls in the European Union will put additional pressure on product pricing, reimbursement and utilization, which may
adversely affect our future product sales and results of operations. These pressures can arise from rules and practices of managed care
groups, competition within therapeutic classes, availability of generic equivalents, judicial
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decisions and governmental laws and regulations related to Medicare, Medicaid and healthcare reform, coverage and reimbursement
policies and pricing in general. The cost containment measures that healthcare payers and providers are instituting and any healthcare
reform implemented in the future could significantly reduce our revenues from the sale of any approved product candidates. We cannot
provide any assurances that we will be able to obtain and maintain third‑party coverage or adequate reimbursement for our product
candidates in whole or in part.
Impact of Healthcare Reform on Coverage, Reimbursement, and Pricing
The Medicare Prescription Drug, Improvement, and Modernization Act of 2003, or the MMA, imposed new requirements for the
distribution and pricing of prescription drugs for Medicare beneficiaries. Under Part D, Medicare beneficiaries may enroll in prescription
drug plans offered by private entities that provide coverage of outpatient prescription, pharmacy drugs pursuant to federal regulations.
Part D plans include both standalone prescription drug benefit plans and prescription drug coverage as a supplement to Medicare Advantage
plans. Unlike Medicare Part A and B, Part D coverage is not standardized. In general, Part D prescription drug plan sponsors have
flexibility regarding coverage of Part D drugs, and each drug plan can develop its own drug formulary that identifies which drugs it will
cover and at what tier or level. However, Part D prescription drug formularies must include drugs within each therapeutic category and class
of covered Part D drugs, though not necessarily all the drugs in each category or class, with certain exceptions. Any formulary used by a
Part D prescription drug plan must be developed and reviewed by a pharmacy and therapeutic committee. Government payment for some of
the costs of prescription drugs may increase demand for any products for which we receive marketing approval. However, any negotiated
prices for our future products covered by a Part D prescription drug plan will likely be discounted, thereby lowering the net price realized
on our sales to pharmacies. Moreover, while the MMA applies only to drug benefits for Medicare beneficiaries, private payers often follow
Medicare coverage policy and payment limitations in setting their own payment rates. Any reduction in payment that results from Medicare
Part D may result in a similar reduction in payments from non‑governmental payers.
The American Recovery and Reinvestment Act of 2009 provides funding for the federal government to compare the effectiveness
of different treatments for the same illness. A plan for the research will be developed by the Department of Health and Human Services,
the Agency for Healthcare Research and Quality and the National Institutes for Health, and periodic reports on the status of the research and
related expenditures will be made to Congress. Although the results of the comparative effectiveness studies are not intended to mandate
coverage policies for public or private payers, it is not clear what effect, if any, the research will have on the sales of any product, if any
such product or the condition that it is intended to treat is the subject of a study. It is also possible that comparative effectiveness research
demonstrating benefits in a competitor’s product could adversely affect the sales of our product candidates. If third‑party payers do not
consider our product candidates to be cost‑effective compared to other available therapies, they may not cover our product candidates, once
approved, as a benefit under their plans or, if they do, the level of payment may not be sufficient to allow us to sell our products on a
profitable basis.
The United States and some foreign jurisdictions are considering enacting or have enacted a number of additional legislative and
regulatory proposals to change the healthcare system in ways that could affect our ability to sell our products profitably. Among policy
makers and payers in the United States and elsewhere, there is significant interest in promoting changes in healthcare systems with the
stated goals of containing healthcare costs, improving quality and expanding access. In the United States, the pharmaceutical industry has
been a particular focus of these efforts and has been significantly affected by major legislative initiatives, including, most recently, the
Affordable Care Act, which became law in March 2010 and substantially changes the way healthcare is financed by both governmental and
private insurers. Among other cost containment measures, the Affordable Care Act establishes an annual, nondeductible fee on any entity
that manufactures or imports specified branded prescription drugs and biologic agents; a new Medicare Part D coverage gap discount
program; expansion of Medicaid benefits and a new formula that increases the rebates a manufacturer must pay under the Medicaid Drug
Rebate Program; and expansion of the 340B drug discount program that mandates discounts to certain hospitals, community centers and
other qualifying providers. In the future, there may continue to be additional proposals relating to the reform of the United States healthcare
system, some of which could further limit the prices we are able to charge or the amounts of reimbursement available for our product
candidates once they are approved.
The Foreign Corrupt Practices Act
The Foreign Corrupt Practices Act or FCPA, prohibits any U.S. individual or business from paying, offering, or authorizing
payment or offering of anything of value, directly or indirectly, to any foreign official, political party or candidate for the purpose of
influencing any act or decision of the foreign entity in order to assist the individual or business in obtaining or retaining business. The
FCPA also obligates companies whose securities are listed in the United States to comply with accounting provisions requiring the
company to maintain books and records that accurately and fairly reflect all transactions of the corporation, including international
subsidiaries, and to devise and maintain an adequate system of internal accounting
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controls for international operations. Activities that violate the FCPA, even if they occur wholly outside the United States, can result in
criminal and civil fines, imprisonment, disgorgement, oversight, and debarment from government contracts.
Exclusivity and Approval of Competing Products
Hatch‑Waxman Patent Exclusivity
In seeking approval for a drug through an NDA, applicants are required to list with the FDA each patent with claims that cover the
applicant’s product or a method of using the product. Upon approval of a drug, each of the patents listed in the application for the drug is
then published in the FDA’s Approved Drug Products with Therapeutic Equivalence Evaluations, commonly known as the Orange Book.
Drugs listed in the Orange Book can, in turn, be cited by potential competitors in support of approval of an abbreviated new drug
application, or ANDA, or 505(b)(2) NDA. Generally, an ANDA provides for marketing of a drug product that has the same active
ingredients in the same strengths, dosage form and route of administration as the listed drug and has been shown to be bioequivalent
through in vitro or in vivo testing or otherwise to the listed drug. ANDA applicants are not required to conduct or submit results of
preclinical or clinical tests to prove the safety or effectiveness of their drug product, other than the requirement for bioequivalence testing.
Drugs approved in this way are commonly referred to as “generic equivalents” to the listed drug, and can often be substituted by
pharmacists under prescriptions written for the reference listed drug. 505(b)(2) NDAs generally are submitted for changes to a previously
approved drug product, such as a new dosage form or indication.
The ANDA or 505(b)(2) NDA applicant is required to provide a certification to the FDA in the product application concerning any
patents listed for the approved product in the FDA’s Orange Book, except for patents covering methods of use for which the applicant is
not seeking approval. Specifically, the applicant must certify with respect to each patent that:
• the required patent information has not been
filed;
• the listed patent has
expired;
• the listed patent has not expired, but will expire on a particular date and approval is sought after patent expiration;
or
• the listed patent is invalid, unenforceable, or will not be infringed by the new
product.
Generally, the ANDA or 505(b)(2) NDA cannot be approved until all listed patents have expired, except when the ANDA or
505(b)(2) NDA applicant challenges a listed patent or if the listed patent is a patented method of use for which approval is not being sought.
A certification that the proposed product will not infringe the already approved product’s listed patents or that such patents are invalid or
unenforceable is called a Paragraph IV certification. If the applicant does not challenge the listed patents or does not indicate that it is not
seeking approval of a patented method of use, the ANDA or 505(b)(2) NDA application will not be approved until all the listed patents
claiming the referenced product have expired.
If the ANDA or 505(b)(2) NDA applicant has provided a Paragraph IV certification to the FDA, the applicant must also send
notice of the Paragraph IV certification to the NDA and patent holders once the application has been accepted for filing by the FDA. The
NDA and patent holders may then initiate a patent infringement lawsuit in response to the notice of the Paragraph IV certification. The
filing of a patent infringement lawsuit within 45 days after the receipt of notice of the Paragraph IV certification automatically prevents the
FDA from approving the ANDA or 505(b)(2) NDA until the earlier of 30 months, expiration of the patent, settlement of the lawsuit, a
decision in the infringement case that is favorable to the ANDA applicant or other period determined by a court.
Hatch‑Waxman Non‑Patent Exclusivity
Market and data exclusivity provisions under the FDCA also can delay the submission or the approval of certain applications for
competing products. The FDCA provides a five‑year period of non‑patent data exclusivity within the United States to the first applicant to
gain approval of an NDA for a new chemical entity. A drug is a new chemical entity if the FDA has not previously approved any other new
drug containing the same active moiety, which is the molecule or ion responsible for the therapeutic activity of the drug substance. During
the exclusivity period, the FDA may not accept for review an ANDA or a 505(b)(2) NDA submitted by another company that contains the
previously approved active moiety. However, an ANDA or 505(b)(2) NDA may be submitted after four years if it contains a certification of
patent invalidity or non‑infringement.
The FDCA also provides three years of marketing exclusivity for an NDA, 505(b)(2) NDA, or supplement to an existing NDA or
505(b)(2) NDA if new clinical investigations, other than bioavailability studies, that were conducted or
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sponsored by the applicant, are deemed by the FDA to be essential to the approval of the application or supplement. Three‑year exclusivity
may be awarded for changes to a previously approved drug product, such as new indications, dosages, strengths or dosage forms of an
existing drug. This three‑year exclusivity covers only the conditions of use associated with the new clinical investigations and, as a general
matter, does not prohibit the FDA from approving ANDAs or 505(b)(2) NDAs for generic versions of the original, unmodified drug
product. Five‑year and three‑year exclusivity will not delay the submission or approval of a full NDA; however, an applicant submitting a
full NDA would be required to conduct or obtain a right of reference to all of the preclinical studies and adequate and well‑controlled
clinical trials necessary to demonstrate safety and effectiveness.
Pediatric Exclusivity. Pediatric exclusivity is another type of non‑patent marketing exclusivity in the United States and, if
granted, provides for the attachment of an additional six months of marketing protection to the term of any existing regulatory exclusivity,
including the non‑patent exclusivity period described above. This six‑month exclusivity may be granted if an NDA sponsor submits
pediatric data that fairly respond to a written request from the FDA for such data. The data do not need to show the product to be effective
in the pediatric population studied; rather, if the clinical trial is deemed to fairly respond to the FDA’s request, the additional protection is
granted. If reports of requested pediatric studies are submitted to and accepted by FDA within the statutory time limits, whatever statutory
or regulatory periods of exclusivity or Orange Book listed patent protection cover the drug are extended by six months. This is not a patent
term extension, but it effectively extends the regulatory period during which the FDA cannot approve an ANDA or 505(b)(2) application
owing to regulatory exclusivity or listed patents.
Orphan Drug Designation and Exclusivity. The Orphan Drug Act provides incentives for the development of drugs intended to
treat rare diseases or conditions, which generally are diseases or conditions affecting less than 200,000 individuals annually in the United
States, or affecting more than 200,000 in the United States and for which there is no reasonable expectation that the cost of developing and
making the drug available in the United States will be recovered from United States sales. Additionally, sponsors must present a plausible
hypothesis for clinical superiority to obtain orphan designation if there is a drug already approved by the FDA that is intended for the same
indication and that is considered by the FDA to be the same drug as the already approved drug. This hypothesis must be demonstrated to
obtain orphan drug exclusivity. Orphan drug designation entitles a party to financial incentives such as opportunities for grant funding
towards clinical study costs, tax advantages, and user‑fee waivers. In addition, if a product receives FDA approval for the indication for
which it has orphan designation, the product is generally entitled to orphan drug exclusivity, which means the FDA may not approve any
other application to market the same drug for the same indication for a period of seven years, except in limited circumstances, such as a
showing of clinical superiority over the product with orphan exclusivity. While we have not sought to obtain orphan drug designation for
any of our products, we may in the future seek such designation if we determine that the relevant criteria are met.
Foreign Regulation
In order to market any product outside of the United States, we would need to comply with numerous and varying regulatory
requirements of other countries regarding safety and efficacy and governing, among other things, clinical trials, marketing authorization,
commercial sales and distribution of our products. For example, in the European Union, we must obtain authorization of a clinical trial
application, or CTA, in each member state in which we intend to conduct a clinical trial. Whether or not we obtain FDA approval for a
product, we would need to obtain the necessary approvals by the comparable regulatory authorities of foreign countries before we can
commence clinical trials or marketing of the product in those countries. The approval process varies from country to country and can
involve additional product testing and additional administrative review periods. The time required to obtain approval in other countries
might differ from and be longer than that required to obtain FDA approval. Regulatory approval in one country does not ensure regulatory
approval in another, but a failure or delay in obtaining regulatory approval in one country may negatively impact the regulatory process in
others.
European Union Drug Approval Process
To obtain a marketing authorization of a drug in the European Union, we may submit marketing authorization applications, or
MAAs, either under the so‑called centralized or national authorization procedures.
Centralized procedure
The centralized procedure provides for the grant of a single marketing authorization following a favorable opinion by the
European Medicines Agency or EMA that is valid in all European Union member states, as well as Iceland, Liechtenstein and Norway. The
centralized procedure is compulsory for medicines produced by specified biotechnological processes, products designated as orphan
medicinal products, and products with a new active substance indicated for the treatment of
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specified diseases, such as HIV/AIDS, cancer, diabetes, neurodegenerative disorders or autoimmune diseases and other immune
dysfunctions. The centralized procedure is optional for products that represent a significant therapeutic, scientific or technical innovation, or
whose authorization would be in the interest of public health. Under the centralized procedure the maximum timeframe for the evaluation
of an MAA by the EMA is 210 days, excluding clock stops, when additional written or oral information is to be provided by the applicant
in response to questions asked by the Committee of Medicinal Products for Human Use, or the CHMP. Accelerated assessment might be
granted by the CHMP in exceptional cases, when a medicinal product is expected to be of a major public health interest, particularly from
the point of view of therapeutic innovation. The timeframe for the evaluation of an MAA under the accelerated assessment procedure is of
150 days, excluding stop‑clocks.
National authorization procedures
There are also two other possible routes to authorize medicinal products in several European Union countries, which are available
for investigational medicinal products that fall outside the scope of the centralized procedure:
• Decentralized procedure. Using the decentralized procedure, an applicant may apply for simultaneous authorization in more
than one European Union country of medicinal products that have not yet been authorized in any European Union country and
that do not fall within the mandatory scope of the centralized procedure.
• Mutual recognition procedure. In the mutual recognition procedure, a medicine is first authorized in one European Union
Member State, in accordance with the national procedures of that country. Following this, further marketing authorizations can
be sought from other European Union countries in a procedure whereby the countries concerned agree to recognize the validity
of the original, national marketing authorization.
In the European Union, new products authorized for marketing (i.e., reference products) qualify for eight years of data exclusivity
and an additional two years of market exclusivity upon marketing authorization. The data exclusivity period prevents generic applicants
from relying on the preclinical and clinical trial data contained in the dossier of the reference product when applying for a generic
marketing authorization in the EU during a period of eight years from the date on which the reference product was first authorized in the
EU. The market exclusivity period prevents a successful generic applicant from commercializing its product in the EU until ten years have
elapsed from the initial authorization of the reference product in the EU. The ten‑year market exclusivity period can be extended to a
maximum of eleven years if, during the first eight years of those ten years, the marketing authorization holder obtains an authorization for
one or more new therapeutic indications which, during the scientific evaluation prior to their authorization, are held to bring a significant
clinical benefit in comparison with existing therapies.
Employees
As of December 31, 2016, we had 15 full‑time employees, eight of whom were primarily engaged in research and development
activities and three of whom had an M.D. and/or Ph.D. degree. None of our employees is represented by a labor union or covered by a
collective bargaining agreement. We consider our relationship with our employees to be good.
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Item 1A. Risk Factors
You should consider carefully the following information about the risks described below, together with the other information
contained in this Annual Report on Form 10-K and in our other public filings, in evaluating our business. If any of the following risks
actually occurs, our business, financial condition, results of operations and future growth prospects would likely be materially and
adversely affected. In these circumstances, the market price of our warrants and common stock would likely decline.
Risks Related to Our Financial Position and Capital Needs
We will require additional capital to continue to fund our operations and to finance the further advancement of our product candidates,
which may not be available to us on acceptable terms, or at all. Failure to obtain this necessary capital in the near term will force us to
delay, limit or terminate our product development efforts or cease our operations.
At December 31, 2016, we had $5.1 million in cash and cash equivalents and $4.3 million in current liabilities. Accordingly, we do
not currently have sufficient funds to finance our continuing operations beyond the short term or to further advance any of our product
candidates, including our planned initiation of a Phase 2/3 clinical trial with CERC-501 as an adjunctive treatment of major depressive
disorder, or MDD, in the next year, or our plan to commence Phase 1 development of CERC-611 in 2017. We will require additional
capital in the near term to finance our operations and pursue any further development of our product candidates. Following the conclusion
of our recent Phase 2 clinical trial for CERC-501 for smoking cessation, which failed to meet its primary efficacy endpoint, we plan to
initiate a Phase 2/3 clinical trial for CERC-501 in the next year, subject to the availability of additional funding. We are assessing the
results of our recent Phase 2 clinical trial for CERC-301 for MDD which failed to meet its primary efficacy endpoint but we believe
suggested a potentially clinically meaningful treatment effect in the 20 mg dose, and will announce potential next steps at a later date. We
plan to file an investigational new drug application, or an IND, with the FDA for CERC-611, and commence Phase 1 development in 2017
as an adjunctive therapy for the treatment of partial-onset seizures in patients with epilepsy, subject to the availability of additional funding.
As a research and development company, our operations have consumed substantial amounts of cash since inception. Identifying
potential product candidates and conducting preclinical testing and clinical trials is a time‑consuming, expensive and uncertain process that
takes years to complete, and we expect our research and development expenses to increase substantially in connection with our ongoing
activities, particularly as we advance our product candidates into clinical trials or obtain and advance additional product candidates.
Circumstances may cause us to consume capital more rapidly than we currently anticipate. For example, as we move our product
candidates through clinical trials, we may fail to meet our primary or secondary endpoints, which we recently reported had occurred for our
Phase 2 clinical trials for CERC-301 and CERC-501, respectively, and previously had occurred for our first Phase 2 study for CERC‑301,
requiring us to complete more trials than originally expected or we may discover serious adverse side effects. Moreover, as we move our
COMT inhibitor, or COMTi, product candidates, such as CERC‑406, through preclinical studies and continue to evaluate the development
plan for CERC-611, submit INDs and initiate clinical trials, we may produce adverse results requiring us to find new product candidates.
Any of these events may increase our development costs more than we expect. We may need to raise additional funds or otherwise obtain
funding through collaborations if we choose to initiate additional clinical trials for product candidates. In any event, we will require
additional capital to obtain marketing approval for, and to commercialize, future product candidates.
Additional fundraising efforts may divert our management from our day‑to‑day activities, which may adversely affect our ability
to develop and commercialize our product candidates. In addition, we cannot guarantee that future financing will be available in sufficient
amounts or on terms acceptable to us, if at all. If we do not raise additional capital when required or on acceptable terms, we may need to:
•
•
•
significantly delay, scale back or discontinue the development or commercialization of one or more of our product candidates
or cease operations altogether;
seek strategic alliances for research and development programs at an earlier stage than we would otherwise desire or on terms
less favorable than might otherwise be available; or
relinquish, or license on unfavorable terms, our rights to technologies or any future product candidates that we otherwise
would seek to develop or commercialize ourselves.
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If we do not raise additional capital in the near term in sufficient amounts, we would be prevented from pursuing development and
commercialization efforts and we could be required to cease operations altogether.
Our future funding requirements, both short and long term, will depend on many factors, including:
•
•
•
•
the initiation, progress, timing, costs and results of preclinical and clinical studies for our product candidates and future
product candidates we may develop;
the outcome, timing and cost of seeking and obtaining regulatory approvals from the FDA and comparable foreign regulatory
authorities, including the potential for such authorities to require that we perform more studies than we currently expect to
perform;
the cost to establish, maintain, expand and defend the scope of our intellectual property portfolio, including the amount and
timing of any payments we may be required to make, or that we may receive, in connection with licensing, preparing, filing,
prosecuting, defending and enforcing any patents or other intellectual property rights;
the effect of competing technological and market
developments;
• market acceptance of any approved product
candidates;
•
•
•
the costs of acquiring, licensing or investing in additional businesses, products, product candidates and
technologies;
the cost and timing of selecting, auditing and potentially validating a manufacturing site for commercial‑scale manufacturing;
and
the cost of establishing sales, marketing and distribution capabilities for our product candidates for which we may receive
marketing approval and that we determine to commercialize ourselves or in collaboration with our partners.
If a lack of available capital results in our inability to expand our operations or otherwise capitalize on our business opportunities,
our business, financial condition and results of operations could be materially adversely affected. We had cash and cash equivalents of $5.1
million as of December 31, 2016.
We may be unable to issue securities under our shelf registration statement, which may have an adverse effect on our liquidity.
We have filed a shelf registration statement on Form S-3 with the SEC. The registration statement was filed in reliance on
Instruction I.B.6. of Form S-3, which imposes a limitation on the maximum amount of securities that we may sell pursuant to the
registration statement during any twelve-month period. At the time we sell securities pursuant to the registration statement, the amount of
securities to be sold plus the amount of any securities we have sold during the prior twelve months in reliance on Instruction I.B.6. may not
exceed one-third of the aggregate market value of our outstanding common stock held by non-affiliates as of a day during the 60 days
immediately preceding such sale, as computed in accordance with Instruction I.B.6. This calculation will be updated immediately after we
file this Annual Report on Form 10-K and we expect that the amount of securities we will be able to sell under the registration statement on
Form S-3 thereafter will be approximately $3.3 million. Based on this calculation and as a result of our equity distribution agreement with
Maxim, we expect that we will be unable to sell additional securities pursuant to our effective registration statement on Form S-3 for a
period of twelve months following the date of the equity distribution agreement, unless and until the market value of our outstanding
common stock held by non-affiliates increases significantly. If we cannot sell securities under our shelf registration, we may be required to
utilize more costly and time-consuming means of accessing the capital markets, which could materially adversely affect our liquidity and
cash position.
Our recurring operating losses and negative cash flows from operations have raised substantial doubt regarding our ability to continue
as a going concern.
Our recurring operating losses and negative cash flows from operations raise substantial doubt about our ability to continue as a
going concern. We have no current source of revenues to sustain our present activities, and we do not expect to generate revenues until, and
unless, the FDA or other regulatory agencies approve our product candidates and we successfully commercialize any such product
candidates. Accordingly, our ability to continue as a going concern will require us to obtain
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additional financing to fund our operations. The perception of our inability to continue as a going concern may make it more difficult for us
to obtain financing for the continuation of our operations and could result in the loss of confidence by investors, suppliers and employees.
We have incurred significant net losses in every period since our inception and anticipate that we will continue to incur net losses in the
future.
We are a clinical‑stage biotechnology company with a limited operating history. Investment in biopharmaceutical product
development is highly speculative because it entails substantial upfront capital expenditures and significant risk that any potential product
candidate will fail to demonstrate an adequate effect or acceptable safety profile, gain marketing approval and become commercially
viable. To date, we have financed our operations primarily through private placements of our common and convertible preferred stock and
convertible debt, as well as our initial public offering in October 2015, our common stock purchase agreement, or the Purchase Agreement,
with Aspire Capital Fund, LLC, or Aspire Capital, pursuant to which Aspire Capital is committed to purchase up to an aggregate of $15.0
million of our shares of common stock over the 30-month term of the Purchase Agreement and our equity distribution agreement with
Maxim Group LLC, or Maxim, pursuant to which we may offer and sell shares of our common stock from time to time through Maxim,
acting as sales agent. We have no products approved for commercial sale and have not generated any revenue from product sales to date,
and we continue to incur significant research and development and other expenses related to our ongoing operations. As a result, we are not
profitable and have incurred significant losses in each period since our inception in 2011. We incurred net losses of $16.5 million, $10.5
million and $16.1 million for the years ended December 31, 2016, 2015 and 2014, respectively. As of December 31, 2016, we had an
accumulated deficit of $70.0 million. Substantially all of our operating losses have resulted from costs incurred in connection with our
research and development program and from general and administrative costs associated with our operations.
We expect to continue to incur significant losses for the foreseeable future, and we expect these losses to increase as we continue
our research and development of, and seek marketing approvals for, our product candidates. If we do not successfully develop and obtain
marketing approval for our product candidates and effectively market and sell any product candidates that are approved, we may never
generate product sales. Even if we do generate product sales, we may never achieve or sustain profitability on an annual basis.
Furthermore, following our initial public offering in October 2015, we have incurred additional costs associated with operating as a public
company. We may also encounter unforeseen expenses, difficulties, complications, delays and other unknown factors that may adversely
affect our business. The size of our future net losses will depend, in part, on the rate of future growth of our expenses and our ability to
generate revenues. Our prior losses and expected future losses have had and will continue to have an adverse effect on our stockholders’
equity and working capital.
We currently have no source of product revenue and may never become profitable.
Our ability to generate product revenue and achieve profitability depends on our ability, alone or with partners, to successfully
complete the development of, and obtain the marketing approvals necessary to commercialize, our product candidates. To date, we have
not generated any revenues from commercialization of our product candidates and we do not know when, or if, we will generate any such
revenues. Our ability to generate product revenue and ultimately become profitable depends upon our ability, alone or partnered, to
successfully commercialize products, including any of our current product candidates or other product candidates that we may develop,
in‑license or acquire in the future. We do not anticipate generating revenue from the sale of products for the foreseeable future. Our ability
to generate future product revenue from our current or future product candidates also depends on a number of additional factors, including
our ability to:
•
•
•
•
•
successfully complete research and clinical development of current and future product
candidates;
seek and obtain marketing approvals for product candidates for which we complete clinical
trials;
establish and maintain supply and manufacturing relationships with third parties, and ensure adequate and legally compliant
manufacturing of bulk drug substances and drug products to maintain that supply;
launch and commercialize product candidates for which we obtain marketing approval, if any, and if launched independently
or under a co‑promotion agreement, successfully establish a sales force, marketing and distribution infrastructure;
identify and validate new product
candidates;
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•
•
•
•
•
•
•
obtain coverage and adequate product reimbursement from third‑party payors, including government
payors;
achieve market acceptance for our or our partners’ products, if
any;
implement additional internal systems and infrastructure as
needed;
negotiate favorable terms in any collaboration, licensing or other arrangements into which we may
enter;
address any competing technological and market
developments;
establish, maintain and protect our intellectual property rights, including patents, trade secrets and know‑how;
and
attract, hire and retain qualified
personnel.
In addition, because of the numerous risks and uncertainties associated with biopharmaceutical product development, including
that our product candidates may not advance through development or achieve the endpoints of applicable clinical trials, we are unable to
predict the timing or amount of increased expenses. In addition, our expenses could increase beyond expectations if we decide to or are
required by the United States Food and Drug Administration, or FDA, or foreign regulatory authorities to perform studies or trials in
addition to those that we currently anticipate. Even if we complete the development and regulatory processes described above, we
anticipate incurring significant costs associated with launching and commercializing these products, which may not gain market acceptance
or achieve commercial success.
Even if we generate revenues from the sale of any of our products that may be approved, we may not become profitable and may
need to obtain additional funding to continue operations. If we fail to become profitable or do not sustain profitability on a continuing basis,
then the market price of our common stock could be depressed and we may be unable to raise capital, expand our business, diversify our
product offerings, including obtaining new product candidates, or otherwise continue our operations at planned levels and be forced to
reduce our operations. We do not know if or when we will achieve or maintain profitability.
Raising additional capital will cause dilution to our existing stockholders or restrict our operations.
Until we can generate a sufficient amount of revenue from our products, if ever, we expect to finance future cash needs through
public or private equity or debt offerings. Additional capital may not be available on reasonable terms, if at all. If we raise additional funds
through the issuance of additional debt or equity securities, such raises will result in substantial dilution to our existing stockholders and/or
increased fixed payment obligations. Furthermore, these securities may have rights senior to the offered securities and could contain
covenants that would restrict our operations and potentially impair our competitiveness, such as limitations on our ability to incur additional
debt, limitations on our ability to acquire, sell or license intellectual property rights and other operating restrictions that could adversely
impact our ability to conduct our business. Any of these events could significantly harm our business, financial condition and prospects.
Our ability to use our net operating loss carryforwards and certain other tax attributes may be limited.
Under Section 382 of the Internal Revenue Code of 1986, as amended, if a corporation undergoes an “ownership change,”
generally defined as a greater than 50% change (by value) in its equity ownership over a three‑year period, the corporation’s ability to use
its pre‑change federal net operating loss carryforwards, or NOLs, and other pre‑change federal tax attributes (such as research tax credits) to
offset its post‑change income may be limited. We may experience ownership changes in the future and subsequent shifts in our stock
ownership. State NOL carryforwards may be similarly or more stringently limited. As a result, if we earn net taxable income, our ability to
use our pre‑change NOLs to offset United States federal taxable income may be subject to limitations, which could potentially result in
increased future tax liability to us. We have not analyzed the historical or potential impact of our equity financings on beneficial ownership
and therefore no determination has been made on whether our NOL carryforwards are subject to the limitations described above.
In connection with the reporting of our financial condition and results of operations, we are required to make estimates and judgments
which involve uncertainties, and any significant differences between our estimates and actual results could have an adverse impact on
our financial position, results of operations and cash flows.
Our discussion and analysis of our financial condition and results of operations are based on our financial statements, which have
been prepared in accordance with generally accepted accounting principles in the United States, or GAAP. The
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preparation of these financial statements requires us to make estimates and judgments that affect the reported amounts of assets, liabilities,
expenses and revenues and related disclosure of contingent assets and liabilities. For example, we estimate clinical trial costs incurred using
subject data and information from our contract research organizations, or CROs. If we underestimate or overestimate these expenses,
adjustments to expenses may be necessary in future periods. Any significant differences between our actual results and our estimates and
assumptions could negatively impact our financial position, results of operations and cash flows.
Our limited operating history may make it difficult for you to evaluate the success of our business to date and to assess our future
viability.
We commenced active operations in 2011. To date our operations have consisted of organizing and staffing our company,
business planning, raising capital and developing our product candidates and platform. We have not yet demonstrated our ability to
successfully develop any product candidate, obtain marketing approvals, manufacture a commercial scale product or arrange for a third
party to do so on our behalf, or conduct sales and marketing activities necessary for successful product commercialization. Consequently,
any predictions you make about our future success or viability may not be as accurate as they could be if we had a longer operating history.
In addition, as an early stage business, we may encounter unforeseen expenses, difficulties, complications, delays and other known
and unknown factors. We will need to transition at some point from a company with a research and development focus to a company
capable of supporting commercial activities. We may not be able to successfully complete such a transition.
We expect our financial condition and operating results to continue to fluctuate significantly from quarter‑to‑quarter and
year‑to‑year due to a variety of factors, many of which are beyond our control. Accordingly, you should not rely upon the results of any
quarterly or annual periods as indications of future operating performance.
We may engage in in‑licensing acquisitions or other strategic transactions that could impact our liquidity, increase our expenses and
divert a significant amount of our management’s time.
Since inception, we have in‑licensed each of our product candidates, including most recently CERC-611, and our COMTi
platform. From time to time we may consider additional in‑licensing of products and other strategic transactions, such as acquisitions of
companies, asset purchases and out‑licensing of product candidates or technologies. Additional potential transactions that we may consider
include a variety of different business arrangements, including strategic partnerships, collaborations, joint ventures, business combinations
and investments. Any such transaction may require us to incur non‑recurring or other charges, may increase our near and long‑term
expenditures and may pose significant integration challenges or disrupt our management or business, which could adversely affect our
operations and financial results. For example, these transactions may entail numerous operational and financial risks, including:
•
•
•
•
exposure to unknown
liabilities;
disruption of our business and diversion of our management’s time and attention in order to develop acquired products,
product candidates or technologies;
incurrence of substantial debt or dilutive issuances of equity securities to pay for
acquisitions;
higher than expected acquisition and integration
costs;
• write‑downs of assets or goodwill or impairment
charges;
increased amortization
expenses;
difficulty and cost in combining the operations and personnel of any acquired businesses with our operations and
personnel;
impairment of relationships with key suppliers or other counterparties of any acquired businesses due to changes in
management and ownership; and
inability to retain key employees of any acquired
businesses.
•
•
•
•
Risks Related to Our Business and Industry
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We are heavily dependent on the success of our product candidates, CERC‑501, CERC-611 and potentially CERC-301. If we fail to
obtain marketing approval for and commercialize any product candidates, or experience delays in doing so, our business will be
materially harmed.
Subject to the availability of additional funding, we intend to invest a significant portion of our efforts and financial resources in
the development of our product candidates CERC‑501, CERC-611 and possibly CERC-301. To date we have not marketed, distributed or
sold any products. Our ability to generate revenues is substantially dependent on the development and commercialization of our product
candidates. We recently announced that neither CERC-301 nor CERC-501 reached its primary efficacy endpoint in its respective Phase 2
clinical trial. We intend to continue to pursue development of CERC-501, but we are currently evaluating the data from our CERC-301 trial
and we have not finalized our plans as to its further development. We also recently in-licensed CERC-611, which has not undergone any
clinical testing to date, and we are planning to prepare and file an IND with the FDA for CERC-611 and thereafter commence clinical
development as an adjunctive therapy for the treatment of partial-onset seizures, with or without secondarily generalized seizures, in
patients with epilepsy. If our clinical development for CERC‑501 is successful, we plan to submit an NDA seeking approval to
commercialize CERC‑501 for adjunctive treatment of MDD. We cannot commercialize our product candidates prior to obtaining marketing
approval from the FDA. Each of our product candidates is susceptible to the risks of failure inherent at any stage of drug development,
including the appearance of unexpected adverse events, the failure to demonstrate efficacy and the FDA’s determination that such
candidate is not approvable. If we do not receive marketing approval for and commercialize any of our product candidates, we will not be
able to generate product revenues in the foreseeable future, or at all.
If, following submission, our NDA for a product candidate is not accepted for substantive review or approved, the FDA may
require that we conduct additional clinical or preclinical trials, manufacture additional validation batches or develop additional analytical
test methods before it will reconsider our application for such product candidate. If the FDA requires additional studies or data, we would
incur increased costs and delays in the marketing approval process, which may require us to expend more resources than we have available.
In addition, the FDA may not consider any additional required trials that we perform and complete to be sufficient.
Even if we believe that the data from our clinical trials and analytical testing methods support marketing approval of our product
candidates in the United States, the FDA may not agree with our analysis and approve our NDA. Any delay in obtaining, or an inability to
obtain, marketing approvals would prevent us from commercializing our product candidates, generating revenues and achieving
profitability.
Only two of our product candidates that we intend to commercialize are in clinical development. Preclinical testing of other product
candidates may not lead to them advancing into clinical trials. If we do not successfully complete preclinical testing of our product
candidates or experience significant delays in doing so, our business will be materially harmed.
We have invested a significant portion of our efforts and financial resources in the identification and preclinical and clinical
development of product candidates. For example, a significant portion of our financial resources were dedicated to the development of
FP01, which we no longer plan to develop. Our ability to generate product revenues, which we do not expect will occur for many years, if
ever, will depend heavily on our ability to advance our preclinical product candidates, including CERC-611 and CERC-406, into clinical
development and successfully complete preclinical testing of our clinical stage product candidates. The outcome of preclinical studies may
not predict the success of clinical trials. Preclinical data are often susceptible to varying interpretations and analyses, and many companies
that believed their product candidates performed satisfactorily in preclinical studies have nonetheless failed in clinical development. Our
inability to successfully complete preclinical development could result in additional costs to us relating to product development and
obtaining marketing approval and impair our ability to generate product revenues and commercialization and sales milestone payments and
royalties on product sales.
If clinical trials of our product candidates fail to demonstrate safety and efficacy to the satisfaction of regulatory authorities or do not
otherwise produce positive results, we may incur additional costs or experience delays in completing, or ultimately be unable to
complete, the development and commercialization of our product candidates.
Before obtaining required approvals from regulatory authorities for the sale of future product candidates, we alone, or with a
partner, must conduct extensive clinical trials to demonstrate the safety and efficacy of the product candidates in humans. Clinical testing is
expensive and difficult to design and implement, can take many years to complete and is uncertain as to outcome. A failure of one or more
clinical trials can occur at any stage of testing. For example, we recently announced neither the Phase 2 clinical trial for CERC-301 for
MDD nor the Phase 2 clinical trial for CERC-501 for smoking cessation met its respective primary endpoint. Previously, the Clin301‑201
study for CERC‑301 failed to meet its primary endpoint and our
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discontinued product candidate FP01 failed to meet its primary endpoint in two Phase 2 clinical studies. The outcome of preclinical studies
and early clinical trials may not predict the success of later clinical trials, and interim results of a clinical trial do not necessarily predict final
results. A number of companies in the pharmaceutical and biotechnology industries have suffered significant setbacks in advanced clinical
trials due to lack of efficacy or unacceptable safety profiles, notwithstanding promising results in earlier trials. Our product candidates will
require additional clinical and preclinical development, management of clinical, preclinical and manufacturing activities, regulatory
approval in multiple jurisdictions, obtaining manufacturing supply on our own or from a third party, building of a commercial organization,
and substantial investment and significant marketing efforts before we generate any revenues from product sales. We do not know whether
the clinical trials we or our partners may conduct will demonstrate adequate efficacy and safety to result in regulatory approval to market
any of our product candidates in any particular jurisdiction or jurisdictions. If later stage clinical trials do not produce favorable results, our
ability to achieve regulatory approval for any of our product candidates would be adversely impacted.
If we experience delays in clinical testing, we will be delayed in obtaining regulatory approvals and commercializing our product
candidates, our costs may increase and our business may be harmed.
We do not know whether any clinical trials will begin as planned, whether the design will be revised prior to or during conduct of
the study, completed on schedule or conducted at all. Our product development costs will increase if we experience delays in clinical
testing. Significant clinical trial delays also could shorten any periods during which we may have the exclusive right to commercialize our
product candidates or allow our competitors to bring products to market before we do, which would impair our ability to successfully
commercialize our product candidates and may harm our business, results of operations and prospects.
Events which may result in a delay or unsuccessful completion of clinical development include:
•
•
•
•
•
•
•
•
•
•
•
•
•
delays in reaching an agreement with or failure in obtaining authorization from the FDA, other regulatory authorities or
institutional review boards, or IRBs, to commence or amend a clinical trial;
imposition of a clinical hold or trial termination following an inspection of our clinical trial operations or trial sites by the FDA
or other regulatory authorities, or due to concerns about trial design, or a decision by the FDA, other regulatory authorities,
IRBs or the company, or recommendation by a data safety monitoring board, to place the trial on hold or otherwise suspend or
terminate clinical trials at any time for safety issues or for any other reason;
delays in reaching agreement on acceptable terms with prospective CROs and clinical trial
sites;
deviations from the trial protocol by clinical trial sites and investigators, or failing to conduct the trial in accordance with
regulatory requirements;
failure of our third parties, such as CROs, to satisfy their contractual duties or meet expected
deadlines;
failure to enter into agreements with third parties to obtain the results of clinical
trials;
delays in the importation and manufacture of clinical
supply;
delays in the testing, validation and delivery of the clinical supply of the product candidates to the clinical
sites;
for clinical trials in selected subject populations, delays in identification and auditing of central or other laboratories and the
transfer and validation of assays or tests to be used to identify selected subjects;
delays in recruiting suitable subjects to participate in a
trial;
delays in having subjects complete participation in a trial or return for post‑treatment
follow‑up;
delays caused by subjects dropping out of a trial due to side effects or disease
progression;
delays in adding new investigators and clinical trial
sites;
• withdrawal of clinical trial sites from our clinical trials as a result of changing standards of care or the ineligibility of a site to
participate in our clinical trials; or
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•
changes in government regulations or administrative actions or lack of adequate funding to continue the clinical
trials.
Any inability by us or our partners to timely complete clinical development could result in additional costs to us relating to
product development and obtaining marketing approval and impair our ability to generate product revenues and commercialization and
sales milestone payments and royalties on product sales. For example, the National Institutes of Health discontinued a Phase 2 trial for
CERC-501 for treatment-resistant depression, which was funded by the National Institute of Mental Health, due to slow study progression.
If we are unable to enroll appropriate subjects in clinical trials, we will be unable to complete these trials on a timely basis or at all.
Identifying and qualifying subjects to participate in clinical trials of our product candidates is critical to our success. The timing of
our clinical trials depends on the speed at which we can recruit appropriate subjects to participate in testing our product candidates as well
as completion of required follow‑up periods. If subjects are unwilling to participate in our trials because of negative publicity from adverse
events in the biotechnology industry or for other reasons, including competitive clinical trials for similar subject populations, the timeline
for recruiting subjects, conducting trials and obtaining marketing approval of potential products may be delayed. For example, we have
experienced delays in enrolling patients in our CERC-301 Phase 2 clinical trial, due in part we believe to the highly competitive
environment for recruiting patients to clinical trials studying depression. In addition, we believe the decision by the National Institutes of
Health to discontinue a Phase 2 trial for CERC-501 was due in part to difficulties experienced in enrolling patients into the trial.
Difficulty or delays in patient recruitment into our trials could result in increased costs, delays in advancing our product
development, delays in testing the effectiveness of our technology or termination of the clinical trials altogether. Many factors affect
subject enrollment, including:
•
•
•
•
•
•
•
•
•
•
•
•
•
the size and nature of the subject
population;
the number and location of clinical sites we
enroll;
the proximity of subjects to clinical
sites;
perceived risks and benefits of the product candidate under
trial;
competition with other companies for clinical sites or
subjects;
competing clinical
trials;
the eligibility and exclusion criteria for the
trial;
the design of the clinical
trial;
effectiveness of publicity for the clinical
trials;
inability to obtain and maintain subject
consents;
ability to monitor subjects adequately during and after the administration of the product candidate and the ability of subjects
to comply with the clinical trial requirements;
risk that enrolled subjects will drop out or be withdrawn before completion;
and
clinicians’ and subjects’ perceptions as to the potential advantages of the drug being studied in relation to other available
therapies, including any new drugs that may be approved for the indications we are investigating.
There is significant competition for recruiting subjects in clinical trials for product candidates for the treatment of depression,
substance use disorders and impaired executive function, and we or our partners may be unable to enroll the subjects we need to complete
clinical trials on a timely basis or at all. Furthermore, we rely on CROs and clinical trial sites to ensure the proper and timely conduct of our
clinical trials, and while we have agreements governing their committed activities,
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we have limited influence over their actual performance. If we are unable to enroll sufficient subjects in our clinical trials, if enrollment is
slower than we anticipate, or if our clinical trials require more subjects than we anticipate, our clinical trials may be delayed or may not be
completed. If we experience delays in our clinical trials, the commercial prospects of our product candidates will be harmed. In addition,
any delays in completing our clinical trials will increase our costs, slow down our product candidate development and approval process and
jeopardize our ability to commence product sales and generate revenues.
We may in the future conduct, clinical trials for certain of our product candidates at sites outside the United States, and the FDA may
not accept data from trials conducted in such locations.
We may in the future choose to conduct one or more of our clinical trials outside the United States. Although the FDA may accept
data from clinical trials conducted outside the United States, acceptance of this data is subject to certain conditions imposed by the FDA.
For example, the clinical trial must be well designed and conducted and performed by qualified investigators in accordance with ethical
principles and current Good Clinical Practice, or GCPs. The trial population must also adequately represent the United States population,
and the data must be applicable to the United States population and United States medical practice in ways that the FDA deems clinically
meaningful. Generally, the patient population for any clinical trials conducted outside of the United States must be representative of the
population for whom we intend to seek approval in the United States. In addition, while these clinical trials are subject to the applicable
local laws, FDA acceptance of the data will be dependent upon its determination that the trials also complied with all applicable United
States laws and regulations. There can be no assurance that the FDA will accept data from trials conducted outside of the United States. If
the FDA does not accept the data from any of our clinical trials that we determine to conduct outside the United States, it would likely
result in the need for additional trials, which would be costly and time‑consuming and delay or permanently halt our development of the
product candidate.
We may fail to successfully identify, in‑license, acquire, develop or commercialize potential product candidates.
The success of our business depends in part upon our ability to identify and validate new therapeutic targets and identify, develop
and commercialize therapeutics, which we may develop ourselves, in‑license or acquire from others. Research programs designed to
identify product candidates require substantial technical, financial and human resources, whether or not any product candidates are
ultimately identified. Our research efforts may initially show promise in identifying potential therapeutic targets or candidates, yet fail to
yield product candidates for clinical development for a number of reasons, including:
•
•
our methodology, including our screening technology, may not successfully identify medically relevant potential product
candidates;
our competitors may develop alternatives that render our product candidates
obsolete;
• we may encounter product manufacturing difficulties that limit yield or produce undesirable characteristics that increase the
cost of goods, cause delays or make the product candidates unmarketable;
•
•
•
•
•
our product candidates may cause adverse effects in subjects, even after successful initial toxicology studies, which may make
the product candidates unmarketable;
our product candidates may not be capable of being produced in commercial quantities at an acceptable cost, or at
all;
our product candidates may not demonstrate a meaningful benefit to
subjects;
our potential collaboration partners may change their development profiles or plans for potential product candidates or
abandon a therapeutic area or the development of a partnered product; and
our reliance on third party clinical trials may cause us to be denied access to clinical results that may be significant to further
clinical development.
Additionally, we may focus our efforts and resources on potential programs or product candidates that ultimately prove to be
unsuccessful. If any of these events occur, we may be forced to abandon our development efforts for a program or programs, which would
have a material adverse effect on our business, operating results and prospects and could potentially cause us to cease operations.
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We may not be successful in our efforts to leverage and expand our COMTi platform to build a pipeline of product candidates or to
develop and commercialize our preclinical product candidates, CERC-406 and CERC-611.
An element of our strategy is to leverage and expand our COMTi platform to build a pipeline of product candidates for conditions
with impairment of executive function, and to progress these product candidates through clinical development for the treatment of a variety
of different types of diseases states involving impaired executive functioning. To date, we have selected a lead preclinical candidate for our
COMTi platform, CERC‑406, but CERC‑406 or any other product candidates developed from our COMTi platform may not be safe or
effective. In September 2016, we acquired exclusive worldwide rights to CERC-611, which is in preclinical development and we intend to
develop as an adjunctive therapy for the treatment of partial-onset seizures, with or without secondarily generalized seizures, in patients
with epilepsy. We will require additional capital to finance any further preclinical development of our COMTi product candidates, such as
CERC-406, and to commence clinical development of CERC-611, and such capital may not be available on attractive terms or at all.
Further, our continued development of both the COMTi platform and CERC-611 will be dependent upon receiving positive preclinical and
clinical data that, in our judgment, merits advancing such programs. Even if we are successful in continuing to build and expand our
COMTi pipeline, the potential product candidates that we identify may not be suitable for clinical development, including as a result of
being shown to have harmful side effects or other characteristics that indicate that they are unlikely to be products that will receive
marketing approval and achieve market acceptance. Similarly, even if the FDA approves our IND for CERC-611, there is no guarantee that
we will be successful in our efforts to advance CERC-611 into clinical trials. If we do not successfully develop and commercialize product
candidates based upon our technological approach, we will not be able to obtain product revenues in future periods, which likely would
result in significant harm to our financial position and adversely affect our stock price.
The marketing approval processes of the FDA and comparable foreign regulatory authorities are lengthy, time‑consuming, costly and
inherently unpredictable. Our inability to obtain regulatory approval for our product candidates would substantially harm our business.
The time required to obtain approval to market new drugs by the FDA and comparable foreign regulatory authorities is
unpredictable but typically takes many years following the commencement of preclinical studies and clinical trials and depends upon
numerous factors, including the substantial discretion of the regulatory authorities. In addition, approval policies, regulations or the type
and amount of clinical data necessary to gain approval may change during the course of a product candidate’s clinical development and
may vary among jurisdictions. We have not obtained regulatory approval for any product candidate and it is possible that none of our
existing product candidates or any future product candidates will ever obtain regulatory approval. Moreover, the filing of an NDA requires
a payment of a significant NDA user fee upon submission. The filing of an NDA for our product candidates may be delayed due to our lack
of financial resources to pay such user fee.
Our product candidates could fail to receive regulatory approval from the FDA or a comparable foreign regulatory authority for
many reasons, including:
•
•
•
•
the FDA or comparable foreign regulatory authorities may disagree on the design or implementation of our clinical trials,
including the methodology used in our trial, our chosen endpoints, our statistical analysis, or our proposed product indication.
For instance, the FDA may find that the designs that we are utilizing in our planned Phase 2/3 clinical trial of CERC‑501 do
not support an adequate and well‑controlled study. The FDA also may not agree with the various depression and other disease
scales and evaluation tools that we may use in our clinical trials to assess the efficacy of our product candidates. Further, the
FDA may not agree with our endpoints and/or indications selected for our trials;
the FDA or comparable foreign regulatory authorities may disagree with our development plans for our product candidates.
For instance, at this time we have not yet discussed our development plans for CERC‑501, CERC-611 or CERC‑406 with the
FDA. While we plan to discuss the development of these product candidates with the FDA, the FDA may not agree with our
current development approach;
our failure to demonstrate to the satisfaction of the FDA or comparable regulatory authorities that a product candidate is safe
and effective for its proposed indication;
our clinical trials may fail to meet the level of statistical significance required for approval. For example, in a proof of concept
study of CERC‑301 conducted by the National Institute of Mental Health, CERC‑301 failed to provide a significant
improvement in subjects receiving the compound as compared to those receiving a placebo, as measured by the
Montgomery‑Asberg Depression Rating Scale, the primary assessment tool. Further, we
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recently announced that neither CERC-301 nor CERC-501 met the primary endpoint in its respective Phase 2 clinical trial, and
previously our Clin301‑201 Phase 2 study for CERC‑301 failed to meet its primary endpoint;
• we may fail to demonstrate that a product candidate’s clinical and other benefits outweigh its safety
risks;
•
•
the FDA or comparable foreign regulatory authorities may disagree with our interpretation of data from preclinical studies or
clinical trials;
data collected from clinical trials of our product candidates may be insufficient to support the submission and filing of an
NDA, other submission or to obtain marketing approval. For example, the FDA may require additional studies to show that
our product candidates are safe or effective;
• we may fail to obtain approval of the manufacturing processes or facilities of third‑party manufacturers with whom we
contract for clinical and commercial supplies; or
•
there may be changes in the approval policies or regulations that render our preclinical and clinical data insufficient for
approval.
The FDA or comparable foreign regulatory authority may require more information, including additional preclinical or clinical
data to support approval, which may delay or prevent approval and our commercialization plans, or we may decide to abandon the
development program. This lengthy approval process, as well as the unpredictability of future clinical trial results, may result in our failing
to obtain approval to market our product candidates, which would significantly harm our business, results of operations and prospects. In
addition, even if we were to obtain approval, regulatory authorities may approve any of our product candidates for fewer or more limited
indications than we request, including more limited patient populations, may require that contraindications, warnings or precautions be
included in the product labeling, including a black‑boxed warning, may grant approval contingent on the performance of costly
post‑marketing clinical trials or other post‑market requirements, or may approve a product candidate with a label that does not include the
labeling claims necessary or desirable for the successful commercialization of that product candidate. Any of the foregoing scenarios could
materially harm the commercial prospects for our product candidates.
A fast track product, breakthrough therapy or priority review designation by the FDA for our product candidates may not lead to faster
development or regulatory review or approval process, and it does not increase the likelihood that our product candidates will receive
marketing approval.
We have received a fast track product designation for CERC‑301 for the treatment of MDD and we may seek a breakthrough
therapy designation and priority review designation. For CERC‑501 and CERC-611, or for certain of our other product candidates, if
supported by the results of clinical trials, we may seek fast track product designation, breakthrough therapy designation and priority review
designation. A fast track product designation is designed to facilitate the clinical development and expedite the review of drugs intended to
treat a serious or life‑threatening condition which demonstrate the potential to address an unmet medical need. A breakthrough therapy is
defined as a drug that is intended, alone or in combination with one or more other drugs, to treat a serious or life‑threatening disease or
condition, and preliminary clinical evidence indicates that the drug may demonstrate substantial improvement over existing therapies on
one or more clinically significant endpoints, such as substantial treatment effects observed early in clinical development. Priority review
designation is intended to speed the FDA marketing application review timeframe for drugs that treat a serious condition and, if approved,
would provide a significant improvement in safety or effectiveness. For drugs and biologics that have been designated as fast track
products or breakthrough therapies, interaction and communication between the FDA and the sponsor of the trial can help to identify the
most efficient path for clinical development. Sponsors of drugs designated as fast track products or breakthrough therapies may also be able
to submit marketing applications on a rolling basis, meaning that the FDA may review portions of a marketing application before the
sponsor submits the complete application to the FDA, as long as the sponsor pays the user fee upon submission of the first portion of the
marketing application. For products that receive a priority review designation, the FDA’s marketing application review goal is shortened to
six months, as opposed to ten months under standard review. This review goal is based on the date the FDA accepts the marketing
application for review, which typically adds approximately two months to the timeline for review and decision from the date of submission.
Designation as a fast track product, breakthrough therapy or priority review product is within the discretion of the FDA.
Accordingly, even if we believe one of our product candidates meets the criteria for designation as a fast track product, breakthrough
therapy or priority review product, the FDA may disagree and instead determine not to make such designation. In any event, the receipt of
such a designation for a product candidate may not result in a faster development process, review or approval compared to drugs considered
for approval under conventional FDA procedures and does not assure ultimate
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marketing approval by the FDA. In addition, with regard to fast track products and breakthrough therapies, the FDA may later decide that
the products no longer meet the conditions for qualification as either a fast track product or a breakthrough therapy or, for priority review
products, decide that the time period for FDA review or approval will not be shortened.
As appropriate, we intend to seek all available periods of regulatory exclusivity for our product candidates. However, there is no
guarantee that we will be granted these periods of regulatory exclusivity or that we will be able to maintain these periods of exclusivity.
The FDA grants product sponsors certain periods of regulatory exclusivity, during which the agency may not approve, and in
certain instances, may not accept, certain marketing applications for competing drugs. For example, product sponsors may be eligible for
five years of exclusivity from the date of approval of a new chemical entity, seven years of exclusivity for drugs that are designated to be
orphan drugs, and/or a six‑month period of exclusivity added to any existing exclusivity period or patent life for the submission of FDA
requested pediatric data. While we intend to apply for all periods of market exclusivity that we may be eligible for, there is no guarantee
that we will receive all such periods of market exclusivity. Additionally, under certain circumstances, the FDA may revoke the period of
market exclusivity. Thus, there is no guarantee that we will be able to maintain a period of market exclusivity, even if granted. Moreover,
we have not sought to obtain orphan drug designation for any of our product candidates, which the FDA must first grant to be eligible for
orphan drug exclusivity, but may if we determine that we may be eligible. In the case of orphan designation, other benefits, such as tax
credits and exemption from user fees may be available. If we are not able to obtain or maintain orphan drug designation or any period of
market exclusivity to which we may be entitled, we will be materially harmed, as we will potentially be subject to greater market
competition and may lose the benefits associated with programs.
Our product candidates may cause undesirable side effects or have other properties that could delay or prevent their marketing
approval, limit the commercial profile of an approved label, or result in significant negative consequences following any marketing
approval.
Undesirable side effects caused by our product candidates could cause us or regulatory authorities to interrupt, delay or halt
clinical trials and could result in a more restrictive label or the delay or denial of marketing approval by the FDA or other comparable
foreign regulatory authority. Results of our trials could reveal a high and unacceptable severity and prevalence of side effects or unexpected
characteristics. Although CERC-301 was generally well tolerated in our recently completed Phase 2 clinical trial for MDD, with no serious
adverse events reported and no discontinuations due to adverse events, some adverse events were reported. The most commonly reported
adverse events in the trial were increases in blood pressure, dizziness, somnolence and paresthesia. Similarly, although in our previously
completed Phase 2 clinical study, Clin301‑201, CERC‑301 was generally well tolerated, there were rates of adverse events similar to that
of placebo. The most common treatment emergent adverse events were nervous system disorders, occurring in 25.9% and 26.9%,
respectively, of subjects in the two active treatment sequences compared to 22.4% of subjects who received placebo during the entire study.
Of the nervous system treatment emergent adverse events, dizziness was most common, occurring in 18.5% and 7.7%, respectively, of
subjects in the two active treatment sequences compared to 2.0% of subjects who received placebo during the entire study. Four serious
adverse events in three subjects were reported during the conduct of the study, two in a subject randomized to placebo (suicide attempt;
alcoholism) and two in subjects that received CERC‑301 (worsening depression with psychotic features and unstable angina). Overall, the
adverse events observed in both our most recent and prior studies were generally consistent with the prior clinical trials conducted for
CERC‑301, despite having administered an increased dose of CERC-301 in our most recent study. Although CERC-501 was also generally
well tolerated in our recently completed Phase 2 clinical trial for smoking cessation, with no serious adverse events reported and no
discontinuations due to adverse events, some adverse events were reported. The most commonly reported adverse events, over 5% and
greater than placebo in the study, were diarrhea and decreased appetite.
Should our clinical studies of our product candidates reveal undesirable side effects, we could suspend or terminate our trials or
the FDA or comparable foreign regulatory authorities as well as IRBs could order us to suspend or cease clinical trials. The FDA or
comparable regulatory authorities could also deny approval of our product candidates for any or all targeted indications or only for a
limited indication or patient population or could require label warnings, contraindications or precautions, including black box warnings,
post‑market studies, testing and surveillance programs or other conditions including distribution restrictions or other risk management
mechanisms under a risk evaluation and mitigation strategy, or REMS. Drug‑related side effects could affect subject recruitment or the
ability of enrolled subjects to complete the trial or result in potential product liability claims. Any of these occurrences may harm our
business, financial condition and prospects significantly.
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Additionally, if one or more of our product candidates receives marketing approval, and we or others later identify undesirable side
effects caused by such products, a number of potentially significant negative consequences could result, including:
• we may suspend marketing of, or withdraw or recall, such
product;
•
•
•
•
•
regulatory authorities may withdraw approvals of such
product;
regulatory authorities may require additional warnings on the label or other label
modifications;
the FDA or other regulatory bodies may issue safety alerts, Dear Healthcare Provider letters, press releases or other
communications containing warnings about such product;
the FDA may require the establishment or modification of a REMS or other restrictions on marketing and distribution, or a
comparable foreign regulatory authority may require the establishment or modification of a similar strategy that may, for
instance, require us to issue a medication guide outlining the risks of such side effects for distribution to patients or restrict
distribution of our products and impose burdensome implementation requirements on us;
regulatory authorities may require that we conduct post‑marketing
studies;
• we could be sued and held liable for harm caused to subjects or patients;
and
•
our reputation may
suffer.
Any of these events could prevent us from achieving or maintaining market acceptance of the particular product candidate or
otherwise materially harm the commercial prospects for the product candidate, if approved, and could significantly harm our business,
financial condition, results of operations and prospects.
Changes in product candidate manufacturing or formulation may result in additional costs or delay.
As product candidates are developed through preclinical studies to late‑stage clinical trials towards regulatory approval and
commercialization, it is common that various aspects of the development program, such as manufacturing methods and formulation, are
altered in an effort to optimize processes and results. Such changes carry the risk that they will not achieve these intended objectives. Any
of these changes could cause our product candidates to perform differently and affect the results of planned clinical trials or other future
clinical trials conducted with the altered materials. Such changes may also require additional testing, FDA notification or FDA approval.
Similarly, changes in the location of manufacturing or addition of manufacturing facilities may increase our costs, and require
additional studies and FDA approval. This may require us to ensure that the new facility meets all applicable regulatory requirements, is
adequately validated and qualified, and to conduct additional studies of product candidates manufactured at the new location. Any of the
above could delay completion of clinical trials, require the conduct of bridging clinical trials or the repetition of one or more clinical trials,
increase clinical trial costs, delay regulatory approval of our product candidates and jeopardize our ability to commence product sales and
generate revenue.
Even if we complete the necessary clinical trials, we cannot predict when or if we will obtain marketing approval to commercialize a
product candidate or the approval may be for a more narrow indication than we expect.
We cannot commercialize a product candidate until the appropriate regulatory authorities have reviewed and approved the product
candidate. Even if our product candidates demonstrate safety and efficacy in clinical trials, the regulatory agencies may not complete their
review processes in a timely manner, or we may not be able to obtain marketing approval from the relevant regulatory agencies. Additional
delays may result if the FDA, an FDA Advisory Committee or other regulatory authority recommends non‑approval or restrictions on
approval. In addition, we may experience delays or rejections based upon additional government regulation from future legislation or
administrative action, or changes in regulatory agency policy during the period of product development, clinical trials and the review
process. Regulatory authorities also may approve a product candidate for fewer or more limited indications than requested, may impose
significant limitations in the form of narrow indications, warnings, including black‑box warnings, precautions or contra‑indications with
respect to conditions of use or may grant approval subject to the performance of costly post‑marketing clinical trials or other
post‑marketing requirements, including a REMS. In addition, regulatory agencies may not approve the labeling claims that are necessary or
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desirable for the successful commercialization of our product candidates. For instance, in 2007, the FDA requested that makers of all
antidepressant medications update an existing black‑box warning about an increased risk of suicidal thought and behavior. Our drugs, if
approved, may be required to carry warnings comparable to this and other class‑wide warnings. Any of the foregoing scenarios could
materially harm the commercial prospects for our product candidates.
Even if our product candidates receive marketing approval, we will still be subject to ongoing regulatory obligations and continued
regulatory review, which may result in significant additional expense. Additionally, our product candidates, if approved, could be
subject to labeling and other restrictions and market withdrawal and we may be subject to administrative sanctions or penalties if we
fail to comply with regulatory requirements or experience unanticipated problems with our products.
Even if we obtain marketing approval for a product candidate, we would be subject to ongoing requirements by the FDA and
comparable foreign regulatory authorities governing the manufacture, quality control, further development, labeling, packaging, storage,
distribution, safety surveillance, import, export, advertising, promotion, recordkeeping and reporting of safety and other post‑market
information. The FDA and comparable foreign regulatory authorities will continue to closely monitor the safety profile of any product even
after approval. If the FDA or comparable foreign regulatory authorities become aware of new safety information after approval of any of
our product candidates, they may withdraw approval, require labeling changes or establishment of a REMS or similar strategy, impose
significant restrictions on a product’s indicated uses or marketing, or impose ongoing requirements for potentially costly post‑approval
studies or post‑market surveillance. In addition, any marketing approvals that we obtain for our product candidates may be subject to
limitations on the approved indicated uses for which the product may be marketed or to the conditions of approval, or contain requirements
for potentially costly post‑marketing testing and other requirements, including Phase 4 clinical trials, imposition of a REMS and
surveillance to monitor the safety and efficacy of the product candidate. For example, during a meeting with the FDA regarding
CERC‑301, the FDA noted that it does not currently accept the explicit labeling claim of a rapid‑acting antidepressant, or RAAD, and
indicated that we may therefore be subject to limitations on our ability to label and promote the product as a RAAD if it is approved.
In addition, manufacturers of drug products and their facilities, including contracted facilities, are subject to continual review and
periodic inspections by the FDA and other regulatory authorities for compliance with current Good Manufacturing Practice, or GMP,
regulations and standards. If we or a regulatory agency discover previously unknown problems with a product, such as adverse events of
unanticipated severity or frequency, or problems with the facility where the product is manufactured, we may be subject to reporting
obligations and a regulatory agency may impose restrictions on that product, the manufacturing facility or us, or our suppliers, including
requesting recalls or withdrawal of the product from the market or suspension of manufacturing. If we, our product candidates, our
contractors, the manufacturing facilities for our product candidates or others working on our behalf fail to comply with applicable
regulatory requirements, either before or after marketing approval, a regulatory agency may:
•
issue Warning Letters or Untitled
Letters;
• mandate modifications to promotional materials or labeling, or require us to provide corrective information to healthcare
practitioners;
•
•
•
•
•
•
require us to enter into a consent decree, which can include imposition of various fines, reimbursements for inspection costs,
required due dates for specific actions and penalties for noncompliance;
seek an injunction or impose civil or criminal penalties or monetary fines, restitution or disgorgement, as well as
imprisonment;
suspend or withdraw marketing
approval;
suspend or terminate any ongoing clinical
studies;
refuse to approve pending applications or supplements to applications filed by
us;
debar us from submitting marketing applications, exclude us from participation in federal healthcare programs, require a
corporate integrity agreement or deferred prosecution agreements, debar us from government contracts and refuse future
orders under existing contracts;
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•
•
suspend or impose restrictions on operations, including restrictions on marketing, distribution or manufacturing of the
product, or the imposition of costly new manufacturing requirements or use of alternative suppliers; or
seize or detain products, refuse to permit the import or export of products, or request that we initiate a product
recall.
The occurrence of any event or penalty described above may inhibit our ability to commercialize our products and generate
revenue.
Advertising and promotion of any product candidate that obtains approval in the United States will be heavily scrutinized by the
FDA, the Department of Justice, the Department of Health and Human Services’ Office of Inspector General, state attorneys general,
members of Congress and the public. While the FDA does not restrict physicians from prescribing approved drugs for uses outside of the
drugs’ approved labeling, known as off‑label use, pharmaceutical manufacturers are prohibited from promoting and marketing their
products for such uses. Violations, including promotion of our products for off‑label uses, are subject to enforcement letters, inquiries,
investigations, civil and criminal sanctions by the government, corporate integrity agreements, deferred prosecution agreements, debarment
from government contracts and refusal of future orders under existing contracts, and exclusion from participation in federal healthcare
programs. Additionally, comparable foreign regulatory authorities will heavily scrutinize advertising and promotion of any product
candidate that obtains approval outside of the United States.
In the United States, engaging in the impermissible promotion of our products for off‑label uses can also subject us to false claims
litigation under federal and state statutes, which can lead to civil and criminal penalties and fines, debarment from government contracts and
refusal of future orders under existing contracts, deferred prosecution agreements, and corporate integrity agreements with governmental
authorities that materially restrict the manner in which a company promotes or distributes drug products. These false claims statutes include
the federal civil False Claims Act, which allows any individual to bring a lawsuit against a pharmaceutical company on behalf of the federal
government alleging submission of false or fraudulent claims, or causing to present such false or fraudulent claims, for payment by a
federal program such as Medicare or Medicaid. If the government decides to intervene and prevails in the lawsuit, the individual will share
in any fines or settlement funds. If the government does not intervene, the individual may proceed on his or her own. Since 2004, these
False Claims Act lawsuits against pharmaceutical companies have increased significantly in volume and breadth, leading to several
substantial civil and criminal settlements, such as settlements regarding certain sales practices promoting off‑label drug uses involving fines
that are as much as $3.0 billion. This growth in litigation has increased the risk that a pharmaceutical company will have to defend a false
claim action, pay settlement fines or restitution, agree to comply with burdensome reporting and compliance obligations, and be excluded
from Medicare, Medicaid and other federal and state healthcare programs. If we do not lawfully promote our approved products, we may
become subject to such litigation and, if we do not successfully defend against such actions, those actions may have a material adverse
effect on our business, financial condition, results of operations and prospects.
The FDA’s policies may change and additional government regulations may be enacted that could prevent, limit or delay
marketing approval, and the sale and promotion of our product candidates. If we are slow or unable to adapt to changes in existing
requirements or the adoption of new requirements or policies, or if we are not able to maintain regulatory compliance, we may lose any
marketing approval that we may have obtained, which would adversely affect our business, prospects and ability to achieve or sustain
profitability.
If we are unable to, or are delayed in obtaining, state regulatory licenses for the distribution of our products, we would not be able to
sell our product candidates in such states.
The majority of states require manufacturer and/or wholesaler licenses for the sale and distribution of drugs into that state. The
application process is complicated, time consuming and requires dedicated personnel or a third party to oversee and manage. If we are
delayed in obtaining these state licenses, or denied the licenses, even with FDA approval, we would not be able to sell or ship product into
that state which would adversely affect our sales and revenues.
If any of our product candidates are ultimately regulated as controlled substances, we, our contract manufacturers, as well as
distributors, prescribers, and dispensers will be required to comply with additional regulatory requirements which could delay the
marketing of our product candidates, and increase the cost and burden of manufacturing, distributing, dispensing, and prescribing our
product candidates.
Before we can commercialize our product candidates, the United States Drug Enforcement Administration, or DEA, may need to
determine the controlled substance Schedule, taking into account the recommendation of the FDA. This may be a
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lengthy process that could delay our marketing of a product candidate and could potentially diminish any regulatory exclusivity periods for
which we may be eligible. While we currently do not know whether any of our product candidates will be considered to be controlled
substances, certain of our product candidates may be regulated as controlled substances.
If any of our product candidates are regulated as controlled substances, depending on the controlled substance schedule in which
the product candidates are placed, we, our contract manufacturers, and any distributers, prescribers, and dispensers of the scheduled
product candidates may be subject to significant regulatory requirements, such as registration, security, recordkeeping, reporting, storage,
distribution, importation, exportation, inventory, quota and other requirements administered by the DEA. Moreover, if any of our product
candidates are regulated as controlled substances, we and our contract manufacturers would be subject to initial and periodic DEA
inspection. If we or our contract manufacturers are not able to obtain or maintain any necessary DEA registrations, we may not be able to
commercialize any product candidates that are deemed to be controlled substances or we may need to find alternative contract
manufacturers, which would take time and cause us to incur additional costs, delaying or limit our commercialization efforts.
Because of their restrictive nature, these laws and regulations could limit commercialization of our product candidates, should
they be deemed to contain controlled substances. Failure to comply with the applicable controlled substance laws and regulations can also
result in administrative, civil or criminal enforcement. The DEA may seek civil penalties, refuse to renew necessary registrations, or initiate
administrative proceedings to revoke those registrations. In some circumstances, violations could result in criminal proceedings or consent
decrees. Individual states also independently regulate controlled substances.
Our failure to obtain regulatory approval in international jurisdictions would prevent us from marketing our product candidates outside
the United States, which would limit our market opportunities and adversely affect our business.
In order to market and sell our products in other jurisdictions, we must obtain separate marketing approvals and comply with
numerous and varying regulatory requirements. The approval procedure varies among countries and can involve additional testing. The
time required to obtain approval may differ substantially from that required to obtain FDA approval. The regulatory approval process
outside the United States generally includes all of the risks associated with obtaining FDA approval. In addition, in many countries outside
the United States, we must secure product reimbursement approvals before regulatory authorities will approve the product for sale in that
country. Obtaining foreign regulatory approvals and compliance with foreign regulatory requirements could result in significant delays,
difficulties and costs for us and could delay or prevent the introduction of our products in certain countries. Further, clinical trials
conducted in one country may not be accepted by regulatory authorities in other countries. If we fail to comply with the regulatory
requirements in international markets and receive applicable marketing approvals, our target market will be reduced and our ability to
realize the full market potential of our product candidates will be harmed and our business will be adversely affected. We may not obtain
foreign regulatory approvals on a timely basis, if at all. Approval by the FDA does not ensure approval by regulatory authorities in other
countries or jurisdictions. Approval by one regulatory authority outside the United States does not ensure approval by regulatory authorities
in other countries or jurisdictions or by the FDA. Also, regulatory approval for any of our product candidates may be withdrawn. However,
the failure to obtain approval in one jurisdiction may negatively impact our ability to obtain approval in another jurisdiction. Our failure to
obtain approval of any of our product candidates by regulatory authorities in another country may significantly diminish the commercial
prospects of that product candidate and our business prospects could decline.
If we obtain approval to commercialize our product candidates outside of the United States, a variety of risks associated with
international operations could materially adversely affect our business.
If any of our product candidates are approved for commercialization, we may enter into agreements with third parties to market
them on a worldwide basis or in more limited geographical regions. We expect that we will be subject to additional risks related to entering
into international business relationships, including:
•
•
•
•
different regulatory requirements for approval of drugs in foreign
countries;
the potential for so‑called parallel importing, which is what happens when a local seller, faced with high or higher local prices, opts
to import goods from a foreign market (with low or lower prices) rather than buying them locally;
challenges enforcing our contractual and intellectual property rights, especially in those foreign countries that do not respect and
protect intellectual property rights to the same extent as the United States;
unexpected changes in tariffs, trade barriers and regulatory
requirements;
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•
•
•
•
•
•
•
•
economic weakness, including inflation, or political instability in particular foreign economies and
markets;
compliance with tax, employment, immigration and labor laws for employees living or traveling
abroad;
foreign currency fluctuations, which could result in increased operating expenses and reduced revenues, and other obligations
incident to doing business in another country;
difficulties staffing and managing foreign
operations;
workforce uncertainty in countries where labor unrest is more common than in the United
States;
potential liability under the Foreign Corrupt Practices Act of 1977 or comparable foreign
regulations;
production shortages resulting from any events affecting raw material supply or manufacturing capabilities abroad;
and
business interruptions resulting from geopolitical actions, including war and terrorism, or natural disasters including earthquakes,
typhoons, floods and fires.
These and other risks associated with our international operations may materially adversely affect our ability to attain or maintain
profitable operations.
We face substantial competition and rapid technological change and the possibility that others may discover, develop or commercialize
products before or more successfully than us.
The biotechnology and pharmaceutical industries are intensely competitive and subject to rapid and significant technological
change. We face competition with respect to our current product candidates and will face competition with respect to any future product
candidates from major pharmaceutical companies, specialty pharmaceutical companies and biotechnology companies worldwide. Many of
our competitors have significantly greater financial, technical and human resources. Smaller and early‑stage companies may also prove to
be significant competitors, particularly through collaborative arrangements with large and established companies.
Our competitors may obtain marketing approval of their products more rapidly than we may or may obtain patent protection or
other intellectual property rights that limit our ability to develop or commercialize our product candidates. Our competitors may also
develop drugs that are more effective, more convenient, more widely used and less costly or have a better safety profile than our products
and these competitors may also be more successful than us in manufacturing and marketing their products.
Our competitors will also compete with us in recruiting and retaining qualified scientific, management and commercial personnel,
establishing clinical trial sites and subject registration for clinical trials, as well as in acquiring technologies complementary to, or necessary
for, our programs.
There are numerous currently approved therapies for treating depression and, consequently, competition in the depression market
is intense. Many of these approved drugs are well established therapies or products and are widely accepted by physicians, patients and
third party payors. Some of these drugs are branded and subject to patent protection and non-patent regulatory exclusivity, and others are
available on a generic basis. For example, CERC 301 would compete with drugs used as adjunctive therapies for the treatment of MDD
such as Abilify, marketed by Otsuka America Pharmaceutical, Inc.; Seroquel XR, marketed by AstraZeneca Pharmaceuticals LP, or
AstraZeneca; and bupropion, a generic drug. In addition, to our knowledge, there are five competitive rapid onset antidepressant or
anti‑suicide programs in development: esketamine, which is in Phase 3 development by Johnson & Johnson, or J&J, and is being developed
to be administered as a nasal spray; AZD8108, which is in Phase 1 development by AstraZeneca and is being developed to be administered
orally; Rapastinel, which has completed Phase 2 development by Allergan Plc., or Allergan, which is being developed to be administered
intravenously; NRX 1074 by Allergan has completed a single intravenously administered dose Phase 2 study, which, along with oral and
intravenous Phase 1 pharmacokinetic, or PK, findings, will be used to select an oral dose for a repeat‑dose Phase 2 study; AV-101, an oral
prodrug of 7-chlorokynurenic acid, is in Phase 2 development by VistaGen Therapeutics; and ALKS‑5461, which is in Phase 3
development by Alkermes plc, or Alkermes, and is being developed to be administered orally as an adjunctive therapy and has shown
signals of rapid onset as an adjunctive therapy. With respect to CERC‑501, to our knowledge, there are no approved pharmacologic
treatments for co‑occurring disorders, however, there are two competitive programs in development: ALKS 5461, which is believed to be
acting as a functional KOR antagonist that is now in Phase 3
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development for MDD as an adjunctive in patients who have no more than two inadequate responses to antidepressant therapy and
LY2940094, which has completed two Phase 2 studies by Eli Lilly and Company, or Lilly, and is being developed for the treatment of both
MDD and alcohol dependence. CERC-611 would compete with the non-selective AMPA receptor antagonist, Fycompa®, marketed by
Esai Inc.
Insurers and other third‑party payors may also encourage the use of generic products or specific branded products. We expect that
any or our product candidates, if approved, would be priced at a significant premium over competitive generic, including branded generic,
products. In addition, any new product that competes with an approved product must demonstrate compelling advantages in efficacy,
convenience, tolerability and safety in order to overcome price competition and to be commercially successful. This may make it difficult
for us to differentiate our product from currently approved therapies, which may adversely impact our business strategy. If we are not able
to compete effectively against our current and future competitors, our business will not grow and our financial condition and operations
will suffer. Moreover, many other companies are developing new therapeutics, and we cannot predict what the standard of care will be as
our product candidates progress through clinical development.
We believe that our ability to successfully compete will depend on, among other things:
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•
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the efficacy and safety profile of our product candidates, including relative to marketed products and product candidates in
development by third parties;
the claims we may make for our product candidates based on the approved label or any restrictions placed upon our marketing
and distribution of our product candidates;
the time it takes for our product candidates to complete clinical development and receive marketing
approval;
how quickly and effectively we alone, or with a partner, can market and launch any of our product candidates that receive
marketing approval;
the ability to commercialize any of our product candidates that receive marketing
approval;
the price of our products, including in comparison to branded or generic
competitors;
the ability to collaborate with others in the development and commercialization of new
products;
• whether coverage and adequate levels of reimbursement are available under private and governmental health insurance plans,
including Medicare;
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•
the ability to establish, maintain and protect intellectual property rights related to our product
candidates;
the entry of generic versions of our products onto the
market;
the number of products in the same therapeutic class as our product
candidates;
the ability to secure favorable managed care formulary positions, including federal healthcare program
formularies;
the ability to manufacture commercial quantities of any of our product candidates that receive marketing approval;
and
acceptance of any of our product candidates that receive marketing approval by physicians and other healthcare
providers.
Our product candidates may not achieve adequate market acceptance among physicians, patients, third ‑party payors and others in the
medical community necessary for commercial success.
Even if our product candidates receive marketing approval, they may not gain adequate market acceptance among physicians,
patients and others in the medical community. Our commercial success also depends on coverage and adequate reimbursement of our
product candidates by third‑party payors, including government payors, generally, which may be difficult or time‑consuming to obtain,
may be limited in scope or may not be obtained in all jurisdictions in which we may seek
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to market our products. The degree of market acceptance of any of our approved product candidates will depend on a number of factors,
including:
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•
•
•
•
•
the efficacy and safety profile of our product candidates, including relative to marketed products and product candidates in
development by third parties;
the claims we may make for our product candidates based on the approved label or any restrictions placed upon our marketing
and distribution of our product candidates;
the time it takes for our product candidates to complete clinical development and receive marketing
approval;
how quickly and effectively we alone, or with a partner, can market and launch any of our product candidates that receive
marketing approval;
the ability to commercialize any of our product candidates that receive marketing
approval;
the price of our products, including in comparison to branded or generic
competitors;
the ability to collaborate with others in the development and commercialization of new
products;
• whether coverage and adequate levels of reimbursement are available under private and governmental health insurance plans,
including Medicare;
•
•
•
•
•
•
the ability to establish, maintain and protect intellectual property rights related to our product
candidates;
the entry of generic versions of our products onto the
market;
the number of products in the same therapeutic class as our product
candidates;
the ability to secure favorable managed care formulary positions, including federal healthcare program
formularies;
the ability to manufacture commercial quantities of any of our product candidates that receive marketing approval;
and
acceptance of any of our product candidates that receive marketing approval by physicians and other healthcare
providers.
If any product candidate is approved but does not achieve an adequate level of acceptance by physicians, hospitals, third‑party
payors and patients, we may not generate or derive sufficient revenue from that product candidate and may not become or remain
profitable.
Even if we commercialize any of our product candidates, these products may become subject to unfavorable third‑party coverage and
reimbursement policies, healthcare reform initiatives, or pricing regulations, any of which could negatively impact our business.
Our ability to commercialize any products successfully will depend in part on the extent to which coverage and adequate
reimbursement for these products will be available from government authorities (such as Medicare and Medicaid), private health insurers,
health maintenance organizations and other entities. These third‑party payors determine which medications they will cover and establish
reimbursement levels, and increasingly attempt to control costs by limiting coverage and the amount of reimbursement for particular
medications. Several third‑party payors are requiring that drug companies provide them with predetermined discounts from list prices, are
using preferred drug lists to leverage greater discounts in competitive classes and are challenging the prices charged for drugs. In addition,
federal programs impose penalties on drug manufacturers in the form of mandatory additional rebates and/or discounts if commercial prices
increase at a rate greater than the Consumer Price Index‑Urban, and these rebates and/or discounts, which can be substantial, may impact
our ability to raise commercial prices. We cannot be sure that coverage and reimbursement will be available for any product that we
commercialize and, if coverage is available, what the level of reimbursement will be. Coverage and reimbursement may impact the demand
for, or the price of, any product candidate for which we obtain marketing approval. If coverage and reimbursement
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are not available or available only to limited levels, we may not successfully commercialize any product candidate for which we obtain
marketing approval.
There may be significant delays in obtaining coverage and reimbursement for newly approved drugs, and coverage may be more
limited than the purposes for which the drug is approved by the FDA or comparable foreign regulatory authorities. Moreover, eligibility for
coverage and reimbursement does not imply that a drug will be paid for in all cases or at a rate that covers our costs, including research,
development, manufacture, sale and distribution. Interim reimbursement levels for new drugs, if applicable, may also not be sufficient to
cover our costs and may only be temporary. Reimbursement rates for a drug may vary according to the clinical setting in which it is used,
and may be based on reimbursement levels already set for lower cost drugs and may be incorporated into existing payments for other
services. Prices paid for a drug also vary depending on the class of trade. Prices charged to government customers are subject to price
controls and private institutions obtain discounts through group purchasing organizations. Net prices for drugs may be further reduced by
mandatory discounts or rebates required by government healthcare programs and demanded by private payors, and by any future relaxation
of laws that presently restrict imports of drugs from countries where they may be sold at lower prices than in the United States. Our
inability to promptly obtain coverage and profitable reimbursement rates from both government‑funded and private payors for any
approved products that we develop could have a material adverse effect on our operating results, our ability to raise capital needed to
commercialize products and our overall financial condition.
Moreover, the regulations that govern marketing approvals, pricing, coverage and reimbursement for new drug products vary
widely from country to country. Current and future legislation may significantly change the approval requirements in ways that could
involve additional costs and cause delays in obtaining approvals. Some countries require approval of the sale price of a drug before it can
be marketed. In many countries, the pricing review period begins after marketing or product licensing approval is granted. In some foreign
markets, prescription pharmaceutical pricing remains subject to continuing governmental control even after initial approval is granted. As a
result, we might obtain marketing approval for a product in a particular country, but then be subject to price regulations that delay our
commercial launch of the product, possibly for lengthy time periods, which could negatively impact the revenues we generate from the sale
of the product in that particular country. Adverse pricing limitations may hinder our ability to recoup our investment in one or more
product candidates even if our product candidates obtain marketing approval.
Our failure to successfully in‑license, acquire, develop and market additional product candidates or approved products would impair
our ability to grow our business.
We intend to in‑license, acquire, develop and/or market additional neuropsychiatric products and product candidates, as well as
other products and product candidates that address nervous system disorders. Because our internal research and development capabilities
are limited, we may be dependent upon pharmaceutical and biotechnology companies, academic scientists and other researchers to sell or
license products or technology to us. The success of this strategy depends partly upon our ability to identify and select promising
pharmaceutical product candidates and products, negotiate licensing or acquisition agreements with their current owners and finance these
arrangements.
The process of proposing, negotiating and implementing a license or acquisition of a product candidate or approved product is
lengthy and complex. Other companies, including some with substantially greater financial, marketing, sales and other resources, may
compete with us for the license or acquisition of product candidates and approved products. In addition, companies that perceive us to be a
competitor may be unwilling to assign or license rights to us. We have limited resources to identify and execute the acquisition or
in‑licensing of third‑party products, businesses and technologies and integrate them into our current infrastructure. Moreover, we may
devote resources to potential acquisitions or licensing opportunities that are never completed, or we may fail to realize the anticipated
benefits of such efforts. We may not be able to acquire the rights to additional product candidates on terms that we find acceptable, or at all.
Further, any product candidate that we acquire may require additional development efforts prior to commercial sale, including
preclinical or clinical testing and approval by the FDA and applicable foreign regulatory authorities. All product candidates are prone to
risks of failure typical of pharmaceutical product development, including the possibility that a product candidate will not be shown to be
sufficiently safe and effective for approval by regulatory authorities. In addition, we cannot provide assurance that any approved products
that we acquire will be manufactured or sold profitably or achieve market acceptance.
We may expend our limited resources to pursue a particular product candidate or indication and fail to capitalize on product candidates
or indications that may be more profitable or for which there is a greater likelihood of success.
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Because we have limited financial and managerial resources, we may forego or delay pursuit of opportunities with other product
candidates or for other indications that later prove to have greater commercial potential. Our resource allocation decisions may cause us to
fail to capitalize on viable commercial products or profitable market opportunities. Our spending on current and future research and
development programs and product candidates for specific indications may not yield any commercially viable products. If we do not
accurately evaluate the commercial potential or target market for a particular product candidate, we may relinquish valuable rights to that
product candidate through collaboration, licensing or other royalty arrangements in cases in which it would have been more advantageous
for us to retain sole development and commercialization rights to such product candidate.
Recently enacted and future legislation may increase the difficulty and cost for us to commercialize our product candidates and affect
the prices we may obtain.
The United States and many foreign jurisdictions have enacted or proposed legislative and regulatory changes affecting the
healthcare system and pharmaceutical industry that could prevent or delay marketing approval of our product candidates, restrict or regulate
post‑approval activities and affect our ability to profitably sell any product candidate for which we obtain marketing approval.
In the United States, the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, or Medicare Modernization
Act, changed the way Medicare covers and pays for pharmaceutical products. The legislation expanded Medicare coverage for outpatient
prescription drug purchases through pharmacies, by the elderly by establishing Medicare Part D and introduced a new reimbursement
methodology based on average sales prices for physician‑administered drugs under Medicare Part B. In addition, this legislation provided
authority for limiting the number of drugs that Medicare will cover in any therapeutic class under the new Medicare Part D program. Cost
reduction initiatives and other provisions of this legislation could decrease the coverage and reimbursement rate that we receive for any of
our approved products. While the Medicare Modernization Act applies only to drug benefits for Medicare beneficiaries, the Medicare and
Medicaid programs increasingly are used as models for how private payors and other governmental payors develop their coverage and
reimbursement policies for drugs and other medical products and services, particularly for new and innovative products and therapies,
which has resulted in lower average selling prices. Therefore, any reduction in reimbursement that results from healthcare reform impacting
government programs may result in a similar reduction in payments from private payors.
In March 2010, President Obama signed into law the Patient Protection and Affordable Care Act, as amended by the Health Care
and Education Reconciliation Act of 2010, or, collectively, the Affordable Care Act, a law intended to broaden access to health insurance,
reduce or constrain the growth of healthcare spending, enhance remedies against healthcare fraud and abuse, add new transparency
requirements for healthcare and health insurance industries, impose new taxes and fees on pharmaceutical and medical device
manufacturers and impose additional health policy reforms. Among other things, the Affordable Care Act:
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expanded manufacturers’ rebate liability under the Medicaid Drug Rebate Program by increasing the minimum rebate for
both branded and generic drugs, effective the first quarter of 2010;
revised the definition of “average manufacturer price,” or AMP, for reporting purposes, which can increase the amount of
Medicaid drug rebates manufacturers are required to pay to states, and created a separate AMP for certain categories of drugs
provided in non‑retail outpatient settings;
extended Medicaid drug rebates, previously due only on fee‑for‑service utilization, to Medicaid managed care
utilization;
created an alternative rebate formula for certain new formulations of certain existing products that is intended to increase the
amount of rebates due on those drugs;
expanded the types of entities eligible to receive discounted 340B pricing, although, with the exception of children’s
hospitals, these newly eligible entities will not be eligible to receive discounted 340B pricing on orphan drugs. In addition,
because 340B pricing is determined based on AMP and Medicaid drug rebate data, the revisions to the Medicaid rebate
formula and AMP definition described above can cause the required 340B discounts to increase;
imposed a significant annual fee on companies that manufacture or import branded prescription drug
products;
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•
•
required manufacturers to provide a 50% discount off the negotiated price of prescriptions filled by beneficiaries in the
Medicare Part D coverage gap, referred to as the “donut hole”; and
enacted substantial new provisions affecting compliance which may affect our business practices with healthcare
practitioners.
Significant uncertainty exists regarding the effect of the Affordable Care Act, particularly in light of the pending change in the
Administration following the recent elections and campaign pledges to repeal or reform the Affordable Care Act. However, if the new law
is maintained in its current form, it appears likely that it would continue the downward pressure on pharmaceutical pricing, especially under
the Medicare program, and may also increase our regulatory burdens and operating costs.
In addition, other legislative changes have been proposed and adopted since the Affordable Care Act was enacted. For example, in
August 2011, the President signed into law the Budget Control Act of 2011, which, among other things, created the Joint Select Committee
on Deficit Reduction to recommend to Congress proposals in spending reductions. The Joint Select Committee on Deficit Reduction did not
achieve a targeted deficit reduction of at least $1.2 trillion for fiscal years 2012 through 2021, triggering the legislation’s automatic
reduction to several government programs. This includes aggregate reductions to Medicare payments to providers of 2% per fiscal year,
which went into effect on April 1, 2013.
We expect that the Affordable Care Act, as well as other state and federal healthcare reform measures that have and may be
adopted in the future, may result in more rigorous coverage criteria and in additional downward pressure on the price that we receive for
any approved product, and could seriously harm our future revenues. Any reduction in reimbursement from Medicare or other government
programs may result in a similar reduction in payments from private payors. The implementation of cost containment measures or other
healthcare reforms may prevent us from being able to generate revenue, attain profitability or commercialize our products.
Moreover, the recently enacted Drug Quality and Security Act imposes new obligations on manufacturers of pharmaceutical
products related to product tracking and tracing. Among the requirements of this new legislation, manufacturers will be required to provide
certain information regarding drug products to individuals and entities to which product ownership is transferred, label drug products with a
product identifier, and keep certain records regarding drug products. The transfer of information to subsequent product owners by
manufacturers will eventually be required to be done electronically. Manufacturers will also be required to verify that purchasers of the
manufacturers’ products are appropriately licensed. Further, under this new legislation, manufacturers will have drug product investigation,
quarantine, disposition, and FDA and trading partner notification responsibilities related to counterfeit, diverted, stolen, and intentionally
adulterated products such that they would result in serious adverse health consequences or death, as well as products that are the subject of
fraudulent transactions or which are otherwise unfit for distribution such that they would be reasonably likely to result in serious health
consequences or death.
Product liability lawsuits against us could cause us to incur substantial liabilities and to limit commercialization of any products that we
may develop.
We face an inherent risk of product liability exposure related to the testing of our product candidates in human clinical trials and
will face an even greater risk if we commercially sell any products that we may develop. Product liability claims may be brought against us
by subjects enrolled in our clinical trials, patients, healthcare providers or others using, administering or selling our products. For example,
we may be sued if any product we develop allegedly causes injury or is found to be otherwise unsuitable during product testing,
manufacturing, marketing or sale. Any such product liability claims may include allegations of defects in manufacturing, defects in design,
a failure to warn of dangers inherent in the product, negligence, strict liability and a breach of warranties. Claims could also be asserted
under state consumer protection acts. If we cannot successfully defend ourselves against claims that our product candidates or products that
we may develop caused injuries, we could incur substantial liabilities. Regardless of merit or eventual outcome, liability claims may result
in:
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decreased demand for any product candidates or products that we may
develop;
termination of clinical trial sites or entire trial
programs;
injury to our reputation and significant negative media
attention;
• withdrawal of clinical trial
participants;
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significant costs to defend the related
litigation;
substantial monetary awards to trial subjects or
patients;
loss of
revenue;
product recalls, withdrawals or labeling, marketing or promotional
restrictions;
diversion of management and scientific resources from our business
operations;
the inability to commercialize any products that we may develop;
and
a decline in our stock
price.
We currently hold $10.0 million in clinical trial liability insurance coverage, which may not adequately cover all liabilities that we
may incur. We may not be able to maintain insurance coverage at a reasonable cost or in an amount adequate to satisfy any liability that
may arise. We intend to expand our insurance coverage for products to include the sale of commercial products if we obtain marketing
approval for our product candidates in development, but we may be unable to obtain commercially reasonable product liability insurance
for any products approved for marketing. Large judgments have been awarded in class action lawsuits based on drugs that had
unanticipated side effects. A successful product liability claim or series of claims brought against us, particularly if judgments exceed our
insurance coverage, could decrease our cash and adversely affect our business.
Our relationships with commercial and government customers, healthcare providers, and third ‑party payors and others will be subject
to applicable anti‑kickback, fraud and abuse, transparency and other healthcare related laws, regulations and requirements, which
could expose us to criminal sanctions, civil penalties, exclusion from participation in federal healthcare programs, contractual damages
and consequences, reputational harm, administrative burdens and diminished profits and future earnings.
Healthcare providers, physicians and third‑party payors play a primary role in the recommendation and prescription of any product
candidates for which we obtain marketing approval. Our future arrangements with third‑party payors and customers may expose us to
broadly applicable fraud and abuse and other healthcare laws and regulations that may constrain the business or financial arrangements and
relationships through which we market, sell and distribute our products for which we obtain marketing approval. There are also laws,
regulations, and requirements applicable to the award and performance of federal grants and contracts. Actions resulting in violations of
these laws regulations, and requirements may result in civil and criminal liability, damages and restitution, as well as exclusion from
participation in federal healthcare programs, corporate integrity agreements, deferred prosecution agreements, debarment from government
contracts and grants and refusal of future orders under existing contracts or contractual damages, and other consequences. Restrictions
under applicable federal and state healthcare related laws and regulations, include the following:
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the federal Anti‑Kickback Statute prohibits persons from, among other things, knowingly and willfully soliciting, offering,
receiving or providing remuneration, directly or indirectly, overtly or covertly, in cash or in kind, to induce or reward, or in
return for, the referral of an individual for the furnishing or arranging for the furnishing, or the purchase, lease or order, or
arranging for or recommending purchase, lease or order, of any good or service for which payment may be made under a
federal healthcare program such as Medicare and Medicaid;
the civil federal False Claims Act imposes civil penalties, including through civil whistleblower or qui tam actions, against
individuals or entities for knowingly presenting, or causing to be presented, to the federal government, claims for payment that
are false or fraudulent; knowingly making, using or causing to be made or used, a false record or statement to get a false or
fraudulent claim paid or approved by the government; conspiring to defraud the government by getting a false or fraudulent
claim paid or approved by the government; or knowingly making, using or causing to be made or used a false record or
statement to avoid, decrease or conceal an obligation to pay money to the federal government. Civil False Claims Act liability
may be imposed for Medicare or Medicaid overpayments, for example, overpayments caused by understated rebate amounts,
that are not refunded within 60 days of discovering the overpayment, even if the overpayment was not cause by a false or
fraudulent act;
•
the criminal federal False Claims Act imposes criminal fines or imprisonment against individuals or entities who willfully
make or present a claim to the government knowing such claim to be false, fictitious or fraudulent;
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•
•
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the Veterans Health Care Act requires manufacturers of covered drugs to offer them for sale on the Federal Supply Schedule,
which requires compliance with applicable federal procurement laws and regulations and subjects us to contractual remedies
as well as administrative, civil and criminal sanctions;
the federal Health Insurance Portability and Accountability Act of 1996, or HIPAA, imposes criminal liability for, among
other actions, knowingly and willfully executing a scheme to defraud any healthcare benefit program, knowingly and willfully
embezzling or stealing from a health care benefit program, willfully obstructing a criminal investigation of a health care
offense, or knowingly and willfully making false statements relating to healthcare matters;
the civil monetary penalties statute imposes penalties against any person or entity who, among other things, is determined to
have presented or caused to be presented a claim to a federal health program that the person knows or should know is for an
item or service that was not provided as claimed or is false or fraudulent;
• HIPAA, as amended by the Health Information Technology for Economic and Clinical Health Act of 2009 and its
implementing regulations, also imposes obligations on certain covered entity health care providers, health plans, and health
care clearinghouses as well as their business associates that perform certain services involving individually identifiable health
information, including mandatory contractual terms, with respect to safeguarding the privacy, security and transmission of
individually identifiable health information, as well as directly applicable privacy and security standards and requirements;
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the federal Physician Sunshine Act, created under Section 6002 of the Affordable Care Act and its implementing regulations,
requires manufacturers of drugs, devices, biologics and medical supplies for which payment is available under Medicare,
Medicaid or the Children’s Health Insurance Program (with certain exceptions) to report annually to the Centers for Medicare
and Medicaid Services, or CMS, information related to payments or other “transfers of value” made to physicians (defined to
include doctors, dentists, optometrists, podiatrists and chiropractors) and teaching hospitals, and requires applicable
manufacturers and applicable group purchasing organizations to report annually to CMS ownership and investment interests
held by physicians (as defined above) and their immediate family members;
the Foreign Corrupt Practices Act, or FCPA, prohibits any United States individual or business from paying, offering, or
authorizing payment or offering of anything of value, directly or indirectly, to any foreign official, political party or candidate
for the purpose of influencing any act or decision of the foreign entity in order to assist the individual or business in obtaining
or retaining business. The FCPA also obligates companies whose securities are listed in the United States to comply with
accounting provisions requiring the company to maintain books and records that accurately and fairly reflect all transactions
of the corporation, including international subsidiaries, and to devise and maintain an adequate system of internal accounting
controls for international operations; and
analogous or similar state, federal, and foreign laws, regulations, and requirements such as state anti‑kickback and false claims
laws, which may apply to sales or marketing arrangements and claims involving healthcare items or services reimbursed by
non‑governmental third‑party payors, including private insurers; state and foreign laws that require pharmaceutical companies
to comply with the pharmaceutical industry’s voluntary compliance guidelines and the applicable compliance guidance
promulgated by the federal government or otherwise restrict payments that may be made to healthcare providers; state and
foreign laws that require drug manufacturers to report information related to payments and other transfers of value to
physicians and other healthcare providers or marketing expenditures; laws, regulations, and requirements applicable to the
award and performance of federal contracts and grants and state, federal and foreign laws that govern the privacy and security
of health and other information in certain circumstances, many of which differ from each other in significant ways and often
are not preempted by HIPAA, thus complicating compliance efforts.
Efforts to ensure that our business arrangements with third parties will comply with applicable healthcare laws and regulations will
involve substantial costs. For example, we must ensure that all applicable price concessions are included in prices calculated and reported to
federal agencies. Because of the breadth of these laws and the narrowness of the statutory exceptions and safe harbors available, it is
possible that governmental authorities will conclude that our business practices may not comply with current or future statutes, regulations
or case law interpreting applicable fraud and abuse or other healthcare laws and regulations. In addition, recent health care reform
legislation has strengthened these laws. For example, the Affordable Care Act, among other things, amends the intent requirement of the
federal anti‑kickback and certain portions of the HIPAA criminal healthcare fraud statutes. A person or entity no longer needs to have
actual knowledge of the statute or specific intent
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to violate it. Moreover, the Affordable Care Act provides that the government may assert that a claim including items or services resulting
from a violation of the federal anti‑kickback statute constitutes a false or fraudulent claim for purposes of the False Claims Act.
If our operations are found to be in violation of any of these laws or any other governmental regulations or requirements that may
apply to us, we may be subject to significant civil, criminal and administrative penalties, damages, fines, imprisonment, restitution
exclusion from government funded healthcare programs, such as Medicare and Medicaid, corporate integrity agreements, deferred
prosecution agreements, debarment from government contracts and grants and refusal of future orders under existing contracts, contractual
damages, the curtailment or restructuring of our operations and other consequences. If any of the physicians or other healthcare providers
or entities with whom we expect to do business are found not to be in compliance with applicable laws, that person or entity may be subject
to criminal, civil or administrative sanctions, including exclusions from government funded healthcare programs. Moreover, availability of
any federal grant funds which we may receive or for which we may apply is subject to federal appropriations law. Grant funding may also
be withdrawn or denied for other reasons. For instance, the National Institutes of Mental Health, or NIMH, decided to discontinue the
funding of a Phase 1 study of CERC‑501 that was to be conducted by a third party as NIMH decided the study would be unlikely to provide
new information beyond what a NIMH funded Phase 2 study, conducted by the same third party, would provide. Similarly, in January 2016
NIMH decided to discontinue the funding of a Phase 2 study of CERC-501 for treatment-resistant depression that was to be conducted by
the National Institutes of Health and sponsored by Massachusetts General Hospital because of slow study progression.
If we fail to attract and keep management and other key personnel, as well as our board members, we may be unable to develop our
product candidates or otherwise implement our business plan.
Our ability to compete in the highly competitive biotechnology and pharmaceuticals industries depends upon our ability to attract
and retain highly qualified managerial, scientific, medical and other personnel. We are highly dependent on Uli Hacksell, Ph.D., our Chief
Executive Officer and President and Chairman of our board of directors. The loss of the services of Dr. Hacksell could impede, delay or
prevent the development of our product candidates and could negatively impact our ability to successfully implement our business plan. If
we lose the services of Dr. Hacksell, we may not be able to find a suitable replacement on a timely basis, or at all, and our business would
likely be harmed as a result. We do not maintain a “key man” insurance policy on Dr. Hacksell’s life or the lives of any of our other
employees. We employ all of our executive officers and key personnel on an at‑will basis and their employment can be terminated by us or
them at any time, for any reason and without notice. In order to retain valuable employees at our company, in addition to salary and cash
incentives, we provide incentive stock options that vest over time. The value to employees of stock options that vest over time will be
significantly affected by movements in our stock price that are beyond our control and may at any time be insufficient to counteract offers
from other companies.
We may not be able to attract or retain qualified management and other key personnel in the future due to the intense competition
for qualified personnel among biotechnology, pharmaceutical and other businesses. Our industry has experienced a high rate of turnover of
management personnel in recent years. As such, we could have difficulty attracting experienced personnel to our company and may be
required to expend significant financial resources in our employee recruitment and retention efforts. Many of the other biotechnology and
pharmaceutical companies with whom we compete for qualified personnel have greater financial and other resources, different risk profiles
and longer histories in the industry than we do. They also may provide more diverse opportunities and better chances for career
advancement. Some of these characteristics may be more appealing to high quality candidates than that which we have to offer. If we are
not able to attract and retain the necessary personnel to accomplish our business objectives, we may experience constraints that will impede
significantly our ability to implement our business strategy and achieve our business objectives.
In addition, we have scientific and clinical advisors who assist us in formulating our development and clinical strategies. These
advisors are not our employees and may have commitments to, or consulting or advisory contracts with, other entities that may limit their
availability to us. In addition, our advisors may have arrangements with other companies to assist those companies in developing products
or technologies that may compete with ours.
If our employees, independent contractors, principal investigators, CROs, manufacturers, consultants or vendors commit fraud or other
misconduct, including noncompliance with regulatory standards and requirements and insider trading, our business may experience
serious adverse consequences.
We are exposed to the risk that our employees, independent contractors, principal investigators, CROs, manufacturers, consultants
and vendors may engage in fraudulent or other illegal activity. Misconduct by these parties could include intentional, reckless and/or
negligent conduct or disclosure of unauthorized activities to us that violates: (1) FDA regulations,
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including those laws requiring the reporting of true, complete and accurate information to the FDA, (2) manufacturing standards, (3) federal
and state healthcare fraud and abuse laws and regulations or (4) laws that require the true, complete and accurate reporting of financial
information or data. Specifically, sales, marketing and business arrangements in the healthcare industry are subject to extensive laws and
regulations intended to prevent fraud, kickbacks, self‑dealing and other abusive practices. These laws and regulations may restrict or
prohibit a wide range of pricing, discounting, marketing and promotion, sales commission, customer incentive programs and other business
arrangements. The improper use of information obtained in the course of clinical trials could also result in significant legal sanctions and
serious harm to our reputation. In addition, federal procurement laws and regulations impose substantial penalties for misconduct in
connection with government contracts and require contractors to maintain a code of business conduct and ethics. We have adopted a Code
of Business Conduct and Ethics, but it is not always possible to identify and deter misconduct by our employees and other third parties, and
the precautions we take to detect and prevent this activity may not be effective in controlling unknown or unmanaged risks or losses or in
protecting us from governmental investigations or other actions or lawsuits stemming from a failure to be in compliance with such laws or
regulations. If any such actions are instituted against us, and we are not successful in defending ourselves or asserting our rights, those
actions could have a significant impact on our business, including regulatory enforcement action, the imposition of significant criminal and
civil fines, penalties, or other sanctions, including imprisonment, exclusion from participation in federal healthcare programs, and deferred
prosecution and corporate integrity agreements.
In addition, during the course of our operations, our directors, executives and employees may have access to material, nonpublic
information regarding our business, our results of operations or potential transactions we are considering. We have adopted an Insider
Trading Policy, but despite the adoption of such policy, we may not be able to prevent a director, executive or employee from trading in our
common stock on the basis of, or while having access to, material, nonpublic information. If a director, executive or employee was to be
investigated, or an action was to be brought against a director, executive or employee for insider trading, it could have a negative impact on
our reputation and our stock price. Such a claim, with or without merit, could also result in substantial expenditures of time and money, and
divert attention of our management team from other tasks important to the success of our business.
We may encounter difficulties in managing our growth and expanding our operations successfully.
As we seek to advance our product candidates through clinical trials, we will need to expand our development, regulatory,
manufacturing, administrative, marketing and sales capabilities or contract with third parties to provide these capabilities for us. As our
operations expand, we expect that we will need to manage additional relationships with various strategic partners, suppliers and other third
parties. Future growth will impose significant added responsibilities on members of management. Our future financial performance and our
ability to commercialize our product candidates and to compete effectively will depend, in part, on our ability to manage any future growth
effectively. To that end, we must be able to manage our development efforts and clinical trials effectively and hire, train and integrate
additional management, administrative and sales and marketing personnel. The hiring, training and integration of new employees may be
more difficult, costly and/or time‑consuming for us because we have fewer resources than a larger organization. We may not be able to
accomplish these tasks, and our failure to accomplish any of them could prevent us from successfully growing our company.
If, in the future, we are unable to establish our own sales, marketing and distribution capabilities or enter into licensing or
collaboration agreements for these purposes, we may not be successful in commercializing our product candidates.
We currently have a relatively small number of employees and do not have a sales or marketing infrastructure, and we do not have
any significant sales, marketing or distribution experience. We will be opportunistic in seeking to either build our own commercial
infrastructure to commercialize our product candidates and future products if and when they are approved, or enter into licensing or
collaboration agreements to assist in the future development and commercialization of such products.
To develop internal sales, distribution and marketing capabilities, we will have to invest significant amounts of financial and
management resources, some of which will be committed prior to any confirmation that our product candidates will be approved. For
product candidates for which we decide to perform sales, marketing and distribution functions ourselves, we could face a number of
additional risks, including:
•
•
•
our inability to recruit and retain adequate numbers of effective sales and marketing
personnel;
the inability of sales personnel to obtain access to physicians or educate adequate numbers of physicians on the clinical
benefits of our products to achieve market acceptance;
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;
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•
•
•
the costs associated with training sales personnel on legal compliance matters and monitoring their
actions;
liability for sales personnel failing to comply with the applicable legal requirements;
and
unforeseen costs and expenses associated with creating an independent sales and marketing
organization.
Where and when appropriate, we may elect to utilize contract sales forces or strategic partners to assist in the commercialization of
our product candidates. If we enter into arrangements with third parties to perform sales, marketing and distribution services for our
products, the resulting revenues or the profitability from these revenues to us are likely to be lower than if we had sold, marketed and
distributed our products ourselves. In addition, we may not be successful in entering into arrangements with third parties to sell, market and
distribute our product candidates or may be unable to do so on terms that are favorable to us. We likely will have little control over such
third parties, and any of these third parties may fail to devote the necessary resources and attention to sell, market and distribute our
products effectively. Such third parties may also not comply with the applicable regulatory requirements, which could potentially expose us
to regulatory and legal enforcement actions.
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.
Risks Related to Our Dependence on Third Parties
We may not succeed in establishing and maintaining development collaborations, which could adversely affect our ability to develop
and commercialize product candidates.
A part of our strategy is to enter into product development collaborations in the future, including collaborations with major
biotechnology or pharmaceutical companies for the development or commercialization of our current and future product candidates. We
face significant competition in seeking appropriate development partners and the negotiation process is time‑consuming and complex. We
may not succeed in our efforts to establish development collaborations or other alternative arrangements for any of our existing or future
product candidates and programs because our research and development pipeline may be insufficient, our product candidates and programs
may be deemed to be at too early a stage of development for collaborative effort and/or third parties may not view our product candidates
and programs as having the requisite potential to demonstrate safety and efficacy.
Furthermore, any collaborations that we enter into may not be successful. The success of our development collaborations will
depend heavily on the efforts and activities of our collaborators. Collaborators generally have significant discretion in determining the
efforts and resources that they will apply to these collaborations. Disagreements between parties to a development collaboration regarding
clinical development and commercialization matters can lead to delays in the development process or commercializing the applicable
product candidate and, in some cases, termination of the development collaboration. These disagreements can be difficult to resolve if
neither of the parties has final decision making authority.
Even if we are successful in our efforts to establish development collaborations, the terms that we agree upon may not be favorable
to us and we may not be able to maintain such development collaborations if, for example, development or approval of a product candidate
is delayed or sales of an approved product candidate are disappointing. Any delay in entering into development collaboration agreements
related to our product candidates could delay the development and commercialization of our product candidates and reduce their
competitiveness if they reach the market. Additionally, collaborations with pharmaceutical or biotechnology companies and other third
parties often are terminated or allowed to expire by the other party. Any such termination or expiration would adversely affect us
financially and could harm our business reputation.
If we fail to establish and maintain additional development collaborations related to our product candidates:
•
•
the development of certain of our current or future product candidates may be terminated or
delayed;
our cash expenditures related to development of certain of our current or future product candidates would increase
significantly and we may need to seek additional financing, which may not be available on favorable terms, or at all;
• we may be required to hire additional employees or otherwise develop expertise, such as sales and marketing expertise, for
which we have not budgeted;
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• we will bear all of the risk related to the development of any such product
candidates;
• we may have to expend unexpected efforts and funds if we are unable to obtain the results of third party clinical trials;
and
•
the competitiveness of any product candidate that is commercialized could be
reduced.
We rely on third parties to conduct, supervise and monitor our clinical trials. The failure of these third parties to successfully carry out
their contractual duties or meet expected deadlines could substantially harm our business because we may not obtain marketing
approval for or commercialize our product candidates in a timely manner or at all.
We rely upon third‑party CROs to monitor and manage data for our clinical programs. We rely on these parties for execution of
our clinical trials and, while we have agreements governing their activities, we have limited influence over their actual performance and
control only certain aspects of their activities. Nevertheless, we are responsible for ensuring that each of our studies is conducted in
accordance with the applicable protocol, legal, regulatory and scientific standards, and our reliance on the CROs does not relieve us of our
regulatory responsibilities. We, our clinical trial sites, and our CROs are required to comply with GCP requirements, which are regulations
and guidelines enforced by the FDA, the Competent Authorities of the Member States of the European Economic Area and comparable
foreign regulatory authorities for all of our products in clinical development. Regulatory authorities enforce these GCP requirements
through periodic inspections of trial sponsors, principal investigators and trial sites. If we, any of our CROs or clinical trial sites fail to
comply with applicable GCP requirements, the clinical data generated in our clinical trials may be deemed unreliable and the FDA or
comparable foreign regulatory authorities may require us to perform additional clinical trials before approving our marketing applications,
if at all. In addition, we are required to report certain financial interests of our third‑party investigators if these relationships exceed certain
financial thresholds or meet other criteria. The FDA or comparable foreign regulatory authorities may question the integrity of the data
from those clinical trials conducted by principal investigators who previously served or currently serve as scientific advisors or consultants
to us from time to time and receive cash compensation in connection with such services or otherwise receive compensation from us that
could be deemed to impact study outcome, proprietary interests in a product candidate, certain company equity interests, or significant
payments of other sorts. We cannot assure you that upon inspection by a given regulatory authority, such regulatory authority will
determine that any of our clinical trials complies with GCP requirements. In addition, we must conduct our clinical trials with product
produced under applicable GMP requirements. Failure to comply with these regulations may require us to repeat preclinical and clinical
trials, which would delay the marketing approval process.
Our CROs and clinical trial sites are not our employees, and, except for remedies available to us under our agreements with such
CROs and clinical trial sites, we cannot control whether or not they devote sufficient time and resources to our ongoing clinical, nonclinical
and preclinical programs. These CROs and clinical trial sites may also have relationships with other commercial entities, including our
competitors, for whom they may also be conducting clinical trials or other drug development activities that could harm our competitive
position. If CROs or clinical trial sites do not successfully carry out their contractual duties or obligations or meet expected deadlines, or if
the quality or accuracy of the clinical data they obtain is compromised due to the failure to adhere to our clinical protocols, regulatory
requirements or for other reasons, our clinical trials may be extended, delayed or terminated and we may not be able to obtain marketing
approval for or successfully commercialize our product candidates or we may be subject to regulatory enforcement actions. As a result, our
results of operations and the commercial prospects for our product candidates would be harmed, our costs could increase and our ability to
generate revenues could be delayed. To the extent we are unable to successfully identify and manage the performance of third‑party service
providers in the future, our business may be adversely affected.
Switching or adding CROs involves substantial cost and requires extensive management time and focus. In addition, there is a
natural transition period when a new CRO commences work. As a result, delays occur, which can materially impact our ability to meet our
desired clinical development timelines. Though we carefully manage our relationships with our CROs, there can be no assurance that we
will not encounter similar challenges or delays in the future or that these delays or challenges will not have a material adverse impact on
our business, prospects, financial condition and results of operations.
We use third parties to manufacture all of our product candidates. This may increase the risk that we will not have sufficient quantities
of our product candidates to conduct our clinical trials or such quantities at an acceptable cost, which could result in the delay,
prevention, or impairment of clinical development and commercialization of our product candidates.
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We do not own or operate, and have no plans to establish, any manufacturing facilities for our product candidates. We have
limited personnel with experience in drug manufacturing and we lack the resources and the capabilities to manufacture any of our product
candidates on a clinical or commercial scale.
We currently outsource all manufacturing of our product candidates to third parties typically without any guarantee that there will
be sufficient supplies to fulfill our requirements or that we may obtain such supplies on acceptable terms. Any delays in obtaining adequate
supplies with respect to our product candidates may delay the development or commercialization of our other product candidates.
In addition, we do not currently have any agreements with third‑party manufacturers for the long‑term commercial supply of our
product candidates. We may be unable to enter agreements for commercial supply with third‑party manufacturers, or may be unable to do
so on acceptable terms. Even if we enter into these agreements, the various manufacturers of each product candidate will likely be single
source suppliers to us for a significant period of time.
The facilities used by our contract manufacturers to manufacture our product candidates must be approved by the FDA pursuant to
inspections that will be conducted after we submit our NDA to the FDA. While we are ultimately responsible for the manufacture of our
product candidates, other than through our contractual arrangements, we do not control the manufacturing process of, and are completely
dependent on, our contract manufacturing partners for compliance with the regulatory requirements, known as GMP requirements, for
manufacture of both active drug substances and finished drug products for clinical supply and eventually for commercial supply, if we
receive regulatory approval. If our contract manufacturers cannot successfully manufacture material that conforms to our specifications and
the strict regulatory requirements of the FDA or other regulatory authorities, we will not be able to secure and/or maintain regulatory
approval for their manufacturing facilities. Failure of our contract manufacturers to comply with the applicable regulatory requirements
may also subject us to regulatory enforcement actions. In addition, other than through our contractual agreements, we have no control over
the ability of our contract manufacturers to maintain adequate quality control, quality assurance and qualified personnel. If the FDA or a
comparable foreign regulatory authority does not approve these facilities for the manufacture of our product candidates or if it withdraws
any such approval in the future, we may need to find alternative manufacturing facilities, which would significantly impact our ability to
develop, obtain marketing approval for or market our product candidates, if approved.
Reliance on third‑party manufacturers subjects us to risks that would not affect us if we manufactured the product candidates
ourselves, including:
•
•
•
•
reliance on the third parties for regulatory compliance and quality
assurance;
the possible breach of the manufacturing agreements by the third parties because of factors beyond our
control;
the possibility of termination or nonrenewal of the agreements by the third parties because of our breach of the manufacturing
agreement or based on their own business priorities; and
the disruption and costs associated with changing suppliers, including additional regulatory
filings.
Our product candidates may compete with other products and product candidates for access to manufacturing facilities. There are
a limited number of manufacturers that operate under GMP regulations and that are both capable of manufacturing for us and willing to do
so. If our existing third‑party manufacturers, or the third parties that we engage in the future to manufacture a product for commercial sale
or for our clinical trials, should cease to continue to do so for any reason, we likely would experience delays in obtaining sufficient
quantities of our product candidates for us to meet commercial demand or to advance our clinical trials while we identify and qualify
replacement suppliers. If for any reason we are unable to obtain adequate supplies of our product candidates or the drug substances used to
manufacture them, it will be more difficult for us to develop our product candidates and compete effectively.
Our suppliers are subject to regulatory requirements, covering manufacturing, testing, quality control, manufacturing, and record
keeping relating to our product candidates, and subject to ongoing inspections by the regulatory agencies. Failure by any of our suppliers to
comply with applicable regulations may result in long delays and interruptions to our manufacturing capacity while we seek to secure
another supplier that meets all regulatory requirements, as well as market disruption related to any necessary recalls or other corrective
actions.
Risks Related to Intellectual Property
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If we are unable to obtain or maintain intellectual property rights, or if the scope of patent protection is not sufficiently broad,
competitors could develop and commercialize products similar or identical to ours, and we may not be able to compete effectively in our
market.
Our success depends in significant part on our and our licensors’, licensees’ or collaborators’ ability to establish, maintain and
protect patents and other intellectual property rights and operate without infringing the intellectual property rights of others. We have filed
numerous patent applications both in the United States and in foreign jurisdictions to obtain patent rights to inventions we have discovered.
We have also licensed from third parties rights to patent portfolios.
The patent prosecution process is expensive and time‑consuming, and we and our current or future licensors, licensees or
collaborators may not be able to prepare, file and prosecute all necessary or desirable patent applications at a reasonable cost or in a timely
manner. It is also possible that we or our licensors, licensees or collaborators will fail to identify patentable aspects of inventions made in
the course of development and commercialization activities before it is too late to obtain patent protection on them. Moreover, in some
circumstances, we may not have the right to control the preparation, filing and prosecution of patent applications, or to maintain the
patents, covering technology that we license from or license to third parties and are reliant on our licensors, licensees or collaborators.
Therefore, these patents and applications may not be prosecuted and enforced in a manner consistent with the best interests of our business.
If our current or future licensors, licensees or collaborators fail to establish, maintain or protect such patents and other intellectual property
rights, such rights may be reduced or eliminated. If our licensors, licensees or collaborators are not fully cooperative or disagree with us as
to the prosecution, maintenance or enforcement of any patent rights, such patent rights could be compromised.
The patent position of biotechnology and pharmaceutical companies generally is highly uncertain, involves complex legal and
factual questions and has in recent years been the subject of much litigation. As a result, the issuance, scope, validity, enforceability and
commercial value of our and our current or future licensors’, licensees’ or collaborators’ patent rights are highly uncertain. Our and our
licensors’, licensees’ or collaborators’ pending and future patent applications may not result in patents being issued which protect our
technology or products, in whole or in part, or which effectively prevent others from commercializing competitive technologies and
products. The patent examination process may require us or our licensors, licensees or collaborators to narrow the scope of the claims of
our or our licensors’, licensees’ or collaborators’ pending and future patent applications, which may limit the scope of patent protection that
may be obtained. Our and our licensors’, licensees’ or collaborators’ patent applications cannot be enforced against third parties practicing
the technology claimed in such applications unless and until a patent issues from such applications, and then only to the extent the issued
claims cover the technology.
Furthermore, given the amount of time required for the development, testing and regulatory review of new product candidates,
patents protecting such candidates might expire before or shortly after such candidates are commercialized. As a result, our owned and
licensed patent portfolio may not provide us with sufficient rights to exclude others from commercializing products similar or identical to
ours. We expect to seek extensions of patent terms where these are available in any countries where we are prosecuting patents. This
includes in the United States under the Drug Price Competition and Patent Term Restoration Act of 1984, which permits a patent term
extension of up to five years beyond the expiration of the patent. However, the applicable authorities, including the FDA in the United
States, and any equivalent regulatory authority in other countries, may not agree with our assessment of whether such extensions are
available, and may refuse to grant extensions to our patents, or may grant more limited extensions than we request. If this occurs, our
competitors may take advantage of our investment in development and clinical trials by referencing our clinical and preclinical data and
launch their product earlier than might otherwise be the case.
If we breach the license agreements related to our product candidates, we could lose the ability to develop and commercialize our
product candidates.
Our commercial success depends upon our ability, and the ability of our licensors and collaborators, to develop, manufacture,
market and sell our product candidates and use our and our licensors’ or collaborators’ proprietary technologies without infringing the
proprietary rights of third parties. If we fail to comply with our obligations in the agreements under which we license intellectual property
rights from third parties or otherwise experience disruptions to our business relationships with our licensors, we could lose the ability to
continue the development and commercialization of our product candidates or face other penalties under these agreements. We have
entered into exclusive license agreements with Merck & Co., Inc. and its affiliates, or Merck, pursuant to which Merck has granted us rights
to the compounds used in CERC‑301 and the COMTi platform, including CERC‑406. We have also entered into exclusive license
agreements with Lilly pursuant to which Lilly has granted us rights to the compounds used in CERC‑501, as well as an exclusive license,
development and commercialization agreement with Lilly pursuant to which we received exclusive global rights to develop and
commercialize CERC-611. If we fail to comply with the obligations under these agreements, including payment terms, Merck and Lilly
may have the right to
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terminate any of these agreements, in which event we may not be able to develop, market or sell CERC‑301, CERC‑501, CERC-611 or any
product candidate developed from the COMTi platform, including CERC‑406. Such an occurrence could materially adversely affect the
value of the product candidate being developed under any such agreement. Termination of these agreements or reduction or elimination of
our rights under these agreements may result in our having to negotiate new or reinstated agreements, which may not be available to us on
equally favorable terms, or at all, or cause us to lose our rights under these agreements, including our rights to intellectual property or
technology important to our development programs. Any of these occurrences may harm our business, financial condition and prospects
significantly.
Obtaining and maintaining our patent protection depends on compliance with various procedural, document submission, fee payment
and other requirements imposed by governmental patent agencies, and our patent protection could be reduced or eliminated for
non‑compliance with these requirements.
Periodic maintenance and annuity fees on any issued patent are due to be paid to the United States Patent and Trademark Office,
or USPTO, and foreign patent agencies in several stages over the lifetime of the patent. The USPTO and various foreign governmental
patent agencies require compliance with a number of procedural, documentary, fee payment and other similar provisions during the patent
application process. While an inadvertent lapse can in many cases be cured by payment of a late fee or by other means in accordance with
the applicable rules, there are situations in which noncompliance can result in abandonment or lapse of the patent or patent application,
resulting in partial or complete loss of patent rights in the relevant jurisdiction. Non‑compliance events that could result in abandonment or
lapse of a patent or patent application include failure to respond to official actions within prescribed time limits, non‑payment of fees and
failure to properly legalize and submit formal documents. If we or our licensors or collaborators fail to maintain the patents and patent
applications covering our product candidates, our competitors might be able to enter the market, which would have a material adverse
effect on our business.
Third parties may initiate legal proceedings against us alleging that we infringe their intellectual property rights or we may initiate legal
proceedings against third parties to challenge the validity or scope of intellectual property rights controlled by third parties, the outcome
of which would be uncertain and could have a material adverse effect on the success of our business.
Third parties may initiate legal proceedings against us or our licensors or collaborators alleging that we or our licensors or
collaborators infringe their intellectual property rights or we or our licensors or collaborators may initiate legal proceedings against third
parties to challenge the validity or scope of intellectual property rights controlled by third parties, including in oppositions, interferences,
reexaminations, inter partes reviews or derivation proceedings before the United States or other jurisdictions. These proceedings can be
expensive and time‑consuming and many of our or our licensors’ or collaborators’ adversaries in these proceedings may have the ability to
dedicate substantially greater resources to prosecuting these legal actions than we or our licensors or collaborators can.
An unfavorable outcome could require us or our licensors or collaborators to cease using the related technology or developing or
commercializing our product candidates, or to attempt to license rights to it from the prevailing party. Our business could be harmed if the
prevailing party does not offer us or our licensors or collaborators a license on commercially reasonable terms or at all. Even if we or our
licensors or collaborators obtain a license, it may be non‑exclusive, thereby giving our competitors access to the same technologies
licensed to us or our licensors or collaborators. In addition, we could be found liable for monetary damages, including treble damages and
attorneys’ fees, if we are found to have willfully infringed a patent. A finding of infringement could prevent us from commercializing our
product candidates or force us to cease some of our business operations, which could materially harm our business.
We may become involved in lawsuits to protect or enforce our intellectual property, which could be expensive, time‑consuming and
unsuccessful and have a material adverse effect on the success of our business.
Third parties may infringe our or our licensors’ or collaborators’ patents or misappropriate or otherwise violate our or our
licensors’ or collaborators’ intellectual property rights. In the future, we or our licensors or collaborators may initiate legal proceedings to
enforce or defend our or our licensors’ or collaborators’ intellectual property rights, to protect our or our licensors’ or collaborators’ trade
secrets or to determine the validity or scope of intellectual property rights we own or control. Also, third parties may initiate legal
proceedings against us or our licensors or collaborators to challenge the validity or scope of intellectual property rights we own or control.
The proceedings can be expensive and time‑consuming and many of our or our licensors’ or collaborators’ adversaries in these proceedings
may have the ability to dedicate substantially greater resources to prosecuting these legal actions than we or our licensors or collaborators
can. Accordingly, despite our or our licensors’ or collaborators’ efforts, we or our licensors or collaborators may not prevent third parties
from infringing upon or misappropriating intellectual property rights we own or control, particularly in countries where the laws may not
protect those
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rights as fully as in the United States. Litigation could result in substantial costs and diversion of management resources, which could harm
our business and financial results. In addition, in an infringement proceeding, a court may decide that a patent owned by or licensed to us is
invalid or unenforceable, or may refuse to stop the other party from using the technology at issue on the grounds that our or our licensors’
or collaborators’ patents do not cover the technology in question. An adverse result in any litigation proceeding could put one or more of
our or our licensors’ or collaborators’ patents at risk of being invalidated, held unenforceable or interpreted narrowly.
Third party preissuance submission of prior art to the USPTO, or opposition, derivation, reexamination, inter partes review or
interference proceedings, or other preissuance or post‑grant proceedings in the United States or other jurisdictions provoked by third parties
or brought by us or our licensors or collaborators may be necessary to determine the priority of inventions with respect to our or our
licensors’ or collaborators’ patents or patent applications. An unfavorable outcome could require us or our licensors or collaborators to
cease using the related technology and commercializing our product candidates, or to attempt to license rights to it from the prevailing
party. Our business could be harmed if the prevailing party does not offer us or our licensors or collaborators a license on commercially
reasonable terms or at all. Even if we or our licensors or collaborators obtain a license, it may be non‑exclusive, thereby giving our
competitors access to the same technologies licensed to us or our licensors or collaborators. In addition, if the breadth or strength of
protection provided by our or our licensors’ or collaborators’ patents and patent applications is threatened, it could dissuade companies
from collaborating with us to license, develop or commercialize current or future product candidates. Even if we successfully defend such
litigation or proceeding, we may incur substantial costs and it may distract our management and other employees. We could be found liable
for monetary damages, including treble damages and attorneys’ fees if we are found to have willfully infringed a patent.
Furthermore, because of the substantial amount of discovery required in connection with intellectual property litigation, there is a
risk that some of our confidential information could be compromised by disclosure during this type of litigation. There could also be public
announcements of the results of hearings, motions or other interim proceedings or developments. If securities analysts or investors perceive
these results to be negative, it could have a material adverse effect on the price of our warrants or shares of our common stock.
We may be subject to claims by third parties asserting that our employees or we have misappropriated their intellectual property, or
claiming ownership of what we regard as our own intellectual property.
Many of our employees, including our senior management, were previously employed at universities or at other biotechnology or
pharmaceutical companies, including our competitors or potential competitors. Some of these employees executed proprietary rights,
non‑disclosure and non‑competition agreements in connection with such previous employment. We may be subject to claims that we or
these employees have used or disclosed confidential information or intellectual property, including trade secrets or other proprietary
information, of any such employee’s former employer. In addition, we may be subject to claims that former employees, collaborators, or
other third parties have an ownership interest in our patents or other intellectual property. While it is our policy to require our employees
and contractors who may be involved in the development of intellectual property to execute agreements assigning such intellectual property
to us, we may be unsuccessful in executing such an agreement to each party who in fact develops intellectual property that we regard as our
own. We could be subject to ownership disputes arising, for example, from conflicting obligations of consultants or others who are
involved in developing our product candidates. Litigation may be necessary to defend against these claims.
If we fail in prosecuting or defending any such claims, in addition to paying monetary damages, we may lose valuable intellectual
property rights or personnel or sustain damages. Such intellectual property rights could be awarded to a third party, and we could be
required to obtain a license from such third party to commercialize our technology or products. Such a license may not be available on
commercially reasonable terms or at all. Even if we successfully prosecute or defend against such claims, litigation could result in
substantial costs and distract management.
Our inability to protect our confidential information and trade secrets would harm our business and competitive position.
In addition to seeking patents for some of our technology and products, we also rely on trade secrets, including unpatented
know‑how, technology and other proprietary information, to maintain our competitive position. Though we seek to protect these trade
secrets, in part, by entering into non‑disclosure and confidentiality agreements with parties who have access to them, such as our
employees, corporate collaborators, outside scientific collaborators, contract manufacturers, consultants, advisors and other third parties, as
well as by entering into confidentiality and invention or patent assignment agreements with our employees and consultants, any of these
parties may breach the agreements and disclose our proprietary information, including our trade secrets, and we may not be able to obtain
adequate remedies for such breaches. Enforcing a claim that a party illegally disclosed or misappropriated a trade secret is difficult,
expensive and time‑consuming, and the outcome is unpredictable. In addition, some courts both within and outside the United States may
be less willing or unwilling to protect
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trade secrets. If a competitor lawfully obtained or independently developed any of our trade secrets, we would have no right to prevent such
competitor from using that technology or information to compete with us, which could harm our competitive position.
Changes in patent law could diminish the value of patents in general, thereby impairing our ability to protect our product candidates.
As is the case with other biotechnology and pharmaceutical companies, our success is heavily dependent on intellectual property,
particularly patents. Obtaining and enforcing patents in the biopharmaceutical industry involve technological and legal complexity, and
obtaining and enforcing biopharmaceutical patents is costly, time‑consuming, and inherently uncertain. The Supreme Court has ruled on
several patent cases in recent years, either narrowing the scope of patent protection available in certain circumstances or weakening the
rights of patent owners in certain situations. In addition to increasing uncertainty with regard to our and our licensors’ or collaborators’
ability to obtain patents in the future, this combination of events has created uncertainty with respect to the value of patents, once obtained.
Depending on decisions by Congress, the federal courts, and the USPTO the laws and regulations governing patents could change in
unpredictable ways that would weaken our and our licensors’ or collaborators’ ability to obtain new patents or to enforce existing patents
and patents we and our licensors or collaborators may obtain in the future. Recent patent reform legislation could increase the uncertainties
and costs surrounding the prosecution of our and our licensors’ or collaborators’ patent applications and the enforcement or defense of our
or our licensors’ or collaborators’ issued patents. On September 16, 2011, the Leahy‑Smith America Invents Act, or the Leahy‑Smith Act,
was signed into law. The Leahy‑Smith Act includes a number of significant changes to United States patent law. These include provisions
that affect the way patent applications are prosecuted and may also affect patent litigation. The USPTO recently developed new regulations
and procedures to govern administration of the Leahy‑Smith Act, and many of the substantive changes to patent law associated with the
Leahy‑Smith Act, and in particular, the first to file provisions, only became effective on March 16, 2013. Accordingly, it is not clear what,
if any, impact the Leahy‑Smith Act will have on the operation of our business. However, the Leahy‑Smith Act and its implementation
could increase the uncertainties and costs surrounding the prosecution of our or our licensors’ or collaborators’ patent applications and the
enforcement or defense of our or our licensors’ or collaborators’ issued patents, all of which could have a material adverse effect on our
business and financial condition.
We may not be able to protect our intellectual property rights throughout the world.
Filing, prosecuting, enforcing and defending patents on product candidates in all countries throughout the world would be
prohibitively expensive, and our or our licensors’ or collaborators’ intellectual property rights in some countries outside the United States
can be less extensive than those in the United States. In addition, the laws of some foreign countries do not protect intellectual property
rights to the same extent as federal and state laws in the United States. Consequently, we and our licensors or collaborators may not be able
to prevent third parties from practicing our and our licensors’ or collaborators’ inventions in all countries outside the United States, or from
selling or importing products made using our and our licensors’ or collaborators’ inventions in and into the United States or other
jurisdictions. Competitors may use our and our licensors’ or collaborators’ technologies in jurisdictions where we have not obtained patent
protection to develop their own products and further, may export otherwise infringing products to territories where we and our licensors or
collaborators have patent protection, but enforcement is not as strong as that in the United States. These products may compete with our
product candidates and our and our licensors’ or collaborators’ patents or other intellectual property rights may not be effective or sufficient
to prevent them from competing.
Many companies have encountered significant problems in protecting and defending intellectual property rights in foreign
jurisdictions. The legal systems of certain countries, particularly certain developing countries, do not favor the enforcement of patents and
other intellectual property protection, particularly those relating to biopharmaceuticals, which could make it difficult for us and our
licensors or collaborators to stop the infringement of our and our licensors’ or collaborators’ patents or marketing of competing products in
violation of our and our licensors’ or collaborators’ proprietary rights generally. Proceedings to enforce our and our licensors’ or
collaborators’ patent rights in foreign jurisdictions could result in substantial costs and divert our and our licensors’ or collaborators’ efforts
and attention from other aspects of our business, could put our and our licensors’ or collaborators’ patents at risk of being invalidated or
interpreted narrowly and our and our licensors’ or collaborators’ patent applications at risk of not issuing and could provoke third parties to
assert claims against us or our licensors or collaborators. We or our licensors or collaborators may not prevail in any lawsuits that we or our
licensors or collaborators initiate and the damages or other remedies awarded, if any, may not be commercially meaningful.
The requirements for patentability may differ in certain countries, particularly developing countries. For example, unlike other
countries, China has a heightened requirement for patentability, and specifically requires a detailed description of medical uses of a claimed
drug. In India, unlike the United States, there is no link between regulatory approval of a drug and its
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patent status. Furthermore, generic or biosimilar drug manufacturers or other competitors may challenge the scope, validity or
enforceability of our or our licensors’ or collaborators’ patents, requiring us or our licensors or collaborators to engage in complex, lengthy
and costly litigation or other proceedings. Generic or biosimilar drug manufacturers may develop, seek approval for, and launch biosimilar
versions of our products. In addition to India, certain countries in Europe and developing countries, including China, have compulsory
licensing laws under which a patent owner may be compelled to grant licenses to third parties. In those countries, we and our licensors or
collaborators may have limited remedies if patents are infringed or if we or our licensors or collaborators are compelled to grant a license to
a third party, which could materially diminish the value of those patents. This could limit our potential revenue opportunities. Accordingly,
our and our licensors’ or collaborators’ efforts to enforce intellectual property rights around the world may be inadequate to obtain a
significant commercial advantage from the intellectual property that we own or license.
Risks Related to our Stock
If we are not able to comply with the applicable continued listing requirements or standards of The NASDAQ Capital Market, NASDAQ
could delist our common stock.
Our common stock is currently listed on The NASDAQ Capital Market. In order to maintain that listing, we must satisfy minimum
financial and other continued listing requirements and standards, including those regarding director independence and independent
committee requirements, minimum stockholders’ equity, minimum share price, and certain corporate governance requirements. There can
be no assurances that we will be able to comply with the applicable listing standards.
On January 13, 2017, we received a notice from NASDAQ that we were not in compliance with NASDAQ Listing Rule 5550(b)
(1), as we failed to maintain a minimum required stockholders’ equity of $2.5 million, NASDAQ Listing Rule 5550(b)(2), as the market
value of our listed securities, or MVLS, was below the minimum $35 million for the previous 30 consecutive business days, and NASDAQ
Listing Rule 5550(b)(3), as we have not had net income from continuing operations in the latest fiscal year or in two of the last three fiscal
years. In accordance with NASDAQ Listing Rule 5810(c)(3)(C), we have a period of 180 calendar days, or until July 12, 2017, to regain
compliance with the Rule. To regain compliance, at any time during the 180 calendar day-compliance period our MVLS must close at $35
million or more for a minimum of 10 consecutive business days or we must report stockholders' equity of at least $2.5 million. If we do not
regain compliance within the allotted compliance period(s), including any extensions that may be granted by NASDAQ, NASDAQ will
provide notice that our shares of common stock will be subject to delisting.
Additionally, on February 24, 2017, we received a notice from NASDAQ that we were not in compliance with NASDAQ Listing
Rule 5550(a)(2), as we failed to maintain a minimum bid price of $1 per share for the previous 30 consecutive business days. In accordance
with NASDAQ Listing Rule 5810(c)(3)(C), we have a period of 180 calendar days, or until August 23, 2017, to regain compliance with the
Rule, which we may achieve if the closing bid price of our common stock is at least $1 for a minimum of ten consecutive business days. If
we do not regain compliance within the allotted compliance period, including any extensions that may be granted by NASDAQ, NASDAQ
will provide notice that our shares of common stock will be subject to delisting.
In the event that our common stock is delisted from NASDAQ and is not eligible for quotation or listing on another market or
exchange, trading of our common stock could be conducted only in the over-the-counter market or on an electronic bulletin board
established for unlisted securities such as the Pink Sheets or the OTC Bulletin Board. In such event, it could become more difficult to
dispose of, or obtain accurate price quotations for, our common stock, and there would likely also be a reduction in our coverage by
securities analysts and the news media, which could cause the price of our common stock to decline further. Also, it may be difficult for us
to raise additional capital if we are not listed on a major exchange.
An active trading market for our common stock and warrants may not continue to develop or be sustained.
Prior to our initial public offering, there was no public market for our common stock and our warrants. Although our common
stock and warrants are listed on The NASDAQ Capital Market, we cannot assure you that an active trading market for our shares or
warrants will continue to develop or be sustained. As a result of this and other factors, you may be unable to resell your warrants or shares
of our common stock. The lack of an active market may impair your ability to sell your warrants or shares of our common stock at the time
you wish to sell them or at a price that you consider reasonable. The lack of an active market may also reduce the fair market value of your
warrants or shares of our common stock. Furthermore, an inactive market may also impair our ability to raise capital by selling the warrants
or shares of our common stock and may impair our ability to
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enter into strategic collaborations or acquire companies or products by using our warrants or shares of common stock as consideration.
The market price of our stock is volatile, and you could lose all or part of your investment.
The market price of our shares of our common stock has been highly volatile and subject to wide fluctuations in response to
various factors, some of which we cannot control. As a result of this volatility, you may not be able to sell your shares of our common
stock. In addition to the factors discussed in this “Risk Factors” section and elsewhere in this Annual Report on Form 10-K, these factors
that could negatively affect or result in fluctuations in the market price of shares of our common stock include:
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the development status of our product candidates, and when any of our product candidates receive marketing
approval;
our decision to initiate a clinical trial, not to initiate a clinical trial or to terminate an existing clinical
trial;
our failure to commercialize our product candidates, if
approved;
the success of competitive products or
technologies;
regulatory actions with respect to our products or our competitors’
products;
actual or anticipated changes in our growth rate relative to our
competitors;
announcements by us or our competitors of significant acquisitions, strategic collaborations, joint ventures, collaborations or
capital commitments;
results of preclinical studies and clinical trials of our product candidates or those of our
competitors;
regulatory or legal developments in the United States and other
countries;
developments or disputes concerning patent applications, issued patents or other proprietary
rights;
the recruitment or departure of key
personnel;
the level of expenses related to any of our product candidates or clinical development
programs;
the results of our efforts to discover, develop, in‑license or acquire additional product candidates or
products;
actual or anticipated changes in estimates as to financial results, development timelines or recommendations by securities
analysts;
the performance of third parties on whom we rely to manufacture our products and product candidates, supply API and
conduct our clinical trials, including their ability to comply with regulatory requirements;
variations in our financial results or those of companies that are perceived to be similar to
us;
variations in the level of expenses related to our product candidates or preclinical and clinical development programs,
including relating to the timing of invoices from, and other billing practices of, our contract research organizations and clinical
trial sites;
fluctuations in the valuation of companies perceived by investors to be comparable to
us;
• warrant or share price and volume fluctuations attributable to inconsistent trading volume levels of our warrants or
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shares;
announcement or expectation of additional financing
efforts;
sales of our warrants or shares of our common stock by us, our insiders or our other security
holders;
changes in the structure of healthcare payment
systems;
changes in operating performance and stock market valuations of other pharmaceutical
companies;
• market conditions in the pharmaceutical and biotechnology
sectors;
our execution of collaborative, co‑promotion, licensing or other arrangements, and the timing of payments we may make or
receive under these arrangements;
the public’s response to press releases or other public announcements by us or third parties, including our filings with the
SEC and announcements relating to litigation or other disputes, strategic transactions or intellectual property impacting us or
our business;
the financial projections we may provide to the public, any changes in these projections or our failure to meet these
projections;
changes in financial estimates by any securities analysts who follow our warrants or shares of common stock, our failure to
meet these estimates or failure of those analysts to initiate or maintain coverage of our warrants or shares of common stock;
ratings downgrades by any securities analysts who follow our warrants or shares of common
stock;
the development and sustainability of an active trading market for our warrants or shares of common
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stock;
future sales of our warrants or shares of common stock by our officers, directors and significant
stockholders;
other events or factors, including those resulting from war, incidents of terrorism, natural disasters or responses to these
events;
changes in accounting principles;
and
general economic, industry and market
conditions.
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In addition, the stock market in general, and the market for biotechnology companies in particular, have experienced extreme price
and volume fluctuations that have often been unrelated or disproportionate to the operating performance of these companies. Broad market
and industry factors may negatively affect the market price of warrants or shares of common stock, regardless of our actual operating
performance. The realization of any of the above risks or any of a broad range of other risks, including those described in this “Risk
Factors” section, could have a material adverse impact on the market price of our warrants or shares of common stock.
Future sales and issuances of shares of our common stock or rights to purchase common stock, including pursuant to our equity
incentive plans, could result in additional dilution of the percentage ownership of our stockholders and could cause our stock price to
fall.
We expect that significant additional capital will be needed in the future to continue our planned operations, including conducting
clinical trials, commercialization efforts, expanded research and development activities and costs associated with operating a public
company. To raise capital, we may sell common stock, convertible securities or other equity securities in one or more transactions at prices
and in a manner we determine from time to time. If we sell common stock, convertible securities or other equity securities in more than one
transaction, investors may be materially diluted by subsequent sales. Such sales may also result in material dilution to our existing
stockholders, and new investors could gain rights, preferences and privileges senior to the holders of our warrants or shares of common
stock.
We expect to offer stock options, restricted stock and other forms of stock-based compensation to our directors, officers and
employees in the future. If any options that we issue are exercised, or any restricted stock that we may issue vests, and those shares are sold
into the public market, the market price of our common stock may decline. In addition, the availability of shares of common stock for
award under our equity incentive plan, or the grant of stock options, restricted stock or other forms of stock-based compensation, may
adversely affect the market price of our common stock.
Sales of a significant number of shares of our common stock in the public markets, or the perception that such sales could occur, could
depress the market price of our common stock.
Sales of a substantial number of shares of our common stock in the public markets could depress the market price of our common
stock and impair our ability to raise capital through the sale of additional equity securities. We cannot predict the effect that future sales of
our common stock would have on the market price of our common stock.
We have never paid cash dividends on our capital stock, and we do not anticipate paying any cash dividends in the foreseeable future.
The continued operation and expansion of our business will require substantial funding. We currently intend to retain all of our
future earnings, if any, to finance the growth and development of our business. Accordingly, we do not anticipate that we will pay any cash
dividends on shares of our common stock for the foreseeable future. Any determination to pay dividends in the future will be at the
discretion of our board of directors and will depend upon results of operations, financial condition, contractual restrictions, restrictions
imposed by applicable law and other factors our board of directors deems relevant.
We are an “emerging growth company” as defined in the Jumpstart Our Business Startups Act of 2012, or the JOBS Act, and will be
able to avail ourselves of reduced disclosure requirements applicable to emerging growth companies, which could make our warrants or
shares of common stock less attractive to investors and adversely affect the market price of our warrants or shares of common stock.
For so long as we remain an “emerging growth company” as defined in the JOBS Act, we may take advantage of certain
exemptions from various requirements applicable to public companies that are not “emerging growth companies” including:
•
•
the provisions of Section 404(b) of the Sarbanes‑Oxley Act of 2002, or Sarbanes‑Oxley Act, requiring that our independent
registered public accounting firm provide an attestation report on the effectiveness of our internal control over financial
reporting;
the “say on pay” provisions (requiring a non‑binding shareholder vote to approve compensation of certain executive officers)
and the “say on golden parachute” provisions (requiring a non‑binding shareholder vote to approve golden parachute
arrangements for certain executive officers in connection with mergers and certain
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other business combinations) of the Dodd‑Frank Act and some of the disclosure requirements of the Dodd‑Frank Act relating
to compensation of our chief executive officer;
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the requirement to provide detailed compensation discussion and analysis in proxy statements and reports filed under the
Securities Exchange Act of 1934, as amended, or the Exchange Act, and instead provide a reduced level of disclosure
concerning executive compensation; and
any rules that the Public Company Accounting Oversight Board may adopt requiring mandatory audit firm rotation or a
supplement to the auditor’s report on the financial statements.
We may take advantage of these exemptions until we are no longer an “emerging growth company.” We would cease to be an
“emerging growth company” upon the earliest of: (i) the first fiscal year following the fifth anniversary of our initial public offering;
(ii) the first fiscal year after our annual gross revenues are $1 billion or more; (iii) the date on which we have, during the previous
three‑year period, issued more than $1 billion in non‑convertible debt securities; or (iv) as of the end of any fiscal year in which the market
value of our common stock held by non‑affiliates exceeded $700 million as of the end of the second quarter of that fiscal year.
We have determined to take advantage of some, but not all, of the reduced regulatory and reporting requirements that will be
available to us so long as we qualify as an “emerging growth company.” For example, we have irrevocably elected not to take advantage of
the extension of time to comply with new or revised financial accounting standards available under Section 102(b) of the JOBS Act. Our
independent registered public accounting firm will not be required to provide an attestation report on the effectiveness of our internal
control over financial reporting so long as we qualify as an “emerging growth company,” which may increase the risk that material
weaknesses or significant deficiencies in our internal control over financial reporting go undetected. Likewise, so long as we qualify as an
“emerging growth company,” we may elect not to provide you with certain information, including certain financial information and certain
information regarding compensation of our executive officers, that we would otherwise have been required to provide in filings we make
with the SEC which may make it more difficult for investors and securities analysts to evaluate our company. Even after we no longer
qualify as an emerging growth company, we may still qualify as a “smaller reporting company,” which would allow us to take advantage of
many of the same exemptions from disclosure requirements, including not being required to comply with the auditor attestation
requirements of Section 404(b) of the Sarbanes‑Oxley Act and reduced disclosure obligations regarding executive compensation in our
periodic reports and proxy statements. We cannot predict if investors will find our common stock less attractive because we may rely on
these exemptions. If some investors find our warrants or shares of common stock less attractive as a result, there may be a less active
trading market for our warrants or shares of common stock, and the securities prices may be more volatile and may decline.
We may be subject to securities litigation, which is expensive and could divert management attention.
The market price of our warrants and shares of common stock may be volatile, and in the past, companies that have experienced
volatility in the market price of their securities have been subject to securities class action litigation. We may be the target of this type of
litigation in the future. Securities litigation against us could result in substantial costs and divert our management’s attention from other
business concerns, which could seriously harm our business. Any adverse determination in litigation could also subject us to significant
liabilities.
If securities or industry analysts do not publish research or publish inaccurate or unfavorable research about our business, our
securities prices and trading volume could decline.
The trading market for our warrants and shares of common stock will depend in part on the research and reports that securities or
industry analysts publish about us or our business. We currently have limited, and may not sustain, research coverage by securities and
industry analysts. If we do not sustain coverage of our company, the trading price for our warrants and shares of common stock would be
negatively impacted. If we obtain securities or industry analyst coverage and if one or more of the analysts who covers us downgrades our
warrants and shares of common stock or publishes inaccurate or unfavorable research about our business, our securities prices would likely
decline. If one or more of these analysts ceases coverage of us or fails to publish reports on us regularly, demand for our warrants and
shares of common stock could decrease, which could cause our securities prices and trading volume to decline.
The requirements of being a public company may strain our resources and divert management’s attention, and our minimal public
company operating experience may impact our business and stock price.
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As a public company, we incur significant legal, accounting and other expenses that we did not incur as a private company, and
these expenses may increase even more after we are no longer an “emerging growth company.” We are subject to the reporting
requirements of the Exchange Act, the Sarbanes‑Oxley Act, the Dodd‑Frank Wall Street Reform and Protection Act, as well as rules
adopted, and to be adopted, by the SEC, The NASDAQ Capital Market and other applicable securities rules and regulations imposed on
public companies, including the establishment and maintenance of effective disclosure and financial controls and corporate governance
practices. Our management and other personnel will need to devote a substantial amount of time to these compliance initiatives. Moreover,
we expect these rules and regulations to substantially increase our legal and financial compliance costs and to make some activities more
time‑consuming and costly. The increased costs will increase our net loss. For example, we expect these rules and regulations to make it
more difficult and more expensive for us to obtain director and officer liability insurance and we may be required to incur substantial costs
to maintain sufficient coverage. The impact of these requirements could also make it more difficult for us to attract and retain qualified
persons to serve on our board of directors, our board committees or as executive officers.
Because these rules and regulations are often subject to varying interpretations, it is difficult to accurately estimate or predict the
amount or timing of these additional costs. Further, the lack of specificity of many of the rules and regulations may result in an application
in practice that may evolve over time as new guidance is provided by regulatory and governing bodies. This could result in continuing
uncertainty regarding compliance matters and higher costs necessitated by ongoing revisions to disclosure and governance practices.
Future sales and issuances of our warrants or shares of common stock or rights to purchase common stock, including pursuant to our
equity incentive plans, could result in additional dilution of the percentage ownership of our stockholders and could cause our stock
price to fall.
We expect that significant additional capital will be needed in the future to continue our planned operations, including conducting
clinical trials, commercialization efforts, expanded research and development activities and costs associated with operating a public
company. To raise capital, we may sell common stock, convertible securities or other equity securities in one or more transactions at prices
and in a manner we determine from time to time. If we sell common stock, convertible securities or other equity securities in more than one
transaction, investors may be materially diluted by subsequent sales. Such sales may also result in material dilution to our existing
stockholders, and new investors could gain rights, preferences and privileges senior to the holders of our warrants or shares of common
stock.
We expect to offer stock options, restricted stock and other forms of stock-based compensation to our directors, officers and
employees in the future. If any options that we issue are exercised, or any restricted stock that we may issue vests, and those shares are sold
into the public market, the market price of our common stock may decline. In addition, the availability of shares of common stock for
award under our equity incentive plan, or the grant of stock options, restricted stock or other forms of stock-based compensation, may
adversely affect the market price of our common stock.
Holders of our warrants will have no rights as common stockholders until they acquire our common stock.
Until holders of our warrants acquire shares of our common stock upon exercise of the warrants, they will have no rights with
respect to our common stock issuable upon exercise of the warrants, including the right to receive dividend payments, vote or respond to
tender offers. Upon exercise of the warrants, holders will be entitled to exercise the rights of a common stockholder only as to matters for
which the record date occurs after the exercise date.
Although we are required to use our best efforts to have an effective registration statement covering the issuance of the shares of
common stock underlying the warrants at the time that holders of our warrants exercise their warrants, we cannot guarantee that a
registration statement will be effective, in which case holders of our warrants may not be able to receive freely tradable shares of our
common stock upon exercise of the warrants.
Holders of our warrants will be able to exercise the warrants and receive freely tradable shares only if (i) a current registration
statement under the Securities Act relating to the shares of our common stock underlying the Warrants is then effective, or an exemption
from such registration is available, and (ii) such shares of our common stock are qualified for sale or exempt from qualification under the
applicable securities laws of the states in which the various holders of warrants reside. Although we have undertaken in the warrants, and
therefore have a contractual obligation, to use our best efforts to maintain a current registration statement covering the shares of common
stock underlying the warrants following completion of our initial public offering to the extent required by federal securities laws, and we
intend to comply with our undertaking, we may not be able to do so. If we are not able to do so, holders may not be able to exercise their
warrants and receive freely tradable shares of our common stock but rather may only be able to receive restricted shares upon exercise. In
addition, we have agreed to use our best efforts to register the shares of our common stock underlying the Warrants under the blue sky laws
of the states of residence of the existing holders of the warrants, to the extent an exemption is not available. The value of the warrants may
be greatly reduced if a registration statement covering the shares of our common stock issuable upon exercise of the warrants is
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not kept current or if the securities are not qualified, or exempt from qualification, in the states in which the holders of warrants reside.
Our disclosure controls and procedures may not prevent or detect all errors or acts of fraud.
We are subject to the periodic reporting requirements of the Exchange Act. We designed our disclosure controls and procedures to
reasonably assure that information we must disclose in reports we file or submit under the Exchange Act is accumulated and communicated
to management, and recorded, processed, summarized and reported within the time periods specified in the rules and forms of the SEC. We
believe that any disclosure controls and procedures or internal controls and procedures, no matter how well‑conceived and operated, can
provide only reasonable, not absolute, assurance that the objectives of the control system are met.
These inherent limitations include the realities that judgments in decision‑making can be faulty, and that breakdowns can occur
because of simple error or mistake. Additionally, controls can be circumvented by the individual acts of some persons, by collusion of two
or more people or by an unauthorized override of the controls. Accordingly, because of the inherent limitations in our control system,
misstatements due to error or fraud may occur and not be detected.
Our amended and restated certificate of incorporation provides that the Court of Chancery of the State of Delaware is the sole and
exclusive forum for certain litigation that may be initiated by our stockholders, which could limit our stockholders’ ability to obtain a
favorable judicial forum for disputes with us or our directors, officers or employees.
Our amended and restated certificate of incorporation provides that the Court of Chancery of the State of Delaware is the sole and
exclusive forum for (i) any derivative action or proceeding brought on behalf of the company; (ii) any action asserting a claim of breach of
a fiduciary duty owed by any director, officer or other employee of the company to the company or the company’s stockholders; (iii) any
action asserting a claim against the company arising pursuant to any provision of the Delaware General Corporation Law, our amended and
restated certificate of incorporation or our amended and restated bylaws; or (iv) any action asserting a claim against the company governed
by the internal affairs doctrine. The choice of forum provision may limit a stockholder’s ability to bring a claim in a judicial forum that it
finds favorable for disputes with us or our directors, officers or other employees, which may discourage such lawsuits against us and our
directors, officers and other employees. Alternatively, if a court were to find the choice of forum provision contained in our amended and
restated certificate of incorporation to be inapplicable or unenforceable in an action, we may incur additional costs associated with
resolving such action in other jurisdictions, which could adversely affect our business and financial condition.
Some provisions of our charter documents and Delaware law may have anti‑takeover effects that could discourage an acquisition of us
by others, even if an acquisition would benefit our stockholders and may prevent attempts by our stockholders to replace or remove our
current management.
Provisions in our amended and restated certificate of incorporation and amended and restated bylaws, as well as provisions of
Delaware law, could make it more difficult for a third party to acquire us or increase the cost of acquiring us, even if doing so would
benefit our stockholders, or remove our current management. These provisions include:
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authorizing the issuance of “blank check” preferred stock, the terms of which we may establish and shares of which we may
issue without stockholder approval;
providing for a classified board of directors, with each director serving a staggered three‑year
term;
prohibiting cumulative voting in the election of directors, which would otherwise allow for less than a majority of
stockholders to elect director candidates;
prohibiting stockholder action by written consent, thereby requiring all stockholder actions to be taken at a meeting of our
stockholders;
eliminating the ability of stockholders to call a special meeting of stockholders;
and
establishing advance notice requirements for nominations for election to the board of directors or for proposing matters that
can be acted upon at stockholder meetings.
These provisions may frustrate or prevent any attempts by our stockholders to replace or remove our current management by
making it more difficult for stockholders to replace members of our board of directors, who are responsible for appointing the members of
our management. Because we are incorporated in Delaware, we are governed by the provisions of Section 203 of the Delaware General
Corporation Law, or the DGCL, which may discourage, delay or prevent someone from
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acquiring us or merging with us whether or not it is desired by or beneficial to our stockholders. Under the DGCL, a corporation may not,
in general, engage in a business combination with any holder of 15% or more of its capital stock unless the holder has held the stock for
three years or, among other things, the board of directors has approved the transaction. Any provision of our amended and restated
certificate of incorporation or amended and restated bylaws or Delaware law that has the effect of delaying or deterring a change of control
could limit the opportunity for our stockholders to receive a premium for their shares of our common stock, and could also affect the price
that some investors are willing to pay for our securities.
Item 1B. Unresolved Staff Comments
None.
Item 2. Properties
Our headquarters are located in Baltimore, Maryland, where we occupy approximately 6,000 square feet of administrative office
space. The term of the lease expires January 31, 2019. We have the ability to expand this office space based on our growth and employee
headcount.
Item 3. Legal Proceedings
We are not currently a party to any material legal proceedings and we are not aware of any pending or threatened legal proceeding
against us that we believe could have a material adverse effect on our business, operating results, cash flows or financial condition.
Item 4. Mine Safety Disclosures
Not applicable.
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PART II
Item 5. Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities
Market Information
Our common stock is listed and publicly traded on the NASDAQ Capital Market under the symbol “CERC.” Our Class A
warrants and Class B warrants are also listed and publicly traded on the NASDAQ Capital Market under the symbols “CERCW” and
“CERCZ,” respectively. Trading of our common stock and warrants commenced on November 13, 2015, the first date that shares of our
common stock and warrants were publicly traded. Prior to that time, there was no public market for our common stock and warrants. The
following table sets forth the high and low closing trading prices of our common stock and warrants as reported on the NASDAQ Capital
Market for each quarter our common stock and warrants were traded in the years ended December 31, 2016 and 2015.
Year Ended December 31, 2016
First Quarter
Common stock
Class A warrants
Class B warrants
Second Quarter
Common stock
Class A warrants
Class B warrants
Third Quarter
Common stock
Class A warrants
Class B warrants
Fourth Quarter
Common stock
Class A warrants
Class B warrants
Year Ended December 31, 2015
Fourth Quarter (Beginning November 13, 2015):
Common stock
Class A warrants
Class B warrants
Holders
Low
High
$ 4.92 $ 2.90
$ 1.50 $ 0.64
$ 1.08 $ 0.65
$ 4.01 $ 1.94
$ 1.20 $ 0.63
$ 0.98 $ 0.40
$ 4.91 $ 2.21
$ 1.61 $ 0.45
$ 0.85 $ 0.35
$ 5.23 $ 0.88
$ 1.99 $ 0.11
$ 1.00 $ 0.02
Low
High
$ 4.50 $ 3.10
$ 1.50 $ 0.51
$ 0.79 $ 0.27
As of March 2, 2017, there were approximately 67 holders of record of our common stock. This number does not include
beneficial owners whose shares are held by nominees in street name.
Dividends
We have never declared or paid cash dividends on our capital stock. We intend to retain all of our available funds and future
earnings, if any, to finance the growth and development of our business. We do not intend to pay cash dividends to our stockholders in the
foreseeable future. Any future determination related to our dividend policy will be made at the discretion of our board of directors and will
depend upon, among other factors, our results of operations, financial condition, capital requirements, contractual restrictions, business
prospects and other factors our board of directors may deem relevant.
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Recent Sales of Unregistered Securities
On September 8, 2016, we issued and sold to Aspire Capital 250,000 shares of common stock at a price per share of $4.00, for
gross proceeds of $1 million and issued to Aspire Capital 175,000 shares of common stock as a commitment fee as consideration for
entering into the Purchase Agreement, both in transactions exempt from registration under the Securities Act, in reliance on Section 4(a)(2)
thereof and Rule 506 of Regulation D thereunder. Aspire Capital represented that it was an “accredited investor,” as defined in Regulation
D, and was acquiring the Securities for investment only and not with a view towards, or for resale in connection with, the public sale or
distribution thereof. On September 16, 2016, we filed a Registration Statement on Form S-1 (File No. 333-213676) that registered the
aggregate of 425,000 shares of our common stock sold to Aspire Capital on September 8, 2016. This Registration Statement on Form S-1
was declared effective by the SEC on September 28, 2016.
Use of Proceeds from Initial Public Offering of Units
Pursuant to the Registration Statement on Form S-1 (File No. 333-204905), as amended, that was declared effective by the SEC
on October 14, 2015, we registered the units to be sold in our initial public offering (including 600,000 units with respect to an over-
allotment option granted by us to the underwriters in the offering). Each unit consisted of one share of common stock, one Class A warrant
to purchase one share of common stock at an exercise price of $4.55 per share and one Class B warrant to purchase one-half share of
common stock at an exercise price of $3.90 per full share (the “units”). Maxim Group LLC acted as the sole book-running manager, and
Laidlaw & Company (UK) acted as the lead manager.
On October 20, 2015, we sold a total of 4,000,000 units in the initial public offering at an initial public offering price of $6.50 per
unit for gross proceeds of $26.0 million. The net proceeds of the initial public offering, after underwriting discounts, commissions and
expenses, and before offering expenses, were approximately $23.6 million.
On November 23, 2015, the underwriter of the initial public offering exercised its over-allotment option for 20,000 shares of
common stock, 551,900 Class A warrants to purchase one share of common stock and 551,900 Class B warrants to purchase one-half share
of common stock for additional gross proceeds of $135,319.
There have been no material changes in the planned use of proceeds from our initial public offering, as described in our final
prospectus filed with the SEC on October 15, 2015 pursuant to Rule 424(b)(4) under the Securities Act related to the initial public offering.
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Item 6. Selected Financial Data
The following data has been derived from our audited financial statements, including the balance sheets at December 31, 2016,
2015 and 2014 and the related statements of operations for each of the three years ended December 31, 2016 and related notes appearing
elsewhere in this Annual Report on Form 10-K or as previously filed with the Securities and Exchange Commission. You should read the
selected financial data set forth below in conjunction with “Management’s Discussion and Analysis of Financial Condition and Results of
Operations” and our financial statements and related notes included elsewhere in this Annual Report on Form 10-K.
Statement of Operations Data:
Grant revenue
Operating expenses:
Research and development
General and administrative
Loss from operations
Other income (expense):
Year Ended December 31,
2016
1,152,987 $
$
2015
2014
2013
— $
— $
—
10,149,879
7,083,155
(16,080,047)
6,587,183
4,422,764
(11,009,947)
12,240,535
4,875,030
(17,115,565)
8,914,084
4,020,364
(12,934,448)
Change in fair value of warrant liability, unit purchase
option liability and investor rights obligation
Interest income (expense), net
Total other income (expense):
Net loss
Net loss attributable to common stockholders
Net loss per share of common stock, basic and diluted
Weighted-average shares of common stock outstanding,
basic and diluted
Balance Sheet Data:
Cash and cash equivalents
Total assets
Long term debt, net of current portion and discount
Total current liabilities
Total liabilities
Convertible preferred stock
Common stock
Additional paid-in capital
Total stockholders’ equity (deficit)
$
$
$
$
72,625
(464,181)
(391,556)
(16,471,603) $
(16,471,603) $
(1.87) $
1,313,049
(793,205)
519,844
(10,490,103) $
(10,490,103) $
(4.71) $
2,266,161
(1,206,187)
1,059,974
(16,055,591) $
(3,521,153) $
(5.48) $
(121,115)
10,555
(110,560)
(13,045,008)
(13,126,972)
(20.72)
8,830,396
2,226,023
642,052
633,669
As of December 31,
2015
2014
21,161,967 $
21,657,565
2,353,482
5,849,818
8,573,838
—
8,650
66,638,557
13,083,727
11,742,349 $
12,316,894
5,308,211
4,993,816
10,302,027
28,345,531
650
16,742,063
(26,330,664)
2013
3,421,480
5,075,600
—
3,065,642
3,065,642
19,856,633
643
9,170,468
(17,846,675)
2016
5,127,958 $
5,768,865
—
4,311,863
5,561,863
—
9,434
70,232,651
207,002
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Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations
The following discussion and analysis of our financial condition and results of operations should be read in conjunction with our
financial statements and related notes included elsewhere in this Annual Report on Form 10-K. Some of the information contained in this
discussion and analysis or set forth elsewhere in this Annual Report on Form 10-K, including information with respect to our plans and
strategy for our business, includes forward-looking statements that involve risks and uncertainties. You should review the “Risk Factors”
section of this Annual Report on Form 10-K for a discussion of important factors that could cause actual results to differ materially from
the results described in or implied by the forward-looking statements contained in the following discussion and analysis.
Overview
We are a biopharmaceutical company that is developing innovative drug candidates to make a difference in the lives of patients
with neurological and psychiatric disorders. We have a portfolio of clinical and preclinical compounds that we believe are best in class due
to their unique mechanism of action and where human proof of concept has been established for the compound or the target. At December
31, 2016, we had $5.1 million in cash and cash equivalents and $4.3 million in current liabilities. Accordingly, we do not have sufficient
funds to finance our continuing operations beyond the short term. We must secure additional financing to further advance any of our
product candidates, including our planned initiation of a Phase 2/3 clinical trial with CERC-501 as an adjunctive treatment of major
depressive disorder, or MDD, in the next year, and our plan to commence Phase 1 development of CERC-611 in 2017. Other than three
third-party sponsored trials of CERC-501, we do not have any ongoing clinical trials of our product candidates and we do not currently
have the capital to undertake any such trials. We are continuing preclinical development of our preclinical product candidate, CERC-611,
but we would require additional funding to advance it into clinical trials.
CERC-501 is a potent and selective kappa opioid receptor, or KOR, antagonist being developed as an adjunctive treatment of
MDD. KORs are believed to play key roles in modulating stress, mood and addictive behaviors, which form the basis of co‑occurring
disorders. We plan to initiate a Phase 2/3 clinical study in inadequately treated subjects with MDD currently on antidepressants in the next
year, subject to the availability of additional funding. Currently, three externally funded clinical trials are being conducted to evaluate the
use of CERC-501 in treating depressive symptoms, stress-related smoking relapse and cocaine addiction. One trial is being conducted
under the auspices of the National Institute of Mental Health, the second trial is a collaboration between Cerecor and Yale University with
funding from the National Institutes of Health and the third trial is being conducted at Rockefeller University Hospital with funding from a
private foundation.
CERC-301 is an oral, NR2B specific N-methyl-D-aspartate, or NMDA, receptor antagonist being developed as an adjunctive
treatment of MDD. CERC-301 belongs to a class of compounds known as antagonists, or inhibitors, of the NMDA receptor, a receptor
subtype of the glutamate neurotransmitter system that is responsible for controlling neurological adaptation. We believe CERC-301 has the
potential to produce a significant reduction in depression symptoms in a matter of days, as compared to weeks or months with conventional
therapies, because it specifically blocks the NMDA receptor subunit 2B, or NR2B. We believe this mechanism of action may provide rapid
and significant antidepressant activity without the adverse side effect profile of non-selective NMDA receptor antagonists, such as
ketamine. We are currently evaluating potential next steps for this program.
CERC-611 is a potent and selective transmembrane AMPA receptor regulatory proteins, or TARP, γ-8-dependent α-amino-3-
hydroxy-5-methyl-4-isoxazolepropionic acid receptor antagonist, which we plan to develop as an adjunctive therapy for the treatment of
partial-onset seizures, with or without secondarily generalized seizures, in patients with epilepsy. We intend to file an investigational new
drug application with the FDA and thereafter commence Phase 1 development in 2017, subject to the availability of additional funding.
CERC-406 is our lead preclinical candidate from our proprietary platform of compounds that inhibit catechol-O-methyltransferase,
or COMT, within the brain, which we refer to as our COMTi platform. We intend to develop CERC‑406 for the treatment of residual
cognitive impairment symptoms in patients with MDD, subject to the availability of additional funding.
Further development of our product candidates will not be possible unless we secure additional funding. Our strategy is to seek
funding for our operations from further offerings of equity and debt securities, non-dilutive financing arrangements such as federal grants,
collaboration agreements or out-licensing arrangements, and to explore strategic alternatives such as an acquisition, merger, or business
combination. However, we may be unable to raise additional funds or enter into such other agreements or transactions on favorable terms,
or at all. If we fail to raise capital or enter into such other arrangements or
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transactions in the short term, we will have to significantly delay, scale back or discontinue the development and/or commercialization of
one or more of our product candidates or cease our operations altogether.
We were incorporated in Delaware in 2011 and commenced operations in the second quarter of 2011. Since inception, our
operations have included organizing and staffing our company, business planning, raising capital and developing our product candidates.
We have no products approved for commercial sale and have not generated any revenue from product sales to date, and we continue to
incur significant research, development and other expenses related to our ongoing operations. We have incurred losses in each period since
our inception. As of December 31, 2016, we had an accumulated deficit of $70.0 million. We expect to incur significant expenses and
operating losses for the foreseeable future as we continue the development and clinical trials of, and seek marketing approval for, our
product candidates. Our recurring losses and negative cash flows from operations raise substantial doubt about our ability to continue as a
going concern within one year of the date that our financial statements were issued, and our ability to continue as a going concern will
require us to obtain additional financing to fund our operations.
We have financed our operations primarily through a public offering, private placements of our common stock and convertible
preferred stock, and the issuance of debt. Our ability to become and remain profitable depends on our ability to generate product revenue.
We do not expect to generate any product revenue unless, and until, we obtain marketing approval for, and commercialize, any of our
product candidates. There can be no assurance as to whether or when we will achieve profitability.
Recent Developments
The Aspire Capital Transaction
On September 8, 2016, we entered into a common stock purchase agreement, or the Purchase Agreement, with Aspire Capital Fund, LLC,
or Aspire Capital, pursuant to which Aspire Capital committed to purchase up to an aggregate of $15.0 million of shares of our common
stock over the 30-month term of the Purchase Agreement. Upon execution of the Purchase Agreement, we issued and sold to Aspire Capital
250,000 shares of common stock at a price per share of $4.00, for gross proceeds of $1.0 million. Additionally, as consideration for Aspire
Capital entering into the Purchase Agreement, we issued 175,000 shares of common stock as a commitment fee. The net proceeds of the
Aspire Capital transaction, after offering expenses, were approximately $1.9 million for the year ended December 31, 2016. As of
December 31, 2016, we had sold 763,998 shares of common stock to Aspire Capital. Subsequent to December 31, 2016, we sold an
additional 965,165 shares of common stock to Aspire Capital under the terms of the Purchase Agreement for gross proceeds of
approximately $789,000. As of the date of this Annual Report on Form 10-K, we may not issue additional shares of common stock to
Aspire Capital under the Purchase Agreement unless shareholder approval to issue additional shares is obtained.
The Maxim Group Equity Distribution Agreement
On January 27, 2017, we entered into an equity distribution agreement, or the Equity Distribution Agreement, with Maxim Group
LLC, or Maxim, as sales agent, pursuant to which we may offer and sell shares of our common stock through Maxim from time to time. We
have no obligation to sell any of the shares, and may at any time suspend offers under the Equity Distribution Agreement.
As of the date of this filing, we had sold 345,653 shares of our common stock through Maxim under the Equity Distribution
Agreement for gross proceeds of $287,000. Immediately after we file this Annual Report on Form 10-K we expect that the amount of
additional securities we will be able to sell under the registration statement on Form S-3 will be approximately $3.3 million.
Engagement of SunTrust Robinson Humphrey to Assist with Review of Strategic Alternatives
On February 7, 2017, we announced the engagement of SunTrust Robinson Humphrey, Inc., or SunTrust, as our exclusive
financial advisor to assist with our ongoing process to explore and review a range of strategic alternatives focused on maximizing
stockholder value. Potential strategic alternatives that may be explored or evaluated as part of this process include an acquisition, merger,
business combination or other strategic transaction. We have not made a decision to pursue any specific transaction or other strategic
alternative, and there can be no assurance that this ongoing process will result in any such transaction.
Components of Operating Results
Revenue
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To date, we have derived all of our revenue from research grants from the National Institutes of Health. We have not generated
any revenue from commercial product sales to date. We will not generate any commercial revenue, if ever, until one of our product
candidates receives marketing approval and we successfully commercialize such product candidate.
Research and Development Expenses
Our research and development expenses consist primarily of costs incurred acquiring, developing, testing and seeking marketing
approval for our product candidates. These costs include both external costs, which are study-specific costs, and internal research and
development costs, which are not directly allocated to our product candidates.
External costs include:
• expenses incurred under agreements with third-party contract research organizations, or CROs, and investigative sites that
conduct our clinical trials, preclinical studies and regulatory activities;
• payments made to contract manufacturers for drug substance and acquiring, developing and manufacturing clinical trial
materials; and
• payments related to acquisitions of our product candidates and preclinical platform and milestone
payments.
Internal costs include:
• personnel-related expenses, including salaries, benefits and stock-based compensation
expense;
• consulting costs related to our internal research and development
programs;
• allocated facilities, depreciation and other expenses, which include rent and utilities, as well as other supplies;
and
• product liability
insurance.
Research and development costs are expensed as incurred. We record costs for some development activities, such as clinical trials,
based on an evaluation of the progress to completion of specific tasks using data such as subject enrollment, clinical site activations or
information provided to us by our vendors.
We track external costs by discovery program and subsequently by product candidate once a product candidate has been selected
for development. Product candidates in later stage clinical development generally have higher research and development expenses than
those in earlier stages of development, primarily due to the increased size and duration of the clinical trials.
As of December 31, 2016, we had eight full-time employees who were primarily engaged in research and development. We expect
our research and development expenses to decrease significantly in 2017, unless the necessary capital is raised to fund the further
development of our product candidates.
General and Administrative Expenses
General and administrative expenses consist primarily of professional fees, patent costs and salaries, benefits and related costs for
executive and other personnel, including stock‑based compensation and travel expenses. Other general and administrative expenses include
facility‑related costs, communication expenses and professional fees for legal, including patent‑related expenses, consulting, tax and
accounting services, insurance, depreciation and general corporate expenses. We expect our general and administrative expenses to decrease
in 2017.
Change in Fair Value of Warrant Liability, Unit Purchase Option Liability and Investor Rights Obligation
In connection with the issuance of our term debt facility in August 2014, we issued warrants to purchase 625,208 shares of
Series B convertible preferred stock. Upon the closing of our initial public offering, or IPO, in October 2015 these warrants became
warrants to purchase 22,328 shares of common stock, in accordance with their terms. These warrants represent a freestanding financial
instrument that is indexed to an obligation, which we refer to as the Warrant Liability. These
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warrants are classified as a liability at fair value. This liability is remeasured at each balance sheet date and the change in fair value is
recorded within our statement of operations.
As part of our IPO, the underwriter received a unit purchase option, or UPO, to purchase up to 40,000 units, whereby a unit is
comprised of one share of our common stock, one Class A warrant to purchase one share of our common stock and one Class B warrant to
purchase one-half share of our common stock. The UPO is classified as a liability at its respective fair value. This liability is remeasured at
each balance sheet date and the change in fair value is recorded within our statement of operations.
Our obligation to issue additional shares of our Series B preferred stock as part of the Series B preferred stock offering was
accounted for as a freestanding financial instrument, which we referred to as the Investor Rights Obligation. The Investor Rights Obligation
expired upon the closing of our IPO in accordance with its terms, and the related liability was reduced to zero at that time.
Interest Expense, net
Net interest expense is primarily related to interest payments pursuant to the terms of our term debt facility entered into in August
2014, as well as the amortization of the debt discounts and premiums and deferred financing fees in connection with such term debt facility.
Critical Accounting Policies and Significant Judgments and Estimates
This discussion and analysis of our financial condition and results of operations is based on our financial statements, which have
been prepared in accordance with generally accepted accounting principles in the United States of America, or GAAP. The preparation of
these financial statements requires us to make estimates and assumptions that affect the reported amounts of assets and liabilities,
disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses
during the reported period. In accordance with GAAP, we base our estimates on historical experience and on various other assumptions that
we believe are reasonable under the circumstances. On an ongoing basis, we evaluate our estimates and assumptions, including those
related to clinical and preclinical trial expenses and stock‑based compensation. Actual results may differ from these estimates under
different assumptions or conditions.
While our significant accounting policies are more fully described in Note 2 to the audited financial statements appearing at the
end of this Annual Report on Form 10-K, we believe the following accounting policies are critical to the portrayal of our financial
condition and results. We have reviewed these critical accounting policies and estimates with the audit committee of our board of directors.
Grant Revenue Recognition
We recognize grant revenue when there is (i) reasonable assurance of compliance with the conditions of the grant and (ii)
reasonable assurance that the grant will be received. We recognize revenue under grants in earnings on a systemic basis in the period the
related expenditures for which the grants are intended to compensate are incurred.
Research and Development Expenses
Research and development costs are expensed as incurred. We rely heavily on third parties to conduct preclinical and clinical
trials, as well as for the manufacture of our clinical trial supplies. Costs for certain development activities, such as clinical trials, are
recognized based on an evaluation of the progress to completion of specific tasks using data such as subject enrollment, clinical site
activations or information provided to us by our vendors with respect to their actual costs incurred. Payments for these activities are based
on the terms of the individual arrangements, which may differ from the pattern of costs incurred, and are reflected in the financial
statements as prepaid or accrued research and development expense, as the case may be.
Income Taxes
As of December 31, 2016, we had $52.2 million of federal and Maryland state net operating loss, or NOL, carryforwards that will
begin to expire in 2031. As of December 31, 2016, we had $1.8 million and $57,000 of federal and Maryland State research and
development credits, respectively, that will begin to expire in 2018. The NOL and research and development credit carryforwards are
subject to review and possible adjustment by the Internal Revenue Service and state tax authorities. NOL and tax credit carryforwards may
become subject to an annual limitation in the event of certain cumulative
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changes in the ownership interest of significant shareholders over a three‑year period in excess of 50%, as defined under Sections 382 and
383 of the Internal Revenue Code of 1986, as amended, as well as similar state tax provisions. This could limit the amount of NOLs that we
can utilize annually to offset future taxable income or tax liabilities. We have not analyzed the historical or potential impact of our equity
financings on beneficial ownership and therefore no determination has been made whether the NOL carryforwards are subject to any
Internal Revenue Code Section 382 limitation. To the extent there is a limitation, there would be a reduction in the deferred tax asset with
an offsetting reduction in the valuation allowance. Subsequent ownership changes may further affect the limitation in future years. All of
our tax years are currently open to examination by each tax jurisdiction in which we are subject to taxation.
Estimated Fair Value of Warrants, Unit Purchase Option and Investor Rights Obligation
Warrants for shares that are contingently redeemable are accounted for as freestanding financial instruments. These warrants are
classified as liabilities on our balance sheet and are recorded at their estimated fair value. At the end of each reporting period, changes in
the estimated fair value during the period are recorded as a component of other income (expense), net. We will continue to adjust these
liabilities for changes in fair value until the earlier of the expiration or the exercise of the warrants. We estimate the fair value of these
warrants using a Black‑Scholes option-pricing model. The significant assumptions used in preparing the option-pricing model for valuing
the warrants as of December 31, 2016, included (i) volatility of 100%, (ii) risk free interest rate of 1.65%, (iii) strike price ($8.40), (iv) fair
value of common stock ($0.88), and (v) expected life of 3.8 years. Significant decreases in our stock price volatility will significantly
decrease the overall valuation of the warrants, while significant increases in our stock price volatility will significantly increase the overall
valuation.
As part of our IPO we offered our underwriters the UPO to purchase up to an additional 40,000 units. The UPO is accounted for as
a freestanding financial instrument and is recorded a liability on our balance sheet at its estimated fair value. At the end of each reporting
period, the change in the estimated fair value during the period is recorded as component of other income (expense), net. We will continue
to adjust this liability for changes in fair value until the earlier of expiration or the exercise of the UPO. We estimate the fair value of the
UPO using a Black-Scholes option-pricing model within a Monte Carlo simulation model framework. The significant assumptions used in
preparing the simulation model for valuing the UPO as of December 31, 2016, include (i) volatility range of 65% to 90%, (ii) risk free
interest rate range of 0.44% to 1.64%, (iii) unit strike price ($7.48), (iv) underwriters’ Class A warrant strike price ($5.23), (v)
underwriters’ Class B warrant strike price ($4.49), (vi) fair value of underlying equity ($0.88), and (vii) optimal exercise point of
immediately prior to the expiration of the underwriters’ Class B warrants, which occurs on April 20, 2017. Significant decreases in our
stock price and our stock price volatility will significantly decrease the overall valuation of the UPO, while significant increases in our
stock price and our stock price volatility will significantly increase the overall valuation.
Our obligation to issue additional shares of our common stock arising from the 2014 Series B preferred stock offering, or the
Investor Rights Obligation, was accounted for as a freestanding financial instrument. This obligation was classified as a liability on our
balance sheet and was recorded at its estimated fair value. At the end of each reporting period, the change in the estimated fair value during
the period was recorded as a component of other income (expense), net on the statement of operations. The Investor Rights Obligation
expired upon the closing of our IPO in October 2015 in accordance with its terms, and the related liability was reduced to zero at that time.
Stock-Based Compensation
We measure stock-based awards granted to our employees and nonemployee directors at fair value on the date of grant and
recognize the corresponding compensation expense of those awards, net of estimated forfeitures, over the requisite service period, which is
generally the vesting period of the respective award. Generally, we issue stock options and restricted stock with only service‑based vesting
conditions and record the expense for these awards using the straight‑line method.
We measure stock-based awards granted to nonemployee consultants at the fair value of the award on the date at which the related
service is complete. Expense is recognized over the period during which services are rendered by such nonemployee consultants until
completed. At the end of each financial reporting period prior to the completion of the service, the fair value of these awards is re‑measured
using the then‑current fair market value of our common stock and updated assumptions in the Black‑Scholes option‑pricing model.
The fair value of each stock option grant is estimated using the Black‑Scholes option‑pricing model. We estimate our expected
volatility based on the historical volatility of our publicly traded peer companies and expect to continue to do so until such time as we have
adequate historical data regarding the volatility of our traded stock price. Due to the lack of sufficient historical data for the term of our
options, the expected term of our options granted to employees and non-employee directors has been estimated as the arithmetic average of
the vesting term and the original contractual term of the option, while the
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expected term of our options granted to consultants and nonemployees has been determined based on the contractual term of the options.
The risk‑free interest rate is determined by reference to the United States Treasury yield curve in effect at the time of grant of the award for
time periods approximately equal to the expected term of the award. Expected dividend yield is based on the fact that we have never paid
cash dividends and do not expect to pay any cash dividends in the foreseeable future.
The assumptions we used to determine the fair value of stock options granted to employees and nonemployee directors are as
follows:
Year Ended December 31,
Risk-free interest rate
Expected term of options (in years)
Expected stock price volatility
Expected annual dividend yield
2016
1.01% —
5.0
—
80% —
1.93%
6.25
100.0%
—%
2015
1.64% —
—
5.0
1.97%
6.25
70.0%
—%
2014
0.85% —
—
5.00
1.97%
6.25
70.0%
—%
The estimates involved in the valuations include inherent uncertainties and the application of our judgment. As a result, if factors
change and we use significantly different assumptions or estimates when valuing our stock options, our stock‑based compensation expense
could be materially different. We recognize compensation expense for only the portion of awards that are expected to vest. In developing a
forfeiture rate estimate for pre‑vesting forfeitures, we have considered our historical experience of actual forfeitures. If our future actual
forfeiture rate is materially different from our estimate, our stock‑based compensation expense could be significantly different from what
we have recorded in the current period.
Determination of the Fair Market Value of Common Stock
We considered numerous objective and subjective factors in the assessment of fair value of its common stock for grants made prior
to the date our common stock began trading separately on the NASDAQ Capital Market, which was November 13, 2015 and includes all
grants made from inception through November 9, 2015. The factors considered included the price for our convertible preferred stock that
was sold to investors and the rights, preferences and privileges of our convertible preferred stock and common stock, the trading price of
our units between the IPO date and November 13, 2015, our financial condition and results of operations during the relevant periods,
including the status of the development of our product candidates, and the status of strategic initiatives. These estimates involve a
significant level of judgment.
In the absence of a public trading market for our common stock prior to our initial public offering, our board of directors
determined the fair market value of our common stock at various dates, with input from management, considering our most recently
available third‑party valuations of common stock and its assessment of additional objective and subjective factors that it believed were
relevant and which may have changed from the date of the most recent valuation through the date of the grant.
In valuing our common stock prior to our initial public offering, the board of directors determined the equity value of our business
by considering a number of valuation approaches and allocation methodologies. Valuation techniques considered included the Current
Value Method, the Probability‑Weighted Expected Return Method, or PWERM, the Option Pricing Method, or OPM, and the Hybrid
Method. Given the range of possible financing and exit events that existed at the time we completed our valuations, which was prior to our
initial public offering, we concluded the PWERM to be the most appropriate for purposes of valuing our common stock given our expected
time to a liquidity event, subjectivity with regards to estimating possible proceeds from a future liquidation event and subjectivity with
regards to the ability to estimate the probability of an IPO, sale or other financing events. The PWERM explicitly considered the various
terms of our investor related documents, including various rights of each class of our stock, at the date of the liquidity event when those
rights would either be executed or abandoned. Under the PWERM, the value of each class of our stock was estimated using a
probability‑weighted analysis of the present value of the returns afforded to our stockholders under each of the possible future exit
scenarios. The scenarios included within the PWERM analysis included IPOs, a sale transaction, remaining private and dissolution.
Discrete future outcomes considered under the PWERM included non‑IPO market based outcomes as well as IPO scenarios. In the
non‑IPO scenarios, a large portion of the equity value was allocated to the preferred stock to incorporate higher aggregate liquidation
preferences. In the IPO scenarios, the equity value was allocated pro rata among the shares of common stock and each series of preferred
stock, which caused the common stock to have a higher relative value per share than under the non‑IPO scenario. The fair value of the
enterprise determined using the IPO and non‑IPO scenarios was
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weighted according to the board of directors’ estimate of the probability of each scenario at the time the valuation was completed.
We have periodically determined the fair market value of our common stock at various dates using contemporaneous valuations
performed in accordance with the guidance outlined in the American Institute of Certified Public Accountants’ Accounting and Valuation
Guide, Valuation of Privately‑Held‑Company Equity Securities Issued as Compensation. Our common stock valuations were performed
using a hybrid method, which used market approaches to determine our enterprise value. The hybrid method is a probability‑weighted
expected return method where the equity value in one or more of the scenarios is calculated using an option‑pricing method. We selected
the method based on availability and the quality of information to develop the assumptions for the methodology. We performed these
contemporaneous valuations, with the assistance of a third‑party valuation specialist, as of July 11, 2014, December 31, 2014, March 31,
2015, June 30, 2015 and September 30, 2015. In addition, our board of directors considered various objective and subjective factors, along
with input from management, to determine the fair market value of our common stock as of each grant date, including the following:
• prices at which we sold shares of our preferred stock and the superior rights and preferences of our preferred stock relative to our
common stock;
• the progress of our research and development programs, including the status of non‑clinical studies and clinical trials for our
product candidates;
• our stage of development and commercialization and our business
strategy;
• our financial condition, including cash on
hand;
• our historical and forecasted performance and operating
results;
• the composition of, and changes to, our management team and board of
directors;
• the lack of an active public market for our common stock and our preferred
stock;
• the likelihood of achieving a liquidity event, such as a sale of our company or an initial public offering, or IPO, given
prevailing market conditions;
• the analysis of IPOs and the market performance of similar companies in the biopharmaceutical
industry;
• external market conditions affecting the biopharmaceutical industry;
and
• trends within the biopharmaceutical
industry.
The assumptions underlying these valuations represent management’s determinations, which involve inherent uncertainties and the
application of management judgment. As a result, if factors or expected outcomes change and we use significantly different assumptions or
estimates, our equity‑based compensation could be materially different.
The following table summarizes by grant date the number of shares subject to options granted since January 1, 2014, the per share
exercise price of the options, the fair market value of common stock underlying the options on date of grant and the per share fair value of
the options:
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Date of Issuance
4/30/2015
6/2/2015
10/20/2015
11/9/2015
1/1/2016
1/11/2016
2/24/2016
3/14/2016
5/18/2016
6/30/2016
8/17/2016
8/24/2016
9/30/2016
12/31/2016
Number of Shares
Underlying Options Exercise Price
Fair Market
Value per
Granted
per Share
Common Share
Fair Value of
Options per
Share
3,571 $
69,285 $
350,250 $
100,284 $
360,459 $
21,714 $
108,591 $
1,000 $
50,142 $
19,044 $
263,000 $
35,000 $
10,303 $
45,989 $
6.44 $
6.16 $
6.49 $
5.80 $
3.35 $
3.56 $
3.01 $
4.45 $
3.52 $
2.20 $
3.77 $
4.38 $
4.23 $
0.88 $
5.04 $
2.80
5.04 $ 2.52 — 2.80
2.93
4.98 $
2.32
4.11 $
3.35 $
2.32
3.56 $ 2.46 — 2.49
2.10
3.01 $
3.11
4.45 $
2.53
3.52 $
1.53
2.20 $
2.70
3.77 $
3.10
4.38 $
2.83
4.23 $
0.66
0.88 $
Results of Operations
Comparison of the Years Ended December 31, 2016 and 2015
Grant Revenue
The following table summarizes our grant revenue for the years ended December 31, 2016 and 2015:
Year Ended
December 31,
2016
2015
(in thousands)
Grant revenue
$
1,153 $
—
Grant revenue was $1.2 million for the year ended December 31, 2016 and was comprised of revenue from two research and
development grants awarded during the year. In April 2016, we were awarded a research and development grant of $1.02 million from the
National Institute on Drug Abuse at the National Institutes of Health, or the NIDA Grant. This grant provided additional resources for the
completed Phase 2 clinical trial of CERC-501. In July 2016, we were awarded a research and development grant of approximately $1.0
million from the National Institute on Alcohol Abuse and Alcoholism at the National Institutes of Health, or the NIAAA Grant. This grant
provides additional resources to progress the development of CERC-501 for the treatment of alcohol use disorder. For the year ended
December 31, 2016, grant revenue recognized from the NIDA Grant was $1.02 million and grant revenue recognized from the NIAAA
Grant was $132,000. We did not have grant revenue in the 2015 period.
Research and Development Expenses
The following table summarizes our research and development expenses for the years ended December 31, 2016 and 2015:
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CERC-301
CERC-501
CERC-611
COMTi
Internal expenses not allocated to programs:
Salaries, benefits and related costs
Stock-based compensation expense
Other
Year Ended
December 31,
2016
2015
(in thousands)
$
$
2,890 $
3,122
2,103
124
1,534
141
236
10,150 $
3,110
1,481
—
260
1,367
67
302
6,587
Research and development expenses were $10.2 million for the year ended December 31, 2016, an increase of $3.6 million
compared to the 2015 period. This increase was largely due to the $2.0 million total upfront payment recorded in connection with the
license of CERC-611 in September 2016, of which $750,000 was due and paid within 30 days of the effective date of the license
agreement. The remaining balance of $1.25 million is due after the first subject is dosed with CERC-611 in a multiple ascending dose study
and is recorded as other long term liabilities on the balance sheet at December 31, 2016. Additionally, costs for CERC-501 increased by
$1.6 million, driven by the costs incurred in 2016 related to the enrollment activity and costs to complete our Phase 2 clinical trial for
smoking cessation, which was completed in December. These costs were offset by $1.0 million of costs incurred in the 2015 period related
to the in-licensing of CERC-501. Costs for CERC-301 decreased by $220,000 due to start-up costs incurred in 2015 to initiate our Phase 2
clinical trial for the adjunctive treatment of MDD, offset by 2016 costs related to the enrollment activity and costs to complete the trial,
which was completed in November.
General and Administrative Expenses
The following table summarizes our general and administrative expenses for the years ended December 31, 2016 and 2015:
Salaries, benefits and related costs
Legal, consulting and other professional expenses
Stock-based compensation expense
Other
Year Ended
December 31,
2016
2015
(in thousands)
$
$
1,922 $
2,806
1,554
801
7,083 $
2,326
1,289
328
480
4,423
General and administrative expenses were $7.1 million for the year ended December 31, 2016, an increase of $2.7 million
compared to the 2015 period. Legal, consulting and other professional expenses increased by $1.5 million, attributable primarily to audit,
legal and other costs resulting from becoming a public company in October 2015, as well as certain financing expenses. Stock-based
compensation expense increased by $1.2 million, driven by the modification of grants made to our former chief executive officer in the first
quarter of 2016 in which the exercise term was extended, as well as the grant of additional awards in 2016 to our directors, executive
officers and other employees. Further, other general and administrative expenses increased by $321,000 due to business development
expenses and other costs. These increases were offset by a $404,000 decrease in salaries, benefits and related costs, driven by the $528,000
of severance expense recorded in 2015 due to the resignation of our former chief executive officer, offset by salary increases effected at the
close of our initial public offering in October 2015.
Change in Fair Value of Warrant Liability, Unit Purchase Option Liability and Investor Rights Obligation
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We recognized a gain on the change in fair value of our warrant liability, UPO liability and investor rights obligation of $73,000
during the year ended December 31, 2016 compared to a gain of $1.3 million during the 2015 period. The $73,000 gain on the change in
fair value during the year ended December 31, 2016 was due to the decrease in fair value of our warrant liability and UPO liability, both
attributable to the decrease in our common stock price at December 31, 2016 compared to December 31, 2015.
The $1.3 million gain on the change in fair value during the 2015 period resulted from the expiration of the investor rights
obligation in October 2015 upon the closing of our initial public offering.
Interest Expense, Net
Net interest expense decreased by $329,000 for the year ended December 31, 2016 compared to the year ended December 31,
2015. The decrease was primarily due to a decrease in interest associated with a reduction in the principal balance of our secured term loan
facility.
Comparison of the Years Ended December 31, 2015 and 2014
Research and Development Expenses
The following table summarizes our research and development expenses for the years ended December 31, 2015 and 2014:
CERC-301
CERC-501
COMTi
FP01
Internal expenses not allocated to programs:
Salaries, benefits and related costs
Stock-based compensation expense
Other
Year Ended
December 31,
2015
2014
(in thousands)
3,110 $
1,481
260
—
1,367
67
302
6,587 $
8,711
—
761
28
2,277
202
262
12,241
$
$
Research and development expenses were $6.6 million for the year ended December 31, 2015, a decrease of $5.7 million
compared to the 2014 period. This decrease resulted from a $5.6 million decrease in external research and development costs for CERC-
301. A Phase 2 clinical trial for CERC-301 was completed in 2014 and, due to the failed results in an 8 mg study for CERC-301, we
initiated a second Phase 2 trial later in 2015, increasing the dosage. External research and development costs for COMTi also decreased in
2015 by $501,000 due to a reduction in preclinical trial activity. There was also a decrease of $910,000 in salaries, benefits and related costs
due to a reduction in headcount. These decreases were offset by the in-licensing of CERC‑501 in February 2015 for $1.1 million and an
additional $0.4 million in development costs for CERC-501 thereafter.
General and Administrative Expenses
The following table summarizes our general and administrative expenses for the years ended December 31, 2015 and 2014:
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Salaries, benefits and related costs
Legal, consulting and other professional expenses
Stock-based compensation expense
Other
Year Ended
December 31,
2015
2014
(in thousands)
$
$
2,326 $
1,289
328
480
4,423 $
1,619
1,776
885
595
4,875
General and administrative expenses were $4.4 million for the year ended December 31, 2015, a decrease of $452,000 compared
to the 2014 period. Stock-based compensation expense decreased by $557,000 due to certain awards to board members and company
executives made in 2014 that were fully vested at the time of the award. Legal, consulting and other professional expenses decreased by
$487,000, driven by the write-off of deferred offering costs in 2014 of $1.1 million when we had determined that our initial public offering
was no longer probable of being consummated at such time, offset by increases in board member fees, directors' and officers' insurance
expense, recruiting expense, accounting and audit fees, legal fees and consulting expenses totaling $0.6 million, primarily a result of
becoming a public company in 2015. Salaries, benefits and related costs increased by $707,000, which was driven by $528,000 of
severance expense recorded in 2015 due to the resignation of our former chief executive officer.
Change in Fair Value of Warrant Liability and Investor Rights Obligation
We recognized a gain on the change in fair value of our warrant liability, UPO liability and Investor Rights Obligation of
$1.3 million during the year ended December 31, 2015 compared to a gain of $2.3 million during the 2014 period. The $1.3 million gain on
the change in fair value in 2015 was driven by the expiration of the investor rights obligation in October 2015 upon the closing of our
initial public offering.
The $2.3 million gain on the change in fair value in 2014 was driven by the issuance of warrants for shares of Series B convertible
preferred stock and the investor rights obligation and their respective changes in fair value during the year due to the gain recognized from
marking the warrants for shares of Series A-1 convertible preferred stock to market.
Interest Expense, Net
Net interest expense decreased by $413,000 for the year ended December 31, 2015 compared to the year ended December 31,
2014. The decrease was primarily due to the interest on the convertible promissory notes and demand notes we entered into in 2014. The
convertible promissory notes and demand notes converted to Series B convertible preferred stock upon the completion of the Series B
convertible preferred stock equity offering, and as such there was no comparable expense in 2015. This was offset by an increase in interest
expense under our secured term loan facility that was entered into in August 2014.
Liquidity and Capital Resources
We have devoted most of our cash resources to research and development and general and administrative activities. Since our
inception, we have incurred net losses and negative cash flows from our operations. We expect to incur significant expenses and operating
losses for the foreseeable future as we continue the development and clinical trials of, and seek marketing approval for, our product
candidates. We incurred net losses of $16.5 million, $10.5 million and $16.1 million for the years ended December 31, 2016, 2015 and
2014, respectively. At December 31, 2016, we had an accumulated deficit of $70.0 million, net working capital of $1.4 million and cash
and cash equivalents of $5.1 million. To date, we have not generated any revenues from the sale of products and we do not anticipate
generating any revenues from the sale of our product candidates for the foreseeable future. Historically, we have financed our operations
principally through private placements of common and convertible preferred stock, convertible and nonconvertible debt, as well as our IPO
in October 2015.
We will require substantial additional financing to fund our operations beyond the short term and to continue to execute our
strategy. Further development of our product candidates will not be possible unless we secure additional funding. Our strategy is to seek
funding for our operations from further offerings of equity or debt securities, non-dilutive financing arrangements such as federal grants,
collaboration agreements or out-licensing arrangements, and to explore strategic alternatives such as an acquisition, merger, or business
combination. Based on our current research and development plans we
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expect that our existing cash and cash equivalents will enable us to fund our operating expenses and capital expenditure requirements well
into the second quarter of 2017. These factors raise substantial doubt about our ability to continue as a going concern within one year of the
date that our financial statements were issued.
Term Loan
In August 2014, we received a $7.5 million secured term loan from a finance company. The loan is secured by a lien on our assets,
excluding intellectual property, which is subject to a negative pledge. The loan contains certain additional nonfinancial covenants. In
connection with the loan agreement, our cash and investment accounts are subject to account control agreements with the finance company
that give the finance company the right to assume control of the accounts in the event of a loan default. Loan defaults are defined in the
loan agreement and include, among others, the finance company’s determination that there is a material adverse change in our operations,
notwithstanding adverse results of clinical trials. Interest on the loan is at a rate of the greater of 7.95%, or 7.95% plus the prime rate as
reported in The Wall Street Journal minus 3.25%. The interest rate effective from loan inception to December 16, 2015 was 7.95%.
Effective December 17, 2015, the prime rate as reported by The Wall Street Journal increased 0.25% resulting in the interest rate increasing
to 8.20%. Effective December 15, 2016, the prime rate as reported by The Wall Street Journal increased another 0.25% resulting in an
increase to the interest rate, which was 8.45% as of December 31, 2016. The loan was interest‑only for nine months, and is repayable in
equal monthly payments of principal and interest of approximately $305,000 over 27 months, which began in June 2015. The loan
terminates in the third quarter of 2017 and has an outstanding balance as of December 31, 2016 of $2.4 million.
Cash Flows
The following table summarizes our cash flows for the years ended December 31, 2016, 2015 and 2014:
Net cash provided by (used in):
Operating activities
Investing activities
Financing activities
Net increase (decrease) in cash and cash equivalents
Net cash used in operating activities
Year Ended
December 31,
2016
2015
2014
(in thousands)
$
$
(14,573) $
(35)
(1,426)
(16,034) $
(10,163) $
(20)
19,603
9,420 $
(15,518)
(20)
23,859
8,321
Net cash used in operating activities was $14.6 million for the year ended December 31, 2016 and consisted primarily of a net loss
of $16.5 million, offset by non-cash stock-based compensation expense of $1.7 million, non-cash interest expense of $162,000 and an
increase in accounts payable of $332,000.
Net cash used in operating activities was $10.2 million for the year ended December 31, 2015 and consisted primarily of a net loss
of $10.5 million, a non-cash $1.3 million gain on the change in fair value of the warrant liability, UPO liability and Investor Rights
Obligation driven by the expiration of the Investor Rights Obligation during the year and a decrease in accounts payable of $269,000. These
were offset by a $1.1 million increase in accrued expenses due to increased clinical trial activities and $528,000 of accrued severance
expense due to the resignation of our former chief executive officer, non-cash stock compensation expense of $395,000 and non-cash
interest expense of $294,000.
Net cash used in operating activities was $15.5 million for the year ended December 31, 2014 and consisted primarily of a net loss
of $16.1 million, a non-cash $2.3 million gain on the change in fair value of the warrant liability and investor rights obligation and a
decrease in accounts payable of $708,000. These were offset by non-cash stock compensation expense of $1.1 million, the write off of
deferred public offering costs of $1.1 million, non-cash interest expense of $1.0 million and a decrease in prepaid expenses and other
current assets of $354,000.
Net cash used in investing activities
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Net cash used in investing activities is limited to purchases of property and equipment consisting of computers and software and
furniture and equipment. Our net cash used in investing activities was $35,000, $20,000, and $20,000 for the years ended December 31,
2016, 2015 and 2014, respectively.
Net cash provided by (used in) financing activities
Net cash used in financing activities was $1.4 million for the year ended December 31, 2016, which consisted of principal
payments on our term loan of $3.3 million offset by net proceeds from the sale of common stock to Aspire Capital under the Purchase
Agreement of $1.9 million.
Net cash provided by financing activities was $19.6 million for the year ended December 31, 2015 and consisted primarily of
proceeds from our initial public offering including the over-allotment option, net of underwriting discounts, commissions and expenses of
$23.7 million, offset by the payment of offering costs related to the initial public offering of $2.3 million and principal payments on our
term loan of $1.8 million.
Net cash provided by financing activities was $23.9 million for the year ended December 31, 2014 and consisted primarily of
proceeds from our convertible debt, demand notes, and Series B convertible preferred stock equity issuance aggregating $17.3 million as
well as $7.4 million from our term loan entered into in August 2014. These proceeds were offset by the payment of $0.4 million in
financing fees related to the equity and debt financing and $0.4 million for IPO‑related deferred offering costs.
Operating and Capital Expenditure Requirements
We have not achieved profitability since our inception and we expect to continue to incur net losses for the foreseeable future.
Following the closing of our IPO in October 2015, we expect to continue to incur significant legal, accounting and other expenses that we
were not previously required to incur as a private company. In addition, the Sarbanes‑Oxley Act, as well as rules adopted by the Securities
and Exchange Commission, or SEC, and the NASDAQ Stock Market, requires public companies to implement specified corporate
governance practices that were previously inapplicable to us as a private company. We expect these rules and regulations will continue to
increase our legal and financial compliance costs and will make some activities more time‑consuming and costly. We may also acquire or
in‑license new product candidates. Based on our research and development plans, we expect that our existing cash and cash equivalents will
enable us to fund our operating expenses and capital expenditure requirements well into the second quarter of 2017, which raises substantial
doubt about our ability to continue as a going concern within one year of the date that our financial statements were issued. We will require
substantial additional financing to fund our operations and to continue to develop our product candidates. Our strategy is to seek funding for
our operations from further offerings of equity or debt securities, non-dilutive financing arrangements such as federal grants, collaboration
agreements or out-licensing arrangements, and to explore strategic alternatives such as an acquisition, merger, or business combination
Each of our product candidates are still in the early stages of clinical and preclinical development and the outcome of these efforts
is uncertain. We cannot estimate the actual amounts necessary to successfully complete the development and commercialization of our
product candidates or whether, or when, we may generate revenue.
We will need to raise substantial additional capital in the future to fund our operations and to further develop our product
candidates and we anticipate funding our operations from further offerings of equity or debt securities, non-dilutive financing arrangements
such as federal grants, collaboration agreements or out-licensing arrangements, and to explore strategic alternatives such as an acquisition,
merger, or business combination. However, there can be no assurance that we will be able to obtain additional equity or debt financing, or
strategic alternatives, on terms acceptable to us, if at all. If we raise additional funds through collaboration and licensing agreements with
third parties, it may be necessary to relinquish valuable rights to our product candidates, technologies or future revenue streams or to grant
licenses on terms that may not be favorable to us. There can also be no assurance that the exploration of strategic alternatives will result in
any such transaction. Our future capital requirements will depend on many forward‑looking factors, including:
• the progress and results of the three externally funded clinical trials being conducted for CERC‑501 and changes to our
development plan with respect to CERC‑501, if any;
• the progress of and our ability to successfully file an IND with the FDA for CERC-611, the progress and results of any
subsequent clinical trials for CERC-611 and any changes to our development plan with respect to CERC-611, if any;
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• our plan and ability to enter into collaborative agreements for the development and commercialization of our product
candidates;
• the number and development requirements of any other product candidates that we may
pursue;
• the scope, progress, results and costs of researching and developing our product candidates or any future product candidates,
both in the United States and in territories outside the United States;
• the costs, timing and outcome of regulatory review of our product candidates or any future product candidates, both in the
United States and in territories outside the United States;
• the costs and timing of future commercialization activities, including product manufacturing, marketing, sales and distribution
for any of our product candidates for which we receive marketing approval;
• the costs and timing of any product candidate acquisition or in‑licensing
opportunities;
• any product liability or other lawsuits related to our
products;
• the expenses needed to attract and retain skilled
personnel;
• the revenue, if any, received from commercial sales of our product candidates for which we receive marketing approval;
and
• the costs involved in preparing, filing and prosecuting patent applications, maintaining and enforcing our intellectual property
rights and defending our intellectual property‑related claims, both in the United States and in territories outside the United States
Please refer to the section entitled “Risk Factors” at Item 1A of this Annual Report on Form 10-K for additional risks associated with our
substantial capital requirements.
Contractual Obligations and Commitments
The following is a summary of our long‑term contractual cash obligations as of December 31, 2016 (in thousands):
Contractual Obligation(1)
Debt obligations(2)
Operating lease obligations(3)
Total contractual obligations
Total
2,332 $
314
2,646 $
$
$
Less than
one year
More than
1 ‑ 3 years
3 years
2,332 $
155
2,487 $
— $
159
159 $
—
—
—
(1) This table does not include any contingent milestone or royalty payments that may become payable to third parties under license
agreements because the timing and likelihood of such payments are not known.
(2) Amount represents principal and interest cash payments over the life of the debt obligations, including anticipated interest payments
that are not recorded on our balance sheet.
(3) Operating lease obligations reflect our obligations pursuant to the terms of a lease agreement entered into on August 8, 2013 for our
office space located in Baltimore, Maryland.
We have also entered into agreements with contract research organizations, or CROs, and other external service providers for
services, primarily in connection with the clinical trials and development of our product candidates. We were contractually obligated for up
to approximately $1.4 million of future services under these agreements as of December 31, 2016. Our actual contractual obligations will
vary depending upon several factors, including the progress and results of the underlying services.
Off‑Balance Sheet Arrangements
We do not have any off‑balance sheet arrangements, as defined by applicable SEC rules and regulations.
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Recently Adopted Accounting Pronouncements
In August 2014, the Financial Accounting Standards Board, or FASB, issued Accounting Standards Update, or ASU,
No. 2014‑15, Disclosure of Uncertainties about an Entity’s Ability to Continue as a Going Concern. The amendments in this update
explicitly require a company’s management to assess an entity’s ability to continue as a going concern within one year after the date the
financial statements are issued, and to provide related footnote disclosures in certain circumstances. The new standard is effective in the
first annual period ending after December 15, 2016, and for annual periods and interim periods thereafter. We adopted the new guidance in
the fourth quarter of 2016. The adoption of this guidance did not impact our financial position, results of operations or cash flows, nor did it
significantly impact our disclosures regarding the assessment of our ability to continue as a going concern within one year of the date that
our financial statements were issued.
Recent Accounting Pronouncements
In May 2014, the FASB issued ASU No. 2014‑09, Revenue From Contracts With Customers (“ASU 2014‑09”). Pursuant to this
update, an entity should recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the
consideration to which the entity expects to be entitled in exchange for those goods or services. In August 2015, the FASB issued ASU
2015-14, Revenue From Contracts With Customers (Topic 606), which delays the effective date of ASU 2014-09 by one year. As a result,
ASU 2014-09 will be effective for annual reporting periods beginning after December 15, 2017 with early adoption permitted for annual
reporting periods beginning after December 15, 2016. In March 2016, the FASB issued ASU No. 2016-08, Revenue from Contracts with
Customers (Topic 606): Principal versus Agent Considerations (Reporting Revenue Gross versus Net) (“ASU 2016-08”) and ASU No.
2016-10, Revenue From Contracts With Customers (Topic 606): Identifying Performance Obligations and Licensing (“ASU 2016-10”),
and in May 2016 the FASB issued ASU No. 2016-12, Revenue from Contracts with Customers (Topic 606), Narrow-Scope Improvements
and Practical Expedients (“ASU 2016-12”), each of which clarify the guidance in ASU 2014-09 and have the same effective date as the
original standard. We have not yet completed our determination of the impact of adopting ASU 2014-09, ASU 2016-08, ASU 2016-10, or
ASU 2016-12 on the financial statements, although, we do not expect the impact, if any, to be significant. We expect to adopt the
pronouncement on a full retrospective basis on January 1, 2018.
In February 2016, the FASB issued ASU No. 2016-02, Leases (Topic 842). This guidance revises existing practice related to
accounting for leases under ASC 840, Leases (“ASC 840”) for both lessees and lessors. The new guidance in ASU 2016-02 requires lessees
to recognize a right-of-use asset and a lease liability for nearly all leases (other than leases that meet the definition of a short-term lease).
The lease liability will be equal to the present value of lease payments and the right-of-use asset will be based on the lease liability, subject
to adjustment such as for initial direct costs. For income statement purposes, the new standard retains a dual model similar to ASC 840,
requiring leases to be classified as either operating leases or capital leases. For lessees, operating leases will result in straight-line expense
(similar to current accounting by lessees for operating leases under ASC 840) while capital leases will result in a front-loaded expense
pattern (similar to current accounting by lessees for capital leases under ASC 840). The new standard is effective for annual reporting
periods beginning after December 15, 2018, including interim periods within those fiscal years. Early application is permitted. We are
currently evaluating the potential impact of the adoption of this standard on our financial statements.
In March 2016, the FASB issued ASU No. 2016-09, Improvements to Employee Share-Based Payment Accounting. The guidance
is intended to simplify several areas of accounting for share-based compensation, including income tax impacts, classification on the
statement of cash flows and forfeitures. The new standard is effective for fiscal years beginning after December 15, 2016, including interim
periods within those fiscal years. Early application is permitted. We adopted this standard on January 1, 2017 and its adoption will have no
impact on our financial position, results of operations or cash flows.
In November 2016, the FASB issued ASU 2016-18, Restricted Cash. The guidance is intended to address the diversity that
currently exists in the classification and presentation of changes in restricted cash on the statement of cash flows. The new standard
requires that entities show the changes in the total of cash and cash equivalents, restricted cash and restricted cash equivalents on the
statement of cash flows and no longer present transfers between cash and cash equivalents, restricted cash and restricted cash equivalents
on the statement of cash flows. The new standard is effective for fiscal years beginning after December 15, 2017, including interim periods
within those fiscal years. Early application is permitted. We are currently evaluating the potential impact of the adoption of this standard on
our financial statements.
JOBS Act
The JOBS Act contains provisions that, among other things, reduce reporting requirements for an “emerging growth company.”
As an emerging growth company, we have elected to not take advantage of the extended transition period afforded
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by the JOBS Act for the implementation of new or revised accounting standards and, as a result, will comply with new or revised
accounting standards on the relevant dates on which adoption of such standards is required for non‑emerging growth companies.
Internal Control Over Financial Reporting
Assessing our staffing and training procedures to improve our internal control over financial reporting is an ongoing process. We
are not currently required to comply with all of Section 404 of the Sarbanes‑Oxley Act of 2002, or the Sarbanes‑Oxley Act. For the year
ended December 31, 2016, management is required to make an assessment of the effectiveness of our internal control over financial
reporting as required by Section 404(a) of the Sarbanes-Oxley Act, as further described in Item 9A of this Annual Report on Form 10-K.
The Dodd-Frank Wall Street Reform and Consumer Protection Act exempts non-accelerated filers from compliance with Section 404(b) of
the Sarbanes-Oxley Act, which relates to the independent auditor's attestation on the effectiveness of the issuer's internal control over
financial reporting. As such, our independent registered public accounting firm has not been engaged to express, nor have they expressed,
an opinion on the effectiveness of our internal control over financial reporting as of December 31, 2016.
Item 7A. Quantitative and Qualitative Disclosures About Market Risk
Interest Rate Risk
We maintain a short-term investment portfolio consisting mainly of highly liquid short-term money market funds, which we
consider to be cash equivalents. These investments earn interest at variable rates and, as a result, decreases in market interest rates would
generally result in decreased interest income. We do not believe that a 10% increase or decrease in interest rates would have a material
effect on the fair value of our investment portfolio due to the short-term nature of these instruments, and accordingly we do not expect our
operating results or cash flows to be materially affected by a sudden change in market interest rates.
Item 8. Financial Statements and Supplementary Data
The financial statements required to be filed pursuant to this Item 8 are appended to this report. An index of those financial
statements is found in Item 15 of Part IV of this Annual Report on Form 10-K.
Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure
None.
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Item 9A. Controls and Procedures
Disclosure Controls and Procedures
Our management, with the participation of our principal executive officer and our principal financial officer, evaluated, as of the
end of the period covered by this Annual Report on Form 10-K, the effectiveness of our disclosure controls and procedures. Based on that
evaluation of our disclosure controls and procedures as of December 31, 2016, our principal executive officer and principal financial
officer concluded that our disclosure controls and procedures as of such date are effective at the reasonable assurance level. The term
“disclosure controls and procedures,” as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended,
or the Exchange Act, means controls and other procedures of a company that are designed to ensure that information required to be
disclosed by a company in the reports that it files or submits under the Exchange Act are recorded, processed, summarized and reported
within the time periods specified in the SEC’s rules and forms. Disclosure controls and procedures include, without limitation, controls and
procedures designed to ensure that information required to be disclosed by us in the reports we file or submit under the Exchange Act is
accumulated and communicated to our management, including our principal executive officer and principal financial officer, as appropriate
to allow timely decisions regarding required disclosure. Management recognizes that any controls and procedures, no matter how well
designed and operated, can provide only reasonable assurance of achieving their objectives and our management necessarily applies its
judgment in evaluating the cost-benefit relationship of possible controls and procedures.
Management's Report on Internal Control Over Financial Reporting
In accordance with Section 404(a) of the Sarbanes-Oxley Act, our management assessed the effectiveness of our internal control
over financial reporting as of December 31, 2016 using the criteria set forth by the Committee of Sponsoring Organizations of the
Treadway Commission (COSO) in Internal Control-Integrated Framework (2013). In adopting the 2013 Framework, management assessed
the applicability of the principles within each component of internal control and determined whether or not they have been adequately
addressed within the current system of internal control and adequately documented. Based on this assessment, management, under the
supervision and with the participation of our principal executive officer and our principal financial officer, concluded that, as of December
31, 2016, our internal control over financial reporting was effective at the reasonable assurance level based on those criteria.
This annual report does not include an attestation of our registered public accounting firm due to a transition period established by
rules of the SEC for newly public companies.
Item 9B. Other Information
None.
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PART III
Item 10. Directors, Executive Officers and Corporate Governance
The information required by this Item 10 will be included in our definitive proxy statement to be filed with the SEC with respect to
our 2017 Annual Meeting of Stockholders and is incorporated herein by reference.
Item 11. Executive Compensation
The information required by this Item 11 will be included in our definitive proxy statement to be filed with the SEC with respect to
our 2017 Annual Meeting of Stockholders and is incorporated herein by reference.
Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
The information required by this Item 12 will be included in our definitive proxy statement to be filed with the SEC with respect to
our 2017 Annual Meeting of Stockholders and is incorporated herein by reference:
Item 13. Certain Relationships and Related Transactions, and Director Independence
The information required by this Item 13 will be included in our definitive proxy statement to be filed with the SEC with respect to
our 2017 Annual Meeting of Stockholders and is incorporated herein by reference.
Item 14. Principal Accounting Fees and Services
The information required by this Item 14 will be included in our definitive proxy statement to be filed with the SEC with respect to
our 2017 Annual Meeting of Stockholders and is incorporated herein by reference.
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Item 15. Exhibits and Financial Statement Schedules
(a) Documents filed as part of this
report.
PART IV
1.
The following financial statements of Cerecor, Inc. and Report of Ernst & Young, LLP, Independent Registered Public
Accounting Firm, are included in this report:
Report of Independent Registered Public Accounting Firm
Balance Sheets as of December 31, 2016 and 2015
Statements of Operations for the years Ended December 31, 2016, 2015 and 2014
Statements of Convertible Preferred Stock and Stockholders’ Equity (Deficit) for the period from January 1,
2014 to December 31, 2016
Statements of Cash Flows for the years Ended December 31, 2016, 2015 and 2014
Notes to Financial Statements
F-3
F-4
F-5
F-6
F-7
F-8
2.
3.
List of financial statement schedules. All schedules are omitted because they are not applicable or the required information is
shown in the financial statements described above.
List of Exhibits required by Item 601 of Regulation S-K. See part (b)
below.
(b) Exhibits. See the Exhibit Index and Exhibits filed as part of this
report.
SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) of the Securities and Exchange Act of 1934, the registrant has duly caused this
report to be signed on its behalf by the undersigned thereunto duly authorized.
Cerecor Inc.
/s/ Uli Hacksell
Uli Hacksell
President and Chief Executive Officer
Date: March 14, 2017
KNOW ALL PERSONS BY THESE PRESENTS, that each individual whose signature appears below constitutes and appoints
Uli Hacksell, his true and lawful attorney-in-fact and agent with full power of substitution, for him and in his name, place and stead, in any
and all capacities, to sign any and all amendments to this Annual Report on Form 10-K, and to file the same, with all exhibits thereto and all
documents in connection therewith, with the Securities and Exchange Commission, granting unto said attorney-in-fact and agent, full power
and authority to do and perform each and every act and thing requisite and necessary to be done in and about the premises, as fully to all
intents and purposes as he might or could do in person, hereby ratifying and confirming all that said attorney-in-fact and agent, or his or
their substitute or substitutes, may lawfully do or cause to be done by virtue hereof.
Pursuant to the requirements of the Securities and Exchange Act of 1934, this report has been signed below by the following
persons on behalf of the registrant and in the capacities and on the dates indicated.
F-1
Table of Contents
Signature
Title
/s/ Uli Hacksell
Uli Hacksell
President, Chief Executive Officer and Chairman of the Board
(Principal Executive Officer)
/s/ Mariam E. Morris
Mariam E. Morris
Chief Financial Officer
(Principal Financial and Accounting Officer)
/s/ Thomas Aasen
Thomas Aasen
/s/ Eugene A. Bauer
Eugene A. Bauer
/s/ Isaac Blech
Isaac Blech
/s/ Phil Gutry
Phil Gutry
/s/ Magnus Persson
Magnus Persson
Director
Director
Director
Director
Director
F-2
Date
March 14, 2017
March 14, 2017
March 14, 2017
March 14, 2017
March 14, 2017
March 14, 2017
March 14, 2017
Table of Contents
The Board of Directors and Stockholders of Cerecor Inc.
Report of Independent Registered Public Accounting Firm
We have audited the accompanying balance sheets of Cerecor Inc. as of December 31, 2016 and 2015, and the related statements
of operations, convertible preferred stock and stockholders’ equity (deficit) and cash flows for each of the three years in the period ended
December 31, 2016. These financial statements are the responsibility of the Company’s management. Our responsibility is to express an
opinion on these 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 financial statements are free
of material misstatement. We were not engaged to perform an audit of the Company’s internal control over financial reporting. Our audits
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 financial statements, assessing the accounting principles used and significant estimates made by management, and
evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.
In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of
Cerecor Inc. at December 31, 2016 and 2015, and the results of its operations and its cash flows for each of the three years in the period
ended December 31, 2016, in conformity with U.S. generally accepted accounting principles.
The accompanying financial statements have been prepared assuming that the Company will continue as a going concern. As
discussed in Note 1 to the financial statements, the Company has recurring net losses, has generated negative cash flows from operations,
has an accumulated deficit at December 31, 2016 and current cash and cash equivalents at December 31, 2016 that will not be sufficient to
meet its anticipated cash requirements through a period of one year after the date that the financial statements are issued. These factors
raise substantial doubt about the Company’s ability to continue as a going concern. Management's plans in regard to these matters are also
described in Note 1. The financial statements do not include any adjustments that might result from the outcome of this uncertainty.
/s/ Ernst & Young LLP
Baltimore, Maryland
March 14, 2017
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Table of Contents
CERECOR INC.
Balance Sheets
Assets
Current assets:
Cash and cash equivalents
Grants receivable
Prepaid expenses and other current assets
Restricted cash—current portion
Total current assets
Restricted cash, net of current portion
Property and equipment, net
Total assets
Liabilities and stockholders’ equity
Current liabilities:
Current portion of long term debt, net of discount
Accounts payable
Accrued expenses and other current liabilities
Warrant liability
Unit purchase option liability
Total current liabilities
Long term debt, net of current portion and discount
Other long term liabilities
Total liabilities
Stockholders’ equity (deficit):
Preferred stock—$0.001 par value; 5,000,000 and zero shares authorized at December 31, 2016
and 2015, respectively; zero shares issued and outstanding at December 31, 2016 and 2015
Common stock—$0.001 par value; 200,000,000 shares authorized at December 31, 2016 and
2015; 9,434,141 and 8,650,143 shares issued and outstanding at December 31, 2016 and
2015, respectively
Additional paid-in capital
Accumulated deficit
Total stockholders’ equity
Total liabilities and stockholders’ equity
See accompanying notes to financial statements.
F-4
$
$
$
December 31,
2016
2015
5,127,958 $
132,472
391,253
11,111
5,662,794
62,828
43,243
5,768,865 $
21,161,967
—
401,550
58,832
21,622,349
—
35,216
21,657,565
2,353,667 $
1,010,209
942,435
5,501
51
4,311,863
—
1,250,000
5,561,863
3,208,074
678,109
1,885,458
27,606
50,571
5,849,818
2,353,482
370,538
8,573,838
—
—
9,434
70,232,651
(70,035,083)
207,002
5,768,865 $
8,650
66,638,557
(53,563,480)
13,083,727
21,657,565
$
Table of Contents
CERECOR INC.
Statements of Operations
Grant revenue
Operating expenses:
Research and development
General and administrative
Loss from operations
Other income (expense):
Change in fair value of warrant liability, unit purchase option liability and investor
rights obligation
Interest income (expense), net
Total other income (expense)
Net loss
Net loss attributable to common stockholders
Net loss per share of common stock, basic and diluted
Weighted-average shares of common stock outstanding, basic and diluted
Year Ended December 31,
2016
1,152,987 $
$
2015
2014
— $
—
10,149,879
7,083,155
(16,080,047)
6,587,183
4,422,764
(11,009,947)
12,240,535
4,875,030
(17,115,565)
72,625
(464,181)
(391,556)
1,313,049
(793,205)
519,844
2,266,161
(1,206,187)
1,059,974
$ (16,471,603) $ (10,490,103) $ (16,055,591)
(3,521,153)
$ (16,471,603) $ (10,490,103) $
(5.48)
(4.71) $
$
642,052
(1.87) $
8,830,396
2,226,023
See accompanying notes to financial statements.
F-5
Table of Contents
CERECOR INC.
Statements of Convertible Preferred Stock and Stockholders’ Equity (Deficit)
For the Period from January 1, 2014 to December 31, 2016
Series A, A-1 and B
convertible preferred
Stockholders’ Equity (Deficit)
Additional
Total
stock
Common stock
paid‑in
Accumulated
stockholders’
Shares
Amount
40,190,902 $ 19,856,633
Shares
642,844 $
Amount
643 $
capital
9,170,468 $ (27,017,786) $
deficit
equity (deficit)
(17,846,675)
—
(6,004,417)
6,877
7
6,004,604
—
—
—
—
426,303
5,597,618
1,405,003
—
—
3,333,331
837,313
—
—
—
—
—
—
—
—
6,004,611
426,303
—
—
50,017,786
—
—
12,250,999
—
—
99,139,637 $ 28,345,531
—
—
649,721 $
54,107
1,086,581
—
—
—
650 $ 16,742,063 $ (43,073,377) $
—
(16,055,591)
54,107
1,086,581
(16,055,591)
(26,330,664)
—
—
4,020,000
4,020
21,161,569
—
21,165,589
(99,139,637)
—
—
— $
(28,345,531)
—
—
—
3,980,422
—
—
8,650,143 $
3,980
—
—
28,340,177
394,748
—
8,650 $ 66,638,557 $ (53,563,480) $
—
—
(10,490,103)
—
—
—
—
— $
—
763,998
764
1,899,223
—
—
—
—
20,000
—
—
9,434,141 $
20
—
—
(20)
1,694,891
—
9,434 $ 70,232,651 $ (70,035,083) $
—
—
(16,471,603)
28,344,157
394,748
(10,490,103)
13,083,727
1,899,987
—
1,694,891
(16,471,603)
207,002
Balance, January 1, 2014
Extinguishment upon modification of
Series A and A-1 convertible preferred
stock and issuance of common stock
dividends
Reclassification of common stock
warrants from liabilities to equity
Conversion of convertible promissory
notes in exchange for Series B
convertible preferred stock
Conversion of demand notes in exchange
for Series B convertible preferred stock,
net of investor rights obligation
Issuance of Series B convertible preferred
stock net of issuance costs and investor
rights obligation
Stock-based compensation
Net loss
Balance, December 31, 2014
Issuance of securities in initial public
offering, including over-allotment and
underwriters' unit purchase option, net
of offering costs and underwriting
discounts, commissions and expenses
Issuance of common stock for conversion
of preferred stock upon closing of
initial public offering
Stock-based compensation
Net loss
Balance, December 31, 2015
Issuance of common stock from sale of
shares under common stock purchase
agreement, net of offering costs
Shares purchased through employee stock
purchase plan
Stock-based compensation
Net loss
Balance, December 31, 2016
See accompanying notes to financial statements.
F-6
Table of Contents
CERECOR INC.
Statements of Cash Flows
Operating activities
Net loss
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation
Loss on disposition of assets
Stock-based compensation expense
Write off of deferred public offering costs
Non-cash interest expense
Change in fair value of warrant liability, unit purchase option liability and
investor rights obligation
Changes in assets and liabilities:
Grant receivable
Prepaid expenses and other assets
Restricted cash
Accounts payable
Accrued expenses and other liabilities
Net cash used in operating activities
Investing activities
Purchase of property and equipment
Net cash used in investing activities
Financing activities
Proceeds from issuance of convertible promissory notes and demand notes
Proceeds from issuance of term loan, net of costs
Proceeds from issuance of Series B convertible preferred stock and common stock
warrants, net of offering costs
Payment of fractional shares upon conversion of preferred stock to common stock
Proceeds from initial public offering, including over-allotment, net of underwriting
discounts, commissions and expenses
Proceeds from sale of shares under common stock purchase agreement
Principal payments on term debt
Payment of offering costs
Net cash provided by (used in) financing activities
Increase (decrease) in cash and cash equivalents
Cash and cash equivalents at beginning of period
Cash and cash equivalents at end of period
Supplemental disclosures of cash flow information
Cash paid for interest
$
$
Supplemental disclosures of non-cash financing activities:
$
Accrued deferred financing costs
Conversion of promissory and demand notes into Series B convertible preferred stock $
$
Reclassification of common stock warrants from liabilities to equity
$
$
Extinguishment upon modification of Series A and A-1 convertible preferred stock
Allocation of debt and equity proceeds to investor rights obligation
Year Ended December 31,
2016
2015
2014
$
(16,471,603) $
(10,490,103) $
(16,055,591)
26,856
—
1,694,891
—
162,270
23,508
—
394,748
—
293,748
28,943
17,806
1,086,581
1,064,106
989,258
(72,625 )
(1,313,049 )
(2,266,161 )
(132,472)
22,047
(15,107 )
332,100
(119,495)
(14,573,138)
—
(41,243 )
116,666
(268,709)
1,121,054
(10,163,380)
—
353,973
(498)
(708,366)
(28,400 )
(15,518,349)
(34,883 )
(34,883 )
(19,984 )
(19,984 )
(19,502 )
(19,502 )
—
—
—
—
—
—
2,249,666
7,390,000
—
(1,373)
14,584,307
—
—
2,003,182
(3,314,225 )
(114,945)
(1,425,988 )
(16,034,009)
21,161,967
5,127,958 $
23,685,270
—
(1,811,744 )
(2,269,171 )
19,602,982
9,419,618
11,742,349
21,161,967 $
—
—
—
(365,253)
23,858,720
8,320,869
3,421,480
11,742,349
348,888 $
568,299 $
173,514
81,832 $
— $
— $
— $
— $
— $
— $
— $
— $
— $
—
2,249,666
426,303
2,598,510
12,534,438
See accompanying notes to financial statements.
F-7
Table of Contents
1. Business
CERECOR INC.
Notes to Financial Statements
As of and for the Years Ended December 31, 2016 and 2015
Cerecor Inc. (the “Company” or “Cerecor”) was incorporated on January 31, 2011 in Delaware. The Company is a clinical‑stage
biopharmaceutical company with the goal of becoming a leader in the development of innovative drugs that make a difference in the lives
of patients with neurological and psychiatric disorders. The Company’s operations since inception have been limited to organizing and
staffing the Company, acquiring rights to and developing certain product candidates, business planning and raising capital.
Liquidity - Going Concern
The Company's financial statements have been prepared on a going-concern basis, which contemplates the realization of assets
and the satisfaction of liabilities in the normal course of business. Accordingly, the financial statements do not include any adjustments that
might be necessary should the Company be unable to continue to fund its operations. The Company has not generated any product revenues
and has not yet achieved profitable operations. There is no assurance that profitable operations will ever be achieved, and if achieved,
could be sustained on a continuing basis.
The Company has incurred recurring operating losses since inception. For the year ended December 31, 2016, the Company
incurred a net loss of $16.5 million and generated negative cash flows from operations of $14.6 million. As of December 31, 2016, the
Company had an accumulated deficit of $70.0 million. The Company anticipates operating losses to continue for the foreseeable future due
to, among other things, costs related to the clinical development of its product candidates, its preclinical programs, business development
and its organizational infrastructure. The Company will require substantial additional financing to fund its operations and to continue to
execute its strategy. To fully execute its business plan, the Company will need to complete certain research and development activities,
have positive clinical trial results and obtain marketing approval for its product candidates, which may span many years, and may
ultimately be unsuccessful. Any delays in completing these activities or negative clinical trial results could adversely impact the Company.
The Company plans to meet its capital requirements primarily through further offerings of equity or debt securities, non-dilutive financing
arrangements such as federal grants, collaboration agreements or out-licensing arrangements, and to explore strategic alternatives such as an
acquisition, merger, or business combination. In the long term, the Company plans to meet its capital requirements through revenue from
product sales to the extent its product candidates receive marketing approval and are commercialized. There can be no assurance, however,
that the Company will be successful in obtaining financing at the level needed to sustain operations and develop its product candidates or
on terms acceptable to the Company, that the Company's exploration of strategic alternatives will result in any such transaction, or that the
Company will obtain approvals necessary to market its products or achieve profitability or sustainable, positive cash flow. If the Company
fails to raise capital or enter into such arrangements or transactions in the short term, it will have to significantly delay, scale back or
discontinue the development of one or more of its product candidates or cease its operations altogether. The Company currently anticipates
that current cash and cash equivalents will be sufficient to meet its anticipated cash requirements well into the second quarter of 2017.
These factors raise substantial doubt about the Company's ability to continue as a going concern within one year of the date that our
financial statements were issued.
2. Significant Accounting Policies
Basis of Presentation
The accompanying financial statements have been prepared in conformity with U.S. generally accepted accounting principles
(“GAAP”). Any reference in these notes to applicable guidance is meant to refer to the authoritative GAAP as found in the Accounting
Standards Codification (“ASC”) and Accounting Standards Updates (“ASU”) of the Financial Accounting Standards Board (“FASB”).
Use of Estimates
The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that
affect the reported amounts of assets, liabilities, revenues, expenses, other comprehensive income and related disclosures. On an ongoing
basis, management evaluates its estimates, including estimates related to clinical trial accruals,
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Table of Contents
warrant liability and embedded derivative liabilities. The Company bases its estimates on historical experience and other market‑specific or
other relevant assumptions that it believes to be reasonable under the circumstances. Actual results may differ from those estimates or
assumptions.
Prior to being a public company, the Company utilized estimates and assumptions in determining the fair value of its common
stock as an input for determining the grant date fair value of stock option grants. Management used the assistance of a third‑party valuation
firm in estimating the fair value of the common stock. The board of directors determined the estimated fair value of the common stock
based on a number of objective and subjective factors, including external market conditions affecting the biotechnology industry sector and
the historic prices at which the Company sold shares of its preferred stock.
Net Loss Per Share, Basic and Diluted
Basic net loss per share of common stock is computed by dividing net loss attributable to common stockholders by the
weighted‑average number of shares of common stock outstanding during the period, excluding the dilutive effects, if any, of preferred
stock, the investor rights obligation, warrants on preferred stock and common stock, stock options and unvested restricted stock. Diluted net
loss per share of common stock is computed by dividing the net loss attributable to common stockholders by the sum of the
weighted‑average number of shares of common stock outstanding during the period plus the potential dilutive effects of preferred stock, the
investor rights obligation, warrants on preferred stock and common stock, stock options and unvested restricted stock outstanding during
the period calculated in accordance with the treasury stock method, although these shares and options are excluded if their effect is
anti‑dilutive. In addition, the Company analyzes the potential dilutive effect of the outstanding preferred stock, the investor rights
obligation, and warrants on preferred stock and common stock under the “if‑converted” method when calculating diluted earnings per share,
in which it is assumed that the outstanding security converts into common stock at the beginning of the period. Because the impact of these
items is generally anti‑dilutive during periods of net loss, there was no difference between basic and diluted net loss per share of common
stock for the years ended December 31, 2016, 2015 and 2014.
Cash and Cash Equivalents
The Company considers all highly liquid investments with an original maturity of three months or less when purchased to be cash
equivalents. The carrying amounts reported in the balance sheets for cash and cash equivalents are valued at cost, which approximates their
fair value.
Restricted Cash
During 2013, the Company entered into a lease for office space for its principal offices in Baltimore, Maryland. The Company
provided the landlord with a letter of credit in the amount of $175,000 as security by the Company of the Company’s obligations under the
lease. The letter of credit was supported by funds that were invested in a certificate of deposit. Provided there was no event of default by
the Company, the Company requested that the amount of the letter of credit be reduced by one‑third (approximately $58,000) at the end of
each of the first three years of the lease term. At the expiration of the third year of the lease term, which occurred in the fourth quarter of
2016, the Company deposited with the landlord the sum of $13,000 as a security deposit. This amount is recorded as restricted cash, net of
current portion on the balance sheet at December 31, 2016.
In the third quarter of 2016, the Company entered into a bank services pledge agreement with Silicon Valley Bank. In exchange
for receiving business credit card services from Silicon Valley Bank, the Company deposited $50,000 as collateral with Silicon Valley
Bank. This amount will remain deposited with Silicon Valley Bank for the duration the business credit card services are used by the
Company and is recorded as restricted cash, net of current portion on the balance sheet at December 31, 2016.
Concentration of Credit Risk
Financial instruments that potentially subject the Company to concentrations of credit risk are primarily cash and cash equivalents.
The Company maintains a portion of its cash and cash equivalent balances in the form of a money market account with a financial
institution that management believes to be creditworthy. The Company has no financial instruments with off‑balance sheet risk of loss.
Debt Issuance Costs
The Company may record debt and equity discounts in connection with raising funds through the issuance of convertible notes or
equity instruments. These discounts may arise from (i) the receipt of proceeds less than the face value of
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the convertible notes or equity instruments, (ii) allocation of proceeds to beneficial conversion features and/or (iii) recording derivative
liabilities related to embedded features. These costs are amortized over the life of the debt to interest expense utilizing the effective interest
method.
Property and Equipment
Property and equipment consists of computers, office equipment, and furniture and is recorded at cost. Maintenance and repairs
that do not improve or extend the lives of the respective assets are expensed to operations as incurred. Property and equipment are
depreciated on a straight‑line basis over their estimated useful lives. The Company uses a life of four years for computers and software, and
five years for equipment and furniture. Upon retirement or sale, the cost of the disposed asset and the related accumulated depreciation are
removed from the accounts and any resulting gain or loss is recognized.
Grant Revenue Recognition
The Company recognizes grant revenue when there is (i) reasonable assurance of compliance with the conditions of the grant and
(ii) reasonable assurance that the grant will be received. In April 2016, the Company received a research and development grant from the
National Institute on Drug Abuse ("NIDA") at the National Institutes of Health ("NIH") to provide additional resources for the period of
May 2016 through April 2017 for the Company’s now completed Phase 2 clinical trial for CERC-501, “A Randomized, Double-Blind,
Placebo-Controlled, Crossover Design Study of CERC-501 in a Human Laboratory Model of Smoking Behavior.” The amount of the NIDA
award was $1.02 million. Additionally, in July 2016, the Company received a research and development grant from the National Institute
on Alcohol Abuse and Alcoholism ("NIAAA") at the NIH to provide additional resources for the period of July 2016 through June 2017 to
progress the development of CERC-501 for the treatment of alcohol use disorder. The amount of the NIAAA award was $1.0 million. The
Company recognizes revenue under grants in earnings on a systemic basis in the period the related expenditures for which the grants are
intended to compensate are incurred. As such, the Company recognized revenue in the amounts of $1.02 million and $132,000 for the year
ended December 31, 2016 for the NIDA award and NIAAA award, respectively. As of December 31, 2016, the Company had received the
full $1.02 million of the revenue earned under the NIDA award.
Research and Development
Research and development costs are expensed as incurred. These costs include, but are not limited to, employee‑related expenses,
including salaries, benefits and stock‑based compensation of research and development personnel; expenses incurred under agreements
with contract research organizations and investigative sites that conduct clinical trials and preclinical studies; the cost of acquiring,
developing and manufacturing clinical trial materials; other supplies; facilities, depreciation and other expenses, which include direct and
allocated expenses for rent, utilities and insurance; and costs associated with preclinical activities and regulatory operations.
Costs for certain development activities, such as clinical trials, are recognized based on an evaluation of the progress to
completion of specific tasks using data such as patient enrollment, clinical site activations, or information provided to the Company by its
vendors, such as clinical research organizations, with respect to their actual costs incurred. Payments for these activities are based on the
terms of the individual arrangements, which may differ from the pattern of costs incurred, and are reflected in the financial statements as
prepaid or accrued research and development expense, as the case may be.
Comprehensive Loss
Comprehensive loss is defined as the change in equity of a business enterprise during a period from transactions and other events
and circumstances from non‑owner sources. Comprehensive loss was equal to net loss for all periods presented.
Income Taxes
The Company accounts for income taxes under the asset and liability method in accordance with ASC 740, Income Taxes (“ASC
740”). Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial
statement carrying amounts of existing assets and liabilities and their respective tax bases using enacted tax rates in effect for the year in
which the differences are expected to affect taxable income. The deferred tax asset primarily includes net operating loss and tax credit
carryforwards, accrued expenses not currently deductible and the cumulative temporary differences related to certain research and patent
costs, which have been charged to expense in the accompanying statements of operations but have been recorded as assets for income tax
purposes. The portion of any deferred tax asset for which it is more likely than not that a tax benefit will not be realized must then be offset
by recording a valuation allowance. A full valuation allowance has been established against all of the deferred tax assets (see Note 11) as it
is more likely than not that
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these assets will not be realized given the Company’s history of operating losses. The Company recognizes the tax benefit from an
uncertain tax position only if it is more likely than not to be sustained upon examination based on the technical merits of the position. The
amount for which an exposure exists is measured as the largest amount of benefit determined on a cumulative probability basis that the
Company believes is more likely than not to be realized upon ultimate settlement of the position.
The Company’s policy is to record interest and penalties on uncertain tax positions as income tax expense. As of December 31,
2016, the Company does not believe any material uncertain tax positions are present.
Stock‑Based Compensation
The Company applies the provisions of ASC 718, Compensation—Stock Compensation (“ASC 718”), which requires the
measurement and recognition of compensation expense for all stock‑based awards made to employees and non‑employees, including
employee stock options in the statements of operations.
For stock options issued to employees and members of the board of directors for their services on the board of directors, the
Company estimates the grant date fair value of each option using the Black‑Scholes option pricing model. The use of the Black‑Scholes
option pricing model requires management to make assumptions with respect to the expected term of the option, the expected volatility of
the common stock consistent with the expected life of the option, risk‑free interest rates, the value of the common stock and expected
dividend yields of the common stock. For awards subject to service‑based vesting conditions, including those with a graded vesting
schedule, the Company recognizes stock‑based compensation expense, net of estimated forfeitures, equal to the grant date fair value of
stock options on a straight‑line basis over the requisite service period, which is generally the vesting term. Forfeitures are required to be
estimated at the time of grant and revised, if necessary, in subsequent periods if actual forfeitures differ from those estimates.
For stock options issued to non‑employees, the Company measures the options at their fair value on the date at which the related
service is complete. Expense is recognized over the period during which services are rendered by such non-employees until completed. At
the end of each financial reporting period prior to the completion of the service, the fair value of the awards is remeasured using the then
current fair market value of the Company's common stock and updated assumptions in the Black-Scholes option pricing model.
Clinical Trial Expense Accruals
As part of the process of preparing its financial statements, the Company is required to estimate its expenses resulting from its
obligations under contracts with vendors, clinical research organizations and consultants and under clinical site agreements in connection
with conducting clinical trials. The financial terms of these contracts are subject to negotiations, which vary from contract to contract and
may result in payment flows that do not match the periods over which materials or services are provided under such contracts. The
Company’s objective is to reflect the appropriate trial expenses in its financial statements by matching those expenses with the period in
which services are performed and efforts are expended. The Company accounts for these expenses according to the progress of the trial as
measured by subject progression and the timing of various aspects of the trial. The Company determines accrual estimates by taking into
account discussion with applicable personnel and outside service providers as to the progress or state of consummation of trials, or the
services completed. During the course of a clinical trial, the Company adjusts its clinical expense recognition if actual results differ from its
estimates. The Company makes estimates of its accrued expenses as of each balance sheet date based on the facts and circumstances
known to it at that time. The Company’s clinical trial accruals are dependent upon the timely and accurate reporting of contract research
organizations and other third‑party vendors. Although the Company does not expect its estimates to be materially different from amounts
actually incurred, its understanding of the status and timing of services performed relative to the actual status and timing of services
performed may vary and may result in it reporting amounts that are too high or too low for any particular period. For the years ended
December 31, 2016 and December 31, 2015, there were no material adjustments to the Company’s prior period estimates of accrued
expenses for clinical trials.
Segment Information
Operating segments are identified as components of an enterprise about which separate discrete financial information is available
for evaluation by the chief operating decision maker, or decision‑making group, in making decisions on how to allocate resources and
assess performance. The Company’s chief operating decision maker is the chief executive officer. The Company and the chief executive
officer view the Company’s operations and manage its business as one operating segment. All long‑lived assets of the Company reside in
the United States.
Recently Adopted Accounting Pronouncements
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In August 2014, the Financial Accounting Standards Board (the "FASB") issued Accounting Standards Update ("ASU")
No. 2014‑15, Disclosure of Uncertainties about an Entity’s Ability to Continue as a Going Concern. The amendments in this update
explicitly require a company’s management to assess an entity’s ability to continue as a going concern within one year after the date the
financial statements are issued, and to provide related footnote disclosures in certain circumstances. The new standard is effective in the
first annual period ending after December 15, 2016, and for annual periods and interim periods thereafter. The new guidance was adopted
by the Company in the fourth quarter of 2016. The adoption of this guidance did not impact the Company's financial position, results of
operations or cash flows, nor did it significantly impact the Company's disclosures regarding the assessment of its ability to continue as a
going concern within one year of the date that our financial statements were issued.
Recent Accounting Pronouncements
In May 2014, the FASB issued ASU No. 2014‑09, Revenue From Contracts With Customers (“ASU 2014‑09”). Pursuant to this
update, an entity should recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the
consideration to which the entity expects to be entitled in exchange for those goods or services. In August 2015, the FASB issued ASU
2015-14, Revenue From Contracts With Customers (Topic 606), which delays the effective date of ASU 2014-09 by one year. As a result,
ASU 2014-09 will be effective for annual reporting periods beginning after December 15, 2017 with early adoption permitted for annual
reporting periods beginning after December 15, 2016. In March 2016, the FASB issued ASU No. 2016-08, Revenue from Contracts with
Customers (Topic 606): Principal versus Agent Considerations (Reporting Revenue Gross versus Net) (“ASU 2016-08”) and ASU No.
2016-10, Revenue From Contracts With Customers (Topic 606): Identifying Performance Obligations and Licensing (“ASU 2016-10”),
and in May 2016 the FASB issued ASU No. 2016-12, Revenue from Contracts with Customers (Topic 606), Narrow-Scope Improvements
and Practical Expedients (“ASU 2016-12”), each of which clarify the guidance in ASU 2014-09 and have the same effective date as the
original standard. The Company has not yet completed its determination of the impact of adopting ASU 2014-09, ASU 2016-08, ASU
2016-10, or ASU 2016-12 on the financial statements, although, the impact, if any, is not expected to be significant. The Company expects
to adopt the pronouncement on a full retrospective basis on January 1, 2018.
In February 2016, the FASB issued ASU No. 2016-02, Leases (Topic 842). This guidance revises existing practice related to
accounting for leases under ASC 840, Leases (“ASC 840”) for both lessees and lessors. The new guidance in ASU 2016-02 requires lessees
to recognize a right-of-use asset and a lease liability for nearly all leases (other than leases that meet the definition of a short-term lease).
The lease liability will be equal to the present value of lease payments and the right-of-use asset will be based on the lease liability, subject
to adjustment such as for initial direct costs. For income statement purposes, the new standard retains a dual model similar to ASC 840,
requiring leases to be classified as either operating leases or capital leases. For lessees, operating leases will result in straight-line expense
(similar to current accounting by lessees for operating leases under ASC 840) while capital leases will result in a front-loaded expense
pattern (similar to current accounting by lessees for capital leases under ASC 840). The new standard is effective for annual reporting
periods beginning after December 15, 2018, including interim periods within those fiscal years. Early application is permitted. The
Company is currently evaluating the potential impact of the adoption of this standard on its financial statements.
In March 2016, the FASB issued ASU No. 2016-09, Improvements to Employee Share-Based Payment Accounting. The guidance
is intended to simplify several areas of accounting for share-based compensation, including income tax impacts, classification on the
statement of cash flows and forfeitures. The new standard is effective for fiscal years beginning after December 15, 2016, including interim
periods within those fiscal years. Early application is permitted. The Company adopted this standard on January 1, 2017 and its adoption
will have no impact on its financial position, results of operations or cash flows.
In November 2016, the FASB issued ASU 2016-18, Restricted Cash. The guidance is intended to address the diversity that
currently exists in the classification and presentation of changes in restricted cash on the statement of cash flows. The new standard
requires that entities show the changes in the total of cash and cash equivalents, restricted cash and restricted cash equivalents on the
statement of cash flows and no longer present transfers between cash and cash equivalents, restricted cash and restricted cash equivalents
on the statement of cash flows. The new standard is effective for fiscal years beginning after December 15, 2017, including interim periods
within those fiscal years. Early application is permitted. The Company is currently evaluating the potential impact of the adoption of this
standard on its financial statements.
3. Net Loss Per Share of Common Stock, Basic and Diluted
The following table sets forth the computation of basic and diluted net loss per share of common stock for the years ended
December 31, 2016, 2015 and 2014:
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Net loss per share, basic and diluted calculation:
Net loss
Extinguishment upon modification of Series A and A-1 convertible preferred
stock
Net loss attributable to common stockholders
Weighted-average common shares outstanding
Net loss per share, basic and diluted
Year ended December 31,
2016
2015
2014
$
(16,471,603) $
(10,490,103) $
(16,055,591)
—
—
$
$
(16,471,603) $
8,830,396
(10,490,103) $
2,226,023
(1.87) $
(4.71) $
12,534,438
(3,521,153)
642,052
(5.48)
The following outstanding securities at December, 31, 2016, 2015 and 2014 have been excluded from the computation of diluted
weighted shares outstanding, as they would have been anti-dilutive:
Series A convertible preferred stock
Series A-1 convertible preferred stock
Series B convertible preferred stock
Stock options
Warrants on common stock
Warrants on preferred stock
Investor rights obligation
Underwriters' unit purchase option
4. Fair Value Measurements
2016
—
—
—
1,849,359
7,400,934
—
—
40,000
December 31,
2015
—
—
—
959,188
7,400,934
—
—
40,000
2014
31,116,391
9,074,511
58,948,735
552,726
681,858
625,208
53,351,117
—
ASC 820, Fair Value Measurements and Disclosures (“ASC 820”), defines fair value as the price that would be received to sell an
asset, or paid to transfer a liability, in the principal or most advantageous market in an orderly transaction between market participants on
the measurement date. The fair value standard also establishes a three‑level hierarchy, which requires an entity to maximize the use of
observable inputs and minimize the use of unobservable inputs when measuring fair value. The valuation hierarchy is based upon the
transparency of inputs to the valuation of an asset or liability on the measurement date. The three levels are defined as follows:
• Level 1—inputs to the valuation methodology are quoted prices (unadjusted) for an identical asset or liability in an active
market.
• Level 2—inputs to the valuation methodology include quoted prices for a similar asset or liability in an active market or
model‑derived valuations in which all significant inputs are observable for substantially the full term of the asset or liability.
• Level 3—inputs to the valuation methodology are unobservable and significant to the fair value measurement of the asset or
liability.
At December 31, 2016 and 2015, the Company’s financial instruments included cash and cash equivalents, restricted cash,
accounts payable, accrued expenses and other current liabilities, long term debt, the term loan warrant liability and the underwriters’ unit
purchase option liability. The carrying amounts reported in the accompanying financial statements for cash and cash equivalents, restricted
cash, accounts payable, and accrued expenses and other current liabilities approximate their respective fair values because of the short-term
nature of these accounts. The estimated fair value of the Company’s debt of $2.4 million as of December 31, 2016 was based on current
interest rates for similar types of borrowings and is in Level 2 of the fair value hierarchy.
The following table presents, for each of the fair value hierarchy levels required under ASC 820, the Company’s assets and
liabilities that are measured at fair value on a recurring basis:
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Assets
Investments in money market funds*
Liabilities
Warrant liability
Unit purchase option liability
Assets
Investments in money market funds*
Liabilities
Warrant liability
Unit purchase option liability
December 31, 2016
Fair Value Measurements Using
Quoted prices in
active markets for
identical assets
(Level 1)
Significant other
observable
inputs
(Level 2)
Significant
unobservable
inputs
(Level 3)
$
$
4,758,539 $
— $
— $
— $
— $
— $
—
5,501
51
December 31, 2015
Fair Value Measurements Using
Quoted prices in
active markets for
identical assets
(Level 1)
Significant other
observable
inputs
(Level 2)
Significant
unobservable
inputs
(Level 3)
$
$
21,122,553 $
— $
— $
— $
— $
— $
—
27,606
50,571
*Investments in money market funds are reflected in cash and cash equivalents on the accompanying Balance Sheets.
Level 3 Valuation
The warrant liability (which relates to warrants to purchase shares of common stock) is marked-to-market each reporting period
with the change in fair value recorded to other income (expense) in the accompanying statements of operations until the warrants are
exercised, expire or other facts and circumstances lead the warrant liability to be reclassified to stockholders’ equity. The fair value of the
warrant liability is estimated using a Black-Scholes option-pricing model. The significant assumptions used in preparing the option pricing
model for valuing the warrant liability as of December 31, 2016, include (i) volatility of 100%, (ii) risk free interest rate of 1.65%,
(iii) strike price ($8.40), (iv) fair value of common stock ($0.88), and (v) expected life of 3.8 years.
The underwriters’ unit purchase option (the “UPO”) was issued to the underwriters of the Company's initial public offering
("IPO") in 2015 and provides the underwriters the option to purchase up to a total of 40,000 units. The units underlying the UPO will be,
immediately upon exercise, separated into shares of common stock, underwriters’ Class A warrants and underwriters’ Class B warrants
(such warrants together referred to as the Underwriters’ Warrants). The Underwriters’ Warrants are warrants to purchase shares of common
stock (see Note 9 for additional information on the UPO). The Company classifies the UPO as a liability as it is a freestanding marked-to-
market derivative instrument that is precluded from being classified in stockholders’ equity. The UPO liability is marked-to-market each
reporting period with the change in fair value recorded to other income (expense) in the accompanying statements of operations until the
UPO is exercised, expires or other facts and circumstances lead the UPO to be reclassified to stockholders’ equity. The fair value of the
UPO liability is estimated using a Black-Scholes option-pricing model within a Monte Carlo simulation model framework. The significant
assumptions used in preparing the simulation model for valuing the UPO as of December 31, 2016, include (i) volatility range of 65% to
90%, (ii) risk free interest rate range of 0.44% to 1.64%, (iii) unit strike price ($7.48), (iv) underwriters’ Class A warrant strike price
($5.23), (v) underwriters’ Class B warrant strike price ($4.49), (vi) fair value of underlying equity ($0.88), and (vii) optimal exercise point
of immediately prior to the expiration of the underwriters’ Class B warrants, which occurs on April 20, 2017. The fair value of underlying
equity was the primary driver of the decrease in fair value of the UPO liability from $50,571 as of December 31, 2015 to $51 as of
December 31, 2016. This $50,520 gain on the change in fair value of the UPO liability was recorded to other income in the accompanying
statement of operations.
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The investor rights obligation expired in October 2015 upon the closing of the Company’s IPO. While outstanding, the investor
rights obligation was remeasured at each reporting period and changes in fair value were recorded as a component of other income
(expense) in the Company’s statements of operations. The fair value of the investor rights obligation was determined using a valuation
model, which considered the probability of achieving certain milestones, the entity’s cost of capital, the estimated period the rights were to
be outstanding, consideration received for the instrument with the rights, the number of shares to be issued to satisfy the rights, the price of
such shares and any changes in the fair value of the underlying instrument.
The tables presented below are a summary of changes in the fair value of the Company’s Level 3 valuations for the warrant
liability, unit purchase option liability and investor rights obligation for the years ended December 31, 2016 and 2015:
Balance at December 31, 2015
Change in fair value
Balance at December 31, 2016
Balance at December 31, 2014
Issuance of unit purchase option
Expiration of investor rights obligation
Change in fair value
Balance at December 31, 2015
Warrant
liability
Unit purchase
Investor rights
option liability
obligation
Total
$
$
27,606 $
(22,105)
5,501 $
50,571 $
(50,520)
51 $
— $
—
— $
78,177
(72,625)
5,552
Warrant
liability
Unit purchase
Investor rights
option liability
obligation
$
$
69,684 $
—
—
(42,078)
27,606 $
— $
1,112,000 $
209,542
—
(158,971)
50,571 $
—
(1,112,000)
—
— $
Total
1,181,684
209,542
(1,112,000)
(201,049)
78,177
No other changes in valuation techniques or inputs occurred during the years ended December 31, 2016 and 2015. No transfers of
assets between Level 1 and Level 2 of the fair value measurement hierarchy occurred during the years ended December 31, 2016 and 2015.
5. Property and Equipment
Property and equipment as of December 31, 2016 and 2015 consisted of the following:
Furniture and equipment
Computers and software
Total property and equipment
Less accumulated depreciation
Property and equipment, net
December 31,
2016
2015
$
$
58,126 $
72,808
130,934
(87,691)
43,243 $
34,918
61,133
96,051
(60,835)
35,216
Depreciation expense was $26,856 and $23,508 for the years ended December 31, 2016 and December 31, 2015, respectively.
6. Accrued Expenses and Other Current Liabilities
Accrued expenses and other current liabilities as of December 31, 2016 and 2015 consisted of the following:
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Compensation and benefits
Research and development expenses
General and administrative
Accrued interest
Total accrued expenses and other current liabilities
7. License Agreements
Lilly CERC-501 License
December 31,
2016
272,601 $
315,937
160,116
193,781
942,435 $
2015
1,128,073
464,719
253,132
39,534
1,885,458
$
$
In February 2015, the Company acquired rights to CERC-501, which was previously referred to as OpRA Kappa, through an
exclusive, worldwide license from Eli Lilly and Company ("Lilly"). Pursuant to the license agreement, the Company paid $750,000 to Lilly
within 30 days of the execution of the license agreement, which was recorded as research and development expense in the accompanying
statements of operations for the year ended December 31, 2015. Upon the Company undertaking a nine-month toxicology study in non-
human primates and delivering a final study report, the Company will be required to pay Lilly an additional $250,000. Additional payments
may be due upon achievement of other development and regulatory milestones, including the first commercial sale. Upon
commercialization, the Company is obligated to pay Lilly additional milestones and royalties on net sales.
Lilly CERC-611 License
On September 22, 2016, the Company entered into an exclusive license agreement with Lilly pursuant to which the Company
received exclusive, global rights to develop and commercialize CERC-611, previously referred to as LY3130481, a potent and selective
transmembrane AMPA receptor regulatory proteins (“TARP”) γ-8-dependent α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid
(“AMPA”) receptor antagonist. The terms of the license agreement provide for an upfront payment of $2.0 million, of which $750,000 was
due within 30 days of the effective date of the license agreement, and the remaining balance of $1.25 million is due after the first subject is
dosed with CERC-611 in a multiple ascending dose study and is recorded as other long term liabilities on the balance sheet at December
31, 2016. The Company recorded the $2.0 million upfront amount as a research and development expense in the accompanying statement
of operations for the year ended December 31, 2016. Additional payments may be due upon achievement of development and
commercialization milestones, including the first commercial sale. Upon commercialization, the Company is obligated to pay Lilly
milestone payments and a royalty on net sales.
Merck CERC-301 License
In 2013, the Company entered into an exclusive license agreement with Merck & Co., Inc. ("Merck") pursuant to which Merck
granted the Company rights relating to certain small molecule compounds. In consideration of the license, the Company may be required to
make initial payments totaling $1.5 million. Pursuant to the license agreement the Company paid $750,000 and upon achievement of FDA
acceptance of Merck pre-clinical data and FDA approval of a Phase 3 clinical trial the Company will pay an additional $750,000. The initial
payment of $750,000 was recorded as research and development expense in the year ended December 31, 2013. Additional payments may
be due upon achievement of development and regulatory milestones, including the first commercial sale. Upon commercialization of an
NR2B product, the Company is obligated to pay Merck additional milestones and royalties on net sales.
Merck COMTi License
In 2013, the Company entered into a separate exclusive license agreement with Merck pursuant to which Merck granted the
Company certain rights in small molecule compounds which are known to inhibit the activity of COMT. In consideration of the license, the
Company made a $200,000 upfront payment to Merck, which was recorded as research and development expense in the year ended
December 31, 2013. Additional payments may be due upon the achievement of development and regulatory milestones. Upon
commercialization of a COMT product, the Company is required to pay Merck royalties on net sales.
8. Term Loan
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In August 2014, the Company received a $7.5 million secured term loan from a finance company. The loan is secured by a lien on
the Company’s assets, excluding intellectual property, which is subject to a negative pledge. The loan contains certain additional
nonfinancial covenants. In connection with the loan agreement, the Company’s cash and investment accounts are subject to account control
agreements with the finance company that give the finance company the right to assume control of the accounts in the event of a loan
default. Loan defaults are defined in the loan agreement and include, among others, the finance company’s determination that there is a
material adverse change in the Company’s operations, notwithstanding adverse results of clinical trials. Interest on the loan is at a rate of
the greater of 7.95%, or 7.95% plus the prime rate as reported in The Wall Street Journal minus 3.25%. The interest rate effective from loan
inception to December 16, 2015 was 7.95%. Effective December 17, 2015, the prime rate as reported by The Wall Street Journal increased
0.25% resulting in the interest rate increasing to 8.20%. Effective December 15, 2016, the prime rate as reported by The Wall Street Journal
increased an additional 0.25% resulting in an increase to the current interest rate, which was 8.45% as of December 31, 2016. The loan was
interest‑only for nine months, and is repayable in equal monthly payments of principal and interest of approximately $305,000 over
27 months, which began in June 2015. Debt consisted of the following as of December 31, 2016 and 2015:
Term loan
Less: debt discount
Term Loan, net of debt discount
Less: current portion, net of debt discount
Long term debt, net of current portion and debt discount
December 31,
December 31,
2016
2,374,031 $
(20,364)
2,353,667
(2,353,667)
— $
2015
5,688,256
(126,700)
5,561,556
(3,208,074)
2,353,482
$
$
Interest expense, which includes amortization of a discount and the accrual of a termination fee, was approximately $489,000 and
$800,000 for the years ended December 31, 2016 and 2015, respectively, and is included in interest income (expense), net on the
accompanying statements of operations. The Company will make future principal payments of $2,374,031 through the loan's maturity date
in August 2017.
Upon issuance of the term loan, the Company paid lender fees of $110,000 and is required to pay a one‑time fee at maturity of
$187,500. The lender fees were recorded as a discount to the carrying amounts of the current and long term portions of the term loan.
Amortization of the debt discount was $106,000 and $159,000 during the years ended December 31, 2016 and 2015, respectively.
Accretion of the one‑time fee was $56,000 and $84,000 during the years ended December 31, 2016 and 2015, respectively. The
amortization of the debt discount and the accretion of the one-time fee are reflected as a components of interest expense within the
accompanying statements of operations.
9. Capital Structure
On October 20, 2015, the Company filed an amended and restated certificate of incorporation in connection with the closing of its
IPO. The amended and restated certificate of incorporation authorizes the Company to issue two classes of stock, common stock and
preferred stock, and eliminates all references to the previously existing series of preferred stock. At December 31, 2016, the total number of
shares of capital stock the Company was authorized to issue was 205,000,000 of which 200,000,000 was common stock and 5,000,000 was
preferred stock. All shares of common and preferred stock have a par value of $0.001 per share.
Common Stock
IPO
On October 20, 2015, the Company closed its IPO of its units. Each unit consisted of one share of common stock, one Class A
warrant to purchase one share of common stock at an exercise price of $4.55 per share and one Class B warrant to purchase one-half share
of common stock at an exercise price of $3.90 per full share (the “units”). The Class A warrants expire on October 20, 2018 and the Class
B warrants expire on April 20, 2017. The closing of the IPO resulted in the sale of 4,000,000 units at an initial public offering price of
$6.50 per unit for gross proceeds of $26.0 million. The net proceeds of the IPO, after underwriting discounts, commissions and expenses,
and before offering expenses, to the Company were approximately $23.6 million. On November 13, 2015, the units separated into common
stock, Class A warrants and Class B warrants and began trading separately on the NASDAQ Capital Market.
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On November 23, 2015, the underwriter of the IPO exercised its over-allotment option for 20,000 shares of common stock,
551,900 Class A warrants to purchase one share of common stock and 551,900 Class B warrants to purchase one-half share of common
stock for additional gross proceeds of $135,319.
The common stock and accompanying Class A warrants and Class B warrants have been classified to stockholders’ equity (deficit)
in the Company’s balance sheet.
Underwriter’s Unit Purchase Option
The underwriter of the IPO received, for $100 in the aggregate, a unit purchase option (the “UPO”) to purchase up to a total of
40,000 units (or 1% of the units sold in the IPO) exercisable at $7.48 per unit (or 115% of the public offering price per unit in the IPO). The
units underlying the UPO will be, immediately upon exercise, separated into shares of common stock, underwriters’ Class A warrants and
underwriters’ Class B warrants (such warrants together referred to as the Underwriters’ Warrants) such that, upon exercise, the holder of a
UPO will not receive actual units but will instead receive the shares of common stock and Underwriters’ Warrants, to the extent that any
portion of the Underwriters’ Warrants underlying such units have not otherwise expired. The exercise prices of the underwriters’ Class A
warrants and underwriter’s Class B warrants underlying the UPO are $5.23 and $4.49, respectively. The UPO may be exercised for cash or
on a cashless basis, at the holder’s option, and expires on October 14, 2020; provided, that, following the expiration of underwriters’ Class
B warrants on April 20, 2017, the UPO will be exercisable only for shares of common stock and underwriters’ Class A warrants at an
exercise price of $7.475 per unit; provided further, that, following the expiration of underwriters’ Class A warrants on October 20, 2018,
the UPO will be exercisable only for shares of common stock at an exercise price of $7.47. The Company classified the UPO as a liability
as it is a freestanding marked-to-market derivative instrument that is precluded from being classified in stockholders’ equity. The fair value
of the UPO is re-measured each reporting period and the change in fair value is recognized in the statement of operations (see Note 4).
The Aspire Capital Transaction
On September 8, 2016, the Company entered into a common stock purchase agreement (the “Purchase Agreement”) with Aspire Capital
Fund, LLC ("Aspire Capital"), pursuant to which Aspire Capital committed to purchase up to an aggregate of $15.0 million of shares of the
Company’s common stock over the 30-month term of the Purchase Agreement. Under the Purchase Agreement, on any trading day selected
by the Company on which the closing price of the Company’s common stock exceeds $0.50, the Company may, in its sole discretion,
present a purchase notice directing Aspire Capital to purchase up to 50,000 shares of common stock per day, up to $15.0 million of the
Company’s common stock in the aggregate at a per share price calculated by references to the prevailing market price of the Company’s
common stock. Upon execution of the Purchase Agreement, the Company issued and sold to Aspire Capital 250,000 shares of common
stock at a price per share of $4.00, for gross proceeds of $1.0 million, and concurrently entered into a registration rights agreement with
Aspire Capital registering the shares of the Company’s common stock that have been and may be issued to Aspire Capital under the
Purchase Agreement. Additionally, as consideration for Aspire Capital entering into the Purchase Agreement, the Company issued 175,000
shares of common stock as a commitment fee. The net proceeds of the Aspire Capital transaction, after offering expenses, to the Company
were approximately $1.9 million for the year ended December 31, 2016. As of December 31, 2016, the Company had sold 763,998 shares
of common stock to Aspire Capital under the Purchase Agreement. Subsequent to December 31, 2016, the Company sold an additional
965,165 shares of common stock to Aspire Capital under the terms of the Purchase Agreement for gross proceeds of approximately
$789,000. As of the date of this Annual Report on Form 10-K, the Company may not issue additional shares of common stock to Aspire
Capital under the Purchase Agreement unless shareholder approval to issue additional shares is obtained.
The Maxim Group Equity Distribution Agreement
On January 27, 2017, the Company entered into an Equity Distribution Agreement with Maxim Group LLC ("Maxim"), as sales
agent, pursuant to which the Company may offer and sell, from time to time, through Maxim, up to $12,075,338 in shares of its common
stock. The Company has no obligation to sell any of the Shares, and may at any time suspend offers under the Equity Distribution
Agreement.
As of the date of this Annual Report on Form 10-K, the Company had sold 345,653 shares of its common stock through Maxim
under the Equity Distribution Agreement for gross proceeds of $287,000 and may sell up to an additional $11,788,182 of shares of its
common stock. This calculation will be updated immediately after we file this Annual Report on Form 10-K and we expect that the amount
of securities we will be able to sell under the registration statement on Form S-3 thereafter will be approximately $3.3 million.
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Table of Contents
Voting
Common stock is entitled to one vote for each share held of record on all matters submitted to a vote of the stockholders, including
the election of directors, and does not have cumulative voting rights. Accordingly, the holders of a majority of the shares of common stock
entitled to vote in any election of directors can elect all of the directors standing for election.
Dividends
The holders of common stock are entitled to receive dividends, if any, as may be declared from time to time by the board of
directors out of legally available funds.
Liquidation
In the event of the Company’s liquidation, dissolution or winding up, holders of the Company’s common stock will be entitled to
share ratably in the net assets legally available for distribution to stockholders after the payment of all debts and other liabilities.
Rights and Preferences
Holders of the Company’s common stock have no preemptive, conversion or subscription rights, and there are no redemption or
sinking fund provisions applicable to the Company’s common stock.
Common Stock Warrants
At December 31, 2016, the following common stock warrants were outstanding:
Number of shares
underlying warrants
109,976
29,260
90,529
29,557
130,233
2,275,950
20,000
14,284
80,966
4,551,900
40,000*
3,571
22,328*
2,380
7,400,934
Exercise price
Expiration
per share
date
February 2017
28.00
February 2017
14.00
March 2017
28.00
March 2017
14.00
April 2017
28.00
April 2017
3.90
April 2017
4.49
July 2017
28.00
August 2018
28.00
October 2018
4.55
5.23
October 2018
28.00 December 2018
October 2020
8.40
May 2022
8.68
$
$
$
$
$
$
$
$
$
$
$
$
$
$
*Accounted for as a liability instrument (see Note 4)
Warrants Issued to Term Loan Lender
In August 2014, warrants to purchase 625,208 shares of Series B convertible preferred stock, at an exercise price equal to $0.2999
per share, were issued to the term loan lender in conjunction with the loan of $7.5 million (see Note 8). Upon the closing of the Company’s
IPO, these warrants to purchase 625,208 shares of Series B convertible preferred stock became warrants to purchase 22,328 shares of
common stock at an exercise price of $8.40 per share, in accordance with their terms. These warrants represent a freestanding financing
instrument indexed to an obligation of the Company and as such is accounted
F-19
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for as a liability in accordance with ASC 480. The Company adjusts the carrying value of the liability, which appears as “warrant liability”
on the accompanying balance sheets, to its estimated fair value at each reporting date (see Note 4).
10. Stock-Based Compensation
2016 Equity Incentive Plan
On April 5, 2016, the Company’s board of directors adopted the 2016 Equity Incentive Plan (the “2016 Plan”) as the successor to
the 2015 Omnibus Plan (the “2015 Plan”). The 2016 Plan was approved by the Company’s stockholders and became effective on May 18,
2016 (the “2016 Plan Effective Date”).
As of the 2016 Plan Effective Date, no additional grants will be made under the 2015 Plan or the 2011 Stock Incentive Plan (the
“2011 Plan”), which was previously succeeded by the 2015 Plan effective October 13, 2015. Outstanding grants under the 2015 Plan and
2011 Plan will continue according to their terms as in effect under the applicable plan.
Upon the 2016 Plan Effective Date, the 2016 Plan reserved and authorized up to 600,000 additional shares of common stock for
issuance, as well as 464,476 unallocated shares remaining available for grant of new awards under the 2015 Plan. During the term of the
2016 Plan, the share reserve will automatically increase on the first trading day in January of each calendar year, beginning in 2017, by an
amount equal to 4% of the total number of outstanding shares of common stock of the Company on the last trading day in December of the
prior calendar year. As of December 31, 2016, there were 666,069 shares available for future issuance under the 2016 Plan.
For stock options granted to employees and non-employee directors, the estimated grant date fair market value of the Company’s
stock-based awards is amortized ratably over the individuals’ service periods, which is the period in which the awards vest. For stock
options issued to non‑employees, the Company measures the options at their fair value on the date at which the related service is complete.
Expense is recognized over the period during which services are rendered by such non-employees until completed. At the end of each
financial reporting period prior to the completion of the service, the fair value of the awards is remeasured using the then current fair
market value of the Company's common stock and updated assumptions in the Black-Scholes option pricing model. Stock-based
compensation expense recognized for the years ending December 31, 2016 and 2015 was as follows:
Research and development
General and administrative
Total stock-based compensation
Year Ended December 31,
2016
2015
$
$
141,247 $
1,553,644
1,694,891 $
67,021
327,727
394,748
During the first quarter of 2016, the Company modified stock options of its former chief executive officer by extending the life of
the awards, which were set to expire in March 2016, to coincide with their original life. This modification resulted in the recording of
$781,266 of compensation expense, which is included in general and administrative expenses for the year ended December 31, 2016 in the
accompanying statement of operations.
A summary of option activity for the years ended December 31, 2016 and 2015 is as follows:
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Balance, January 1, 2015
Granted
Forfeited
Balance, December 31, 2015
Granted
Forfeited
Balance, December 31, 2016
Vested and expected to vest at December 31, 2016
Exercisable at December 31, 2016
Options Outstanding
Number of
Weighted‑average
Grant date
fair value of
Weighted average
remaining
contractual term
shares
exercise price
options granted
(in years)
552,726 $
523,390 $
(116,928) $
959,188 $
915,242 $
(25,071) $
1,849,359 $
1,849,359 $
791,251 $
1,467,886
2,155,234
9.17
6.31 $
8.60
7.68
3.35 $
5.04
5.57
5.57
7.55
8.44
8.44
7.24
The aggregate intrinsic value of stock options is calculated as the difference between the exercise price of the stock options and
the fair value of the Company’s common stock for those stock options that had exercise prices lower than the fair value of the Company’s
common stock. As of December 31, 2016, the aggregate intrinsic value of options outstanding, vested and expected to vest was $0. The
total grant date fair value of shares which vested during the years ended December 31, 2016, 2015 and 2014 was $0.4 million, $0.7 million
and $1.3 million, respectively. The per‑share weighted‑average grant date fair value of the options granted during 2016, 2015 and 2014 was
estimated at $2.35, $2.80 and $2.24, respectively.
The assumptions used to determine the grant date fair value of stock options granted to employees and non-employee directors are
as follows:
Risk-free interest rate
Expected term of options (in years)
Expected stock price volatility
Expected annual dividend yield
Year Ended December 31,
2016
1.01% —
5.0
—
80% —
1.93%
6.25
100.0%
—%
2015
1.64% —
—
5.0
1.97%
6.25
70.0%
—%
2014
0.85% —
—
5.00
1.97%
6.25
70.0%
—%
The valuation assumptions were determined as follows:
• Risk‑free interest rate: The Company bases the risk‑free interest rate on the interest rate payable on U.S. Treasury securities in
effect at the time of grant for a period that is commensurate with the assumed expected option term.
• Expected term of options: Due to lack of sufficient historical data, the Company estimates the expected life of its stock options
granted to employees and members of the board of directors as the arithmetic average of the vesting term and the original
contractual term of the option. The Company estimates the expected life of its stock options granted to consultants and
nonemployees to be the contractual term of the options.
• Expected stock price volatility: The Company estimated the expected volatility based on actual historical volatility of the stock
price of other publicly‑traded biotechnology companies engaged in lines of business that are the same or similar to the
Company’s. The Company calculated the historical volatility of the selected companies by using daily closing prices over a
period of the expected term of the associated award. The companies were selected based on their enterprise value, risk profiles,
position within the industry, and with historical share price information sufficient to meet the expected term of the associated
award. A decrease in the selected volatility would decrease the fair value of the underlying instrument.
• Expected annual dividend yield: The Company estimated the expected dividend yield based on consideration of its historical
dividend experience and future dividend expectations. The Company has not historically declared or paid dividends to
stockholders. Moreover, it does not intend to pay dividends in the future, but instead expects to retain
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any earnings to invest in the continued growth of the business. Accordingly, the Company assumed and expected dividend yield
of 0.0%.
The Company considered numerous objective and subjective factors in the assessment of fair value of its common stock for grants
made prior to the date the Company’s common stock began trading separately on the NASDAQ Capital Market, which was November 13,
2015, and includes all grants made to date. The factors considered include the price for the Company’s convertible preferred stock that was
sold to investors and the rights, preferences and privileges of the convertible preferred stock and common stock, the trading price of the
Company’s units between the IPO date and November 13, 2015, the Company’s financial condition and results of operations during the
relevant periods, including the status of the development of the Company’s product candidates, and the status of strategic initiatives. These
estimates involve a significant level of judgment.
As of December 31, 2016, there was approximately $2,047,800 of total unrecognized compensation expense related to unvested
options granted under the Plan to be recognized as follows:
Year ending December 31,
2017
2018
2019
2020
Employee Stock Purchase Plan
$
$
815,654
766,151
357,279
108,716
2,047,800
On April 5, 2016, the Company’s board of directors approved the 2016 Employee Stock Purchase Plan (the “ESPP”). The ESPP
was approved by the Company’s stockholders and became effective on May 18, 2016 (the “ESPP Effective Date”).
Under the ESPP, eligible employees can purchase common stock through accumulated payroll deductions at such times as are
established by the administrator. The ESPP is administered by the compensation committee of the Company’s board of directors. Under the
ESPP, eligible employees may purchase stock at 85% of the lower of the fair market value of a share of the Company’s common stock (i)
on the first day of an offering period or (ii) on the purchase date. Eligible employees may contribute up to 15% of their earnings during the
offering period. The Company’s board of directors may establish a maximum number of shares of the Company’s common stock that may
be purchased by any participant, or all participants in the aggregate, during each offering or offering period. Under the ESPP, a participant
may not accrue rights to purchase more than $25,000 of the fair market value of the Company’s common stock for each calendar year in
which such right is outstanding.
Upon the ESPP Effective Date, the Company reserved and authorized up to 500,000 shares of common stock for issuance under
the ESPP. On January 1 of each calendar year, the aggregate number of shares that may be issued under the ESPP shall automatically
increase by a number equal to the lesser of (i) 1% of the total number of shares of the Company’s capital stock outstanding on December 31
of the preceding calendar year, and (ii) 500,000 shares of the Company’s common stock, or (iii) a number of shares of the Company’s
common stock as determined by the Company’s board of directors or compensation committee. As of December 31, 2016, 480,000 shares
remained available for issuance.
In accordance with the guidance in ASC 718-50, the ability to purchase shares of the Company’s common stock at the lower of the
offering date price or the purchase date price represents an option and, therefore, the ESPP is a compensatory plan under this guidance.
Accordingly, stock-based compensation expense is determined based on the option’s grant-date fair value and is recognized over the
requisite service period of the option. The Company used the Black-Scholes valuation model and recognized stock-based compensation
expense of $70,890 for the year ended December 31, 2016.
11. Income Taxes
The Company’s reserves related to taxes are based on a determination of whether and how much of a tax benefit taken by the
Company in its tax filings or positions is more likely than not to be realized. The Company recognized no material adjustments for
unrecognized income tax benefits. Through December 31, 2016, the Company had no unrecognized tax benefits or related interest and
penalties accrued.
The significant components of the Company’s deferred tax assets are comprised of the following:
Deferred tax assets:
Net operating losses
Research and development credits
Deferred rent
Accrued compensation
December 31,
2016
2015
$
20,587,955 $
1,840,505
11,902
90,936
20,350,451
1,814,296
15,599
438,351
Stock-based compensation
Basis difference in tangible and intangible assets
Total deferred tax assets
Less valuation allowance
Net deferred tax asset
2,169,070
6,174,163
30,874,531
(30,874,531)
$
— $
1,500,520
207,157
24,326,374
(24,326,374)
—
For the year ended December 31, 2016, the Company increased the valuation allowance by $6.5 million to fully reserve for the
value of deferred tax assets. Due to continued operating losses, there is no indication that it is more likely than not that the Company will
be able to utilize its deferred tax assets.
As of December 31, 2016 the Company had $52.2 million of federal and Maryland state net operating loss (“NOL”) carryforwards
that will begin to expire in 2031. As of December 31, 2016 the Company had $1.8 million and $57,000 of federal and Maryland state
research and development credits, respectively, that will begin to expire in 2018. The NOL and research and development credit
carryforwards are subject to review and possible adjustment by the Internal Revenue Service and state tax authorities. NOL and tax credit
carryforwards may become subject to an annual limitation in the event of certain cumulative changes in the ownership interest of
significant shareholders over a three‑year period in excess of 50%, as defined under Sections 382 and 383 of the Internal Revenue Code of
1986, as amended, as well as similar state tax provisions. This could limit the amount of NOLs and research and development credits that
the Company can utilize annually to offset future taxable income or tax liabilities. The Company has not analyzed the historical or
potential impact of its equity financings on beneficial ownership and therefore no determination has been made whether the NOL
carryforwards are subject to any Internal Revenue Code Section 382 limitation. To the extent there is a limitation, which could be
significant, there would be a reduction in the deferred tax asset with an offsetting reduction in the valuation allowance. Subsequent
ownership changes may further affect the limitation in future years. All of the Company’s tax years are currently open to examination by
each tax jurisdiction in which the Company is subject to taxation.
A reconciliation of income tax expense computed at the statutory federal income tax rate to income taxes as reflected in the
financial statements is as follows:
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Federal statutory rate
Permanent differences
Warrants
State taxes
Research and development credit
Other
Change in valuation allowance
Effective income tax rate
12. Commitments and Contingencies
Office Lease
December 31,
2016
2015
34.00 %
(0.02)%
0.15 %
3.44 %
2.18 %
— %
(39.75)%
— %
34.00 %
(0.02)%
4.26 %
5.12 %
2.69 %
0.03 %
(46.08)%
— %
In 2013, the Company entered into a lease for new corporate office space location in Baltimore, Maryland. The lease provides for
three months of rent abatement and includes escalating rent payments. Rent expense is recognized on a straight‑line basis over the term of
the lease. Rent expense under the lease amounted to approximately $142,000 for the years ended December 31, 2016 and 2015. Pursuant to
the terms of such lease, the Company’s future lease obligation is as follows:
Year ending December 31,
2017
2018
$
$
154,845
158,716
313,561
Obligations to Contract Research Organizations and External Service Providers
The Company has entered into agreements with contract research organizations and other external service providers for services,
primarily in connection with the clinical trials and development of the Company’s product candidates. The Company was contractually
obligated for up to approximately $1.4 million of future services under these agreements as of December 31, 2016, for which amounts have
not been accrued as services have not been performed. The Company’s actual contractual obligations will vary depending upon several
factors, including the progress and results of the underlying services.
13. Selected Quarterly Financial Data (Unaudited)
The following table sets forth certain unaudited quarterly financial data for 2016 and 2015. This unaudited information has been
prepared on the same basis as the audited information included elsewhere in this Annual Report on Form 10-K and includes all adjustments
necessary to present fairly the information set forth therein.
Three Months Ended
March 31,
2016
June 30,
2016
September 30,
December 31,
2016
2016
Grant revenue
Operating expenses:
Research and development
General and administrative
Change in fair value of warrant liability and unit purchase
option liability
Interest income (expense), net
Net loss
Net loss per share of common stock, basic and diluted
$
$
$
— $
650 $
321 $
(in thousands, except per share data)
2,293
2,649
(47)
(151)
(5,140) $
(0.59) $
2,502
1,636
91
(127)
(3,524) $
(0.41) $
4,582
1,703
(101)
(104)
(6,169) $
(0.70) $
F-23
182
773
1,095
130
(83)
(1,639)
(0.18)
Table of Contents
Three Months Ended
March 31,
2015
June 30,
2015
September 30,
December 31,
2015
2015
(in thousands, except per share data)
Operating expenses:
Research and development
General and administrative
Change in fair value of warrant liability, unit purchase
option liability and investor rights obligation
Interest income (expense), net
Net loss
Net loss per share of common stock, basic and diluted
$
$
$
1,723 $
761
(535)
(219)
(3,238) $
(4.98) $
1,875 $
1,016
198
(219)
(2,912) $
(4.48) $
1,238 $
722
1,465
(197)
(692) $
(1.06) $
1,751
1,924
185
(158)
(3,648)
(0.53)
14. Subsequent Events
On January 27, 2017, the Company entered into an Equity Distribution Agreement with Maxim, pursuant to which the Company
may offer and sell shares of its common stock through Maxim. As of the date of this Annual Report on Form 10-K, the Company had sold
345,653 shares of its common stock through Maxim under the Equity Distribution Agreement for gross proceeds of $287,000. Refer to
Note 9 for additional information on the Equity Distribution Agreement.
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Table of Contents
EXHIBIT INDEX
The following is a list of exhibits filed as part of this Annual Report on Form 10-K. Where so indicated by footnote, exhibits that
were previously filed are incorporated by reference. For exhibits incorporated by reference, the location of the exhibit in the previous filing
is indicated.
Exhibit
Number
Description of Exhibit
3.1
3.2
4.1
4.2
4.3
4.4
4.5
4.6
4.7
4.9
4.10
4.11
4.12
Amended and Restated Certificate of Incorporation of Cerecor Inc. (incorporated by reference to Exhibit 3.1 to the
Current Report on Form 8-K filed on October 20, 2015).
Amended and Restated Bylaws of Cerecor Inc. (incorporated by reference to Exhibit 3.2 to Amendment No. 1 to the
Current Report on Form 8-K filed on October 20, 2015).
Second Amended and Restated Investors' Rights Agreement, dated as of July 11, 2014 (incorporated by reference to
Exhibit 4.1 to the Registration Statement on Form S-1 filed on June 12, 2015).
Form of Warrant to Purchase Shares of Common Stock issued in connection with the sale of Series A Convertible
Preferred Stock (incorporated by reference to Exhibit 4.2 to the Registration Statement on Form S-1 filed on June 12,
2015).
Form of Warrant to Purchase Shares of Common Stock issued in connection with the sale of Series A-1 Convertible
Preferred Stock, as amended by the Amendment to Common Stock Warrants, dated as of July 11, 2014 (incorporated
by reference to Exhibit 4.3 to the Registration Statement on Form S-1 filed on June 12, 2015).
Form of Warrant to Purchase Shares of Common Stock, issued to CIFCO International Group and its affiliate
(incorporated by reference to Exhibit 4.5 to the Registration Statement on Form S-1 filed on June 12, 2015).
Form of Warrant to Purchase Shares of Common Stock issued in connection with the issuance of convertible
promissory notes from April 2014 through June 2014 (incorporated by reference to Exhibit 4.6 to the Registration
Statement on Form S-1 filed on June 12, 2015).
Warrant Agreement, dated as of August 19, 2014, issued to Hercules Technology Growth Capital, Inc. (incorporated by
reference to Exhibit 4.7 to the Registration Statement on Form S-1 filed on June 12, 2015).
Form of Unit Purchase Option (incorporated by reference to Annex IV of Exhibit 1.1 to the Registration Statement on
Form S-1 filed on June 12, 2015).
Form of Class A Warrant Agreement (incorporated by reference to Exhibit 4.9 to the Registration Statement on Form
S-1 filed on October 13, 2015).
Specimen Class A Warrant Certificate (incorporated by reference to Exhibit 4.10 to the Registration Statement on Form
S-1 filed on October 13, 2015).
Form of Class B Warrant Agreement (incorporated by reference to Exhibit 4.11 to the Registration Statement on Form
S-1 filed on October 13, 2015).
Specimen Class B Warrant Certificate (incorporated by reference to Exhibit 4.12 to the Registration Statement on Form
S-1 filed on October 13, 2015).
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Table of Contents
4.13
4.14
10.1 #
10.2 #
10.3 #
10.4 +
10.5 +
10.6 +
10.7 +
10.8 +
Specimen Unit Certificate (incorporated by reference to Exhibit 4.13 to the Registration Statement on Form S-1 filed on
October 13, 2015).
Registration Rights Agreement, dated as of September 8, 2016, by and between Aspire Capital Fund, LLC and Cerecor
Inc. (incorporated by reference to Exhibit 4.1 to the Current Report on Form 8-K filed on September 12, 2016).
Exclusive Patent and Know-How License Agreement, effective as of March 19, 2013, by and between Essex Chemie
AG and Cerecor Inc. (incorporated by reference to Exhibit 10.1 to the Registration Statement on Form S-1 filed on June
12, 2015).
Exclusive Patent and Know-How License Agreement, effective as of March 19, 2013, by and between Essex Chemie
AG and Cerecor Inc. (incorporated by reference to Exhibit 10.2 to the Registration Statement on Form S-1 filed on June
12, 2015).
Exclusive Patent and Know-How License Agreement, effective as of February 18, 2015, by and between Eli Lilly and
Company and Cerecor Inc. (incorporated by reference to Exhibit 10.3 to the Registration Statement on Form S-1 filed
on June 12, 2015).
Cerecor Inc. 2011 Stock Incentive Plan, as amended, including forms of Incentive Stock Option Agreements and
Nonqualified Stock Option Agreements thereunder (incorporated by reference to Exhibit 10.4 to the Registration
Statement on Form S-1 filed on June 12, 2015).
Cerecor Inc. 2015 Omnibus Incentive Plan, including form of Nonqualified Stock Option Agreements thereunder
(incorporated by reference to Exhibit 10.5 to the Registration Statement on Form S-1 filed on September 8, 2015).
Offer Letter Agreement by and between Cerecor Inc. and John Kaiser, dated as of September 12, 2012 (incorporated by
reference to Exhibit 10.7 to the Registration Statement on Form S-1 filed on June 12, 2015).
Offer Letter Agreement by and between Cerecor Inc. and James Vornov, dated as of September 18, 2012 (incorporated
by reference to Exhibit 10.8 to the Registration Statement on Form S-1 filed on June 12, 2015).
Offer Letter Agreement by and between Cerecor Inc. and Ronald Marcus, dated as of May 5, 2015 (incorporated by
reference to Exhibit 10.9 to the Registration Statement on Form S-1 filed on June 12, 2015).
10.9 + Offer Letter Agreement by and between Cerecor Inc. and Uli Hacksell, dated as of May 20, 2015 (incorporated by
reference to Exhibit 10.10 to the Registration Statement on Form S-1 filed on June 12, 2015).
10.10 +
10.11 +
10.12 +
10.13 +
Offer Letter Agreement by and between Cerecor Inc. and Mariam Morris, effective as of August 24, 2015 (incorporated
by reference to Exhibit 10.11 to the Registration Statement on Form S-1 filed on September 8, 2015).
Employment Agreement by and between Cerecor Inc. and Uli Hacksell, effective January 1, 2016 (incorporated by
reference to Exhibit 10.11 to the Annual Report on Form 10-K filed on March 23, 2016).
Separation Agreement by and between Cerecor Inc. and Blake Paterson, effective January 9, 2016 (incorporated by
reference to Exhibit 10.12 to the Annual Report on Form 10-K filed on March 23, 2016).
Form of Director Indemnification Agreement (incorporated by reference to Exhibit 10.12 to the Registration Statement
on Form S-1 filed on September 8, 2015).
F-26
Table of Contents
10.14
10.15
10.16
List of current directors with a Director Indemnification Agreement in the form provided as Exhibit 10.12 (incorporated
by reference to Exhibit 10.13 to the Registration Statement on Form S-1 filed on September 8, 2015).
Lease Agreement by and between Cerecor Inc. and PDL Pratt Associates, LLC, dated as of August 8, 2013
(incorporated by reference to Exhibit 10.14 to the Registration Statement on Form S-1 filed on June 12, 2015).
Loan and Security Agreement, dated as of August 19, 2014, by and between Cerecor Inc. and Hercules Technology
Growth Capital, Inc. (incorporated by reference to Exhibit 10.15 to the Registration Statement on Form S-1 filed on
June 12, 2015).
10.17
Non-Employee Director Compensation Plan (incorporated by reference to Exhibit 10.17 to the Annual Report on Form
10-K filed on March 23, 2016).
10.18 +
Cerecor Inc. 2016 Equity Incentive Plan (incorporated by reference to Exhibit 10.1 to the Current Report on Form 8-K
filed on May 20, 2016).
10.19 +
Cerecor Inc. 2016 Employee Stock Purchase Plan (incorporated by reference to Exhibit 10.2 to the Current Report on
Form 8-K filed on May 20, 2016).
10.20
Common Stock Purchase Agreement, dated as of September 8, 2016, by and between Aspire Capital Fund, LLC and
Cerecor Inc. (incorporated by reference to Exhibit 10.1 to the Current Report on Form 8-K filed on September 12,
2016).
10.21 #
Exclusive License Agreement, dated as of September 22, 2016, by and between Cerecor Inc. and Eli Lilly and Company
(incorporated by reference to Exhibit 10.1 to the Quarterly Report on Form 10-Q filed on November 8, 2016).
10.21.1
Addendum to Exclusive License Agreement, dated as of October 13, 2016, by and between Cerecor Inc. and Eli Lilly
and Company (incorporated by reference to Exhibit 10.1.1 to the Quarterly Report on Form 10-Q filed on November 8,
2016).
10.22
Equity Distribution Agreement, dated as of January 27, 2017, by and between Cerecor Inc. and Maxim Group LLC
(incorporated by reference to Exhibit 10.1 to the Current Report on Form 8-K filed on January 27, 2017).
21.1
List of Subsidiaries of the Registrant.
23.1
Consent of Ernst & Young LLP, independent registered public accounting firm.
31.1 *
Certification of Principal Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
31.2 *
Certification of Principal Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
32.1 *
Certification of Chief Executive Officer and Chief Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act
of 2002.
101.INS XBRL Instance Document.
101.SCH XBRL Taxonomy Extension Schema Document.
F-27
Table of Contents
101.CAL XBRL Taxonomy Extension Calculation Linkbase Document.
101.DEF XBRL Taxonomy Extension Definition Linkbase Document.
101.LAB XBRL Taxonomy Extension Label Linkbase Document.
101.PRE XBRL Taxonomy Extension Presentation Linkbase Document.
+ Management contract or compensatory agreement.
# Confidential treatment requested under 17 C.F.R. §§ 200.80(b)(4) and 230.406. The confidential portions of this exhibit have been
omitted and are marked accordingly. The confidential portions have been filed separately with the Securities and Exchange Commission.
* These certifications are being furnished solely to accompany this Annual Report pursuant to 18 U.S.C. Section 1350, and are not being
filed for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, and are not to be incorporated by reference into any
filing of the registrant, whether made before or after the date hereof, regardless of any general incorporation language in such filing.
F-28
List of Subsidiaries
Exhibit 21.1
None.
Consent of Independent Registered Public Accounting Firm
Exhibit 23.1
We consent to the incorporation by reference in the following Registration Statements:
(1) Registration Form (Form S-8 No. 333-207949) pertaining to the 2015 Omnibus Incentive Compensation
Plan,
(2) Registration Statement on (Form S-8 No. 333-211490) pertaining to the 2016 Equity Incentive Plan
(3) Registration Statement on (Form S-8 No. 333-211491) pertaining to the 2016 Employee Stock Purchase
Plan
(4) Registration Statement on (Form S-1 No. 333-211491) as filed on September 16, 2016
(5) Registration Statement on (Form S-3 No. 333-214507) as filed on November 8, 2016
of our report dated March 14, 2017, with respect to the financial statements of Cerecor Inc., included in this
Annual Report (Form 10-K) for the year ended December 31, 2016.
Baltimore, Maryland
March 14, 2017
/s/ Ernst & Young LLP
Exhibit 31.1
CERTIFICATION OF PRINCIPAL EXECUTIVE OFFICER
PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002
I, Uli Hacksell, certify that:
1.
I have reviewed this Annual Report on Form 10-K of
Cerecor Inc.;
2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to
make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the
period covered by this report;
3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material
respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as
defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act
Rules 13a-15(f) and 15d-15(f)) for the registrant and have:
a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our
supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made
known to us by others within those entities, particularly during the period in which this report is being prepared;
b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed
under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of
financial statements for external purposes in accordance with generally accepted accounting principles;
c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions
about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on
such evaluation; and
d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the
registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially
affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and
5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial
reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the
equivalent functions):
a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting
which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial
information; and
b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the
registrant’s internal control over financial reporting.
Date: March 14, 2017
/s/ Uli Hacksell
Uli Hacksell
President and Chief Executive Officer
(Registrant’s Principal Executive Officer)
CERTIFICATION OF PRINCIPAL FINANCIAL OFFICER
PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002
Exhibit 31.2
I, Mariam E. Morris, certify that:
1.
I have reviewed this Annual Report on Form 10-K of
Cerecor Inc.;
2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to
make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the
period covered by this report;
3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material
respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as
defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act
Rules 13a-15(f) and 15d-15(f)) for the registrant and have:
a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our
supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made
known to us by others within those entities, particularly during the period in which this report is being prepared;
b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed
under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of
financial statements for external purposes in accordance with generally accepted accounting principles;
c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions
about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on
such evaluation; and
d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the
registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially
affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and
5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial
reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the
equivalent functions):
a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting
which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial
information; and
b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the
registrant’s internal control over financial reporting.
Date: March 14, 2017
/s/ Mariam E. Morris
Mariam E. Morris
Chief Financial Officer
(Registrant’s Principal Financial and Accounting Officer)
CERTIFICATION OF CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER
PURSUANT TO
18 U.S.C. SECTION 1350,
AS ADOPTED PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002
Exhibit 32.1
In connection with the Annual Report of Cerecor Inc. (the “Registrant”) on Form 10-K for the year ended December 31, 2016 as
filed with the Securities and Exchange Commission on the date hereof (the “Report”), I, Uli Hacksell, Chief Executive Officer of the
Registrant, and I, Mariam E. Morris, Chief Financial Officer of the Registrant, each hereby certify, pursuant to 18 U.S.C. Section 1350, as
adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that, to my knowledge:
1. The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended;
and
2. The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the
Registrant.
Date: March 14, 2017
Date: March 14, 2017
By:
Name:
Title:
/s/ Uli Hacksell
Uli Hacksell
Chief Executive Officer
(Registrant’s Principal Executive Officer)
/s/ Mariam E. Morris
By:
Name: Mariam E. Morris
Title:
Chief Financial Officer
(Registrant’s Principal Financial and Accounting Officer)
The foregoing certifications are not deemed filed with the Securities and Exchange Commission for purposes of section 18 of the Securities
Exchange Act of 1934, as amended (Exchange Act), and are not to be incorporated by reference into any filing of Cerecor Inc. under the
Securities Act of 1933, as amended, or the Exchange Act, whether made before or after the date hereof, regardless of any general
incorporation language in such filing.