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Cizzle Biotechnology Holdings Plc

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FY2022 Annual Report · Cizzle Biotechnology Holdings Plc
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Cizzle Biotechnology Holdings PLC

Annual Report for the year ended 31 December 2022

Company registered number: 06133765

Cizzle Biotechnology Holdings PLC

Annual Report for the year ended 31 December 2022

Contents

Page

Company Information ................................................................................................................. 1

Chair’s Statement........................................................................................................................ 2

Board of Directors ....................................................................................................................... 5

Strategic Report .......................................................................................................................... 6

Directors' Report ...................................................................................................................... 14

Statement of Directors’ responsibilities ..................................................................................... 17

Corporate Governance Statement ............................................................................................ 18

Directors’ Remuneration Report................................................................................................ 24

Independent Auditor’s report to the members of Cizzle Biotechnology Holdings PLC ............ 31

Consolidated Statement of Comprehensive Income................................................................. 37

Consolidated Statement of Financial Position........................................................................... 38

Company Statement of Financial Position ................................................................................ 39

Consolidated Statement of Cash Flows .................................................................................... 40

Company Statement of Cash Flows.......................................................................................... 41

Consolidated Statement of Changes in Equity.......................................................................... 42

Company Statement of Changes in Equity ............................................................................... 43

Notes to the Financial Statements ............................................................................................ 44

Cizzle Biotechnology Holdings PLC

1

Executive Chair
Finance Director
Non-Executive
Non- Executive

Registered Office
6th floor, 60 Gracechurch Street
London,EC3V 0HR

Shakespeare Martineau
No 1 Colmore Square
Birmingham
B4 6AA

Company Information

Directors
Allan Syms
Nigel Lee
Prof. Dawn Coverley
John Treacy

Company Secretary
SGH Company Secretaries Limited

Registered Number
06133765

Financial Public Relations
IFC Advisory Limited
Birchin Court, 20 Birchin Lane
London
EC3V 9DU

Financial Adviser
Allenby Capital Limited
5 St. Helen’s Place
London,
EC3A 6AB

Broker
Novum Securities Limited
2nd floor, Lansdowne House
57 Berkeley Square
London
W1J 6ER

Solicitors
Cooley (UK) LLP
22 Bishopsgate
London
EC2N 4BQ

Independent Auditor
PKF Littlejohn LLP
Statutory Auditor
15 Westferry Circus
London
E14 4HD

Registrar
Neville Registrars Limited
Neville House
Steelpark Road
Halesowen
B62 8HD

Bankers
National Westminster Bank PLC,
27, Market Place,
Romsey, SO51 8ZH

Cizzle Biotechnology Holdings PLC

Chair’s Statement

2

The  Group  has  continued  throughout  2022  in  developing  a  blood  test  for  the  early  detection  of  lung
cancer.  Its  proof-of-concept  prototype  test  is  based  on  the ability  to  measure  a  stable  blood  plasma
biomarker,  a  variant  of  CIZ1.  CIZ1  is  a  naturally  occurring  cell  nuclear  protein  involved  in  DNA
replication, and the targeted CIZ1B variant is highly correlated with early-stage lung cancer.

Published research led by Professor Coverley previously demonstrated that CIZ1B can be measured
with high sensitivity via an ELISA process, which should allow for testing in a high-throughput, hospital-
friendly format. The Directors believe that this development overcomes an important barrier to further
clinical development and the application of this blood test for the early detection of lung cancer, which
is essential to improve a patient’s chance of survival.

In  addition  to  implementing  a  strategy  to  develop  a  regulatory  approved  commercial,  diagnostic
laboratory immunoassay for early-stage lung cancer, the Group has broadened its interests to include
the detection of a range of other early-stage cancers. It has also expanded its potential customer base
to include the pharmaceutical industry through a contract to develop a diagnostic test that can help in
the development of personalised medicines, so called “companion diagnostics”, and has secured royalty
bearing rights to the sale of such medicines in the longer term.

The Board intends for the Group’s initial product to be a diagnostic immunoassay that can be readily
performed by hospitals and reference laboratories, but a potential follow-on product could be a point of
care test provided by a primary health care provider.

Research and Development
Throughout  2022, the  Company  continued  to  work  with  external  expert  partners and  suppliers to
develop and supply of proprietary key monoclonal antibodies and other detector proteins for its assay
platform, and  in  July  2022  the  Company  provided  an update  on  the  progress  of  this  work.  A  key
milestone  was  the characterisation of  a  mouse  monoclonal  antibody  that  specifically  detects  CIZ1B.
Assay  conditions for its  use are being optimised, as  well as further  work  to  broaden  access to other
antibodies that can be used in its proprietary early lung cancer tests, and potentially for a range of other
early-stage cancers.

On 11 April 2022 a new 12 month research agreement was signed with the University of York, a member
of the  Russell Group of research-intensive  universities and one  of the world’s  premier institutions for
inspirational  and  life-changing  research,  for  the  development  of  potential  applications  in  cancer
diagnosis  and  therapy.  The agreement,  commenced on 25  June  2022 for  a  period  of  12  months,
following the successful previous programme announced on 17 September 2021 for the development
and  validation  of  molecular  tools  with  potential  application  in  cancer  diagnosis  or  therapy,  and  their
configuration  into  assays  for  Cizzle’s  proprietary  cancer  biomarker  variants. On 24 April 2023,  the
Company announced that this research programme had met  some  critical  milestones,  especially  in
optimising the platform and antibodies required to scale up and bring to market our diagnostic tests for
early-stage cancer detection.  As  such  a  further new  agreement  has  been  signed with  the  University
lasting until 25  September  2024. This programme will continue development of its CIZ 1B  biomarker
technology  for early-stage cancer  diagnosis  and with potential  applications  in  cancer  therapy.  This
includes the evaluation of the biomarker for detecting a range of other cancers in addition to the existing
assay for early lung cancer detection.

As in previous agreements, Cizzle Biotechnology will own all intellectual property rights arising from the
work which strengthens the Company’s position in creating new solutions for early cancer diagnostics
and therapeutic tools.

Development of new future revenue stream

On 14 February 2022 the Group announced a royalty acquisition agreement with Conduit and SGSC to
acquire a 5% economic interest in the commercialisation of the AZD1656 asset or such other assets
being developed by Conduit or SGSC to treat inflammatory pulmonary and cardiovascular disease, for
a total  consideration  of  £1.88m.  The  initial  consideration  of  £1m  was  settled  through  the  issue  of
25,000,000 new ordinary shares at a price of 4.0p per share, with the remaining consideration of £0.88m
settled in September 2022 through the issue of 22,000,000 new ordinary shares at 4.0p per share. Prior
to this, in September 2021, the Group entered into a royalty sharing agreement with SGSC to grant the
Group potential royalty payments from the commercialisation of SGSC’s therapeutic asset AZD1656 of
up to £5m, plus potentially further payments from the use of a companion diagnostic.

Cizzle Biotechnology Holdings PLC

Chair’s Statement (continued)

Development of new future revenue stream (cont’d)

3

In December 2022 the Company announced that it had agreed a put option to sell: (i) its 5% economic
interest  in  the  commercialisation  of  the  AZD  1656  asset  to  treat  inflammatory  pulmonary  and
cardiovascular disease (the “Economic Interest”); and (ii) its royalty sharing agreement with St George
Street Capital (“SGSC”), the UK-based biomedical charity (the “Royalty Sharing Agreement’) to Conduit
Pharmaceuticals Limited, a pharmaceutical company established to fund the development of successful
deprioritized  clinical  assets  licensed  from  large  pharmaceutical companies (“Conduit”)  for  a  total
consideration of £3.25 million to be satisfied through the issuance of new shares in Conduit (the “Option”).

On  9  November  2022,  it  was  announced  that  Conduit entered  into  a  definitive  business  combination
agreement with Murphy Canyon Acquisition Corp. (NASDAQ:MURF) (“Murphy”), a blank-check special
purpose  acquisition  company.  The  combined  company’s  common  stock  is  anticipated  to  be  listed  on
NASDAQ under the ticker symbol “CDT”. The combined company is anticipated to have an estimated pro
forma  enterprise  valuation  of  approximately  $700.49  million  with  cash  proceeds  from  the  transactions
expected to be the balance of $136.04 million of cash held in Murphy’s trust account less any redemptions
by Murphy’s public stockholders and the payment of certain expenses, and approximately $27.00 million
attributable  to  a  private  investment  anchored  by  new  and  existing  investors  of  Conduit  (the  “PIPE
Investment”).

The Economic Interest and Royalty Sharing agreements are valued at cost, totalling £2,080,000, as at
31 December 2022. No profits or revenues were attributable to the assets subject to the Option. The
Option is exercisable solely at the discretion of Cizzle and Cizzle has agreed to pay Conduit £120,000
in cash as the premium for the Option, which has a nine-month term.

Reaching Global Markets

During  2022 the  Company extended  its global  reach  of the Group’s technology  to both  China and  the
USA, where there is much need for the use of the early detection of lung cancer tests:
(cid:127) China: On 1 February 2022 a full commercial agreement with International Co-Innovation Center for
Advanced  Medical  Technology  (iCCAMT)  and  Shenzen  Intelliphecy  Life  Technologies Co.  Ltd was
executed to develop and market early lung cancer diagnostic tests in China. This agreement will generate
future  revenues  for  the  Group  via  a  10%  royalty  on  the  sales  of  all  products  and  services  using  its
proprietary CIZ1B technology and from payment for monoclonal antibodies and reagents.
(cid:127) USA: On 6 May 2022 the Group announced that it had signed a heads of terms to partner with CorePath
Laboratories (CorePath), a full service cancer reference laboratory, to develop and offer its proprietary
early-stage lung cancer test throughout the USA. The proposal is that the Group would receive a 15%
royalty and royalty sharing arrangements on the direct offering of products and services using CIZ1B via
CorePath in the USA. On 16 June 2022 a marketing agreement was signed with Behnke Group, USA, to
promote,  identify  and  facilitate partnerships  for Cizzle  with healthcare  providers  and businesses  in the
USA.

Funding

In September 2022 the Company completed a fund raising providing gross proceeds of £500,000 by way
of a subscription for its shares and secured a £500,000 facility to draw down on further funds for a term
of  18  months,  if  required.  The  funds  will  be  used  to  provide  working  capital  for  the  Company  and  to
continue development of a laboratory-developed test (“LDT”) accredited service for the early detection of
lung  cancer  and  taking  the  Company’s  proprietary  CIZ1B  biomarker  blood  test  through  to  UKCA,  CE
marking and/or FDA 510(k) clearance.

In December 2022 the Company raised net proceeds, before expenses, of £115,000 (gross proceeds:
£118,000) to  fund  the  purchase  of  an  option  (cost  £120,000)  to  sell  its  AZD1656  assets  as  explained
above.

Cizzle Biotechnology Holdings PLC

4

Chair’s Statement (continued)

Financial overview

The financial results for the year ended 31 December 2022 are summarized below:

-

-
-

-
-

Corporate  expenses,  before share  option  charge  and exceptional  items:  £823,000  (2021:
£552,000);
Share option charge: £140,000 (2021: £299,000)
Exceptional  corporate  expenses  relating  to  the  acquisition:  £Nil (2021:  £3,107,000)  which
include transaction costs of £Nil (2021: £303,000) and a non-cash share-based expense of
£Nil (2021: £2,804,000) (explained in Notes 3 and 5);
Total comprehensive loss: £912,000 (2021 Loss £3,921,000); and
Loss per share 0.3 p (2021: Loss 2.4 p).

Allan Syms
Executive Chair
26 April 2023

Cizzle Biotechnology Holdings PLC

5

Board of directors

Dr Allan Syms (Executive Chair), appointed 21 May 2019

Allan is an experienced international life sciences and technology senior executive, with over 30 years of
experience  at  Board  level  often  as  founder  or  chief  executive  officer  in  creating,  funding  and  building
emerging technology businesses through to trade sale and IPO. After gaining a PhD in cancer biology at
the Tenovus Institute of Cancer Research and postdoctoral fellowships at Baylor College of Medicine in
Houston  and  Oxford  University,  he began his corporate  career  at GE Healthcare (formerly  Amersham
International PLC) to develop novel diagnostic detection systems. He then worked with a number of UK
leading universities to spin out and develop technology businesses. Allan  has extensive experience  in
M&A,  licensing  and  managing  strategic  change, becoming  corporate  marketing  director  at  Integra
Biosciences  AG  a  leading  Swiss  laboratory  and  diagnostics  supplies  company.  He  was  previously  a
specialist adviser on China to the Department of International Trade.

Allan was appointed Non-Executive Chair on 21 May 2019 and was appointed Executive Chair with
effect from 14 May 2021.

John Treacy (Non-Executive Director), appointed 29 January 2019

John is a London-based experienced financier who specialises in working with growing companies. He
qualified as a solicitor in the London office of a major international law firm where he specialised in Capital
Markets and Mergers & Acquisitions. From there he moved to practice corporate finance in the advisory
teams of several prominent UK brokerages where he acted as an adviser to a number of AIM companies
and advised on numerous IPOs, acquisitions, debt restructurings and placings.

John is also the Chair of the Audit and Risk Committee and the Chair of the Remuneration Committee.

Professor Dawn Coverley (Non-Executive Director), appointed 14 May 2021

Dawn is a cell biologist with over 20 years’ experience in cancer-related research. After a first degree in
Genetics  (Leicester),  and  a  PhD  in  biochemistry  (Cancer  Research  UK),  she  completed  postdoctoral
training at the University of Cambridge, then moved to the University of York to establish an independent
research group in 2002, supported by the Lister Institute of Preventive Medicine. Her research exploits
experimental systems that reconstitute fundamental processes associated with genome and epigenome
stability, and their contribution to the earliest stages of human cancers. She founded Cizzle Biotechnology
Limited and raised early-stage funding in 2006 to begin development of her research findings into clinically
useful  products,  focused  on CIZ1B  and the  early  detection  of  lung  cancer.  She  is  currently  principal
investigator of an academic research laboratory at the University of York and Scientific Director of Cizzle
Biotechnology.

Dawn is also a member of the Audit and Risk Committee and Remuneration Committee.

Nigel Lee (Finance Director), appointed 14 May 2021

Nigel  has  been  a  director  of  CFO  Solutions  Limited  since  2003  which  has  provided  financial  advisory
services to the Group since 2010, as well as company secretarial services since 2012. CFO Solutions
Limited ceased providing these services to the Group on 14 May 2021. He is also a part-time Finance
Director of Kent Surrey Sussex AHSN Limited. He was financial director/controller in two IT services and
software companies between 1999 to 2003 and prior to that had 11 years of audit and business advisory
experience  at  PricewaterhouseCoopers,  including  six  years  as  a  senior  manager.  Nigel  qualified  as  a
Chartered Accountant in 1988.

Cizzle Biotechnology Holdings PLC

6

Strategic Report for the year ended 31 December 2022

The directors present their strategic report for the year ended 31 December 2022.

Business review

The review of the Company is detailed in the Chair’s Statement on pages 2 to 4.

Principal risks and uncertainties

The principal risks and uncertainties of the Group are as follows:

Pre-revenue business
The Group is still at an early stage of its development, has not generated revenues from its operations to
date and has a history of operating losses. The generation of revenues is difficult to predict and there is
no guarantee that the Group will generate significant or any revenues in the foreseeable future.

There are a number of operational, strategic and financial risks associated with early-stage companies.
The Group will face risks frequently encountered by pre-revenue companies looking to bring new medical
devices  to  the  market.  For  the  foreseeable  future,  the  Group  will  have  significant  reliance  upon  the
success of the CIZ1B biomarker in the detection of lung cancer. There is no guarantee that the Group’s
intellectual property will ultimately result in a commercially viable test for the detection of lung cancer. It
is also possible that technical and/or regulatory hurdles could lengthen the time required for the delivery
of such a testing product.

The Group’s prospects, inter alia, rest initially upon the rate of consumer penetration for its test for the
early detection of lung cancer, once fully developed. The Group’s future growth and prospects will also
depend on its ability to secure commercialisation partnerships on appropriate terms, to manage growth
and to expand and improve operational, financial and management information, quality control systems
and its commercialisation function on a timely basis, whilst at the same time maintaining effective cost
controls.  Any  failure  to  expand  and  improve  operational,  financial  and  management  information  and
quality control systems in line with the Group’s growth could have a material adverse effect on the Group’s
business, financial condition and results of operations.

Regulatory environment and the process for obtaining a CE marking or a 510(k) clearance
The Group’s prospective future products will be subject to various laws, regulations and standards in each
of the jurisdictions in which products are to be manufactured and distributed.

While the Board intends to develop the CIZ1B biomarker test to a point at which UKCA, CE Marking, LDT
or FDA 510(k) clearance will be sought, there can be no guarantee that the Group’s future products will
ultimately obtain UKCA, CE marking, LDT or FDA 510(k) clearance. There can also be no guarantee that
future UKCA, CE marking, LDT or FDA 510(k) clearance can be obtained  within the timescales or the
budgets  anticipated  by  the  Directors.  The  Group  intends  to  pursue  UKCA,  CE  marking  approval,  LDT
accreditation or FDA 510(k) clearance via the use of retrospective testing data. However, if retrospective
testing data is not sufficient to obtain UKCA, CE marking approval, LDT accreditation and/or FDA 510(k)
clearance, then the Group may need to complete a prospective study, which it is anticipated would be
more expensive and would take longer.

Any other potential delays in obtaining the UKCA CE marking approval, LDT accreditation or potentially
FDA 510(k) clearance would adversely affect the timing of the Group’s future product sales into the EU
(or the USA in the case of a LDT or FDA 510(k) clearance). There is no guarantee that there will not be
an extended period of requests for information or supporting data that could add to the timing for receiving
the UKCA/CE mark (or potentially a LDT or FDA 510(k) clearance).

There are significant uncertainties associated with the exit by the UK from its membership of the European
Union.  Since  1  January  2021,  there  have  been  a  number  of  changes,  introduced  through  secondary
legislation,  to  how  medical  devices  are  placed  on  the  market  in Great  Britain  (England,  Wales  and
Scotland). These are:
 CE marking will continue to be recognised in Great Britain until 30 June 2023;
 certificates issued by EU-recognised Notified Bodies will continue to be valid for the Great Britain market
until 30 June 2023;
 the EU no longer recognises UK Notified Bodies;

Cizzle Biotechnology Holdings PLC

7

Strategic Report for the year ended 31 December 2022 (continued)

Principal risks and uncertainties (continued)

 UK Notified Bodies are not able to issue CE certificates (other than for the purposes of the “CE UKNI”
marking, which is valid in Northern Ireland) – and have become UK Approved Bodies.
 a new route to market and product marking is available for manufacturers wishing to place a device on
the Great Britain market;
 since 1 January 2021, all medical devices, including in vitro diagnostic medical devices (IVDs), placed
on the Great Britain market need to be registered with the MHRA. There is a grace period for registering:
Class IIIs and Class IIb implantables, and all active implantable medical devices and IVD List A

-

products must be registered from 1 May 2021;

-

other  Class  IIb and  all  Class IIa devices and  IVD  List  B  products  and  Self-Test  IVDs must be

registered from 1 September 2021;

-

Class  I  devices,  custom-made  devices  and  general  IVDs  (that  do  not  currently  need  to  be

registered) must be registered from 1 January 2022; and
 manufacturers of Class I devices, custom-made devices and general IVDs that, prior to 1 January 2021,
were  required  to  register  their  devices  with  the  MHRA  (i.e.  UK-based  manufacturers  or  third  country
manufacturers with Northern Ireland-based Authorised Representatives) must continue to register their
devices from 1 January 2021 on the same basis as they do now rather than in line with the above dates.

The Group’s lung cancer blood test will likely be classed as an IVD List B product.

It is anticipated that the MHRA wishes to strengthen regulation to protect patients post-Brexit. Changes
to regulation could lead to potential delays in obtaining the UKCA CE marking approval, LDT accreditation
or potentially FDA 510(k) clearance and there can be no guarantee that the Group’s future products will
ultimately obtain UKCA, CE  marking,  LDT or FDA 510(k) clearance or that future UKCA, CE  marking,
LDT or FDA 510(k) clearance can be obtained  within the timescales or the budgets anticipated by the
Directors. The Group will closely monitor changes to regulation  brought about by the MHRA and work
with the MHRA to try to ensure that the Group’s products meet any changes in the standards.

On 21 October 2022, the MHRA announced a 12 month extension of the standstill period on the future
Medical Device regime which is a substantial reform of the current framework. This is to ensure that the
future regime is robust and reflects the detail required to avoid disruption to supplies, support innovation
and enable safe access to Medical Devices for UK patients. It is anticipated that the new regulations will
come into force in July 2024. This will provide additional time to develop the legislation and support system
readiness.

There  are  possible  further uncertainties  as  to  the  current  and  future  fiscal,  monetary  and  regulatory
landscape in the UK. There is also uncertainty as to how, when and to what extent the continuing impact
of  Brexit,  the  COVID-19  pandemic,  the  ongoing  armed  conflict  in  Ukraine  and  potential  low  levels  of
economic growth, will have an impact more generally on the economy of the UK and the growth of various
industries, consumer confidence, levels of investor activity and confidence in market performance.

The  UK’s  exit  from  the  EU  may yet  lead  to  a  more  complicated  and  uncertain  process  for  obtaining
regulatory clearance to market the Group’s future products in the UK and the EU. In the event of such
complications or delays in obtaining regulatory clearance for marketing in the UK or the EU, the Group
will consider giving higher priority to compliance with the LDT and FDA 510(k) clearance process.

Following Brexit,  the Group will  need to  comply  with  the  Medical Devices (Amendment  etc.)  (EU  Exit)
Regulations 2019 if it is to market its future products in the UK.

Failure to comply with additional requirements as a result of regulatory change and/or failure to receive
regulatory  clearance  may  adversely  impact  the  Company’s  ability  to  develop  and  market  its  products
which in turn may have an adverse impact on the business of the Group.

Complex research and development processes
Certain elements of the reagents and other components which are planned to be used in the Group’s test
for lung cancer are complex and bespoke in their nature and may be difficult to reproduce in an optimised
manner.  Any  unexpected  delays  or  issues  with  this  process  may  have  an  impact  on  the  Group’s
anticipated development and commercialisation strategy and its timeline.

Cizzle Biotechnology Holdings PLC

8

Strategic Report for the year ended 31 December 2022 (continued)

Principal risks and uncertainties (continued)

Competition and the pace of development in the healthcare industry
The  Directors  are  aware  of  a  number  of  competitor  companies  which  are  seeking  to  develop,
commercialise  or market  alternative  types  of  tests  for  the  detection  of  cancer,  including  lung  cancer.
Certain competitors already have UKCA, CE of FDA 510K marking for lung cancer detection products.
Existing or new competitors may have larger resources, greater market presence, economies of scale or
a lower cost base than the Group. Diagnosis of lung cancer needs to be made at a much earlier stage
through  the availability  of an  accurate  in vitro  diagnostic test. This is being addressed  by a number  of
different technologies to the Group, for example autoantibody technology and tests on circulating DNA
including  those  based  on  single  nucleotide  polymorphisms  (SNPs)  and  gene  panels.  It  is  therefore
possible that the market may evolve and other tests and companies may provide alternative solutions.
Few tests are aimed at early detection (cancer stages 1 and 2) or on reducing significantly the number of
false positives achieved via CXT and chest CT scans. While many blood tests to detect tumour markers
are available or under development, many are hampered as markers may also be produced by normal
cells. In contrast, the Group’s test is based on tumour-specific technology.

The Group operates within the biotechnology sector, a complex area of the healthcare industry. Rapid
scientific and technological change within the biotechnology sector could lead to other market participants
creating approaches, products and services equivalent or superior to the diagnostic testing products and
services than those to be offered by the Group, which could adversely affect the Group’s performance
and  success.  Better  resourced  competitors  may  be  able  to  devote  more  time  and  capital  towards  the
research  and  development  process,  which,  in  turn,  could  lead  to  scientific  and/or  technological
breakthroughs that may materially alter the outlook or focus for markets in which the Group will operate.

If  the  Group  is  unable  to  keep  pace  with  the  changes  in  the  biotechnology  sector  and  in  the  wider
healthcare industry, the demand for its prospective future testing platforms and associated products and
services could fall, which may have a material adverse effect on the Group’s business, financial condition,
capital resources, results and/or  future  operations. In  addition, certain of  the Group’s competitors may
have  significantly  greater  financial  and  human  resource  capacity  and,  as  such,  better  manufacturing
capability or sales and marketing expertise. New companies with alternative technologies and products
may  also  emerge.  Any  of  these  events  may  have  a  material  adverse  effect  on  the  Group’s  business,
financial condition, capital resources, results and/or future operations.

Attraction and retention of key management and employees
The successful operation of the Group will depend partly upon the performance and expertise of its current
and  future  management  and  employees.  The  loss  of  the  services  of  certain  of  these  members  of  the
Company’s key management, particularly Professor Dawn Coverley and Dr Allan Syms or the inability to
identify,  attract  and  retain a  sufficient  number  of  suitably  skilled  and  qualified  employees  may  have  a
material adverse effect on the Group.

Complex research and development processes
Certain elements of the reagents and other components which are planned to be used in the Group’s test
for lung cancer are complex and bespoke in their nature and may be difficult to reproduce in an optimised
manner.  Any  unexpected  delays  or  issues  with  this  process  may  have  an  impact  on  the  Group’s
anticipated development and commercialisation strategy and its timeline.

Ownership and protection of intellectual property rights
The  Group’s  ability  to  compete  will  depend  in  part  upon  the  successful  protection  of  its  intellectual
property,  in  particular  its  patents  and  know-how.  The  Group  seeks  to  protect its  intellectual  property
through  the  filing  of  patent  applications,  as  well  as  robust  confidentiality  obligations  on  its  employees.
Filing,  prosecuting  and  defending  patents  in  all  countries  throughout  the  world  would  be  prohibitively
expensive. It is possible that competitors will use the technologies in jurisdictions where the Group has
not yet obtained patent protection in order to develop its own products which will then directly compete
against the Group’s product.

Cizzle Biotechnology Holdings PLC

9

Strategic Report for the year ended 31 December 2022 (continued)

Principal risks and uncertainties (continued)

Future product liability risks
The Group’s future business may expose it to potential product liability and indemnity risks. There can be
no  assurance  that  the necessary  insurance  cover  will  be  available  to  the  Group  at  a  commercially
acceptable cost or that, in the event of any claim, the level or extent of insurance carried by the Group
now or in the future will be adequate, or that a product liability or other claim would not materially and
adversely affect the business of the Group.

Lack of manufacturing process
The Group currently has no manufacturing process. Future manufacturing process will be outsourced to
a partner specialising in manufacture. These arrangements usually provide for  an adequate volume of
manufacturing capability. No assurance can be given that a future manufacturing partner (i) can be found
to provide a product on commercially acceptable terms and (ii) will achieve and sustain the production
yields required to meet the Group’s future customers’ demand for the Group’s products; in either case
this could have a material and adverse effect on the Group’s business.

Future funding requirements
It was noted in the Prospectus announced in September 2022 to raise £0.5m of funds and a £0.5m equity
facility that the Group will have sufficient financial recourses to conduct its planned activities and cover its
general operating costs and overheads for at least 18 months from the date of this Prospectus. Thereafter,
the Company will need to raise additional funding should it wish to undertake development of additional
future products beyond the core offering currently being contemplated and to further fund the corporate
and  operational  overhead  of  the  business,  which  is  likely  to  remain  pre-revenue  at  this  point.  The
Company has budgeted for all near and short-term activities and plans, however in the longer term the
potential  for  further  research,  development  and  production  plans  and additional  initiatives  may  arise,
which  are  beyond  the  scope  of  the  Group’s  current  planned  activity  and  which  may  require  additional
financing which may not be available  to the Group when needed, on acceptable terms, or at all. If the
Company  is  unable  to  raise  additional  capital  when  needed  or  on  suitable  terms,  the  Group  could  be
forced to delay, reduce or eliminate future plans or aspirations should the current activity deliver potentially
commercially viable results in the future. Any additional equity fundraising to finance opportunities arising
may be dilutive for Shareholders. Any debt-based funding, should it be achievable, may bind the Group
to restrictive covenants and curb its operating activities and ability to pay potential future dividends even
when profitable. Finally, changes in interest rates could have an adverse impact on the Group’s business
by  increasing  the  cost  of  capital  and  may  negatively  impact  the  Group’s  ability  to  secure  financing  on
favourable terms.

Timely completion of project milestones to commercialise the Group’s technology
The Company must meet project milestones in order to commercialise its technology in line with market
expectations  and  to  ensure  that  its  first  product  reaches  the  market  at  the  most  appropriate  time  to
maximise the market opportunity. The Directors continually review project milestones and action to be
undertaken  at  monthly  operational  and  board  meetings  but  no  guarantee  can  be  given  that  such
milestones shall be achieved on time or at all. Material delays to project delivery may, among other things,
damage relationships with key suppliers and other business partners and may risk other market entrants
building  market  share  which  may  have  an  adverse  effect  of  the  Group’s  business.  Delays  in  meeting
project  milestones may also  delay  the Company from generating  potential revenue from  licensing and
current royalty deals.

Economic uncertainty
There are significant uncertainties as to the current and future fiscal, monetary and regulatory landscape
in the UK. Economic and global political uncertainty, including the continuing impact of Brexit, the COVID-
19 pandemic, the ongoing armed conflict in Ukraine and potential low levels of economic growth, are likely
to  put  cost  pressures  on  services  which  the  Group  requires  for  both  research,  development  and
professional advisory. The Company will continue to negotiate fixed price contracts with its professional
advisors, however such contracts will need to be renewed and renegotiated periodically. In addition new
adviser contracts may need to be entered into from time to time, most likely on a project to project basis.
In each case, fixed prices may be higher than those prices paid by the Company in the past.

Cizzle Biotechnology Holdings PLC

10

Strategic Report for the year ended 31 December 2022 (continued)

Key performance indicators (KPI’s)

The directors have identified the following KPI’s that they feel are the most vital measurements for the
Group to monitor given its current stage of development. These KPI’s are considered at each board and
monthly operational meeting.

Cash management
The directors consider the cash flows for the previous month and the updated rolling cash flow forecast
for  the  Group.  At  31 December  2022 the  Group  had  cash  balances  amounting  to  £478,000 (2021:
£875,000) and no borrowings.

Intellectual Property
Each  month  the  directors  review  the  Group’s  Intellectual  Property  Portfolio  and  the  applications  and
renewals required to maintain this portfolio.

The Group’s patent portfolio currently includes:
CIZ1 Replication Protein

-
- Methods and Compounds for diagnosis and treatment of cancer; and
-

Use of a Fibrinogen Capture Agent to detect a CIZ1B variant.

Diversity

The Group is committed to workplace diversity which includes but is not limited to gender, age, ethnicity
and cultural background. The Group’s only employees are the directors, which consists of three men and
one woman.

Corporate Responsibility

The Group consists of four directors who all work from their homes and one director also works at the
University of York. As we undertake our research and development activities and manage the affairs of
the business and develop our plans for the future our business practices focus on the following areas:
Health and Safety, and ensuring that all of our employees operate in a safe environment;
Environment, managing our environmental impact in areas of waste, energy and water;
Employee support, to ensure that all employees flourish;
Ethical Standards, operating at the highest level in all business dealings.

-
-
-
-

Whist our current levels of engagement do not enable much engagement with the local community, we
wish, as our business grows, to have positive interaction with the communities in which we operate.

Climate-Related matters

There is limited scope for the Group to have a major impact on environmental manners but we do attempt
to minimise the amount of travel that we undertake and take actions to undertake recycling and energy
conservation in our daily activities.

Most of the Group’s current activity is that of research and development that is carried out at the University
of  York  of  with  subcontractors  that  are  undertaking  specific  tasks  for  the  Company.  Accordingly,  the
governance of climate related matters is considered at board meetings if any matters were to arise. No
climate risks have currently been identified other than the minimisation of travel as already noted.

The  Company  will  consider  in  the  future  whether  a  separate  committee  will  be  required  to  consider
environmental matters once the Company has a product that it can sell. When the Company reaches this
stage there will be risks to deal with in terms of :

-
-
-

Sustainable packaging;
Creating an environmentally friendly distribution network; and
Considering whether the product could be recyclable.

The  Company  is  unable  to  develop  any  environmental  metrics  and  targets  until  a  product  has  been
created.

Cizzle Biotechnology Holdings PLC

11

Strategic Report for the year ended 31 December 2022 (continued)

Promotion of the Company for the benefit of the Members as a whole

S172  of  the  Companies  Act  2006  requires the  Board  to  promote  the  Company  for  the  benefit  of  the
members as a whole. In particular, the requirements of s172 are for the Directors to:

 Consider the likely consequences of any decision in the long term;
 Act fairly between the members of the Company;
 Maintain a reputation for high standards of business conduct;
 Consider the interests of the Company’s employees;
 Foster the Company’s relationships with suppliers, customers and others; and
 Consider the impact of the Company’s operations on the community and the environment.

The directors have strived to ensure that these considerations are embedded within its decision-making
process.

Decision-making

The  day  to  day  operation  decisions  of  the  Group  have  been  made  by  the  executive  directors.  All key
decisions of the Group have been made at board meetings involving all directors.

The Directors believe that during the year they have acted in the way most likely to promote the success
of the Company for the benefit of its members as a whole and have adhered to the requirements set out
above that are applicable to the Company given its scope of operations. For example, the Company, does
not  have  any  employees  other  than  the  directors,  so  considering  employee  interests  is  not currently
relevant.

The principal decisions taken by the Group during the year ended 31 December 2022 and since the year
end have been summarised in the Chair’s Statement on pages 2 to 4 and are summarised as follows:

Decision: to raise new monies for the Company to ensure a sound financial base.
Context
In September 2022 the Company completed a fund raising providing gross proceeds of £500,000 by
way of a subscription for its shares and secured a £500,000 facility to draw down on further funds for
a term of 18 months, if required.

In December 2022 the Company raised net proceeds, before expenses, of £115,000 (gross proceeds:
£118,000) to fund the purchase of an option (cost £120,000) to sell its AZD1656 assets as explained
below.

Stakeholder considerations (Shareholders)
The raising  of new  finance ensures  that the  Company has a sound financial platform from which  to
develop the Group’s activities.

Cizzle Biotechnology Holdings PLC

12

Strategic Report for the year ended 31 December 2022 (continued)

Promotion of the Company for the benefit of the Members as a whole (continued)

Decision: to build a portfolio of early cancer detection tests, companion diagnostics and royalty
bearing  stakes  in  significant  drug  assets whilst  also  creating  an  option  to  realise  these
investments in the short-term.
Context
The Group currently does not have any trading revenues and wishes to a build a portfolio of income
streams from a variety of early cancer detection tests.

-

- On 14 February 2022 the Group announced a royalty acquisition agreement with Conduit
and SGSC  to acquire a 5%  economic  interest  in the commercialisation  of the  AZD1656
asset  or  such  other  assets  being  developed  by  Conduit  or  SGSC  to  treat  inflammatory
pulmonary and cardiovascular disease, for total consideration of £1.88m.
In December 2022 the Company announced that it had agreed a put option to sell: (i) its
5% economic interest in the commercialisation of the AZD 1656 asset to treat inflammatory
pulmonary and cardiovascular disease (the “Economic Interest”); and (ii) its royalty sharing
agreement with St George Street Capital (“SGSC”), the UK-based biomedical charity (the
“Royalty  Sharing  Agreement’) to  Conduit  Pharmaceuticals Limited (“Conduit”) for a total
consideration of £3.25 million to be satisfied through the issuance of new shares in Conduit
(the “Option”).

Stakeholder considerations (Shareholders)
The investment in SGSC’s therapeutic asset AZD 1656 provides an opportunity for the Group to earn
additional  revenues, from  an  additional  source  of  income, other  than  its  proposed  test  for  the  early
detection  of  lung  cancer. The  purchase  of  a  put  option  also  creates  the  possibility  of  realising this
investment at a profit.

Decision: to enhance its research and development capabilities
Context
The  Group  is  developing  a  blood  test  for  the  early  detection  of  lung  cancer.  Its  proof  of  concept
prototype test is based on the ability to detect a stable plasma biomarker, a variant of CIZ1 known as
CIZ1B. CIZ1 is a naturally occurring cell nuclear protein involved in DNA replication, and the targeted
CIZ1B  variant  is  highly  correlated  with early-stage lung  cancer.  Currently  the  laboratory  test
developed by Professor Dawn Coverley at The University of York, has been used to validate the use
of CIZ1B to detect lung cancer, and a proof of concept prototype test developed, which is compatible
with potential use within a hospital laboratory setting.

- On 11 April 2022 a new 12 month research agreement was signed with the University of
York, a member of the Russell Group of research-intensive universities and one of the
world’s  premier  institutions  for  inspirational  and  life-changing  research,  for  the
development  of  potential  applications  in  cancer  diagnosis  and  therapy.  This  new
agreement,  commencing  for  a  period  of  12  months  from  25  June  2022,  follows  the
successful  programme  announced  on  17  September  2021  for  the  development  and
validation of molecular tools with potential application in cancer diagnosis or therapy, and
their configuration into assays for Cizzle’s proprietary cancer biomarker variants. Cizzle
will  own  all  intellectual  property  rights  arising  from  the  work  which  strengthens  the
Company’s position in creating new solutions for early cancer diagnostics and therapeutic
tools.

Stakeholder considerations (Shareholders)
The decisions taken have enhanced the Group’s research and development capabilities.

Cizzle Biotechnology Holdings PLC

13

Strategic Report for the year ended 31 December 2022 (continued)

Promotion of the Company for the benefit of the Members as a whole (continued)

Decision: to spread the global reach of the Group’s technology to Global markets where there
is much need for the use of the early detection of lung cancer tests.
Context
One of the target markets identified for the Group is in China where we are aware there are serious
challenges in being able to detect cancer early, and there is a great need for screening and diagnosing
cancers among the Chinese population. Targeted testing can improve timely access to cancer care
and save lives.

Lung cancer is the leading cause of cancer death in the USA, making up almost 25% of all cancer
deaths.

-

-

China. On 1 February 2022 a full commercial agreement with International Co-Innovation
Center  for  Advanced  Medical  Technology  (iCCAMT)  and  Shenzen  Intelliphecy  Life
Technologies Co. Ltd was executed to develop and market early lung cancer diagnostic
tests  in  China.  This  agreement will  generate future  revenues  for the  Group via  a 10%
royalty on the sales of all products and services using its proprietary CIZ1B technology
and from payment for monoclonal antibodies and reagents.
USA. On 6 May 2022 the Group announced that it had signed a heads of terms to partner
with  CorePath  Laboratories  (CorePath),  a  full  service  cancer  reference  laboratory,  to
develop and offer its proprietary early-stage lung cancer test throughout the USA. The
proposal is that the Group would receive a 15% royalty and royalty sharing arrangements
on the direct offering of products and services using CIZ1B via CorePath in the USA. On
16 June 2022 a marketing agreement was signed with Behnke Group, USA, to promote,
identify and facilitate partnerships for Cizzle with healthcare providers and businesses in
the USA.

Stakeholder considerations (Shareholders)
The decisions taken so far enhance the Group’s Global future revenue streams whilst minimising the
amount of investment required to reach these potential markets.

This report was approved by the board on 26 April 2023 and was signed on its behalf by:

Allan Syms
Director

Cizzle Biotechnology Holdings PLC

14

Directors’ Report for the year ended 31 December 2022

The directors present the annual report and audited financial statements for the year ended 31 December
2022.

Principal activity, business review and future developments

On 14 May 2021, the Company’s ordinary shares were admitted to the Standard-Listing of the London
Stock Exchange. Also on that date, the Company completed the reverse acquisition of CBL.

The  Group’s  principal  activity  since  14  May  2021  has  been  the  early  detection  of  lung  cancer via  the
development  of  an  immunoassay  test  for  the  CIZ1B biomarker.  For  the  period  to  14  May  2021  the
Company was a holding company that was an AIM Rule 15 cash shell seeking a new investment.

The Statement of Group Comprehensive Income is set out on page 37. A review of the Group’s trading
during the year, its position at the year-end, post balance sheet events, and its prospects for the future
are set out in the Chair’s Statement and the Strategic Report.

Dividends

No dividend is proposed in respect of the year (2021: £Nil).

Financial risk management

Information  in  respect  of  financial  risk  management  objectives  and  policies,  exposure  to  price,  credit,
liquidity and cash flow risks, and current trading and trading outlook for the Company are outlined in Note
4.

Directors

The directors of the Company who served during the year are listed below:

Directors

Function

Allan Syms
Nigel Lee
Dawn Coverley
John Treacy

Executive Chair
Finance Director
Non-Executive Director
Non-Executive Director

Board Responsibility and Corporate Governance Statement

The  Board  is  responsible  for  approving  the  interim  and  annual  financial  statements,  formulating  and
monitoring the  Group’s strategy,  approving  financial  plans  and  reviewing  performance,  as  well  as
complying  with  legal,  regulatory  and  corporate  governance  matters.  The  Board  is  committed  to
maintaining  appropriate  standards  of  corporate  governance  and,  as  detailed  below on  page 18,  has
concluded that it will adopt the Quoted Companies Alliance’s Corporate Governance Code.

Employees

At 31 December 2022 the total number of employees in the Company comprised of 4 employees (2021:
4), who were all directors.

The Group’s employment policies are designed to attract, retain and motivate the very best staff for each
role in the Group, recognising that this can only be achieved through equal opportunities regardless of
gender, race, religion or disability. Regular meetings were held by the directors to discuss the performance
of  the Group as  a  whole. Financial  and  economic  factors  were  dealt  with  in  this  context.  Information
concerning employees and their remuneration is given in Note 8.

Cizzle Biotechnology Holdings PLC

15

Directors’ Report for the year ended 31 December 2022 (continued)

Capital structure

Details of the issued share capital are set out in Note 14. On recognition of the reverse takeover of CBL
on 14 May 2021 the Group had 3 classes of share:

-
-
-

New Ordinary Shares of 0.01p each.
Deferred ‘A’ shares of 0.01p each.
Deferred ‘A’ Shares of 0.99p each.

None of these shares have any rights to fixed income and only new ordinary shares carry the right to
one vote per share at general meetings of the Company.

There are no specific restrictions on the size of a holding or on the transfer of New Ordinary Shares,
which  are  both  governed  by  the  general  provisions  of  the  Articles  of  Association  and  prevailing
legislation. The directors are not aware of any agreements between holders of the Company’s shares
that may result in restrictions on the transfer of securities or on voting rights.

Details of employee share option schemes are set out in Note 14. During the year ended 31 December
2022, 3,689,096 options were exercised.

No person has any special right of control over the Company’s share capital and all issued shares are
fully paid.

The appointment and replacement of directors of the Company is governed by its Articles of Association,
the Companies Act 2006 and related legislation. The Articles themselves may be amended by special
resolution of the shareholders. The current Articles have been in place for some years and are in the
process  of  being  reviewed  and  updated.  It  is  anticipated  that  updated  articles  will  be  proposed for
approval at the forthcoming Annual General Meeting.

Donations

No charitable or political donations were made during the year (2021: £Nil).

Share issues

Details of shares issued during the year are set out in Note 14.

Going concern

The Directors have adopted the going concern basis in preparing the financial statements for the year to
31  December  2022 (see  Note  2.2).  In  reaching  this  conclusion,  the  Directors  have  considered  for  the
Company, current trading and the current and projected funding  position  for the period of just  over 12
months from the date of approval of the financial statements through to 30 April 2024 . The Company, as
anticipated in the Company’s Prospectus announced on 22 September 2022, will need to raise additional
funding should it wish to undertake development of additional future products beyond the core offering
that is mentioned in this Prospectus and to further fund the corporate and operational overhead of the
business. The forecasts have been prepared using two scenarios – a realistic one that assumes expected
levels of income and a pessimistic one that assumes a reduced level of income and delays in accelerated
research and development expenditure. Both forecasting scenarios show that the Group continues to be
a going concern. The directors have concluded that the Group has sufficient funds and undrawn facilities
(£500,000) in order to meet its committed liabilities as they fall due for the foreseeable future.

Cizzle Biotechnology Holdings PLC

16

Directors’ Report for the year ended 31 December 2022 (continued)

Post balance sheet events

On  7  March  2023  the  Company  announced  director  salary increase waivers and  the  award  of  share
options. In conducting a review of director remuneration, the Company’s remuneration committee was of
the view that the Company’s directors’ salaries are currently below market comparables. However, even
in  a  period  of  high  inflation,  the  directors  remain  fully  committed  to  maintaining  low  overheads  and
maximising the funds available to the Company for the development of its CIZ1B early lung cancer test.
The directors have therefore agreed to waive any increase in basic salary for a period of two years from
3 March 2023. In compensation, and subject to shareholder approval at the next Annual General Meeting
of the Company, the Company has conditionally granted share options over new ordinary shares in the
Company  (the  “Options”)  to  the  directors,  with  an  exercise  price  equivalent  to  the  volume  weighted
average price of the Company’s ordinary shares for the month of February 2023 at 2.19376p per share.
50%  of  the  Options  will  vest  and  become  exercisable  after  the  12-month  anniversary  of  grant;  the
remaining 50% shall vest and become exercisable on the 24-month anniversary of grant. The Options will
have a 10 year life from the date of grant and are subject to good and bad leaver provisions. The Options
are unapproved for the purposes of the enterprise management incentive and have been granted outside
of, and in addition to, grants made under the Company’s existing share option schemes.

On 5 January 2023 the Company issued 7,371,557 ordinary shares of 0.01p each for a price of 1.6p per
share to fund the purchase of a Put Option to dispose of AZD1656 assets referred to in Note 11. At 31
December 2022 the Company had received £115,000 ( net of share issue costs) in relation to this share
issue (gross proceeds: £118,000).

On 24 April 2023 the Group announced a further extension of its research and development contract with
the University of York until 25 September 2024.

Disclosure of information to auditor

The directors who held office at the date of approval of this Directors’ report confirm that, so far as they
are aware, there is no relevant audit information of which the Company’s auditor is unaware; and each
Director  has  taken  all  steps  that  he  ought  to have  taken  as  a  Director  to  make  himself  aware  of  any
relevant audit information and to establish that the Company’s auditor is aware of that information.

Auditor

The existing auditors of the Company are PKF Littlejohn LLP and a resolution for their re-appointment will
be put to the Annual General Meeting.

Annual General Meeting

The Annual Report is made available to shareholders at least 21 clear days’ notice before the Annual General
Meeting (“AGM”) along with the notice of the AGM. Shareholders are given the opportunity to vote on each
separate resolution proposed at the AGM. The Company counts all proxy votes and will indicate the level of
proxies lodged for each resolution, after it has first been dealt with by a show of hands.

Website publication

The Directors  are  responsible  for  ensuring  the  annual  report  and  the  financial  statements  are  made
available on a website. Financial statements are published on the Company’s website in accordance
with  legislation  in  the  United  Kingdom  governing  the  preparation  and  dissemination  of  financial
statements, which may vary from legislation in other jurisdictions. The maintenance and integrity of the
Company’s website is the responsibility of the Directors. The Directors’ responsibility also extends to
the ongoing integrity of the financial statements contained therein.

Approved by the Board of Directors and signed by order of the Board

Allan Syms
Director, 26 April 2023

Cizzle Biotechnology Holdings PLC

Statement of Directors’ Responsibilities

17

The directors are responsible for preparing the strategic report, the directors’ report and the financial
statements in accordance with applicable law and regulations.

Company law requires the directors to prepare financial statements for each financial year. Under that
law the directors have elected to prepare the Group and Company financial statements in accordance
with UK-adopted international accounting standards. Under company law the directors must not approve
the financial statements unless they are satisfied that they give a true and fair view of the state of affairs
of the Group and Company and of the profit or loss of the Group and Company for that period.

In preparing these financial statements, the Directors are required to:

select suitable accounting policies and then apply them consistently;


 make judgements and accounting estimates that are reasonable and prudent;


state whether they have been prepared in accordance with UK-adopted international accounting
standards,  subject  to  any  material  departures  disclosed  and  explained  in  the  financial
statements; and
prepare  the  financial  statements  on  the  going  concern  basis  unless  it  is  inappropriate  to
presume that the Group and Company will continue in business.



The Directors are responsible for keeping adequate accounting records that are sufficient to show and
explain the Group and Company’s transactions and disclose with reasonable accuracy at any time the
financial position of the Group and Company and enable them to ensure that the financial statements
comply with the requirements of the Companies Act 2006. They are also responsible for safeguarding
the assets of the Group and Company and hence for taking reasonable steps for the prevention and
detection of fraud and other irregularities.

They are also responsible to make a statement that they consider that the Annual Report and Financial
Statements,  taken  as  a  whole  is  fair,  balanced  and  understandable  and  provides  the  information
necessary for the shareholders to assess the Group and Company’s position and performance, business
model and strategy.

Directors’ Responsibility Statement Pursuant to Disclosure and Transparency Rules

Each of the Directors, whose names and functions are listed on page 1, confirm that, to the best of their
knowledge and belief:





the  financial  statements  prepared  in  accordance  with  UK-adopted  international  accounting
standards, give a true and fair view of the assets, liabilities, financial position and loss of the
Group and Company; and
The  Annual  Report  and  financial  statements,  including  the  Business  review,  includes  a  fair
review of the development and performance of the business and the position of the Group and
Parent Company, together with a description of the principal risks and uncertainties that they
face.

Cizzle Biotechnology Holdings PLC

Corporate Governance Statement

18

The Directors recognise the importance of sound corporate governance. The directors continue to adopt
the  Quoted Companies Alliance’s  Corporate  Governance  Code  (“the  QCA  Code”).  In  addition,  the
Directors have adopted a code of conduct for dealings in the shares of the Company by directors and
employees and are committed to maintaining the highest standards of corporate governance. During 2022
Allan Syms has continued as Executive Chair of the Company.

The  corporate  governance  arrangements  that  the  Board  has  adopted  are  designed  to  ensure  that  the
Company delivers  long  term  value  to  its  shareholders  and  that  shareholders  have  the  opportunity  to
express their views and expectations for the Company in a manner that encourages open dialogue with
the Board. The Board recognises that their decisions regarding strategy and risk will impact the corporate
culture of the Company as a whole and that this will impact the performance of the Company. The Board
is very aware that the tone and culture set by the Board will greatly impact all aspects of the Company as
a whole and the way that employees behave.

The Company’s activities have been focussed on taking forward the research and development activities
of the Group that have been developed over many years by Professor Dawn Coverley and her team at
The University of York. The Company is committed to respectful dialogue with its suppliers, partners and
potential customers. It is a crucial part of the Company to have sound ethical values and behaviours in its
undertakings to successfully achieve its corporate objectives.

The Board places great importance on this aspect of corporate life and seeks to ensure that this flows
through all that the Company does.

The Board currently consists of two executive and two non-executive directors and does not have a CEO.
The  Board  continues  to  consider  whether  it  would  be  appropriate  to  seek  to  appoint  additional  non-
executive and/or executive directors but at this time believes that appropriate oversight of the Company
is provided by the currently constituted Board. This view will continue to be reviewed by the Board.

John Treacy
Non-Executive Director

Cizzle Biotechnology Holdings PLC

19

Corporate Governance Statement (continued)

The QCA Code sets out 10 principles which should be applied. These are listed below together with a
short explanation of how the Company applies each of the principles. Where the Company does not fully
apply each principle an explanation as to why has also been provided:

Principle One–- Business Model and Strategy
The Board’s strategy during 2022 has been able to continue with its research and development activity
and in particular had adopted a strategy of developing CBL’s prototype test into a commercial, CE marked
and/or FDA 510(k) cleared diagnostic immunoassay that can be readily performed as a sufficiently reliable
test in a hospital setting.

Principle Two–- Understanding Shareholder Needs and Expectations
The  Board  is committed  to maintaining  good communication  and having constructive  dialogue with its
shareholders. Institutional shareholders and analysts have the opportunity to discuss issues and provide
feedback  at  meetings  with  the  Company.  In  addition,  all  shareholders  are  encouraged  to  attend  the
Company’s Annual General Meeting. Investors also have access to current information on the Company
though  its  website, https://cizzlebiotechnology.com and  via  Allan  Syms, Non-Executive Chair who  is
available  to  answer  investor  relations  enquiries through  IFC  Advisory  Limited  (cizzle@investor-
focus.co.uk).

Principle Three–- Stakeholder Responsibilities
The  Board  recognises  that  the  long-term  success  of  the Company is  reliant  upon  the  efforts  of  the
employees of the Company and its contractors, suppliers and regulators. The Board has put in place a
range of processes and systems to ensure that there is close Board oversight and contact with its key
resources and relationships. Currently the directors of the Company are the Group’s only employees but
it has systems in place whereby the effectiveness of the board is reviewed and discussed.

Principle Four–- Risk Management
In addition to its other roles and responsibilities the Audit and Compliance Committee is responsible to
the Board for ensuring that procedures  are in place, and are being effectively implemented  to identify,
evaluate and manage the significant risks faced by the Company. The risk assessment matrix below sets
out those risks, and identifies their ownership and the controls that are in place. This matrix is updated as
changes  arise  in  the  nature  of  risks  or  the  controls  that  are  implemented  to  mitigate  them.  The  Audit
Committee  reviews  the  risk  matrix  and  the  effectiveness  of  scenario  testing  on  a  regular  basis. The
following principal risks, and controls to mitigate them, have been identified during 2022:

Activity
Financial

Risk
Pre-revenue
business

Healthcare Industry

Pace of development
the  healthcare
in 
industry

Management 
employees

and

Retention of key
staff

Research 
Development

and

Complex processes

.

Patents  and  other
property
intellectual 
rights (IPR)

Infringement of other
patents, IPR

Impact
Revenues  are  not  generated
to  support  the  development
and  commercialisation  of  the
Group’s technology.
The Group’s technology may
be  superseded  by  other
competitor technologies.

The  loss  of  key  members  of
staff  could  have  an  adverse
the  pace  of
impact  on 
development.

Additional 
development 
than anticipated.

costs 
takes 

if
longer

Additional costs of defending
any IPR claims and/or delays/
additional  costs 
in  current
programme  of  research  and
development.

Control(s)
Regular  appraisal  of
project milestones.

that 

Continual  monitoring
of  competitor  products
and 
alternative
solutions.
Ensuring 
key
employees 
have
to  ensure
incentives 
that they do not wish to
leave.
Regular appraisal of
project milestones and
consideration of a
variety of strategies.
Regular monitoring of
third party patents/
IPR with patent
advisers.

Cizzle Biotechnology Holdings PLC

20

Corporate Governance Statement (continued)

Principle Four–- Risk Management (continued)

The Company has already  established  procedures,  as  represented  by  this  and  previous  years’
statements, for the purpose of providing a system of internal control. In addition, there were a range of
Company policies that were reviewed at least annually by the Board and a programme of training and
then confirmation of understanding that all employees of the Company were required to undertake each
year. These Company policies covered matters such as share dealing, insider legislation and expenses.
The directors consider that an internal audit function is not considered necessary or practical due to the
size of the Company and the close day to day control exercised by the directors. The directors will continue
to monitor the need for new systems of internal control and an internal audit function.

The  annual  review  of  internal  control  and  financial  reporting  procedures  did  not  highlight  any  issues
warranting the introduction of an internal audit function.

Principle Five–- A Well-Functioning Board of Directors

During  2022 the  composition  of  the  board has  been two  executive  directors  and  two  non-executive
directors.  Allan  Syms is Executive Chair and  Nigel  Lee is  the Finance  Director. The non-executive
directors have continued to be John Treacy and Professor Dawn Coverley. The time commitment formally
required  by  the Company is  an  overriding  principal  that  each  director  will  devote  as  much  time  as  is
required to carry out the roles and responsibilities that the director has agreed to take on. All directors of
the Company are part-time. Biographical details of the current directors are set out on page 5.

Executive and non-executive directors are subject to re-election intervals as prescribed in the Company’s
Articles of Association. At  each Annual General  Meeting one-third  of the Directors, who are subject to
retirement by rotation shall retire from office. They can then offer themselves for re-election. The letters
of  appointment  of  all  directors  are  available  for  inspection  at  the  Company’s  registered  office  during
normal business hours.

The Executive Chair and Finance Director both receive a salary for their services as a director which is
approved by the Board, being mindful of the time commitment and responsibilities of their roles and of
current  market  rates  for  comparable  organisations  and  appointments.  They  are also  reimbursed  for
travelling and other incidental expenses incurred on Group business.

The Non-Executive Directors receive payments under appointment letters which are terminable by three
months’ notice by either party.

The  Board  encourages  the  ownership  of  shares  in  the  Company  by  Executive  and  Non-Executive
Directors alike and in normal circumstances does not expect Directors to undertake dealings of a short-
term nature. The Board considers ownership of Company shares by Non-Executive Directors as a positive
alignment of their interest with shareholders. The Board will periodically review the shareholdings of the
Non-Executive Directors and will seek guidance from its advisors if, at any time, it is concerned that the
shareholding  of  any  Non-Executive  Director  may,  or  could  appear  to,  conflict  with  their  duties  as  an
independent Non-Executive Director of the Company or their independence itself. Directors’ emoluments,
including Directors’ interest in share options over the Company’s share capital, are set out in Note 14.

The Board has established that it will meet on at least 6 times throughout the year. It has established an
Audit  Committee  and  a  Remuneration  Committee,  particulars  of  which  appear  hereafter.  The  Board
agreed  that  appointments  to  the  Board  are  made  by  the  Board  as  a  whole and  so  has  not  created  a
Nominations Committee.

Cizzle Biotechnology Holdings PLC

21

Corporate Governance Statement (continued)

Principle Five–- A Well-Functioning Board of Directors (continued)

Attendance at Board and Committee Meetings
The Board retains full control of the Company with day-to-day operational control delegated to Executive
Directors. The  full  Board  meets at  least  every  other month  and  on  any  other  occasions  it  considers
necessary. During 2022 there were sixteen Board meetings, one Remuneration Committee meeting and
one Audit Committee meeting.

Principle Six–- Appropriate Skills and Experience of the Directors

Directors who served during 2022:
Throughout 2022 the executive directors have been Allan Syms (Executive Chair) and Nigel Lee (Finance
Director). The Non-Executive  directors  have  been  John  Treacy  (specialising  in  corporate  governance,
capital markets, legal matters) and Professor Dawn Coverley (cell biologist and expert in cancer related
research).

The current directors of the Company are as follows are detailed on page 5.

Principle Seven–- Evaluation of Board Performance

Internal evaluation of the Board, the Committee and individual directors is seen as an important next step
in the development of the Board and one that will be addressed during 2023. The aim is that this will be
undertaken on an annual basis in the form of peer appraisal, questionnaires and discussions to determine
the effectiveness and performance in various areas as well as the directors’ continued independence.

Principle Eight–- Corporate Culture

During  2022,  the  Board  recognised  that  their  decisions  regarding  strategy  and  risk  will  impact  the
corporate culture of the Company as a whole and that this will impact the performance of the Company.
The Board is very aware that the tone and culture set by the Board will greatly impact all aspects of the
Company as a whole and the way that employees behave. A large part of the Company’s activities was
centred upon addressing customer and market needs. Therefore, the importance of sound ethical values
and behaviours is crucial to the ability of the Company to successfully achieve its corporate objectives.
The Board places great importance on this aspect of corporate life and seeks to ensure that this flows
through  all  that  the Company does.  The  Board  assessment  of  the  culture  within  the Company at  the
present  time  is  one  where  there  is  respect  for  all  individuals and there  is  open  dialogue  within  the
Company.

Principle Nine–- Maintenance of Governance Structures and Processes

Ultimate authority for all aspects of the Company’s activities rests with the Board. The Board has adopted
a Financial Position and Prospects Board Memorandum which summarises financial reporting procedures
and establishes procedures to ensure that it meets all regulatory requirements for accounting, financial
reporting and related obligations. This includes matters which are reserved to the Board and the division
of responsibilities between  the executive and non-executive  directors. The Chair is responsible for  the
effectiveness of the Board.

Cizzle Biotechnology Holdings PLC

22

Corporate Governance Statement (continued)

Audit Committee
During 2022 the Audit Committee has consisted of John Treacy (Chair) and Professor Dawn Coverley. It
meets as required and specifically to review the Interim Report and Annual Report, and to consider the
suitability and monitor the effectiveness of internal control processes. There was one meeting of the Audit
Committee during 2022. The Audit Committee also reviews the findings of the external auditor and reviews
accounting policies, material accounting judgements and risk and control framework.

The  independence  and effectiveness of  the  external  auditor  is  reviewed  annually.  The  possibility  of
undertaking an audit tender process is considered on a regular basis. The Company’s policy is to ensure
that the Company’s audit is put out to render at least once in every 10 years. The Current auditors were
appointed  in  respect  of  the  Company’s  audit  for  the  year  ended  31  December  2018.  At  each  Annual
General  Meeting  a resolution is proposed  for the re-appointment of  auditors.  There are no contractual
restrictions existing on the choice of auditors. The Audit Committee meets at least once a year with the
auditor to discuss their independence and objectivity, the Annual Report, any audit issues arising, internal
control processes, appointment and fee levels and any other appropriate matters. The fees in respect of
audit services are set out in Note 7.

Remuneration Committee
During  2022 the Remuneration Committee has consisted of  John  Treacy  (Chair)  and  Professor  Dawn
Coverley. The purpose of the Remuneration Committee is to ensure that the Executive Directors and other
employees are fairly rewarded for their individual contribution to the overall performance of the Company.
The Committee considers and recommends to the Board the remuneration of the Executive Directors and
is kept informed of the remuneration packages of senior staff and invited to comment on these. There was
one  Remuneration  Committee  meeting  during  2022. The  Board  retains  responsibility  for  overall
remuneration policy. The Remuneration Committee recommends to the Board the remuneration packages
by  reference  to  individual  performance  and  uses  the  knowledge  and  experience  of  the  Committee
members,  published  surveys  relating  to  similar  companies  and  market  changes  generally.  The
Remuneration Committee has responsibility for recommending any long-term incentive schemes.

The  Board  determines  whether  or  not  Executive  Directors  are  permitted  to  serve  in  roles  with  other
companies. Such permission would only be granted on a strictly limited basis, where there are no conflicts
of  interest  or  competing  activities  and  providing  there  is  not  an  adverse  impact  on  the  commitments
required to the Company. Earnings from such roles would be required to be disclosed to the Chair.

During 2022 there were two main elements of the remuneration package for Executive and Non-Executive
Directors and former employees:
Basic salaries: Basic salaries are recommended to the Board by the Remuneration Committee,
1.
taking  into  account  the  performance  of  the  individual  and  the  rates  for  similar  positions  in comparable
companies. No benefits in kind are currently available to Executive Directors.
2.
Share options: The Company operates unapproved share option schemes for Executive Directors
and some non-executive directors to motivate those individuals through equity participation. Exercise of
share options under the schemes is subject to specified exercise periods and compliance with the Scheme
Rules  and  the rules of the  London  Stock  Exchange.  The schemes are overseen  by the  Remuneration
Committee  which  recommends  to  the  Board  all  grants  of  share  options  based  on  the  Remuneration
Committee’s  assessment  of  personal  performance  and  specifying  the  terms  under  which  eligible
individuals  may  be  invited to  participate.  It  is  intended  that  the  performance  related  elements  of
remuneration form a significant proportion of the total remuneration package of Executive Directors and
be designed to align their interests with those of shareholders. In this development phase of the Company
the Remuneration Committee currently considers that the best alignment of these interests is through the
continued use of incentives for performance through the award of share options.

Cizzle Biotechnology Holdings PLC

23

Corporate Governance Statement (continued)

Non-executive Directors
The  Board  has  adopted  guidelines  for  the  appointment  of  non-executive  directors  which  have  been  in
place and which have been observed throughout the year. These provide for the orderly and constructive
succession and rotation of the non-executive directors insofar as they will be appointed for an initial term
of three years and may, at the Board’s discretion believing it to be in the best interests of the Company,
be  appointed  for  subsequent  terms. In  accordance  with  the  Companies  Act  2006,  the  Board  complies
with: a duty to act within their powers; a duty to promote the success of the Company; a duty to exercise
independent judgement; a duty to exercise reasonable care, skill and diligence; a duty to avoid conflicts
of interest; a duty not to accept benefits from third parties and a duty to declare any interest in a proposed
transaction or arrangement.

Principle Ten–- Shareholder Communication

The  Board  is committed  to maintaining  good communication  and having constructive  dialogue with its
shareholders. Institutional shareholders and analysts have the opportunity to discuss issues and provide
feedback  at  meetings  with  the  Company.  In  addition,  all  shareholders  are  encouraged  to  attend  the
Company’s Annual General Meeting. Investors also have access to current information on the Company
though  its  website, https://cizzlebiotechnology.com and  via  Allan  Syms, non-executive Chair who  is
available  to  answer  investor  relations  enquiries through  IFC  Advisory  Limited  (cizzle@investor-
focus.co.uk).

Cizzle Biotechnology Holdings PLC

24

Directors’ Remuneration Report for the year ended 31 December 2022

The Company has established a remuneration committee. The Committee reviews the scale and structure
of the Directors’ fees, taking into account the interests of shareholders and the performance of the Group
and directors.

The items included in this report are unaudited unless otherwise stated.

Statement of Cizzle Biotechnology Holdings PLC Policy on Directors’ Remuneration by the Chair
of the Remuneration Committee

As Chair of  the Remuneration Committee, I  have  pleasure  in  introducing  our  Directors’  Remuneration
Report.  One  of  the  Remuneration  Committee’s  aims  is  to  provide  clear,  transparent  remuneration
reporting for our shareholders which adheres to the best practice corporate governance principles that
are required for listed companies.

A key focus of the Directors’ Remuneration Policy is to align the interests of the Directors to the long-term
interests of the shareholders and aims to support a high-performance culture with appropriate rewards
for  meeting  the  Group’s  objectives  without  unnecessary  risk-taking.  This  is  underpinned  through  the
operation of incentive plans.

Key activities of the Remuneration Committee

The key activities of the Remuneration Committee are to:

















determine and agree with the board the framework or broad policy for the remuneration of the
Company’s Chair and  the  executive  directors  including  pension  rights  and  compensation
payments.  The  remuneration  of  non-executive  directors  shall  be  a  matter  for  the  board  or  the
shareholders (within the limits set in the articles of association). No director or senior manager
shall be involved in any decisions as to their own remuneration;

recommend and monitor the level and structure of remuneration for senior management taking
into  account  all  factors  which  it  deems  necessary  including  relevant  legal  and  regulatory
requirements and the provisions and recommendations of the UK Corporate Governance Code
(insofar as it applies to the Company) and other relevant guidance. These will be subject to annual
review.  The  objective  of  such  policy  shall  be  to  attract,  retain  and  motivate  the  executive
management  of  the  Company  without  paying  more  than  necessary.  The  remuneration  policy
bears in mind the Company’s appetite for risk and be aligned to the Company’s long term strategic
goals.  A  significant  proportion  of  remuneration  should  be  structured  so  as  to  link  rewards  to
corporate and individual performance and be designed to promote the long term success of the
Company;

review and have regard to the pay and employment conditions across the Company or Group,
especially when determining salary increases;

review the ongoing appropriateness and relevance of the remuneration policy;

approve the design of, and determine targets for, any performance related pay schemes operated
by the Company and approve the total annual payments made under such schemes;

review the Company’s arrangements for its employees to raise concerns, in confidence, about
possible  wrongdoing  in  financial  reporting  or  other  matters.  The  Committee  shall  ensure  that
these  arrangements  allow  proportionate  and  independent  investigation  of  such  matters  and
appropriate follow up action;

review the design of all share incentive plans for approval by the board and shareholders. For
any such plans, determine each year whether awards will be made, and if so, the overall amount
of such awards, the individual awards to executive directors, Company Secretary and other senior
executives and the performance targets to be used;

determine  the  policy  for,  and  scope  of,  pension  arrangements  for  each  executive  director  and
other senior executives;

Cizzle Biotechnology Holdings PLC

25

Directors’ Remuneration Report for the year ended 31 December 2022 (cont’d)

Key activities of the Remuneration Committee (cont’d)









determine  the  total  individual remuneration  package  of  the Chair,  each  executive  director,  the
Company  Secretary  and  other  senior  executives  including  bonuses,  incentive  payments  and
share options or other share awards;

ensure that contractual terms on termination and any payments made are fair to the individual
and the Company; that failure is not rewarded and the duty to mitigate loss is fully recognised;
oversee any major changes in employee benefits structures throughout the Company or Group;
and agree the policy for authorising claims for expenses from the directors;

be responsible for establishing the selection criteria, selecting, appointing and setting the terms
of reference for any remuneration of consultants who advise the Committee;

obtain  reliable,  up-to-date  information  about  remuneration  in  other  companies  of  comparable
scale.  The  Committee  shall  have  full  authority  to  appoint  remuneration  consultants  and  to
commission or purchase any reports, surveys or information which it deems necessary to help it
fulfil its obligations within any budgetary restraints imposed by the board;



consider such other matters as may be requested by the board of directors; and

 work and liaise as necessary with all other board committees.

Members

The Remuneration Committee comprises the following independent Non-Executive Directors:

Name

John Treacy

Prof. Dawn Coverley

Position

Chair

Member

appointment

to

Date  of 
Committee

14 May 2021

14 May 2021

Remuneration Components

The Company remunerates directors in line with best market practice in the industry in which it operates.
As the Group is currently a pre-revenue business the components of Director’s Remuneration consists
of:







Base salaries

Pension benefits

Share incentive arrangements

These remuneration components will be reviewed at least annually by the Committee.

It  is  anticipated  that  once  the  Group  becomes  a  revenue  generating  business  that  the  following
components of Directors Remuneration are likely to be appropriate:

 Other benefits

 Annual bonus

Cizzle Biotechnology Holdings PLC

26

Directors’ Remuneration Report for the year ended 31 December 2022 (cont’d)

Recruitment policy

Base  salaries  take  into  account  market  data  for  the  relevant  role,  internal  relativities,  their  individual
experience  and  their  current  base  salary.  Where  an  individual  is  recruited  at  below  market  rates  of
remuneration, they may be re-aligned over a period of time, subject to their performance in their role.

Service Agreements and Letters of Appointment

The Executive Directors’ service agreements are summarised below:

Executive
Director

Date  of  service
agreement

Initial term Notice  period  by

Company (Months)

Notice  period  by
Director (Months)

Allan Syms

14 May 2021

6 months

Nigel Lee

14 May 2021

N/a

6

6

6

6

The Non-Executive Directors’ service agreements are summarised below:

Non-Executive
Director

Date  of  service
agreement

Initial term Notice  period  by

Company (Months)

Notice  period  by
Director (Months)

John Treacy

14 May 2021

3 years

Dawn Coverley

14 May 2021

3 years

3

3

3

3

Non-Executive directors are typically expected to serve two three-year terms but may be invited by the
Board to serve for an additional period. Any term renewal is subject to Board review and AGM re-election.

Remuneration of Executive Directors (audited)

The remuneration of the Executive Directors for the year ended 31 December 2022 was as follows:

Year ended 31 December 2022

Year ended 31 December 2021

Executive
Director

Allan Syms

Nigel Lee

TOTAL

Basic salary

Pension

Total

Basic salary

Pension

£’000

£’000

£’000

£’000

£’000

90

36

126

3

1

4

93

37

130

70

22

92

1

1

2

Total

£’000

71

23

94

Cizzle Biotechnology Holdings PLC

27

Directors’ Remuneration Report for the year ended 31 December 2022 (cont’d)

Share scheme interests of executive directors (audited)

The interests of the executive directors in share schemes are shown in the table below:

Executive
Director

Type of
scheme

Share
options at
31 Dec
2021

Allan Syms

CSOP 21

5,068,956

Nigel Lee *

CSOP 21

2,000,000

CSOP 17

CSOP 16

CSOP 15

500

800

300

TOTAL

7,070,556

Granted
during the
year

Lapsed
or
cancelled

Share
options at 31
Dec 2022

Date from
which
exercisable

Expiry date

-

-

-

-

-

-

-

-

-

-

-

-

5,068,956

2,000,000

**

**

2 Nov 2031

2 Nov 2031

500

9 Nov 2018 ***

8 Nov 2027

800

27 Oct 2017 ***

26 Oct 2026

300

25 May 2016 ****

25 Aug 2025

7,070,556

* Includes brought forward 1,600 beneficial interests in share options as director of CFO Solutions Limited.

** subject to achievement of certain Group objectives.

*** One-third of the total options vest on first, second and third anniversary from date of grant.

**** One third of the options vest on 25 May 2016, 25 February 2017 and 25 August 2017.

Remuneration of Non-Executive Directors (audited)

The remuneration of the Non-Executive Directors for the year ended 31 December 2022 was as follows:

Year ended 31 December 2022

Year ended 31 December 2021

Non-
Executive
Director

Basic
salary

£’000

Bonus

Fees

Pension

Total

£’000

£’000

£’000

£’000

John
Treacy

Dawn
Coverley *

Martin
Lampshire

30

-

40

104

-

-

TOTAL

70

104

-

-

-

-

-

1

-

1

30

145

-

Basic
salary

£’000

30

25

-

Bonus

Fees

Pension

Total

£’000

£’000

£’000

£’000

-

-

-

-

-

-

7

7

-

1

-

1

30

26

7

63

175

55

* As mentioned in the Company’s prospectus that was published on 23 April 2021, Dawn Coverley was
granted options over 3,689,096 options in lieu of options that existed in Cizzle Biotechnology Limited prior
to the reverse takeover by the Company on 14 May 2021. In addition, in consideration of the waiver of
outstanding salary so as to conserve cash for patent maintenance costs in Cizzle Biotechnology Ltd, it
was agreed that Dawn Coverley would be entitled to a cash bonus from the Company equal to the exercise
price of the share options (£56,588, together with any tax payable thereon). The £104,000 bonus noted
above relates to the grossing up of the exercise price of £56,588 for income tax and national insurance
so that the exercise could be accounted for and taxed through the Company’s payroll.

Cizzle Biotechnology Holdings PLC

28

Directors Remuneration Report for the year ended 31 December 2022 (cont’d)

Share scheme interests of non- executive directors (audited)

The interests of the Non-Executive directors in share schemes are shown in the table below:

Non-
executive
Director

Type of
scheme

Share
options at
31 Dec
2021

Granted
during the
year

Exercised
in year

Share options at
31 Dec 2022

Date from
which
exercisable

Expiry
date

Dawn
Coverley

CSOP 21

12,672,389

CSOP 21

3,689,096

-

-

(3,689,096)

12,672,389

*

-

14 May 2021
**

2 Nov
2031

13 May
2031

TOTAL

16,361,485

-

(3,689,096)

12,672,389

* subject to achievement of certain Group objectives.

** may only be exercised for a period of 30 days from the date on which the Company’s audited annual
accounts are published each year; or at the discretion of the board of directors.

Relative importance of total remuneration

The table below illustrates  total employee remuneration compared to distributions to shareholders and
operational cash outflow, excluding proceeds from the issue of ordinary shares (before issue costs):

Year ended 31
December 2022

Distributions to
shareholders

Total employee pay
(£’000)

Operational cash
outflow (£’000)

-

305

872

Operational cash outflow has been shown in the table above as cash flow monitoring and forecasting are
an important consideration for the  Remuneration Committee and  Board of Directors when determining
cash-based remuneration for directors and employees.

Event since the year end Relative importance of total remuneration

On 7 March 2023 the Company announced director salary waivers and the award of share options. In
conducting a review of director remuneration, the Company’s remuneration committee was of the view
that the Company’s directors’ salaries are currently below market comparables. However, even in a period
of high inflation, the directors remain fully committed to maintaining low overheads and maximising the
funds available to the Company for the development of its CIZ1B early lung cancer test. The directors
have therefore agreed to waive any increase in basic salary for a period of two years from 3 March 2023.
In  compensation,  and  subject  to  shareholder  approval  at  the  next  Annual  General  Meeting  of  the
Company,  the  Company  has  conditionally  granted  share  options  over  new  ordinary  shares  in  the
Company  (the  “Options”)  to  the  directors,  with  an  exercise  price  equivalent  to  the  volume  weighted
average price of the Company’s ordinary shares for the month of February 2023 at 2.19376p per share.
50%  of  the  Options  will  vest  and  become  exercisable  after  the  12-month  anniversary  of  grant;  the
remaining 50% shall vest and become exercisable on the 24-month anniversary of grant. The Options will
have a 10 year life from the date of grant and are subject to good and bad leaver provisions. The Options
are unapproved for the purposes of the enterprise management incentive and have been granted outside
of, and in addition to, grants made under the Company’s existing share option schemes.

Cizzle Biotechnology Holdings PLC

29

Directors Remuneration Report for the year ended 31 December 2022 (cont’d)

The table below sets out the options of each director at 31 December 2022 and new options granted:

Director

Number  of  options
granted in March 2023

Options  held  at  31
December 2022

Total  options  held  at
date 
signing
accounts

of 

Allan Syms

Nigel Lee *

Dawn Coverley

John Treacy

8,868,096

6,224,233

7,614,540

6,235,629

5,068,956

2,000,000

13,937,052

8,224,233

12,672,389

20,286,929

-

6,235,629

*In addition, Nigel Lee is interested in 1,600 options over the Company’s ordinary shares issued to CFO
Solutions Ltd, a company in which Nigel Lee is a director.

Historical share price performance comparison

The table below compares the share price performance (based on notional investment of £100) of Cizzle
Biotechnology Holdings PLC against the FTSE SmallCap and FTSE Techmark  Mediscience based on
prices/indices at close of business from 1 January 2022 to 31 December 2022. Note that month end prices
are based on the last day of trading of each month. The FTSE SmallCap has been chosen to provide a
wider market comparator and the FTSE Techmark Mediscience chosen due to sector relevance:

Cizzle Biotechnology Holdings PLC

30

Directors Remuneration Report for the year ended 31 December 2022 (cont’d)

Consideration of shareholder views

The  Board  considers shareholder  feedback  received  and  guidance  from  shareholder  bodies.  This
feedback is considered as part of the Company’s policy on remuneration.

Approved on behalf of the Board of Directors

John Treacy

Director and Chair of the Remuneration Committee

26 April 2023

Cizzle Biotechnology Holdings PLC

31

Independent Auditor’s Report to the Members of Cizzle Biotechnology Holdings PLC

Opinion

We have audited the financial statements of Cizzle Biotechnology Holdings PLC (the ‘parent company’)
and its subsidiaries (the ‘group’) for the year ended 31 December 2022 which comprise the Consolidated
Statement of Comprehensive Income, the Consolidated and Company Statements of Financial Position,
the Consolidated and Company Statements of Cash Flows, the Consolidated and Company Statements
of Changes in Equity and notes to the financial statements, including significant accounting policies. The
financial reporting framework that has been applied in their preparation is applicable law and UK-adopted
international accounting standards and as regards the parent company financial statements, as applied
in accordance with the provisions of the Companies Act 2006.

In our opinion:

(cid:127)

(cid:127)

(cid:127)

(cid:127)

the financial statements give a true and fair view of the state of the group’s and the parent company’s
affairs as at 31 December 2022 and of the group’s loss for the year then ended;
the  group  financial  statements  have  been  properly  prepared  in  accordance  with  UK-adopted
international accounting standards;
the  parent company  financial  statements  have  been  properly  prepared  in  accordance  with  UK-
adopted international accounting standards and as applied in accordance with the provisions of the
Companies Act 2006; and
the financial statements have been prepared in accordance with the requirements of the Companies
Act 2006.

Basis for opinion

We conducted  our  audit  in accordance with International Standards on  Auditing  (UK) (ISAs  (UK))  and
applicable  law.  Our  responsibilities  under  those  standards  are  further  described  in  the  Auditor’s
responsibilities for the audit of the financial statements section of our report. We are independent of the
group and parent company in accordance with the ethical requirements that are relevant to our audit of
the financial statements in the UK, including the FRC’s Ethical Standard as applied to listed public interest
entities, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We
believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our
opinion.

Conclusions relating to going concern

In auditing the financial statements, we have concluded that the directors’ use of the going concern basis
of accounting in the preparation of the financial statements is appropriate. Our evaluation of the directors’
assessment of the group’s and parent company’s ability to continue to adopt the going concern basis of
accounting included obtaining the directors’ going concern assessment, including the cash forecast for
the going concern period which covers a period up to 30 April 2024. We noted that the group modelled a
base case and a plausible downside scenario in their cash forecast in order to incorporate unexpected
changes to the performance and liquidity of the group. Our evaluation thereof involved:

(cid:127)
(cid:127)

Testing the mathematical accuracy of the base case and a downside scenario forecasts;
Evaluating and challenging the appropriateness of the forecasting method by using our understanding
of  the  group  and  parent  company  and by  considering  past  historical  accuracy  of  the  directors’
forecasting and comparing the actual post year end results with the forecasts;

(cid:127) Understanding  the  forecasts  including  the  key  inputs  used  and  sources  of  these  inputs  through
the  directors  and  management  and,  where  possible,  obtaining  supporting

inquiries  with 
documentation for such key inputs;
Testing the main assumptions and judgements used including the drawdown of the facility and receipt
of research and development income;

(cid:127)

(cid:127) Reviewing the reasonableness of downside scenarios included in the pessimistic forecast; and
(cid:127)

Assessing the appropriateness  and adequacy  of the group’s  and parent  company’s  going concern
disclosures included in the financial statements.

Our responsibilities and the responsibilities of the directors with respect to going concern are described
in the relevant sections of this report

Cizzle Biotechnology Holdings PLC

32

Independent Auditor’s Report to the Members of Cizzle Biotechnology Holdings PLC (continued)

Our application of materiality

The  scope  of  our  audit  was  influenced  by  our  application  of  materiality.  We  set  certain  quantitative
thresholds  for  materiality.  These,  together  with  qualitative  considerations,  helped  us  to  determine  the
scope of our audit and the nature, timing and extent of our audit procedures on the individual financial
statement line items and disclosures and in evaluating the effect of misstatements, both individually and
in aggregate on the financial statements as a whole. Based on our professional judgement, we determined
the materiality thresholds for the financial statements as follows:

for 

Material 
the
financial  statements
as a whole

Performance
materiality

the 

Basis  for  materiality
financial
for 
statements 
a
whole

as 

Rationale

Group Financial Statements

Parent  company 
statements

financial

£132,000 (2021: £27,000)

£127,000 (2021: £18,000)

£92,400 (2021: £18,900)

£88,900 (2021: £12,600)

5% of the group’s net assets

5% of the parent company’s net
assets excluding the investment
and the intragroup debtor
balance

The  group  is  still  at  an  early  stage  of  development  and  is  not  revenue
generating.  Its  principal  activity  is  driven  by  the  development  of  an
immunoassay  test  for  the  CIZ1B  biomarker.  As  such,  the  performance  and
success of the group is measured by the existence, development and success
of  its  net  assets.  The  benchmark  has  changed  from  loss  before  tax  less
exceptional items the prior year given that the group has capitalised intangible
assets in the year.

The  parent  company  benchmark  excluded  the  investment  and  intragroup
balances as these are eliminated at consolidation and would have resulted, in
our  view,  in  the  inappropriate  exclusion  of  some  account  balances and
transactions from our scope.

The  percentage  applied  to  the  benchmark  has  been  selected  to  bring  into
scope all significant classes of transactions, account balances and disclosures
relevant for the members, and also to ensure that matters that would have a
significant impact on the results were appropriately considered.

Performance  materiality  has  been  set  at  70%  of  materiality  for  the  financial
statements  as  a  whole,  for  both  the  group  and  parent  company.  The
percentage  applied  was  determined after  considering  the  number  and
quantum  of  identified  misstatements  in  the  prior  year  audit,  management’s
attitude to correcting misstatements identified and our cumulative knowledge
of the group and parent company including the environment they operate in.

We use performance materiality to reduce to an appropriately low level the probability that the aggregate
of uncorrected and  undetected  misstatements exceeds overall materiality. For  each component  of the
group, we allocated a materiality that is less than our overall group materiality. The materiality applied to
the audit of the subsidiary undertaking was £4,000. We agreed with the audit committee that we would
report to them misstatements identified during our audit above £6,600 for the group audit and £6,350 for
the parent company audit, as well as misstatements below those amounts that, in our view, warranted
reporting for qualitative reasons.

Cizzle Biotechnology Holdings PLC

33

Independent Auditor’s Report to the Members of Cizzle Biotechnology Holdings PLC (continued)

Our approach to the audit

In designing our audit approach, we determined materiality, as above, and assessed the risk of material
misstatement in the financial statements. In particular, we looked at areas involving significant accounting
estimates  and judgement  by  the  directors,  being  the  valuation  of  intangible  assets  and  share-based
payment  transactions.  As  part  of  our  work  on  going  concern  we  considered  future  events  that  are
inherently  uncertain  such  as  future  research  and  development  expenditure  and  the  drawdown  of  the
facility. We  also  addressed  the  risk  of  management  override  of  internal  controls,  including  evaluating
whether there was evidence of bias by management that represented a risk of material misstatement due
to fraud.

There are three components in the group being the parent company and two subsidiary undertakings,
one of which is dormant. Of the trading components, both were considered material and significant and
accordingly,  a  full  scope  audit  was  performed.  Our  audit  was  performed  from  our  London  office  with
regular  contact  with  management  and  the  directors  throughout  the  audit.  This,  in  conjunction  with
additional procedures performed, gave us sufficient and appropriate evidence for our opinion on the group
and parent company financial statements.

Key audit matters

Key audit matters are those matters that, in our professional judgement, were of most significance in our
audit of the financial statements of the current period and include the most significant assessed risks of
material misstatement (whether or not due to fraud) we identified, including those which had the greatest
effect on: the overall audit strategy, the allocation of resources in the audit; and directing the efforts of the
engagement team. These matters were addressed in the context of our audit of the financial statements
as  a  whole,  and  in  forming  our  opinion  thereon,  and  we  do  not  provide  a  separate  opinion  on  these
matters.

Key Audit Matter

How our scope addressed this matter

Valuation  of 
intangible  assets
recognised in the year (Notes 2.5, 5
and 11)

In the current year, the group entered
into:

1.  An  agreement  with  St  George
Street  Capital  (‘SGSC’)  and  Conduit
Pharmaceuticals  Limited  (‘Conduit’)
to acquire a 5% economic Interest in
the  commercialisation  of  the  AZD
1656 asset at a price of £1.88 million.

2.  A  put  option  agreement  with
Conduit  to  sell:  a)  its  5%  economic
interest in the AZD 1656 asset; and b)
its  royalty  sharing  agreement  with
SGCS  which  was  entered  into  in  the
prior year at a premium price of £3.25
million.

intangible  assets 

The  economic 
interest  has  been
recognised  as an intangible asset  as
at 31 December 2022. Given that the
is
valuation  of 
subjective,  there  is  a  risk  that  the
value is materially overstated at year
end.  Consequently,  we 
have
determined the valuation of intangible
assets to be a key audit matter.

Our work in this area included:

(cid:127) Obtaining 

and 

and
memorandum  of  understandings  (MOUs)  to  understand
the terms and conditions of the agreements;

agreements 

reviewing 

the 

(cid:127)

Evaluating managements accounting treatment of the 5%
economic  interest  in  accordance  with  IAS  38  Intangible
Assets;

(cid:127) Obtaining  management’s  impairment  assessment  and
reviewing  the  reasonableness  and  appropriateness  of
their conclusions relating to the indicators of impairment at
year end;

(cid:127) Challenging management’s assessment of the impairment

indicators outlined in IAS 36 Impairment of Assets;

(cid:127) Reviewing  board  meeting  minutes  and  regulatory  news
service (‘RNS’) announcements to assess whether there
have  been  any  subsequent  changes  to  the  terms  and
conditions stipulated in the agreements; and

(cid:127)

Ensuring 
appropriately included in line with IAS 38.

that  adequate  disclosures  have  been

the  procedures  performed,  we 

found
Based  on 
management’s  assessment  of  the  valuation  of  intangible
assets to be supported by the underlying assessment and the
judgements and estimates applied to be reasonable.

Cizzle Biotechnology Holdings PLC

34

Independent Auditor’s Report to the Members of Cizzle Biotechnology Holdings PLC (continued)

Other information

The other  information  comprises  the information included in the annual report, other  than  the financial
statements  and  our  auditor’s  report  thereon.  The  directors  are  responsible  for  the  other  information
contained within the annual report. Our opinion on the group and parent company financial statements
does not cover the other information and, except to the extent otherwise explicitly stated in our report, we
do  not  express  any  form  of  assurance  conclusion  thereon.  Our  responsibility  is  to  read  the  other
information  and,  in  doing so, consider whether  the  other information is materially  inconsistent  with  the
financial  statements or our knowledge obtained in  the  course  of  the  audit,  or otherwise  appears  to  be
materially misstated. If we identify such material inconsistencies or apparent material misstatements, we
are required to determine whether this gives rise to a material misstatement in the financial statements
themselves. If, based on the work we have performed, we conclude that there is a material misstatement
of this other information, we are required to report that fact.

We have nothing to report in this regard.

Opinions on other matters prescribed by the Companies Act 2006

In our opinion the part of the directors’ remuneration report to be audited has been properly prepared in
accordance with the Companies Act 2006.

In our opinion, based on the work undertaken in the course of the audit:

(cid:127)

(cid:127)

the information given in the strategic report and the directors’ report for the financial year for which
the financial statements are prepared is consistent with the financial statements; and

the strategic report and the directors’ report have been prepared in accordance with applicable
legal requirements.

Matters on which we are required to report by exception

In  the light  of  the  knowledge  and  understanding  of  the  group  and  the  parent  company  and  their
environment  obtained  in  the  course  of  the  audit,  we  have  not  identified  material  misstatements  in  the
strategic report or the directors’ report.

We have nothing to report in respect of the following matters in relation to which the Companies Act 2006
requires us to report to you if, in our opinion:

(cid:127)

(cid:127)

(cid:127)

(cid:127)

adequate accounting records have not been kept by the parent company, or returns adequate for
our audit have not been received from branches not visited by us; or

the parent company financial statements and the part of the directors’ remuneration report to be
audited are not in agreement with the accounting records and returns; or

certain disclosures of directors’ remuneration specified by law are not made; or

we have not received all the information and explanations we require for our audit.

Responsibilities of directors

As explained more fully in the statement of directors’ responsibilities, the directors are responsible for the
preparation of the group and parent company financial statements and for being satisfied that they give a
true  and  fair  view,  and  for  such  internal  control  as  the  directors  determine  is  necessary  to  enable  the
preparation of financial statements that are free from material misstatement, whether due to fraud or error.

In  preparing  the  group  and  parent  company  financial  statements,  the  directors  are  responsible  for
assessing the  group’s  and  the parent company’s ability to continue as a going concern,  disclosing, as
applicable, matters related to going concern and using the going concern basis of accounting unless the
directors either intend to liquidate the group or the parent company or to cease operations, or have no
realistic alternative but to do so.

Cizzle Biotechnology Holdings PLC

35

Independent Auditor’s Report to the Members of Cizzle Biotechnology Holdings PLC (continued)

Auditor’s responsibilities for the audit of the financial statements

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are
free  from  material  misstatement,  whether  due  to  fraud  or  error,  and  to  issue  an  auditor’s  report  that
includes our opinion. Reasonable assurance is a high level of assurance but is not a guarantee that an
audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists.
Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate,
they could reasonably be expected to influence the economic decisions of users taken on the basis of
these financial statements.

Irregularities,  including  fraud,  are  instances  of  non-compliance  with  laws  and  regulations.  We  design
procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of
irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities,
including fraud is detailed below:

(cid:127) We obtained an understanding of the group and parent company and the sector in which they operate
to  identify  laws  and  regulations  that  could  reasonably  be  expected  to  have  a  direct  effect  on  the
financial  statements.  We  obtained  our  understanding  in  this  regard  through  discussions  with
management,  industry  research,  application  of  cumulative  audit  knowledge  and  experience  of  the
biotechnology sector.

(cid:127) We determined the principal laws and regulations relevant to the group and parent company in this

regard to be those arising from the:

-
-
-
-
-

Listing and Disclosure and Transparency Rules;
UK-adopted international accounting standards;
Companies Act 2006;
Anti-bribery and anti-money laundering regulations; and
UK taxation law.

(cid:127) We  designed  our  audit  procedures  to  ensure  the  audit  team  considered  whether  there  were  any
indications  of  non-compliance  by the  group  and  parent  company  with  those  laws  and  regulations.
These procedures included, but were not limited to:

-

-
-
-

Holding discussions with management and the directors and considering whether there were any
known or suspected instances of non-compliance with laws and regulations or fraud;
Reviewing board meeting minutes;
Reviewing Regulatory News Service (RNS) announcements; and
Reviewing legal and regulatory correspondence and legal expenses.

(cid:127) We  also  identified  the  risks  of material misstatement  of the  financial statements  due to  fraud.  We
considered, in addition to the non-rebuttable presumption of a risk of fraud arising from management
override of controls, that the potential for management bias was identified in relation to the valuation
of intangible assets (detailed in the key audit matters section of our report) as well as the valuation of
share-based  payment  transactions.  We  addressed  this  by  challenging  the  assumptions  and
judgements made by management when auditing these accounting estimates and ensuring that there
were adequate disclosures included in the respective notes.

(cid:127)

As in all of our audits, we addressed the risk of fraud arising from management override of controls
by  performing  audit  procedures  which  included,  but  were  not  limited  to:  the  testing  of  journals;
reviewing  accounting  estimates  for  evidence  of  bias;  and  evaluating  the  business  rationale  of  any
significant transactions that are unusual or outside the normal course of business.

Cizzle Biotechnology Holdings PLC

36

Independent Auditor’s Report to the Members of Cizzle Biotechnology Holdings PLC (continued)

Because  of  the  inherent  limitations  of  an  audit,  there  is  a  risk  that  we  will  not  detect  all  irregularities,
including  those  leading  to  a  material  misstatement  in  the  financial  statements  or  non-compliance  with
regulation.  This  risk  increases  the  more  that  compliance  with  a  law  or  regulation  is  removed  from  the
events and transactions reflected in the financial statements, as we will be less likely to become aware of
instances of non-compliance. The risk is also greater regarding irregularities occurring due to fraud rather
than error, as fraud involves intentional concealment, forgery, collusion, omission or misrepresentation.

A  further  description  of our  responsibilities  for  the  audit  of  the  financial  statements  is  located  on  the
Financial Reporting Council’s website at: www.frc.org.uk/auditorresponsibilities . This description forms
part of our auditor’s report.

Other matters which we are required to address

We were appointed by the directors on 13 February 2019 to audit the financial statements for the period
ending  31  December  2018  and  subsequent  financial  periods.  Our  total uninterrupted  period  of
engagement is 5 years, covering the periods ending 31 December 2018 to 31 December 2022.

The non-audit services prohibited by the FRC’s Ethical Standard were not provided to the group or the
parent  company  and  we  remain  independent of  the  group  and  the  parent  company  in  conducting  our
audit.

Our audit opinion is consistent with the additional report to the audit committee.

Use of our report

This report is made solely to the company’s members, as a body, in accordance with Chapter 3 of Part
16  of  the  Companies  Act  2006.  Our  audit  work  has  been  undertaken  so  that  we  might  state  to  the
company’s members those matters we are required to state to them in an auditor’s report and for no other
purpose.  To the  fullest extent permitted  by law,  we  do  not  accept  or assume responsibility  to  anyone,
other than the company and the company's members as a body, for our audit work, for this report, or for
the opinions we have formed.

David Thompson (Senior Statutory Auditor)
For and on behalf of PKF Littlejohn LLP
Statutory Auditor

26 April 2023

15 Westferry Circus
Canary Wharf
London E14 4HD

Cizzle Biotechnology Holdings PLC

37

Consolidated Statement of Comprehensive Income
for the year ended 31 December 2022

Notes

Group
Year ended 31
December
2022
£’000

Group
Year ended 31
December
2021
£’000

Revenue
Cost of sales
Gross profit

Administrative expenses
- on-going administrative costs
-
-
-
Total administrative expenses

share option charge
transaction costs
reverse acquisition expenses

Operating loss and loss before income tax

Income tax
Loss and total comprehensive income for the year
attributable to the equity shareholders of the parent

Earnings per ordinary share (pence) attributable to
the equity shareholders:
Continued operations basic and diluted
Earnings per ordinary share (pence) attributable to
the equity shareholders of the parent

6
6
6
6

9

10

10

-
-
-

(823)
(140)
-
-
(963)

(963)

51
(912)

(0.3p)

(0.3p)

-
-
-

(552)
(299)
(303)
(2,804)
(3,958)

(3,958)

37
(3,921)

(2.4p)

(2.4p)

The Company has elected to take the exemption provided under section 408, Companies Act 2006
from presenting the Company statement of comprehensive income.

The notes on pages 44 to 59 are an integral part of these financial statements.

Cizzle Biotechnology Holdings PLC
Registered number: 06133765 (England and Wales)

Consolidated Statement of Financial Position
As at 31 December 2022

Non-current assets
Intangible asset

Current assets
Trade and other receivables
Cash and cash equivalents

Total assets

Equity
Capital and reserves attributable to equity holders
of the Company
Ordinary shares
Share premium
Shares to be issued
Reverse acquisition reserve
Share capital reduction reserve
Share option reserve
Retained losses
Total equity

Liabilities
Current liabilities
Trade and other payables
Total liabilities
Total equity and liabilities

Notes

Group
2022
£’000

11

12
13

14

2,080
2,080

227
478

705
2,785

3,502
34,917
115
(40,021)
10,081
199
(6,153)
2,640

15

145
145
2,785

38

Group
2021
£’000

200
200

80
875

955
1,155

3,493
32,566
-
(40,021)
10,081
335
(5,517)
937

218
218
1,155

The notes on pages 44 to 59 are an integral part of these financial statements.

The financial statements were approved and authorised for issue by the board on 26 April 2023
and were signed on its behalf by:

Nigel Lee
Director

Cizzle Biotechnology Holdings PLC

39

Registered number: 06133765 (England and Wales)

Company Statement of Financial Position
As at 31 December 2022

Non-current assets
Intangible asset
Investments

Current assets
Trade and other receivables
Cash and cash equivalents

Total assets

Equity
Capital and reserves attributable to equity holders
of the company
Ordinary shares
Share premium
Share capital to be issued
Share capital reduction reserve
Share option reserve
Accumulated losses
Total equity

Liabilities
Current liabilities
Trade and other payables
Total liabilities
Total equity and liabilities

Notes

2022
£’000

11
11

12
13

14

2,080
21,803
23,883

726
464

1,190
25,073

3,502
34,917
115
10,081
199
(23,867)
24,947

15

126
126
25,073

2021
£’000

200
21,803
22,003

241
848

1,089
23,092

3,493
32,566
-
10,081
335
(23,516)
22,959

133
133
23,092

The notes on pages 44 to 59 are an integral part of these financial statements. The loss for the year
of the Company was £627,000 (2021: loss of £1,145,000).

The financial statements were approved and authorised for issue by the board on 26 April 2023 and
were signed on its behalf by:

Nigel Lee
Director

Cizzle Biotechnology Holdings PLC

40

Consolidated Statement of Cash Flows for the year ended 31 December 2022

Cash flows from operating activities

Operating (loss) before tax
Adjustment for:
Reverse acquisition expense

Share option charge

Transaction costs settled through share issue

Share based adjustment/payment to former director

Operating cash flow before working capital movements

Decrease in trade and other receivables

Decrease in trade and other payables

Net cash used in operating activities

Cash flows from investing activities

Cash acquired on acquisition of subsidiary

Purchase of investment in intangible assets

Purchase of a Put Option

Net cash used in investing activities

Cash flows from financing activities
Proceeds from the issue of ordinary shares (net of issue
costs)

Proceeds from shares to be issued

Borrowings repaid

Net cash generated from financing activities

Net increase / (decrease) in cash and cash equivalents

Cash and cash equivalents at the start of the year

Cash and cash equivalents at the end of the year

Notes

Group
2022

£'000

Group
2021

£'000

(963)

(3,958)

3,6

12

15

11

12

14

13

13

-

140

-

8

(815)

16

(73)

(872)

-

-

(120)

(120)

480

115

-

595

(397)

875

478

2,804

299

32

11

(812)

7

(204)

(1,009)

46

(200)

-

(154)

2,041

-

(10)

2,031

868

7

875

The notes on pages 44 to 59 are an integral part of these financial statements.

Cizzle Biotechnology Holdings PLC

41

Company Statement of Cash Flows for the year ended 31 December 2022

Notes

2022

£'000

2021

£'000

Cash flows from operating activities

Loss before tax

Share option charge

Transaction costs settled through share issue

Operating cash flow before working capital movements

Change in trade and other receivables

Change in trade and other payables

Net cash used in operating activities

Cash flows from investing activities

Purchase of investment in intangible assets

Purchase of Put Option

Investment in subsidiary company

Change in intra group funding

Net cash used in investing activities

Cash flows from financing activities
Proceeds from the issue of ordinary shares (net of issue
costs)

Proceeds from shares to be issued

Net cash generated from financing activities

Net (decrease) /increase in cash and cash equivalents

Cash and cash equivalents at the start of the year

Cash and cash equivalents at the end of the year

12

15

11

12

11

14

13

13

(627)

140

-

(487)

10

(8)

(485)

-

(120)

-

(374)

(494)

480

115

595

(384)

848

464

(1,145)

299

32

(814)

(19)

75

(758)

(200)

-

(103)

(216)

(519)

2,041

-

2,041

764

84

848

The notes on pages 44 to 59 are an integral part of these financial statements.

Cizzle Biotechnology Holdings PLC

42

Group statement of Changes in Equity
for the year ended 31 December 2022

Group

Ordinary
Share
Capital

Share
Premium

Shares
to be
issued

Capital
Redemption
Reserve

Share
Option
Reserve

Reverse
Acquisition
Reserve

Retained
Losses

Total

£'000

£'000

£’000

£’000

£'000

£'000

£'000

£'000

At 1 January 2021

Issue of shares
Transfer to reverse acquisition
reserve
Recognition of plc equity at
acquisition date
Issue of shares for acquisition of
subsidiary

Reverse acquisition expense

Issue of shares for cash
Issue of shares in settlement of
fees

Issue of warrants

Cost of share issue

Share option charge

3

-

1,585

11

(3)

(1,596)

3,470

8,852

21

21,679

-

2

-

-

-

-

-

2,198

32

(36)

(159)

-

3,493

32,566

Comprehensive Loss for the year

-

-

At 31 December 2021

3,493

32,566

Issue of shares for acquisition of
AZD 1656 intangible asset

Issue of shares for cash

Costs of share issue

Share options exercised

Shares to be issued

Share option charge

5

4

-

-

-

-

1,875

500

(80)

56

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

115

-

-

-

-

10,081

-

-

-

-

-
-

-

10,081

-

-

-

-

-

-

-

-

-

36

-

299

335

-

-

-

1,599

(22,621)

(21,803)

2,804

-

-

-

-

-

(1,596)

-

-

-

-

-

-

-

-

-

-

(8)

11

-

(218)

(103)

2,804

2,200

32

-

(159)

299

(40,021)

(1,596)

4,858

-

(3,921)

(3,921)

10,081

335

(40,021)

(5,517)

937

-

-

-

-

-

-

-

-

-

(276)

-

140

199

-

-

-

-

-

-

-

-

-

-

276

-

-

1,880

504

(80)

56

115

140

(40,021)

(5,241)

3,552

-

(912)

(912)

Comprehensive Loss for the year

-

-

-

-

3,502

34,917

115

10,081

At 31 December 2022

3,502

34,917

115

10,081

199

(40,021)

(6,153)

2,640

The notes on pages 44 to 59 are an integral part of these financial statements.

Cizzle Biotechnology Holdings PLC

43

Company statement of Changes in Equity
for the year ended 31 December 2022

Ordinary
Share
Capital
£’000

Share
premium

£’000

Shares
to be
issued
£’000

Share capital
reduction
reserve
£’000

Share
option
reserve
£’000

Retained
Losses
£’000

Total
£’000

At 1 January 2021

3,470

8,852

Issue of shares for acquisition of
subsidiary

Issue of shares for cash

Issue of shares in settlement of fees

Cost of share issue

Issue of warrants

Share option charge

21

2

-

-

-

-

21,679

2,198

32

(159)

(36)

-

3,493

32,566

Comprehensive Loss for the year

-

-

At 31 December 2021

3,493

32,566

Issue of shares for acquisition of
AZD 1656 intangible asset

Issue of shares cash (net of
expenses)

Costs of share issue

Share options exercised

Shares to be issued

Share option charge for year

5

4

-

-

-

-

1,875

500

(80)

56

-

-

3,502

34,917

Comprehensive Loss for the year

-

-

At 31 December 2021

3,502

34,917

-

-

-

-

-

-

-

-

-

-

-

-

115

-

115

-

115

10,081

-

-

-
-

-

-

10,081

-

-

-

-

-

36

299

335

(22,371)

32

-

-

-

-

-

-

21,700

2,200

32

(159)

-

299

(22,371)

24,104

-

-

(1,145)

(1,145)

10,081

335

(23,516)

22,959

1,880

504

(80)

56

115

140

-

-

-

-

-

-

10,081

-

-

-

-

-

-

-

(276)

276

-

-

-

140

199

-

(23,240)

25,574

(627)

(627)

10,081

199

(23,867)

24,947

The notes on pages 44 to 59 are an integral part of these financial statements.

Cizzle Biotechnology Holdings PLC

44

Notes to the financial statements for the year ended 31 December 2022

1

General information

Cizzle Biotechnology Holdings PLC (“the Company” of “the Group”) (formerly Bould Opportunities PLC) is a
public limited company with its shares traded on the Standard Listing of the London Stock Exchange. On 14
May  2021  the  Company  acquired  through  a  share  for  share  exchange  the  entire  share  capital  of  Cizzle
Biotechnology  Limited. The  Company  is  a  holding  company  of  a  group  of  companies  (“the  Group”)  whose
principal  activity is the  early  detection  of  lung  cancer  via  the  development  of  an  immunoassay  test  for  the
CIZ1B biomarker.

The directors consider there to be no ultimate controlling shareholder of the Company.

The address of the registered office is 6th Floor, 60 Gracechurch Street, London, EC3V 0HR and the registered
number of the Company is 06133765.

2

Accounting policies

The principal accounting policies applied in the preparation of these financial statements are set out below.
These policies have been consistently applied to all the years presented, unless otherwise stated.

2.1

Basis of preparation

The  financial  statements  of Cizzle  Biotechnology Holdings PLC (“the  Company”)  including  subsidiary
undertakings  (together  referred  to  as  “the  Group”) have  been  prepared  in  accordance  with UK-adopted
international accounting standards and the Companies Act 2006 on a historical cost basis.

The preparation of financial statements in conformity with IFRS requires the use of certain critical accounting
estimates. It also requires management to exercise its judgement in the process of applying the Company’s
accounting  policies.  The  areas  involving  a  higher  degree  of  judgement  or  complexity,  or  areas  where
assumptions and estimates are significant to the financial statements are disclosed in Note 5.

The results for the year ended 31 December 2022 are the Group results. The results for the comparative
period to 31 December 2021 are the results of the Group following the acquisition of Cizzle Biotechnology
Limited (“CBL”) on 14 May 2021.

(a)

New standards and interpretations

The IASB and IFRS Interpretations Committee have issued the following standards and interpretations with
an effective date of implementation of 1 January 2022.

i)

New standards and amendments – applicable 1 January 2022

The following standard and interpretations apply for the first time to financial reporting periods
commencing on or after 1 January 2022:

Proceeds before Intended Use – Amendments to IAS 16
“Property, Plant and Equipment”
Reference to the Conceptual Framework – Amendments to
IFRS 3 “Business Combinations”
Onerous contracts and costs of fulfilling a contract –
Amendments to IAS 37 – “Provisions, Contingent Liabilities
and Contingent Assets”

Effective for accounting
periods beginning on or after
1 January 2022

Impact

None

1 January 2022

None

1 January 2022

None

Cizzle Biotechnology Holdings PLC

45

Notes to the financial statements for the year ended 31 December 2022

2

Accounting policies (continued)

Forthcoming requirements

ii)
As at 31 December 2022, the following standards and interpretations had been issued but were not
mandatory for annual reporting periods ending on 31 December 2022 and not early adopted.

Definition of accounting estimates – Amendments to IAS
8 “Changes in Accounting Estimates and Errors”
Disclosure of Accounting Policies – Amendments to IAS
1 “Presentation of Financial Statements” and IFRS
Practice Statement 2
Deferred Tax relates to Assets and Liabilities arising
from a Single Transaction – Amendments to IAS 12
“Income Taxes”

2.2 Going concern

Effective for accounting periods
beginning on or after
1 January 2023

Impact

None

1 January 2023

None

1 January 2023

None

The Directors have adopted the going concern basis in preparing the financial statements for the year ended
31 December 2022. In reaching this conclusion, the Directors have considered current trading and the current
and projected funding position for the period of just over 12 months from the date of approval of the financial
statements through to 30 April 2024. The Company, as anticipated in the Company’s Prospectus announced
on  22 September 2022, will  need  to raise  additional  funding  should  it  wish  to  undertake  development  of
additional future products beyond the core offering that is mentioned in this Prospectus and to further fund the
corporate and operational overhead of the business. The forecasts have been prepared using two scenarios
– a realistic one that assumes expected levels of income and a pessimistic one that assumes a reduced level
of income and delays in accelerated research and development expenditure. Both forecasting scenarios show
that the Group continues to be a going concern.

Current funding
The Group’s cash balance as at 31 December 2022 was £478,000 and there were no borrowing facilities at
that date. On 26 September 2022 the Company raised £535,000, before share issue costs, through the placing
of  new  ordinary  shares.  Also  a  further  facility  of  £500,000,  which  is  available until  19  March  2024, was
announced that is available to the Company, to provide further funds at a fixed price of 1.8p per ordinary share.
On 19 December 2022 the Company raised £115,000, net of share issue costs, (gross proceeds: £118,000)
and the ordinary shares relating to this subscription were admitted to trading on the London Stock Exchange
in January 2023.

Conclusion
After  taking account of  the Company’s current funding position,  its  cash  flow  projections  and  the risks and
uncertainties associated with these, the directors have a reasonable expectation that the Company has access
to adequate resources to continue in operational existence for the foreseeable future. For these reasons they
continue  to  prepare  the  financial statements  on  a  going  concern  basis.  These  financial  statements  do  not
include any adjustments that would result from the going concern basis of preparation being inappropriate.

2.3

Segmental reporting

IFRS  8  requires  that  segmental  information  be  disclosed  on  the  basis  of  information  reported  to  the  chief
operating decision maker. The Company considers that the role of chief operating decision maker is performed
by  the Company’s  Board  of  Directors. The Group’s only  business  activity and  single  segment
is  the
development of tests for the early detection of lung cancer.

Foreign currency translation

2.4
The functional currency of the Company is Sterling which is also the presentational currency of the financial
statements. Foreign currency assets and liabilities are converted into Sterling at the rates of exchange ruling
at the end of the financial year. Foreign currency transactions are translated into the functional currency using
the exchange rates prevailing at the dates of the transactions. Foreign exchange gains and losses resulting
from  the  settlement  of  such  transactions  and  from  the  translation  at  year  end  exchange  rates  of  monetary
assets  and  liabilities  denominated  in  foreign  currencies  are  recognised  in  the  statement  of  comprehensive
income.

Cizzle Biotechnology Holdings PLC

46

Notes to the financial statements for the year ended 31 December 2022

2

Accounting policies (continued)

2.5

Non-Current assets

Investments in intangible assets and subsidiaries are stated at cost less accumulated impairment. Plant and
equipment  are  stated  at  costs  less  accumulated  depreciation  and  any  accumulated  impairment  losses.
Depreciation  is  charged to  write  off  costs  less estimated residual  values  on  a straight-line basis  over  their
estimated useful lives. Estimated useful lives are reviewed each year and amended if necessary. The Group’s
and Company’s investment in intangible assets ( currently AZD 1656) are considered to have indefinite lives
due to the infancy of the assets and the fact that they are not yet revenue generating.

2.6   Cash and cash equivalents

Cash and cash equivalents include cash in hand, deposits held at call with banks and other short-term highly
liquid investments, with original maturities of three months or less.

2.7

Share capital

Ordinary shares are classified as equity. Incremental costs directly attributable to the issue of new shares or
options are shown in equity as a deduction, net of tax, from the proceeds.

2.8

Current and deferred income tax

Current income tax is calculated on the basis of the tax laws enacted or substantively enacted at the statement
of  financial  position date  in  the  countries  where  the Company’s  subsidiaries  and  associates  operate  and
generate  taxable  income.  Management periodically evaluates  positions taken  in tax returns with  respect to
situations  in  which  applicable  tax  regulation  is  subject  to  interpretation  and  establishes  provisions  where
appropriate on the basis of amounts expected to be paid to the tax authorities. Research and Development
tax credits are accounted for on an accruals basis.

Deferred income tax is provided in full, using the liability method, on temporary differences arising between
the tax bases of assets and liabilities and their carrying amounts in the financial statements. However, deferred
income tax is not accounted for if it arises from initial recognition of an asset or liability in a transaction other
than a business combination that at the time of the transaction affects neither accounting nor taxable profit nor
loss. Deferred income tax is determined using tax rates (and laws) that have been enacted or substantively
enacted by the statement of financial position date and are expected to apply when the related deferred income
tax asset is realised or the deferred income tax liability is settled. Deferred income tax assets are recognised
to the extent that it is probable that future taxable profit will be available against which the temporary differences
can be utilised.

2.9

Share based payments

The Company operates  an  equity-settled,  share-based  compensation  plan.  The  fair  value  of  the  employee
services received in exchange for the grant of the options is recognised as an expense and credited to the
share option reserve within equity. The total amount to be expensed over the vesting period is determined by
reference to the fair value of the options granted, excluding the impact of any non-market vesting conditions
(for  example,  profitability  and  sales  growth  targets).  Options that  lapse  before  vesting  are  credited  back  to
income. The proceeds received net of any directly attributable transaction costs are credited to share capital
(nominal value) and, if applicable, share premium when the options are exercised.

2.10

Financial instruments

i) Financial assets
The Company classifies its financial assets in the following measurement categories:




those to be measured subsequently at fair value through profit or loss; and
those to be measured at amortised cost.

Cizzle Biotechnology Holdings PLC

47

Notes to the financial statements for the year ended 31 December 2022

2

Accounting policies (continued)

2.10 Financial instruments (continued)

The classification depends on the business model for managing the financial assets and the contracted terms
of the cash flows. Financial assets are classified as at amortised cost only if both of the following criteria are
met:



the asset is held within a business model whose objective is to collect contracted cash flows; and
the contractual terms give rise to cash flows that are solely payments of principal and interest.

Financial assets, including trade and other receivables and cash and bank balances, are initially recognised
at  transaction  price,  unless  the  arrangement  constitutes  a  financing  transaction,  where  the  transaction  is
measured at the present value of the future receipts discounted at a market rate of interest.

Such assets are subsequently carried at amortised cost using the effective interest method.

At the end of each reporting period financial assets measured at amortised cost are assessed for objective
evidence  of  impairment.  If  an  asset  is  impaired  the  impairment  loss  is  the  difference  between  the  carrying
amount and the present value of the estimated cash flows discounted at the asset’s original effective interest
rate. The impairment loss is recognised in the consolidated income statement.

The Company applies the simplified approach in calculating the expected credit losses (ECLs) as permitted
by IFRS 9. Changes in credit risk is not tracked but instead a loss allowance is recognised at each reporting
date based on the financial asset’s lifetime ECL.

If  there  is  a  decrease  in  the  impairment  loss  arising  from  an  event  occurring  after  the  impairment  was
recognised the impairment is reversed. The reversal is such that the current carrying amount does not exceed
what  the  carrying  amount  would  have  been  had  the  impairment  not  previously  been  recognised.  The
impairment reversal is recognised in the consolidated income statement.

Financial assets are derecognised when (a) the contractual rights to the cash flows from the asset expire or
are settled, or (b) substantially all the risks and rewards of the ownership of the asset are transferred to another
party or (c) despite having retained some significant risks and rewards of ownership, control of the asset has
been transferred to another party who has the practical ability to unilaterally sell the asset to an unrelated third
party without imposing additional restrictions

ii) Financial liabilities

Basic financial liabilities, being trade and other payables, are initially recognised at transaction price, unless
the arrangement constitutes a financing transaction,  where the  debt  instrument  is measured  at the  present
value of the future receipts discounted at a market rate of interest.

Trade payables are obligations to pay for goods or services that have been acquired in the ordinary course of
business from suppliers. Accounts payable are classified as current liabilities if payment is due within one year
or less. If not, they are presented as non-current liabilities. Trade payables are recognised initially at transaction
price and subsequently measured at amortised cost using the effective interest method.

Financial liabilities are derecognised when the liability is extinguished, that is when the contractual obligation
is discharged, cancelled or expires. The Company does not hold or issue derivative financial instruments.

iii) Offsetting

Financial assets and liabilities are offset and the net amounts presented in the financial statements when there
is an enforceable right to set off the recognised amounts and there is an intention to settle on a net basis or to
realise the asset and settle to liability simultaneously.

2.11

Pensions

For defined  contribution  schemes  the  amount  charged  to  the  statement  of  comprehensive  income  is  the
contribution payable in the year. Differences between the contributions payable in the year and contributions
actually paid are shown either as accruals or prepayments.

Cizzle Biotechnology Holdings PLC

48

Notes to the financial statements for the year ended 31 December 2022

3 Reverse acquisition

On 14 May 2021 the Company acquired through a share for share exchange the entire share capital
of CBL whose principal activity is the early detection of lung cancer through the development of tests
to detect CIZ1B variant protein.

Although the transaction resulted in CBL becoming a wholly owned subsidiary of the Company, the
transaction constitutes a reverse acquisition as the previous shareholders of CBL own a substantial
majority of the shares of the Company.

In  substance  the  shareholders  of  CBL  acquired  a  controlling  interest  in  the  Company  and  the
transaction  has therefore  been  accounted for  as a reverse acquisition.  As the Company’s activities
prior to the acquisition were purely the maintenance of the AIM listing, acquiring CBL and raising equity
finance to provide the required funding for the operations of the acquisition means it did not meet the
definition of a business combination in accordance with IFRS 3.

Accordingly, this reverse acquisition does not constitute a business combination and was accounted
for in accordance with IFRS 2 “Share-based Payments” and associated IFRIC guidance. Although the
reverse acquisition  is not  a  business combination, the  Company  has become  a legal  parent  and  is
required to apply IFRS 10 and prepare consolidated financial statements. The directors have prepared
these  financial  statements  using  the  reverse  acquisition  methodology,  but  rather  than  recognise
goodwill, the difference between the equity value given up by the CBL shareholders is charged to the
statement of comprehensive income as a share-based payment on reverse acquisition, and represents
in substance the cost of acquiring a quoted company.

In  accordance  with  the  reverse  acquisition  principles,  these  consolidated  financial  statements
represent a continuation of the consolidated statements of Cizzle Biotechnology Holdings Plc and its
subsidiaries and include:
- The assets and liabilities of CBL at their pre-acquisition carrying value amounts and the results for
all periods reported; and
- The assets and liabilities of the Company as at 14 May 2021 and its results from the date of reverse
acquisition (14 May 2021 to 31 December 2021).

On 14 May 2021 the Company issued 206,310,903 ordinary shares to acquire the 313,932 ordinary
shares of CBL Limited. At 14 May 2021 the valuation of the investment in CBL was £21,700,000.

Because the legal subsidiary, CBL, was treated on consolidation as the accounting acquirer and the
legal parent company, Cizzle Biotechnology Holdings Plc, was treated as an accounting subsidiary,
the fair value of the shares deemed to be issued by CBL was calculated at £2,587,000 based on an
assessment of the purchase consideration for a 100% holding of Cizzle Biotechnology Holdings plc.

The fair value of the net liabilities of Cizzle Biotechnology Holdings Plc at acquisition was as follows:

Cash and cash equivalents
Other assets
Liabilities
Net (Liabilities)

£’000
46
47
(310)
(217)

The difference between the deemed cost of £2,587,000 and the fair value of the net liabilities noted
above  of  £(217,000)  resulted  in  £2,804,000  being  expensed  as  “reverse  acquisition  expenses”  in
accordance with IFRS2, Share- based Payments, reflecting the economic cost to CBL shareholders
of acquiring a quoted entity.

Cizzle Biotechnology Holdings PLC

49

Notes to the financial statements for the year ended 31 December 2022

3

Reverse acquisition (continued)

The reverse acquisition reserve which arose from the reverse takeover is made up as follows:

Pre-acquisition equity1
CBL share capital at acquisition2
Investment in CBL3
Reverse acquisition expense4

£’000
(22,621)
1,599
(21,803)
2,804
(40,021)

1. Pre-acquisition equity of Cizzle Biotechnology Holdings PLC at 14 May 2021.
2. CBL had issued share capital and share premium of £1,599,000. As these financial statements
represent the capital structure of the legal parent entity, the equity of CBL is eliminated.
3. The value of the shares issued by the Company in exchange for the entire share capital of

CBL plus stamp duty expenses.

4. The reverse  acquisition expense  represents  the  difference  between the  value of  the  equity

issued by the Company, and the deemed consideration given by CBL to the Group.

4

Financial risk

The Group’s principal risk factors are as follows:

4.1    Capital risk management

The Company monitors capital which comprises all components of equity (i.e. share capital, share premium,
capital reduction reserve, share option reserve, and retained earnings/losses). Note 21 describes how capital
is managed in respect of the debt to equity ratio.

4.2

Financial risk factors

The Group’s operations exposed it to a variety of financial risks that had included the  effects of credit risk,
liquidity risk and interest rate risk. The Company had in place a risk management programme that attempted
to limit the adverse effects on the financial performance of the Company by monitoring levels of debt finance
and the related finance costs. The Company did not use derivative financial instruments to manage interest
rate costs and as such, no hedge accounting was applied.

Given  the  size  of the Company, the  directors did not  delegate  the  responsibility  of monitoring financial  risk
management to a sub-committee of the Board. The policies set by the board of directors were implemented
by the Company’s finance department.

(a)

(b)

Credit risk
The Company’s  credit  risk  was  primarily  attributable  to  its  trade  receivables  balance.  The  amounts
presented in the statement of financial position are net of allowances for impairment.

Liquidity risk
Liquidity  risk is the  risk  that  an  entity  will  encounter  difficulty  in  meeting  obligations  associated  with
financial  liabilities. The Company’s financial  liabilities  included  its trade  and other  payables  shown  in
Note 15. The Group manages this risk through the preparation of cash flow forecasts which are regularly
reviewed by the directors.

Cizzle Biotechnology Holdings PLC

50

Notes to the financial statements for the year ended 31 December 2022

5

Critical accounting estimates and judgements

In  the  preparation  of  the  financial statements the  directors  must  make  estimates  and  assumptions  that
affect the asset and liability items and revenue and expense amounts recorded in the financial statements.
These estimates are based on historical experience and various other assumptions that the Board believes
are reasonable under the circumstances. The results of this form the basis for making judgements about
the carrying value of assets and liabilities that are not readily available from other sources.

a)

Accounting judgement

The Group’s principal judgements relate to its impairment review of its’s intangible assets (AZD 1656), the
Company’s  investment  in  its  subsidiary  company,  CBL.  Following  the  review  of  these  assets  at  31
December  2022 the  directors  considered  that  no  impairments of these  assets  had  arisen.  The  directors
also consider that the Group’s intangible assets currently have an indefinite life, as mentioned in Note 2.5.

b)

Accounting estimate

Share based payments
See Note 14 which explains the methods used to estimate the fair value of share options granted.

6

Operating expenses

Research and development
Professional advisers
Staff costs
Intellectual property renewal fees
Regulatory fees
Share based payment
Audit fees (Note 7)
Other expenditure
On-going administrative costs
Share option charge
Reverse acquisition expense
Transaction costs – IPO and reverse acquisition
Total administrative expenses

7

Auditor’s remuneration

Fees payable to the Company’s auditor for the audit of the Group,
Company and subsidiary financial statements
Non-audit services – reporting accountant for IPO

Group
2022
£’000
280
180
154
38
68
8
31
64
823
140
-
-
963

Group
2022
£’000

31

-
31

Group
2021
£’000
161
89
88
57
53
37
27
40
552
299
2,804
303
3,958

Group
2021
£’000

27

38
65

Cizzle Biotechnology Holdings PLC

51

Notes to the financial statements for the year ended 31 December 2022

8

Directors’ emoluments

Wages and salaries

Social Security Costs

Pension Contributions

Share based payments

Group
2022
£’000
300

39

5

140
484

Group
2021
£’000
125

10

3

299
437

Company
2022
£’000
143

Company
2021
£’000
105

17

3

140

303

11

2

299

417

The Group does not have any employees other than the directors. The average number of directors during
the year was 4 (2021: 4).

9

Income tax credit

The tax credit for the year was as follows:

Research and development tax credits

-

-

Current year

Prior year

Group
2022
£’000

(47)

(4)
(51)

Group
2021
£’000

(37)

-
(37)

Research and Development tax credits are accounted for on an accruals basis.

The tax on the Group’s loss before tax differs from the theoretical amount that would arise using the tax
rate applicable to the losses of the Group as follows:

Loss before tax on continuing operations

Tax calculated at the domestic rate applicable of 19% (2021: 19%)
Expenses not deductible for tax purposes
Tax losses for which no deferred tax credit was recognised
Research and development tax credit
Total income tax credit

10 Earnings per share

Basic loss per share

Loss for the year

Weighted average number of ordinary shares
Basic loss per share

Group
2022
£’000
(963)
(183)
27
156
(51)
(51)

Group
2021
£’000
(3,958)
(752)
590
162
(37)
(37)

Group
2022
(912,000)
291,322,970
(0.3p)

Group
2021
(£3,921,000)
160,516,450
(2.4p)

The basic loss per share is derived by dividing the loss for the period attributable to ordinary shareholders
by the weighted average number of shares in issue. In 2021 the weighted average number of shares is
adjusted for the impact of the reverse acquisition as follows:
-

Prior to the reverse acquisition, the number of shares is based on CBL, adjusted using the share
exchange ratio arising on the reverse acquisition; and
From the date of the reverse acquisition, the number of share is based on the Company.

-

Cizzle Biotechnology Holdings PLC

52

Notes to the financial statements for the year ended 31 December 2022

10 Earnings per share (continued)

Diluted  earnings  per  share  is  calculated  by  dividing  the loss attributable  to  ordinary  shareholders  by  the
weighted  average  number  of  ordinary  shares  outstanding  after  adjusting  these  amounts  for  the  effects  of
dilutive potential ordinary shares. As the results for the years ended 31 December 2022 and 31 December
2021 are  a  loss,  any  exercise  of  share  options  would  have  an  anti-dilutive  effect  on  earnings  per  share.
Consequently, earnings per share and diluted earnings per share are the same and the calculation has not
been included.

As at 31 December 2022, there were share options outstanding over 19,742,945 shares (2021: 23,432,041
shares), which could potentially have a dilutive impact in the future.

11 Non- Current assets

Investment in subsidiary undertakings

Intangible assets
Total investments

Group
2022
£’000
-

2,080
2,080

Group
2021
£’000
-

200
200

Company
2022
£’000
21,803

2,080
23,883

Company
2021
£’000
21,803

200
22,003

a.

Investments in subsidiary undertakings - Company

Opening balance
Acquisition during the year
Closing balance

2022
£’000
21,803
-
21,803

2021
£’000
-
21,803
21,803

The investment in subsidiary undertakings is in the following companies:

Name

Country of
incorporation

Proportion of ownership
interest

Principal
activities/status

Cizzle Biotechnology
Limited

England and
Wales

100% interest in ordinary
share capital

Early detection of lung
cancer

Cizzle Biotech Limited
(formerly Enfis Limited)

England and
Wales

100% interest in ordinary
share capital

Dormant

The registered address for ongoing subsidiaries is 6th floor, 60 Gracechurch Street, London, EC3V 0HR.
Cizzle Biotechnology Limited - as mentioned in Note 3, this investment represents the value of the shares
issued  by  the  Company  in  exchange  for  the  entire  share  capital  of  CBL  (£21,700,000  plus  stamp  duty
expenses of £103,000).

b.

Intangible assets – Group and Company

Opening balance
Acquisition during the year
Closing balance

2022
£’000
200
1,880
2,080

2021
£’000
-
200
200

Cizzle Biotechnology Holdings PLC

53

Notes to the financial statements for the year ended 31 December 2022

b.

Intangible assets – Group and Company (continued)

At  1 January  2022,  Intangible  assets represents the  fair  value of an  investment  in  a  royalty  sharing
arrangement with St George Street Capital (“SGSC”), a UK-based medical charity. This agreement grants
the  Company  potential  future  royalty  payments  from  the  commercialisation  of  St  George  Street’s
therapeutic asset AZD1656 of up to £5m, plus potentially further payments from the use of a companion
diagnostic.

On 14 February 2022, the Company entered into a definitive agreement (the "Agreement") with Conduit
Pharmaceuticals  Limited  (“Conduit”)  and  St  George  Street  Capital  Limited  ("SGSC")  to  acquire  a  5%
economic interest in the commercialisation of the AZD 1656 asset or other such assets being developed
by Conduit or SGSC to treat inflammatory pulmonary and cardiovascular disease (the “Economic Interest”).

Highlights of the Agreement are as follows:

-

-

-

-

Agreement with Conduit and SGSC to acquire a 5% economic interest for a total consideration
of £1.88 million, to be settled in new Cizzle ordinary shares at a price of 4.0p per share, a 56.9%
premium to the closing mid-market price on 11 February 2022;
The Agreement is in addition to the Company’s existing interest in AZD 1656 as announced on
20 September 2021:
SGSC  recently reported  the  successful completion of  the  AZD  1656 ARCADIA  clinical  trial  in
Covid-19  and  SGSC  and  Conduit  are  in  discussions  with  multiple  pharmaceutical  companies
about licensing opportunities for AZD 1656 for Covid-19 and potentially for further indications;
and
The Agreement supports the Company’s ambitions to expand its target customer base into the
pharmaceutical  industry  and  is  in  line  with  its  strategy  of  building  a  portfolio  of  early  cancer
detection tests, companion diagnostics and royalty bearing stakes in significant drug assets.

Consideration for the Agreement (£1.88m) - non cash acquisition

Under the terms of the Agreement, Cizzle will pay consideration of £1.88 million to SGS for the Economic
Interest. Of the consideration payable, £1.0 million (the “Initial Consideration”) was satisfied by the issue of
25,000,000 new ordinary shares in the Company (the “Consideration Shares”), at a price of 4.0 pence per
Consideration Share, being a premium of 56.9 per cent. to the Company’s closing mid-market price of 2.55
pence on 11 February 2022. The remaining consideration of £880,000 was settled in new ordinary shares
in the Company issued at 4.0 pence per share, on 29 September 2022.

Consideration for Put Options (£0.12m)

On  19  December  2022  the  Company agreed  a  put  option  to  sell:  (i)  its  5%  economic  interest  in  the
commercialisation of the AZD 1656 asset to treat inflammatory pulmonary and cardiovascular disease (the
"Economic Interest"); and (ii) its royalty sharing agreement with St George Street Capital ("SGSC"), the UK-
based biomedical charity (the “Royalty Sharing Agreement’) to Conduit Pharmaceuticals Limited ("Conduit")
for a total consideration of £3.25 million to be satisfied through the issuance of new shares in Conduit (the
“Option”). The Economic Interest and Royalty Sharing Agreement are valued at cost, totalling £2,080,000.
No profits or revenues were attributable to the assets subject to the Option. The Option is exercisable solely
at the discretion of Cizzle and Cizzle has agreed to pay Conduit £120,000 in cash as the premium for the
Option, which has a nine-month term. The Company also raised proceeds of £115,586, net of expenses,
by way of a subscription for 7,371,557 new ordinary shares in the Company ("Ordinary Shares") at 1.6p
per share (the “Issue Price”) with existing investors (the “Subscription”), in order to provide funds to be put
towards satisfying the Option premium.

This Put Option was paid for in cash and is accounted for under prepayments ( see Note 12).

Cizzle Biotechnology Holdings PLC

54

Notes to the financial statements for the year ended 31 December 2022

12

Trade and other receivables

Trade receivables

Less: provision for impairment
Trade receivables (net)
Amounts due from subsidiaries
Social security and other taxes
Corporation tax recoverable
Prepayments and other receivables

Group
2022
£’000
-

-
-
-
7
88
132
227

Group
2021
£’000
-

Company
2022
£’000
-

Company
2021
£’000
-

-
-
-
14
37
29
80

-
-
590
7
-
128
725

-
-
216
7
-
18
241

Trade and other receivables are non-derivative financial assets with fixed or determinable payments that
are not quoted in an active market. They are classified as ‘trade and other receivables’ in the statement of
financial position and are included in current assets, except for maturities greater than 12 months after the
statement  of  financial  position  date.  These  are  classified  as  non-current  assets.  The  value  of  trade
receivables shown  above,  in addition to  the value of  cash  balances  on  deposit  with counterparties (see
Note 16), represents the Company’s maximum exposure to credit risk. No collateral is held as security.

Prepayments include £120,000 (2021: £nil) for a Put Option that was acquired during the year and paid in
cash. See Note 11 for further details.

Amounts due from subsidiary undertakings at 31 December 2022 represented net amounts provided to the
Company’s wholly owned subsidiary, Cizzle Biotechnology Limited.

The fair value of trade and other receivables approximate to the net book values stated above.

As of 31 December 2022, trade and other receivables of £Nil (2021: £Nil) were impaired.

13

Cash and cash equivalents

Cash on hand and balances with banks

Group
2022
£’000
478

478

Group
2021
£’000
875

875

Company
2022
£’000
464

Company
2021
£’000
848

464

848

Cizzle Biotechnology Holdings PLC

55

Notes to the financial statements for the year ended 31 December 2022

14 Share capital

Numbers in 000s

Nominal value per share
At 1 January 2022
Issued
At 31 December 2022

New
Ordinary
Shares
0.01p
253,448
86,356
339,804

Deferred ‘A’
shares

Deferred ‘A'
shares

0.01p
225,158
-
225,158

0.99p
12,383,626
-
12,383,626

The above table reflects the full authorised shares of the Company at 31 December 2022. In addition to
this the directors had authorised the issue of 7,371,557 new ordinary shares of 0.01p each but these shares
were not issued until 5 January 2023 when they had been approved by the London Stock Exchange for
issue.

The following table reconciles the total nominal value
of the shares in issue:

Nominal value per share

At 1 January 2022

Issued during the year
At 31 December 2022

New
Ordinary
shares
0.01p
£000

Deferred
£0.01p
‘A’ shares
0.01p
£’000

Deferred ‘A'
shares
0.99p
£000

Total
£000

26

9
35

1,238

-
1,238

2,229

3,493

-
2,229

9
3,502

During the year ended 31 December 2022, the following shares were issued:

17 Feb 2022 - Acquisition of AZD1656 Intangible Asset
26 Sept 2022 -Placing (cash)
29 Sept 2022 – balance of acquisition of AZD1656 Intangible asset
29 Sept 2022 – exercise of share options
Total issued

No of shares
issued
000s

Issue price
per share
Pence

25,000
35,667
22,000
3,689
86,356

4.0p
1.5p
4.0p
1.53393p

On 14 May 2021 the Company issued investor warrants to subscribe for 11,000,000 Ordinary Shares at a fixed
price of 15p per share valid for three years until 13 May 2024.

On 14 May 2021 the Company issued broker and adviser warrants to subscribe for 1,350,000 Ordinary Shares
at a fixed price of 10p per share valid for three years until 13 May 2024. 250,000 of these broker warrants are
automatically exercisable upon the Company’s share price equalling 20p per share. The fair value of these
warrants at 31 December 2021 was £36,000 and has been accounted for as a cost to the Company and a
reduction of the share premium account ( see statement of changes in equity on pages 42 to 43).

Cizzle Biotechnology Holdings PLC

56

Notes to the financial statements for the year ended 31 December 2022

14 Share capital (continued)

Employee share scheme

The Company has an Executive Share Option Scheme.

The exercise terms of all granted options as at 31 December 2022 are summarised below:

Date of grant

2015
2016
2017
2021
2021

Number of
options

300
800
500
3,689,096
19,741,345

Exercise price
(pence per
share)
5.02
1.85
1.00
1.53
10.00

Exercise
dates from

2017
2017
2018
2021
2021 (based on performance)

The number and weighted average exercise price of the options that were exercisable at 31 December 2022
were 19,741,345 and 10.0p respectively.

Movements in the number of share options outstanding and their related weighted average exercise prices
are as follows:

At 31 December 2021
Exercised during year
At 31 December 2022

Average
exercise price
(pence per
share)
8.67
1.53
10.00

Options

number

23,432,041
(3,689,096)
19,742,945

Share options outstanding at the end of the year have the following expiry dates and exercise prices:

Expiry date

2025
2026
2027
2031

Exercise price
(pence per
share)
5.02
1.85
1.00
10.00

Options
2022

300
800
500
19,741,345
19,742,945

The Company determines the fair value of its share option contracts on the grant date, adjusts this to reflect
its expectation of the options that will ultimately vest, and then expenses the calculated balance on a straight-
line  basis  through  its  statement  of  comprehensive  income  over  the  expected  vesting  period with  a
corresponding credit to its share option reserve. Subsequent changes to the expectation of number of options
that will ultimately vest are dealt with prospectively such that the cumulative amount charged to the statement
of comprehensive income is consistent with latest expectations. Subsequent changes in market conditions do
not impact the amount charged to the statement of comprehensive income.

The  Company  determines  the  fair  value  of  its  share  option  contracts  using  a  model  based  on  the  Black-
Scholes-Merton methodology. In determining the fair value of its share option contracts, the Company made
the following assumptions (ranges are provided where values differ across tranches). Expected volatility was
determined by reference to historical volatility of the Company’s share price.

Grant date

2021
2021

Share
Price
Pence

9.38p
4.40p

Exercise
Price
Pence

1.53p
10.00p

Expected
Option
Life
Years
10 years
10 years

Expected
Volatility
%
68%
32%

Expected
Dividend
Yield
%
0%
0%

Risk free
Interest
Rate
%
0.83%
0.83%

Fair Value
At date of
Grant
Pence
1.60p
3.00p

Cizzle Biotechnology Holdings PLC

57

Notes to the financial statements for the year ended 31 December 2022

15

Trade and other payables

Trade payables

Social security and other taxes
Accruals and other payables

Due or due in less than one month

Due between one and three months
Due in more than three months

16

Financial assets and liabilities

Group
2022
£’000
41

8
96
145

Group
2022
£’000
16

25
-
41

Group
2021
£’000
111

43
64
218

Group
2021
£’000
75

4
32
111

Company
2022
£’000
40

Company
2021
£’000
73

8
78
126

6
54
133

Company
2022
£’000
15

Company
2021
£’000
37

25
-
40

4
32
73

The  tables  below  analyse  the  carrying  value  of  financial  assets  and  financial  liabilities  in  the Group’s  and
Company’s statements of financial position. Further information on the classes that make up each category is
provided in the notes indicated. The carrying value of each category is considered a reasonable approximation
of its fair value. All amounts are due within one year.

Trade receivables (Note 12)

Amounts due from subsidiaries (Note 12)
Prepayments and other receivables (Note 12)
Cash and cash equivalents (Note 13)
Financial assets at amortised cost

Trade payables (Note 15)

Accruals and other payables (Note 15)
Borrowings (Note 16)
Financial liabilities at amortised cost

17 Deferred income tax

Group
2022
£’000
-

-
132
478
610

Group
2022
£’000
41

96
-
137

Group
2021
£’000
-

-
29
875
904

Group
2021
£’000
111

64
-
175

Company
2022
£’000
-

Company
2021
£’000
-

590
128
464
1,182

216
18
848
1,082

Company
2022
£’000
40

Company
2021
£’000
73

78
-
118

54
-
127

There is an un-provided deferred tax asset arising on taxable losses of £0.64m (2021: £0.47m). In accordance
with accounting standards, the deferred tax asset has not been recognised in the financial statements due to
uncertainty over the availability of sufficient future profits against which it could be recovered.

At 31 December 2022 there was no deferred tax liability (2021: £Nil).

18 Commitments

The Group has no commitments as at 31 December 2022 (2021: £Nil).

Cizzle Biotechnology Holdings PLC

58

Notes to the financial statements for the year ended 31 December 2022

19 Related party transactions

Transactions with directors

At 31 December 2022 there was a balance owed to the Company by Professor Dawn Coverley, a director of
the Company, of £680 in respect of PAYE/NI arising on the exercise of share options. This amount was fully
settled in January 2023. The maximum liability owed to the Company during the year was £2,582.

20 Controlling party

The directors consider there to be no ultimate controlling party.

21

Capital management

In managing its capital structure, the Company’s objective is to safeguard the Company's ability to continue
as a going concern, managing cash flows so that it can continue to provide returns for shareholders.

The Company makes adjustments to its capital structure in the light of changes in economic conditions and
the requirements of the Company’s businesses. The Board has sought to maintain low levels of borrowing to
reflect the development stage of the Company’s businesses. Over time as the Company’s businesses mature
and become profitable the Board is likely to make increased use of borrowing facilities to fund working capital.
In order to  maintain or  adjust the  capital structure,  the Company may  issue  new  shares  or seek  additional
borrowing facilities. The Company monitors capital on several bases including the debt to equity ratio. This
ratio  is  calculated  as  debt  ÷  equity.  Debt  is  calculated  as  total  borrowings  as  shown  in  the  consolidated
statement of financial position.

Equity comprises all components of equity as shown in the consolidated statement of financial position. The
debt-to-equity ratio at 31 December 2022 and 31 December 2021 was as follows:

Total debt

Total equity

Debt-to-equity ratio

22

Reserves

Group
2022
£’000
-

2,640

0.0%

Group
2021
£’000
-

937

0.0%

Company
2022
£’000
-

24,947

0.0%

Company
2021
£’000
-

22,959

0.0%

The following reserves describe the nature and purpose of each reserve within equity:

a.

Capital reduction reserve

The capital  reduction  reserve set  out  in  the  Statement  of  Changes  in  Equity  arose in  2014  when  the
nominal value of each share was reduced from 10p to 1p.

b.

Share premium

The amount subscribed for each share in excess of nominal value.

c.

Reverse acquisition reserve

The reverse acquisition reserve is explained in Note 3.

d.

Share option

The accumulated expense arising during their vesting period of share options granted to directors and
employees and warrants granted to third parties.

e.

Accumulated losses

All other net losses and gains not recognised elsewhere.

Cizzle Biotechnology Holdings PLC

59

Notes to the financial statements for the year ended 31 December 2022

23

Subsequent events

a)

Issue of equity

On 5 January 2023 the Company issued 7,371,557 ordinary shares of 0.01p each for a price of 1.6p per
share to fund the purchase of a Put Option to dispose of AZD1656 assets referred to in Note 11. At 31
December 2022 the Company had received £115,000 ( net of share issue costs) in relation to this share
issue (gross proceeds: £118,000).

b)

Issue of options in lieu of salary increases

In conducting a review of director remuneration, the Company’s remuneration committee was of the view
that the Company’s directors’ salaries are currently below market comparables. However, even in a period
of  high  inflation,  the  directors  remain  fully  committed  to  maintaining  low  overheads  and  maximising  the
funds available to the Company for the development of its CIZ1B early lung cancer test.

The directors have therefore agreed to waive any increase in basic salary for a period of two years from
3 March 2023. In compensation, and subject to shareholder approval at the next Annual General Meeting
of the Company, the Company has conditionally granted share options over new ordinary shares in the
Company  (the  “Options”)  to  the  directors,  with  an  exercise  price  equivalent  to  the  volume  weighted
average price of the Company’s ordinary shares for the month of February 2023 at 2.19376p per share.
50%  of  the  Options  will  vest  and  become  exercisable  after  the  12-month  anniversary  of  grant;  the
remaining 50% shall vest and become exercisable on the 24-month anniversary of grant. The Options will
have a 10 year life from the date of grant and are subject to good and bad leaver provisions. The Options
are unapproved for the purposes of the enterprise management incentive and have been granted outside
of, and in addition to, grants made under the Company’s existing share option schemes. Following the
grant  of  the  Options,  the  total  number  of  ordinary  shares  under  option  is  48,685,443  ordinary  shares
representing 14.02% of the Company's current issued ordinary share capital.

The Options have been granted to the directors as follows:

Director

Number of
Options
granted

Existing options
held

Total number of
options now held

Allan Syms
Nigel Lee
Dawn Coverley
John Treacy

8,868,096
6,224,233
7,614,540
6,235,629

5,068,956
2,000,000
12,672,389
-

13,937,052
8,224,233
20,286,929
6,235,629

Total number of
options now held
as % of current
issued share
capital
4.01%
2.37%
5.84%
1.80%

c)

Research and development contract

On 24 April 2023 the Group announced a further extension of its research and development contract with
the University of York until 25 September 2024.