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Jaguar Health

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FY2018 Annual Report · Jaguar Health
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innovation 
without 
boundaries

2 0 1 8   A N N U A L   R E P O R T 

Jaguar  Health,  Inc.  is  a  commercial  stage  pharmaceuticals  company  focused 
on  developing  novel,  sustainably  derived  gastrointestinal  products  on  a  global  basis. 
Our  wholly-owned  subsidiary,  Napo  Pharmaceuticals,  Inc.,  focuses  on  developing 
and  commercializing  proprietary  human  gastrointestinal  pharmaceuticals 
for 
the  global  marketplace  from  plants  used  traditionally  in  rainforest  areas.  Our 
Mytesi®  (crofelemer)  product  is  approved  by  the  U.S.  FDA  for  the  symptomatic 
relief  of  noninfectious  diarrhea  in  adults  with  HIV/AIDS  on  antiretroviral  therapy.

About Mytesi® 
Mytesi®  (crofelemer)  is  an  antidiarrheal  indicated  for  the  symptomatic  relief  of 
noninfectious diarrhea in adult patients with HIV/AIDS on antiretroviral therapy (ART). 
Mytesi®  is  not  indicated  for  the  treatment  of  infectious  diarrhea.  Rule  out  infectious 
etiologies of diarrhea before starting Mytesi®. If infectious etiologies are not considered, 
there  is  a  risk  that  patients  with  infectious  etiologies  will  not  receive  the  appropriate 
therapy  and  their  disease  may  worsen.  In  clinical  studies,  the  most  common  adverse 
reactions occurring at a rate greater than placebo were upper respiratory tract infection 
(5.7%), bronchitis (3.9%), cough (3.5%), flatulence (3.1%), and increased bilirubin (3.1%).

See full Prescribing Information at Mytesi.com.

F O L L O W   U S   O N L I N E :    
www.jaguar.health 
LinkedIn.com/company/jaguar-health

Twitter.com/Jaguar_Health 

Photo not of actual patient. 

“ This new job that I got and I’m gonna 
start…I’m gonna have to get up extra 
early because, in the mornings, as soon 
as I get up, I might have diarrhea.”

     Female, age 54,  
HIV+ for 26 years

Photo not of actual patient. 

Photo not of actual patient.  
Quote is from a person living with HIV.

 
 
 
DEAR FELLOW STOCKHOLDERS, 

The consistent and encouraging quarter-on-quarter growth in net sales of Mytesi®—Jaguar’s first-in-class, 
FDA-approved  anti-secretory,  anti-diarrheal  agent  for  our  specialty  market  in  people  living  with 
HIV/AIDS—in  fiscal  year  2018  indicates  the  likelihood  of  meaningfully  greater  sales  in  2019,  and, 
importantly, increasing medically appropriate utilization in the target patient population. 

Total Mytesi prescription volume, which is the combination of new prescriptions and refills, as reported 
by IQVIA, grew 20% in the fourth quarter of 2018 versus the prior quarter, and increased 94% over the 
fourth quarter of 2017. 

We  believe  this  continuing  growth  in  both  sales  and  prescription  volume  can  be  attributed  to  the 
consistency of our direct representative efforts to encourage healthcare professionals and prescribers to 
better identify appropriate patients and to have more meaningful conversations with their patients based 
on those efforts and our scientific and educational platforms. 

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A ROBUST PIPELINE 

As I’ve stated before, our near-term focus is to become a stable, cash flow-positive business supported 
primarily by growth in sales of crofelemer, under the trade name Mytesi, for its current approved 
indication. Looking ahead, our secondary goal is to drive further growth by initiating business 
development deals to secure non-dilutive funding to progress our pipeline of potential follow-on 
indications for Mytesi. 

We  have  a  remarkable  risk-mitigated  product  pipeline  which  contains  multiple  novel  and  important 
potential  follow-on  indications  for  Mytesi—a  drug  product  that  is  already  approved  for  a  chronic 
indication  and  therefore  supported  by  a  chronic  safety  package.  Additionally,  GMP  commercial 
manufacturing is in place for Mytesi, and we have proof-of-concept clinical data for most of the planned 
follow-on  indications.  The  depth  of  our  pipeline  provides  supportive  care  solutions  for  large  patient 
populations  across  multiple  disease  indications,  and  we  believe  this  pipeline  will  fuel  long-term  value 
creation for investors and provide non-dilutive funding opportunities for partner collaborations around 
the globe. 

Diarrhea related to cancer therapy continues to be our lead target for a future indication. A significant 
proportion of patients undergoing cancer treatment experience diarrhea. Novel targeted cancer therapy 
agents, such as epidermal growth factor receptor antibodies and tyrosine kinase inhibitors (TKIs), with or 
without  standard  chemotherapy  agents,  may  activate  natural  chloride  secretion  pathways  in  the 
gastrointestinal mucosa, potentially leading to secretory diarrhea. 

As we recently announced, our wholly-owned subsidiary, Napo Pharmaceuticals, met with the U.S. Food 
& Drug Administration (FDA) on March 28, 2019 to discuss the protocol for Napo's planned Phase 3 clinical 
trial in cancer subjects to evaluate the effects of Mytesi (crofelemer) in prevention and/or relief of cancer 
therapy-related  diarrhea  (CTD).  We  are  pleased  to  report  that  we  had  a  very  collaborative  discussion 
about the clinical trial design that would allow the determination of safety and efficacy of crofelemer in 
CTD. Napo's planned next step is to continue its interactions with the FDA and incorporate the input from 
this dialog into the Phase 3 protocol following this very informative discussion. 

Our crofelemer pipeline includes other targets for future indications, such as orphan drug designation for 
congenital diarrheal disease and short bowel syndrome, supportive care for inflammatory bowel disease, 
diarrhea-predominant irritable bowel syndrome, and idiopathic functional diarrhea. In addition, a second-
generation, proprietary anti-secretory agent, lechlemer, is in development for cholera. 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Prioritizing our activities and use of resources remains paramount, and we have therefore prioritized in 
the  pipeline  those  indications  which  we  believe  are  closest  to  approval  and  of  greatest  interest  to 
potential  partners.  In  support  of  our  focus  on  the  potential  CTD  indication,  two  ongoing  investigator 
initiated trials utilizing Mytesi are underway. Enrollment is ongoing for the HALT D study at Georgetown 
University in breast cancer patients receiving regimens containing Herceptin and Perjeta, which is being 
funded by Genentech Roche, and interim results are expected to be read out in the first half of 2019. A 
second  investigator-initiated  study,  being  funded  by  Puma  Biotechnology,  is  evaluating  the  use  of 
crofelemer in breast cancer patients receiving neratinib-containing regimens, which are reported to have 
extremely high rates of diarrhea. Additionally, a third-party cancer agent manufacturer is funding Napo’s 
implementation of a nonclinical study, which is underway to evaluate the effects of crofelemer treatment 
on TKI-induced diarrhea in healthy female dogs. The evaluation of crofelemer effects in dogs receiving 
TKIs is intended to provide additional scientific rationale and support for the use of crofelemer in providing 
symptomatic  relief  of  noninfectious  diarrhea  in  human  patients  receiving  TKI-containing  regimens  in 
future human clinical investigations.  

In addition, Napo has accepted a request for support for an investigator-initiated trial of crofelemer at 
Sheikh  Khalifa  Medical  City  in  Abu  Dhabi  for  congenital  diarrheal  disorders  (CDDs)  in  children.  The 
incidence of CDDs is much more prevalent in this part of the world, where consanguineous marriages, 
such as marriages between cousins, are part of the culture, and therefore we have access to a meaningful 
number of patients in this region to study for these rare disorders. 

Our final prioritized pipeline goal involves filing an investigational new drug application for lechlemer for 
the planned cholera indication, along with efforts  to pursue a tropical disease priority review voucher 
(PRV) from the FDA for this possible indication. We believe lechlemer, which has the same mechanism of 
action as crofelemer and is significantly less costly to produce, may support efforts to receive a PRV for 
symptomatic relief of severe diarrhea in cholera patients. PRVs are granted by the FDA to drug developers 
as an incentive to develop treatments for neglected diseases and rare pediatric diseases. Additionally, we 
believe  lechlemer  represents  a  long-term  pipeline  opportunity  as  a  second-generation  anti-secretory 
agent,  on  a  global  basis,  for  multiple  gastrointestinal  diseases—especially  in  resource-constrained 
countries where cost of goods is a factor, because, in part, requirements often exist in such regions for 
drug prices to decrease annually. 

As  a  reminder,  Mytesi  is  the  first  oral  drug  approved  under  FDA  botanical  guidance,  which  does  not 
provide  for  a  generic  product  pathway.  Lechlemer  is  also  a  drug  candidate  under  botanical  guidance, 
potentially enjoying the same exclusivity opportunity. 

Cholera  is  an  acute  diarrheal  illness  that  kills  thousands  of  people  worldwide  each  year  due  to  rapid 
dehydration in the first few to 48 hours after infection, a period sometimes called the death zone. We 
have presented Phase 2 data on crofelemer from the highly regarded International Center for Diarrheal 
Disease  Research  (ICDDR)  in  Bangladesh—often  referred  to  as  the  cholera  hospital—for  symptomatic 
relief of severe watery diarrhea in cholera patients, and we plan to follow the same study design for a trial 
conducted  in  association  with  ICDDR  to  support  development  of  lechlemer  for  the  potential  cholera 
indication. 

Across  our  pipeline,  our  continuing  goal  is  to  progress  to  clinical  work  with  non-dilutive  support  from 
potential  corporate  partners,  which  we  are  actively  pursuing  globally.  As  we  announced  this  past 
September,  Jaguar  and  Canadian  specialty  pharmaceutical company Knight Therapeutics have entered 
into  a  distribution  license  and  supply  agreement  granting  Knight  the  exclusive  right  to  commercialize 
Mytesi and related Napo products in Canada and Israel. 

In summary, we believe we're in a highly favorable position, possessing this pipeline within a first-in-class 
anti-secretory  product  for  which  pipeline  risk  is  mitigated—because  crofelemer,  Mytesi,  is  already 
approved for chronic administration, we hold extensive global rights, we have proof of concept clinical 
data  for  most  of  our  planned  follow-on  indications,  commercial  manufacturing  is  in  place  in  an  FDA-

 
 
 
 
 
 
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approved  facility,  and  outside  corporate  interest  exists,  as  demonstrated  by  our  recently  enacted 
partnership  with  Knight.  We  believe  we're  moving  in  the  right  direction.  We’re  increasing  awareness 
among  HIV  physicians,  we’re  increasing  awareness  among  gastroenterologists,  and  we're  increasing 
utilization in the patient population. 

SUPPORTING ANIMALS 

To support our effort to become a stable, cash-flow-positive operational business supported primarily 
by growth in Mytesi sales for its current approved indication, we have, as previously announced, 
dramatically reduced our expenditures on the animal health side of the business. We are, however, 
continuing initiatives related to Canalevia (crofelemer delayed-release tablets), our drug product 
candidate for chemotherapy-induced diarrhea (CID) in dogs, as well as Equilevia and Neonorm, our non-
prescription products for total gut health in dairy calves, foals, and equine athletes.  

As previously announced, Jaguar has received Minor Use in a Minor Species (MUMS) designation, per 
the requirements of The Minor Use and Minor Species Animal Health Act of 2004 (MUMS Act), for 
Canalevia for CID in dogs. To obtain conditional approval of a MUMS drug, a company must submit CMC, 
Environmental Impact, and Target Animal Safety data identical to that required for a new animal drug 
application (NADA) as well as data suggesting a reasonable expectation of effectiveness. After the 
submission and the review of the application, the FDA through the FDA’s Center for Veterinary Medicine 
(CVM) can then grant a conditional approval (CA-1). This approval allows for commercialization of the 
product, while the sponsor continues to collect the substantial evidence of effectiveness required for a 
full NADA approval. A sponsor that gains approval or conditional approval for a MUMS-designated drug 
then receives seven years of marketing exclusivity.  

We believe there is an important unmet medical need for the treatment of CID in dogs. Certain cancer 
treatment agents provided to dogs are human drugs, or have the same mechanism of action as human 
cancer drugs, and these agents and mechanisms of action often have meaningful rates of diarrhea in 
humans as well. 

As announced March 20, 2019, Jaguar has now completed three of the four required technical 
sections—the CMC, Effectiveness, and Environmental Impact technical sections—of the Company’s 
application for conditional approval of Canalevia for CID in dogs. We anticipate filing the Target Animal 
Safety technical section with CVM in the second quarter of this year. With receipt of conditional 
approval for this indication, we would expect to conduct the commercial launch of Canalevia for CID in 
dogs in 2020. 

Our non-prescription product line is a stable generator of moderate and recurring revenue from a solid 
inventory base and essentially no promotional effort. 

MYTESI, MYTESI, MYTESI 

At Jaguar and Napo, we continue to remain laser-focused on driving Mytesi sales. We believe Mytesi will 
be a successful, first-in-class entry to gastrointestinal care—in the U.S. and internationally—and has the 
ability to grow long-term and remain exclusively on the market for that long-term growth. I am 
extremely pleased with our achievements in 2018 and grateful for the ongoing support and dedication 
of our employees, stockholders, and all our stakeholders as we continue efforts to grow sales and 
progress multiple possible follow-on indications for Mytesi. 

Sincerely, 

Lisa A. Conte 
Chief Executive Officer & President 
May 1, 2019 

 
 
 
 
 
 
 
 
 
 
 
 
 
About Mytesi® 
Mytesi® (crofelemer) is an antidiarrheal indicated for the symptomatic relief of noninfectious diarrhea in 
adult patients with HIV/AIDS on antiretroviral therapy (ART). Mytesi® is not indicated for the treatment 
of infectious diarrhea. Rule out infectious etiologies of diarrhea before starting Mytesi®. If infectious 
etiologies are not considered, there is a risk that patients with infectious etiologies will not receive the 
appropriate therapy and their disease may worsen. In clinical studies, the most common adverse 
reactions occurring at a rate greater than placebo were upper respiratory tract infection (5.7%), 
bronchitis (3.9%), cough (3.5%), flatulence (3.1%), and increased bilirubin (3.1%). 

See full Prescribing Information at Mytesi.com. Crofelemer, the active ingredient in Mytesi®, is a 
botanical (plant-based) drug extracted and purified from the red bark sap of the medicinal Croton 
lechleri tree in the Amazon rainforest. Napo has established a sustainable harvesting program for 
crofelemer to ensure a high degree of quality and ecological integrity. 

Important Additional Information 
You are urged to read the proxy statement filed with the SEC on April 29, 2019 related to Jaguar’s 2019 Annual Meeting of 
Stockholders. Free copies of the proxy statement and other documents filed by Jaguar with the SEC are available through the 
SEC’s web site at www.sec.gov. In addition, the proxy statement and related materials may also be obtained free of charge 
from Jaguar by directing such requests to: Jaguar Health, Inc., Attention: Karen S. Wright, 201 Mission Street, Suite 2375, San 
Francisco, CA 94105 (415.371.8300 phone). Jaguar and certain of its directors and executive officers may be deemed to be 
participants in the solicitation of proxies. 

Forward-Looking Statements 
Certain statements in this Stockholders Letter constitute “forward-looking statements.” These include statements regarding the 
likelihood of meaningfully greater sales and increasing medically appropriate utilization in the target patient population in 
2019, the Company’s plans to become a stable, cash flow-positive business supported primarily by growth in sales of 
crofelemer, under the trade name Mytesi, for its current approved indication, the Company’s plans to drive further growth by 
initiating business development deals to secure non-dilutive funding to progress the Company’s pipeline of potential follow-on 
indications for Mytesi, the belief that the Company’s pipeline will fuel long-term value creation for investors and provide non-
dilutive funding opportunities for partner collaborations around the globe, the expectation that Napo will continue its 
interactions with the FDA and incorporate the input from the Company’s dialog with the FDA into the protocol for the planned 
Phase 3 clinical trial in cancer subjects to evaluate the effects of Mytesi (crofelemer) in prevention and/or relief of CTD, the 
expectation that interim results from the HALT D study will be read out in the first half of 2019, the belief that the studies in 
dogs receiving TKIs will provide additional scientific rationale and support for the use of crofelemer in providing symptomatic 
relief of noninfectious diarrhea in human patients receiving TKI-containing regimens in future human clinical investigations, the 
belief that lechlemer may support efforts to receive a PRV from the FDA for the possible cholera indication, the belief that 
lechlemer represents a long-term pipeline opportunity as a second-generation anti-secretory agent, on a global basis, for 
multiple gastrointestinal diseases, the belief that lechlemer may enjoy an exclusivity opportunity under botanical guidance, the 
Company’s plans to conduct a study in association with ICDDR to support development of lechlemer for the potential cholera 
indication, the belief that there is an important unmet medical need for the treatment of CID in dogs, the expectation that the 
Company will file the Target Animal Safety technical section with CVM for the potential CID indication for Canalevia in dogs in 
the second quarter of this year, the expectation that, with receipt of conditional approval for the CID indication for Canalevia in 
dogs, the Company will conduct the commercial launch of Canalevia for CID in dogs in 2020, and the belief that Mytesi will be a 
successful, first-in-class entry to gastrointestinal care—in the U.S. and internationally—and has the ability to grow long-term 
and remain exclusively on the market for that long-term growth. In some cases, you can identify forward-looking statements by 
terms such as “may,” “will,” “should,” “expect,” “plan,” “aim,” “anticipate,” “could,” “intend,” “target,” “project,” 
“contemplate,” “believe,” “estimate,” “predict,” “potential” or “continue” or the negative of these terms or other similar 
expressions. The forward-looking statements in this letter are only predictions. Jaguar has based these forward-looking 
statements largely on its current expectations and projections about future events. These forward-looking statements speak 
only as of the date of this letter and are subject to a number of risks, uncertainties and assumptions, some of which cannot be 
predicted or quantified and some of which are beyond Jaguar’s control. Except as required by applicable law, Jaguar does not 
plan to publicly update or revise any forward-looking statements contained herein, whether as a result of any new information, 
future events, changed circumstances or otherwise. 

 
 
 
 
201 Mission Street, Suite 2375, San Francisco, CA 94105
(cid:2)
https://jaguar.health

Tel: 415.371.8300 

Fax: 415.371.8311

4AUG201701045346

May 1, 2019

Dear  Stockholder:

You  are  cordially  invited  to attend the 2019 Annual Meeting of Stockholders (the ‘‘Annual Meeting’’) of
Jaguar Health, Inc. (the ‘‘Company’’) to be held at 201 Mission Street, Suite 2375, San Francisco, CA 94105, on
Friday, May 24, 2019, at 8:30 a.m.,  local  time.

At  the Annual Meeting you will be asked to (i) elect three (3) Class I directors to our Board of Directors,

(ii) approve the adoption of an amendment to the Company’s Third Amended and Restated Certificate of
Incorporation (the ‘‘COI’’) to effect a reverse stock split of the Company’s issued and outstanding voting
common stock, par value $0.0001 per share (the ‘‘Common Stock’’) at a ratio not less than 1-for-30 and not
greater than 1-for-70, with the exact ratio, if approved and effected at all, to be set within that range at the
discretion of the Company’s board of directors and publicly announced by the Company on or before
November 3, 2019 without further approval or authorization of the Company’s stockholders (the ‘‘Reverse Stock
Split’’), (iii) approve an amendment of the Company’s 2014 Stock Incentive Plan (the ‘‘2014 Plan’’) to increase
the number of shares of Common Stock authorized for issuance under the 2014 Plan such that the aggregate
authorized but unissued shares under the 2014 Plan shall equal 12.5% of the issued and outstanding shares of
Common Stock on a fully diluted basis calculated as of the earlier of (A) the day immediately after the
consummation of the Company’s next underwritten public equity offering with gross proceeds of $5 million or
more or (B) July 31, 2019 (collectively, the ‘‘Calculation Date’’), contingent upon the Reverse Stock Split being
approved and effected in accordance with Proposal 3 on, or prior to, the Calculation Date, (iv) approve, for
purposes of Nasdaq Rules 5635(c) and 5635(d), the issuance of shares of Common Stock upon the exchange of
promissory notes and exercise of warrants in one or more private placement transactions, (v) approve, for
purposes of Nasdaq Rule 5635(d), the issuance of shares of Common Stock upon the exercise of a warrant
issued in connection with the cancellation of a letter of credit, and (vi) approve discretionary authority for the
Company to adjourn the Annual Meeting, if necessary, to solicit additional proxies in the event that there are
not sufficient votes at the time of the Annual Meeting to approve proposals (i)—(v).

It is important that your shares be represented and voted whether or not you plan to attend the Annual
Meeting in person. You may vote on the Internet, by telephone or by completing and mailing a proxy card or
voting instruction form. Voting over the Internet, by telephone or by mail will ensure your shares are
represented at the annual meeting. If you do attend the Annual Meeting, you may, of course, withdraw your
proxy should you wish to vote in person. Please read the enclosed information carefully before voting.

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Sincerely,

21SEP201610551301

Lisa A. Conte
Chief Executive Officer & President

 
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JAGUAR HEALTH, INC.
201 Mission Street
Suite 2375
San Francisco, CA 94105

NOTICE OF 2019 ANNUAL MEETING OF STOCKHOLDERS
To Be Held May 24, 2019

NOTICE HEREBY IS GIVEN that  the 2019 Annual Meeting of Stockholders  (the ‘‘Annual
Meeting’’) of Jaguar Health, Inc. (the  ‘‘Company’’) will  be  held at  201 Mission Street, Suite  2375, San
Francisco, CA 94105, on Friday, May 24, 2019,  at 8:30 a.m., local time, for the following purposes:

1. Electing three (3) Class I directors  (Proposal 1);

2. Approving the adoption of an amendment to the  Company’s Third Amended and

Restated Certificate of Incorporation (the ‘‘COI’’)  to  effect a reverse stock split of the  Company’s
issued and outstanding voting common stock, par  value $0.0001 per share (the ‘‘Common  Stock’’)
at a ratio not less than 1-for-30 and  not greater than 1-for-70, with the exact ratio, if approved and
effected at all, to be set within that range at  the discretion of  the  Company’s board of directors
and publicly announced by the Company  on or  before  November 3,  2019 without further approval
or authorization of the Company’s stockholders  (the ‘‘Reverse Stock Split’’) (Proposal  2);

3. Approving an amendment to the Company’s  2014 Stock  Incentive Plan  (the ‘‘2014 Plan’’)

to increase the number of shares of Common  Stock authorized for issuance under the  2014 Plan
such that the aggregate authorized but unissued shares under the 2014  Plan shall  equal 12.5% of
the issued and outstanding shares of Common Stock on  a fully diluted basis calculated  as of the
earlier of (A) the day immediately after the  consummation of the Company’s next underwritten
public equity offering with gross proceeds of $5 million or more  or  (B) July 31, 2019 (collectively,
the ‘‘Calculation Date’’), contingent upon the Reverse Stock Split being approved and effected in
accordance with Proposal 2 on, or prior to, the  Calculation Date (Proposal 3);

4. Approving, for purposes of Nasdaq Rules 5635(c)  and 5635(d),  the issuance of shares  of

Common Stock upon the exchange of  promissory notes and exercise of warrants  in one or more
private  placement transactions (Proposal 4);

5. Approving, for purposes of Nasdaq Rule  5635(d),  the issuance of shares  of Common
Stock upon the exercise of a warrant  issued in connection  with the cancellation of a  letter of credit
(Proposal  5);

6. Approving a proposal to grant discretionary  authority to adjourn the Annual Meeting, if

necessary, to solicit additional proxies in the  event that there are not sufficient  votes  at the  time of
the Annual Meeting to approve Proposals 1-5 (Proposal 6);  and

7.

Such other business as properly may come  before  the Annual Meeting or any

adjournment or postponement thereof.

The board of directors is not aware of  any other business to be presented to a  vote  of the

stockholders at the Annual Meeting.  Information  relating to the  above matters is  set forth in  the
attached Proxy Statement. Stockholders  of record at the close of business  on March  27, 2019 are
entitled to receive notice of and to vote  at the  Annual Meeting and any adjournment  or postponement
thereof.

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By Order of the Board of Directors.

21SEP201610551301

Lisa A. Conte
Chief Executive Officer & President

San Francisco, California
May 1, 2019

 
Information relating to the above matters is set forth  in the attached Proxy  Statement.

Stockholders of record at the close of  business on  March 27,  2019 are entitled to receive notice of and
to vote at the Annual Meeting and any  adjournment  or postponement thereof. If  you have  questions
concerning the proposals in the Proxy Statement, would like additional  copies of the Proxy Statement
or need help in voting your shares of Common  Stock, please  contact our proxy solicitor
Georgeson LLC at 866-821-0284.

Important Notice Regarding the Availability of Proxy Materials for the Stockholder Meeting to be  Held
on May 24, 2019. The proxy materials are available at
https://jaguarhealth.gcs-web.com/financial-information/annual-reports

PLEASE CAREFULLY READ THE PROXY STATEMENT. EVEN IF YOU  EXPECT TO ATTEND THE
ANNUAL MEETING, PLEASE PROMPTLY  COMPLETE, EXECUTE, DATE AND RETURN THE
ENCLOSED PROXY CARD OR VOTING  INSTRUCTION FORM  IN THE  ACCOMPANYING
POSTAGE-PAID ENVELOPE. NO POSTAGE  IS NECESSARY IF MAILED IN  THE UNITED
STATES. YOU MAY ALSO VOTE ELECTRONICALLY VIA  THE  INTERNET OR BY TELEPHONE
BY FOLLOWING THE INSTRUCTIONS ON  THE ENCLOSED PROXY  CARD  OR  VOTING
INSTRUCTION FORM. IF YOU VOTE BY INTERNET OR TELEPHONE, THEN YOU NEED NOT
RETURN A WRITTEN PROXY CARD  OR VOTING  INSTRUCTION FORM  BY MAIL.
STOCKHOLDERS WHO ATTEND THE  ANNUAL MEETING MAY REVOKE THEIR PROXIES AND
VOTE IN PERSON IF THEY SO DESIRE (AS  DESCRIBED BELOW).

JAGUAR HEALTH, INC.
201 Mission Street
Suite 2375
San Francisco, CA 94105

PROXY STATEMENT

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FOR THE 2019 ANNUAL MEETING OF STOCKHOLDERS
To Be Held May 24, 2019

GENERAL INFORMATION ABOUT THE ANNUAL MEETING

We  are furnishing this Proxy Statement to our  stockholders in connection  with the solicitation of
proxies by our board of directors to be voted at the 2019  Annual Meeting of  Stockholders (the ‘‘Annual
Meeting’’) and at any adjournment or postponement thereof.  The Annual  Meeting will be held  at 201
Mission Street, Suite 2375, San Francisco, CA 94105, on Friday, May 24, 2019, at 8:30  a.m., local time.

When used in this Proxy Statement,  the terms the  ‘‘Company,’’ ‘‘we,’’ ‘‘us,’’ ‘‘our’’ and  ‘‘Jaguar’’

refer to Jaguar Health, Inc.

The Securities and Exchange Commission (‘‘SEC’’) rules require  us to provide an annual  report to

stockholders who receive this Proxy Statement.  Accordingly, we have enclosed our  Annual  Report  on
Form 10-K for the fiscal year ended December  31, 2018  (the ‘‘Annual Report’’), which  was  filed on
April 10, 2019, with this Proxy Statement, and we will also  provide copies of such  documents to
brokers, dealers, banks, voting trustees  and  their  nominees for the benefit of  their beneficial  owners of
record. Pursuant to rules adopted by  the SEC, the Company is also providing access to its proxy
materials over the Internet. All stockholders will have the  ability  to  access the  proxy materials at
https://jaguarhealth.gcs-web.com/financial-information/annual-reports.

The date on which the Notice of 2019  Annual Meeting of Stockholders, this Proxy Statement, the

Annual Report and form of proxy card  or voting instruction  form  are  first being sent or given to
stockholders  is  on  or  about  May 1,  2019.

Record  Date

GENERAL INFORMATION ABOUT VOTING

As of March 27, 2019, the record date  for the Annual Meeting  (the  ‘‘Record Date’’), 59,415,042

shares  of  our  voting  common  stock,  par  value  $0.0001  per  share  (the  ‘‘Common  Stock’’),  and  5,524,926
shares of our Series A Convertible Participating  Preferred Stock, par value $0.0001 per share (the
‘‘Preferred Stock’’), were issued and  outstanding. Only  holders of record of  our  Common Stock and our
Preferred Stock as of the close of business  on the record  date  are  entitled to notice of, and to vote at,
the Annual Meeting or at any adjournment or postponement thereof.  A list of such  holders will  be
open to the examination of any stockholder  for any purpose germane to the meeting  at Jaguar

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Health, Inc., 201 Mission Street, Suite  2375, San Francisco, CA 94105 for a  period of ten  (10) days
prior to the Annual Meeting. The list  of  stockholders will also  be  available  for such examination at the
Annual Meeting. In addition, as of March 27,  2019, 40,301,237 shares of our non-voting  common stock
were outstanding, but these shares will have no voting  rights with  respect to any of the proposals  being
considered at the Annual Meeting. Each share of non-voting common stock  is convertible  into
one-fifteenth  (1/15th) of a share of Common Stock at the election  of  the holder  thereof or automatically
upon transfer to anyone that is not Nantucket Investments Limited or an affiliated investment fund.
The use of the capitalized term ‘‘Common Stock’’ in this Proxy Statement  and related materials refers
only to the Company’s voting common stock  and does not include the  Company’s convertible
non-voting  common  stock.

Voting, Quorum and Revocability of Proxies

Each  share of Common Stock entitles the holder of record thereof to one vote. Each share of

Preferred Stock entitles the holder of record thereof to 0.574 votes (on an  as converted to Common
Stock basis, calculated assuming that the  conversion price  for  the Preferred Stock  for this purpose only
is $2.9025 (subject to appropriate adjustment  in the event  of any stock dividend, stock  split, reverse
stock split, combination or other similar  recapitalization) as a result of limitations  imposed by Nasdaq
Listing Rule 5640 (the ‘‘Nasdaq Voting  Limitations’’)) (as provided in the Certificate of Designation of
the Series A Convertible Participating Preferred  Stock (as amended,  the ‘‘Certificate of Designation’’)).
No other securities are entitled to be voted at the  Annual Meeting. Each stockholder holding Common
Stock or Preferred Stock may vote in person or  by proxy  on all matters that properly come before the
Annual Meeting and any adjournment or  postponement thereof (except as otherwise described below).

Stockholders have no right to cumulative voting as to any matter,  including the  election of

directors.

The presence, in person or by proxy,  of stockholders entitled  to  vote a majority of the shares of
Common Stock and Preferred Stock  (on an as  converted  to Common Stock  basis subject  to  the Nasdaq
Voting Limitations) outstanding on the Record Date will  constitute a quorum for purposes of voting at
the Annual Meeting. Properly executed  proxies marked ‘‘ABSTAIN’’ or  ‘‘WITHHOLD AUTHORITY,’’
as well as broker non-votes, will be counted as  ‘‘present’’ for purposes of determining the  existence of a
quorum. If a quorum should not be present, the Annual Meeting may be adjourned from time to time
until a quorum is obtained.

Our board of directors is soliciting proxies for use in connection with the  Annual  Meeting and any

postponement or adjournment thereof.  If you vote your  shares via the Internet  or by telephone or
execute and return the proxy card or  voting instruction form accompanying this Proxy Statement, your
shares will be voted as you direct on all matters properly coming before the  Annual Meeting for a vote.
For Proposals 1, 2, 3, 4, 5, and 6, you may vote ‘‘FOR, ‘‘AGAINST’’ or ‘‘ABSTAIN.’’

If your shares are registered directly  in your  name with our  transfer agent, Computershare Trust

Company, N.A. (the ‘‘Transfer Agent’’),  you are  considered, with respect  to those shares,  the
stockholder of record. As the stockholder of record, you have  the right to grant  your proxy directly to
the Company or to vote your shares in person  at the  Annual Meeting. If  you  hold  your shares  in a
stock brokerage account or through a bank or other  financial intermediary, you are considered the
beneficial owner of shares held in street name. Your  bank,  broker or other  financial  intermediary is
considered, with respect to those shares, the stockholder of record. As  the beneficial owner, you  have
the right to direct your bank, broker  or other  financial intermediary on  how to vote your shares, but
because you are not the stockholder  of  record, you  may not vote these  shares in person at the Annual
Meeting unless you obtain a signed proxy from the record  holder giving you  the right to vote the
shares. As a beneficial owner, you are,  however, welcome to attend the Annual Meeting.

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Even if you plan to attend the Annual  Meeting,  we recommend that  you also  submit  your proxy as

described in the proxy card or voting instruction form, so that your vote  will be counted if you later
decide not to attend the Annual Meeting. Submitting your  proxy  now  will not prevent  you from  voting
your shares in person by written ballot  at the Annual Meeting if  you  desire to do so, as your  proxy is
revocable at your option.

You may revoke your proxy by (a) delivering to the  Secretary of the Company at  or before  the
Annual Meeting a written notice of revocation bearing a later  date than the  proxy, (b)  duly  executing a
subsequent proxy and delivering it to  the Secretary of the  Company at or before the Annual Meeting
or (c) attending the Annual Meeting  and voting in person (although attendance at the Annual Meeting
will not in and of itself constitute revocation of a proxy). Any  written notice revoking a proxy should be
delivered at or prior to the Annual Meeting to: Jaguar Health,  Inc., 201 Mission Street, Suite 2375, San
Francisco, CA 94105, Attention: Karen S. Wright. Beneficial owners of our Common Stock who are  not
holders  of record and wish to revoke  their proxy should contact their bank, brokerage  firm  or other
custodian, nominee or fiduciary to inquire about how  to  revoke their proxy.

The shares represented by all valid proxies received will be voted in the manner specified. Where
specific  choices are not indicated on  a validly executed  and delivered  proxy, the shares  represented by
such proxy will be voted: (i) ‘‘FOR’’  the nominees  for director named in this Proxy  Statement,
(ii) ‘‘FOR’’ the approval of the amendment  to  the Company’s Third Amended and Restated  Certificate
of Incorporation (the ‘‘COI’’) to effect a reverse  stock split of the Company’s  issued and  outstanding
Common Stock at  a ratio of not less than  1-for-30 and not greater  than 1-for-70, with the exact ratio, if
approved and effected at all, to be set  within that range at the discretion  of  the Company’s  board of
directors and publicly announced by the  Company  on or  before November 3, 2019  without further
approval or authorization of the Company’s stockholders (the ‘‘Reverse Stock  Split’’), (iii) ‘‘FOR’’  the
approval of an amendment to the Company’s 2014 Stock Incentive Plan (the ‘‘2014  Plan’’) to increase
the number of shares of Common Stock  authorized  for issuance under the 2014  Plan  such that the
aggregate authorized but unissued shares under the  2014 Plan shall equal 12.5%  of the issued and
outstanding shares of Common Stock on  a fully diluted basis calculated as of the earlier  of (A)  the day
immediately after the consummation of the Company’s next underwritten  public  equity offering  with
gross  proceeds of $5 million or more or  (B) July  31, 2019 (collectively, the  ‘‘Calculation  Date’’),
contingent upon the Reverse Stock Split being approved and effected in accordance with Proposal 2  on,
or prior to, the Calculation Date, (iv)  ‘‘FOR’’  the approval, for purposes of Nasdaq Rules 5635(c) and
5635(d), of the issuance of shares of Common  Stock upon the exchange of promissory notes  and
exercise of warrants in one or more private placement transactions, (v)  ‘‘FOR’’  the approval, for
purposes  of Nasdaq Rule 5635(d), the issuance of  shares of Common  Stock upon the exercise of a
warrant issued in connection with the cancellation of  a letter of  credit, and (vi) ‘‘FOR’’  the approval of
discretionary authority to adjourn the Annual Meeting, if necessary, to solicit additional proxies  in the
event that there are not sufficient votes  at the  time of  the Annual Meeting  to  approve  Proposals 1-5.

We  will bear all expenses of this solicitation, including the cost of preparing and  mailing this Proxy

Statement. We have retained Georgeson LLC  to  solicit proxies for a base  fee of  $7,500 plus
reimbursement of reasonable out-of-pocket expenses. In addition to solicitation by use  of the mail,
proxies may be solicited by telephone, facsimile  or personally by our directors, officers and employees,
who will receive no extra compensation  for their services. We  will reimburse banks, brokerage firms
and other custodians, nominees and fiduciaries for  reasonable expenses  incurred by them in sending
proxy soliciting materials to beneficial  owners of shares of Common  Stock.

Broker Voting

Brokers holding shares of record in ‘‘street name’’  for a  client have  the discretionary authority to

vote on some matters (routine matters) if they  do  not  receive instructions from  the client regarding
how the client wants the shares voted  at  least 10 days before the  date of the meeting; provided the

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proxy materials are transmitted to the  client at  least 15 days before the meeting. There are  also some
matters with respect to which brokers  do not have  discretionary  authority to vote (non-routine matters)
if they do not receive timely instructions  from  the client. When a broker does not have discretion to
vote on a particular matter and the client  has  not  given timely instructions on how the  broker  should
vote, a broker non-vote results. Any broker non-vote will be counted as present  at the Annual Meeting
for purposes of determining a quorum, but will be treated as  not entitled to vote with respect to
non-routine  matters.

The proposal to approve the amendment  to  the COI to effect the Reverse  Stock Split

(Proposal 2), and the proposal to approve  discretionary authority for the Company  to  adjourn the
Annual Meeting, if necessary, to solicit  additional proxies in the event there are  not  sufficient votes at
the time of the Annual Meeting to approve Proposals 1  through 5 (Proposal 6) are considered routine
matters and brokers will be permitted  to  vote  in their discretion on  these matters on  behalf of clients
who have not furnished voting instructions  at least  10 days before the date of the Annual Meeting. In
contrast, the proposal to elect directors  (Proposal  1),  the proposal  to  approve an  increase in the
number of shares of Common Stock authorized for issuance under  the 2014 Plan, contingent upon the
Reverse Stock Split being approved and effected (Proposal 3),  the proposal to approve,  for purposes of
Nasdaq Rules 5635(c) and 5635(d), the issuance of shares  of Common Stock  upon the  exchange of
promissory notes and exercise of warrants issued in  one  or more private placement transactions
(Proposal 4), and the proposal to approve, for  purposes of  Nasdaq Rule 5635(d), the issuance of shares
of Common Stock upon the exercise of a warrant issued in connection with the cancellation of a letter
of credit (Proposal 5) are not considered  ‘‘routine’’ items and brokers  do not have  discretionary
authority to vote on behalf of clients  on such matters.

Required  Vote

Proposal 1—Election of Class I Directors

With respect to the proposal to elect directors (Proposal 1),  you  may vote in favor of all nominees,
withhold your vote as to all nominees or  vote in  favor of or  withhold your vote as to specific nominees.
The vote required to approve Proposal  1  is  governed by Delaware law, our  COI and  our  Bylaws and is
a plurality of the votes cast by the holders of shares represented and entitled to vote at  the Annual
Meeting, provided a quorum is present. As  a result, in  accordance with  Delaware law, votes that are
withheld will be counted in determining  whether a quorum is  present  but will have no other effect on
the election of directors. Stockholders  have no  right to cumulative voting as  to  any matter, including
the election of directors.

The Preferred Stock shall not be entitled  to  vote  with respect to Proposal  1.

Proposal 2—Adoption of the Amendment  to  the COI  to effect the Reverse  Stock Split

With respect to the proposal to approve the  Amendment to the COI to effect  the Reverse Stock

Split, you may vote in favor of the proposal, vote against the proposal or  abstain from  voting.

The vote required to approve Proposal  2 is  governed by Delaware law, our  COI and  our  Bylaws
and is the affirmative vote of the holders of a majority of the outstanding shares of  Common Stock and
Preferred Stock (on an as converted  to  Common  Stock basis subject to the Nasdaq Voting Limitations)
as of  the record date, present in person  or  represented by  proxy  at  the Annual  Meeting and entitled  to
vote, voting together as a single class.  As  a  result, abstentions will have the  same practical effect as a
vote against Proposal 2.

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Proposal 3—Increase the Number of Authorized Shares under  the  2014 Plan

With respect to the proposal to approve an amendment to the 2014 Plan to increase the number

of shares of Common Stock authorized for issuance under the 2014 Plan such that the aggregate
authorized but unissued shares under  the 2014  Plan  shall equal 12.5% of  the issued and outstanding
shares of Common Stock on a fully diluted  basis calculated as  of  the earlier of (A) the day  immediately
after the consummation of the Company’s  next underwritten public equity offering with  gross proceeds
of $5  million  or more or (B) July 31,  2019, contingent upon the Reverse Stock  Split being approved
and effected in accordance with Proposal  2  on, or  prior to, the Calculation Date,  you may  vote  in favor
of the proposal, vote against the proposal or abstain from  voting.

The vote required to approve Proposal  3 is  governed by Delaware law, Nasdaq  Listing Rules,  our
COI and our Bylaws and is the affirmative  vote of the holders of a majority of votes cast  affirmatively
or negatively in person or by proxy at the Annual Meeting  and entitled to vote. As  a result, abstentions
will be considered  in determining whether a  quorum is present but  will have no effect  on the vote for
Proposal  3.

Proposal 4—Issuance of Shares of Common Stock Upon Exchange of Promissory  Notes and  Exercise of

Warrants for Purposes of Nasdaq Listing  Rules 5635(c) and 5635(d)

With  respect  to  the  proposal  to  approve,  for  purposes  of  Nasdaq  Rules  5635(c)  and  5635(d),  the
issuance of shares of Common Stock  upon the  exchange of promissory notes and  exercise of warrants
in one or more private placement transactions, you  may vote in favor  of  the proposal,  vote  against the
proposal or abstain from voting.

The vote required to approve Proposal  4 is  governed by Delaware law, the Nasdaq Listing  Rules,

our  COI and our Bylaws and is the affirmative  vote  of  the holders of a majority of the votes  cast
affirmatively or negatively in person or by proxy at the Annual Meeting and  entitled to vote, provided a
quorum is present. As a result, abstentions  will be considered in determining whether a quorum is
present  but will have no effect on the  vote for Proposal  4.

Proposal 5—Issuance of Shares of Common Stock Upon Exercise of  a Warrant for Purposes of Nasdaq

Listing Rule 5635(d)

With respect to the proposal to approve, for purposes  of Nasdaq Rule 5635(d), the  issuance  of
shares of Common Stock upon the exercise  of  a warrant issued in connection with the  cancellation of a
letter of credit, you may vote in favor of the  proposal, vote against the proposal or  abstain from  voting.

The vote required to approve Proposal  5 is  governed by Delaware law, the Nasdaq Listing  Rules,

our  COI and our Bylaws and is the affirmative  vote  of  the holders of a majority of the votes  cast
affirmatively or negatively in person or by proxy at the Annual Meeting and  entitled to vote, provided a
quorum is present. As a result, abstentions  will be considered in determining whether a quorum is
present  but will have no effect on the  vote for Proposal  5.

Proposal  6—Adjournment

With respect to the proposal to grant  discretionary authority to adjourn the Annual Meeting, if
necessary, to solicit additional proxies  in the  event that there are not sufficient  votes  at the  time of the
Annual Meeting to approve Proposals 1 through 5,  you may vote in favor of the  proposal, vote against
the proposal or abstain from voting.  The vote  required to approve Proposal 6  is governed by Delaware
law, our COI and our Amended and  Restated Bylaws and is  the affirmative  vote  of the holders of a
majority of votes cast affirmatively or  negatively  (excluding abstentions  and  broker non-votes),  provided
a quorum is present. As a result, abstentions  will  be  considered in  determining whether a quorum is
present  but will have no effect on the  vote for Proposal  6.

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NO DISSENTERS’ RIGHTS

The corporate action described in this  Proxy  Statement will not afford  to  stockholders the

opportunity to dissent from the actions  described  herein  and receive an agreed  or judicially appraised
value for their shares of Common Stock.

CAUTIONARY STATEMENT REGARDING FORWARD-LOOKING STATEMENTS

The  statements  in  this  Proxy  Statement  that  are  not  historical  statements,  including  statements

regarding  future  capital-raising  activities  and  expected  use  of  proceeds  therefrom,  our  estimates
regarding expenses, future revenues, capital  requirements,  needs for additional financing, our ability to
obtain  additional  financing,  our  success  with  regard  to  any  business  development  initiatives,  our  ability
to recruit or retain key scientific or management personnel or to retain our executive officers, our stock
price and ability to meet the continued listing requirements  of The NASDAQ Capital  Market, and any
other  statements  regarding  our  future  expectations,  beliefs,  plans,  objectives,  financial  conditions,
assumptions  or  future  events  or  performance  that  are  not  historical  facts,  are  forward-looking
statements within the meaning of the federal securities laws. These statements  are subject to numerous
risks  and  uncertainties,  many  of  which  are  beyond  our  control,  which  could  cause  actual  results  to
differ  materially  from  the  results  expressed  or  implied  by  the  statements.  We  describe  risks  and
uncertainties that could cause actual results and events  to  differ materially in the  ‘‘Risk Factors’’ and
‘‘Management’s Discussion and Analysis of Financial  Condition and Results  of  Operations’’ section of
our  annual report on Form 10-K for the  year ended December 31, 2018 (the  ‘‘Annual Report’’).

Any  forward-looking  statements  should  be  considered  in  light  of  such  important  factors.  We
undertake  no  obligation  to  revise  or  update  publicly  any  forward-looking  statements  for  any  reason.
Readers are cautioned not to place undue reliance on any forward-looking statement, which speaks
only as of the date on which such statement is made.

All  subsequent  written  and  oral  forward-looking  statements  concerning  the  matters  addressed  in

this Proxy Statement and attributable  to  us or  any person acting  on our behalf are expressly  qualified
in their entirety by the cautionary statements  contained or referred to in this  Proxy Statement.

6

SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND  MANAGEMENT

The following table sets forth information  regarding the beneficial  ownership of shares  of our

Common  Stock  as  of  March  27,  2019  for:

• each person known to us to be the beneficial owner  of more than 5% of our outstanding shares

of Common Stock;

• each of our named executive officers;

• each of our directors; and

• all directors and named executive officers as  a group.

Information with respect to beneficial ownership has been furnished by  each  director, executive
officer or beneficial owner of more than 5%  of our Common Stock.  Beneficial  ownership  is determined
in accordance with the rules of the SEC  and generally includes  voting and investment power with
respect to the securities. Except as otherwise provided by  footnote,  and subject to applicable
community property laws, the persons  named  in the table have sole voting  and investment  power  with
respect to all shares of Common Stock  shown as  beneficially owned by  them. The number of shares of
Common Stock used to calculate the percentage ownership of each listed person includes  the shares of
Common Stock underlying options or  warrants or convertible  securities held by such persons that are
currently  exercisable  or  convertible  or  exercisable  or  convertible  within  60  days  of  March  27,  2019,  but
are not treated as outstanding for the purpose  of computing the percentage  ownership of any  other
person.

Percentage of beneficial ownership is based  on 59,415,042 shares of  Common Stock and

5,524,926 shares of Preferred Stock outstanding  as of March  27, 2019. Each share  of Preferred Stock is
convertible into approximately six (6) shares of Common  Stock.

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Except as otherwise set forth below, the address  of each beneficial owner listed in  the table below

is c/o Jaguar Health, Inc., 201 Mission  Street, Suite  2375, San Francisco, California 94105.

Name  and address of beneficial owner

5% Stockholders:
Sagard Capital Partners, L.P.(1) . . . . . . . . . . . . . . . . .
Kingdon Capital Management, L.L.C.(2) . . . . . . . . . . .
Chicago Venture Partners L.P.(3) . . . . . . . . . . . . . . . .
Oasis Capital, LLC(4) . . . . . . . . . . . . . . . . . . . . . . . .
Named executive officers and directors:
Lisa A. Conte(5) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Steven R. King, Ph.D(6) . . . . . . . . . . . . . . . . . . . . . .
Karen S. Wright(7) . . . . . . . . . . . . . . . . . . . . . . . . . .
James J. Bochnowski(8) . . . . . . . . . . . . . . . . . . . . . . .
Jeffery C. Johnson(9) . . . . . . . . . . . . . . . . . . . . . . . . .
John Micek III(10) . . . . . . . . . . . . . . . . . . . . . . . . . .
Jiahao Qui(11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Jonathan B. Siegel(12) . . . . . . . . . . . . . . . . . . . . . . . .
Greg Divis(13) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Murray  David MacNaughtan(14) . . . . . . . . . . . . . . . .
All current executive officers and directors as a  group

Voting Common Stock

Series A Convertible
Participating Preferred
Stock

Number of
Shares
Beneficially
Owned

Percentage
of
Shares
Beneficially
Owned

Number of
Shares
Beneficially
Owned

Percentage
of
Shares
Beneficially
Owned

33,149,556
2,732,623
2,606,934
2,356,199

26.37% 5,524,926
—
4.40%
—
4.20%
—
5.52%

100%
—
—
—

371,846
130,561
84,603
215,334
40,196
82,281
7,970
80,196
31,458
31,458

*
*
*
*
*
*
*
*
*
*

—
—
—
—
—
—
—
—
—
—

—

—
—
—
—
—
—
—
—
—
—

—

(10 persons)(15) . . . . . . . . . . . . . . . . . . . . . . . . . . .

1,075,903

1.81%

*

Less than 1%.

(1) Represents  33,149,556  shares  of  Common  Stock  issuable  upon  conversion  of  shares  of  Preferred

Stock that are convertible at any time, which  shares would be entitled to  3,169,338 votes as further
discussed  elsewhere  in  this  Proxy  Statement.  The  address  for  Sagard  Capital  Partners, L.P.  is
280 Park Avenue, 3rd Floor West, New York,  NY 10017.

(2) As reported on Form 13G/A filed  on  February 8, 2019.  The address  for the  reporting person is

152 West 57th Street,  50th Floor, New York, NY 10019.

(3) As reported on Form 13G/A filed on  March 19, 2019. The address for the reporting person  is

303 East Wacker Drive, Suite 1040, Chicago,  IL 60601.

(4) As reported on Form 13G filed on  March 29, 2019.  The address  for  the reporting person is

208 Ponce de Leon Ave., Ste. 1600, San  Juan, Puerto Rico, 00918.

(5) Represents (i) 2,253 shares of Common Stock and (ii)  369,593 shares of Common Stock issuable to
Ms. Conte under stock options that are exercisable or will become exercisable within 60 days  of
March  27,  2019.  The  weighted  average  exercise  price  of  the  369,593  stock  options  is  $6.82.

(6) Represents (i) 442 shares of Common Stock and (ii) 130,119 shares  of Common Stock issuable  to
Dr. King under stock options that are exercisable or  will become  exercisable  within 60  days of
March  27,  2019.  The  weighted  average  exercise  price  of  the  130,119  stock  options  is  $6.72.

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(7) Represents 84,603 shares of Common Stock  issuable to Ms. Wright under  stock options  that  are
exercisable  or  will  become  exercisable  within  60  days  of  March  27,  2019.  The  weighted  average
exercise price of the 84,603 stock options is $5.94.

(8) Includes (i) 72,503 shares of Common Stock  and  (ii) 142,831 shares of Common Stock issuable to
Mr. Bochnowski under stock options that are  exercisable or will become exercisable  within 60 days
of March 27, 2019. All securities other than stock options  are held by the  Bochnowski Family
Trust. Mr. Bochnowski is a co-trustee and beneficiary of such  trust and  shares voting and
investment control over such shares with his  spouse. The weighted average  exercise price of the
142,831 stock options is $4.94.

(9) Represents 40,196 shares of Common Stock  issuable to Mr. Johnson  under stock options that are
exercisable or will become exercisable within 60 days  of  March 27,  2019. Mr. Johnson is one of
Sagard’s  two director designees in accordance with the terms of  the Company’s  Certificate  of
Designation of Series A Convertible Participating Preferred Stock and  is part  of  the Sagard
executive  management  team.  The  weighted  average  exercise  price  of  the  40,196  stock  options  is
$2.38.

(10) Represents 82,281 shares of Common Stock  issuable to Mr. Micek under stock options that are
exercisable  or  will  become  exercisable  within  60  days  of  March  27,  2019.  The  weighted  average
exercise price of the 82,281 stock options is $4.34.

(11) Represents 7,970 shares of Common  Stock  issuable to Mr. Qui under stock options that are

exercisable  or  will  become  exercisable  within  60  days  of  March  27,  2019.  The  weighted  average
exercise price of the 7,970 stock options is $8.55.

(12) Represents (i) 40,000 shares of Common Stock and (ii)  40,196 shares of Common Stock issuable to
Mr. Siegel under stock options that are exercisable  or will become exercisable  within 60 days of
March  27,  2019.  The  weighted  average  exercise  price  of  the  40,196  stock  options  is  $2.38.

(13) Represents 31,458 shares of Common Stock  issuable to Mr. Divis  under stock options that are
exercisable  or  will  become  exercisable  within  60  days  of  March  27,  2019.  The  weighted  average
exercise price of the 31,458 stock options is $1.36.

(14) Represents 31,458 shares of Common Stock  issuable to Mr. MacNaughtan under  stock  options  that

are  exercisable  or  will  become  exercisable  within  60  days  of  March  27,  2019.  Mr.  MacNaughtan  is
one of Sagard’s two director designees in accordance with the terms of the Company’s Certificate
of Designation of Series A Convertible  Participating  Preferred  Stock.  The weighted average
exercise price of the 31,458 stock options is $1.36.

(15) See footnotes (5) - (14).

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Nominees

PROPOSAL 1—ELECTION OF DIRECTORS

Our Board of Directors currently consists of  eight (8)  members,  James  J. Bochnowski,  Lisa A.
Conte, Jeffery C. Johnson, Greg J. Divis, John  Micek  III,  Jiahao Qui,  Jonathan  B. Siegel,  and Murray
David MacNaughtan, who are divided  into  three classes with staggered  three-year terms. The Board
has nominated James J. Bochnowski,  Lisa  A.  Conte  and Jonathan B. Siegel  for re-election  as Class I
directors. If elected as a Class I director at  the Annual  Meeting,  each of the nominees  will serve and
hold office for a three-year term expiring  in 2022.

Each  of the nominees has consented  to  continue his/her service  as a  director if elected. If any of

the nominees should be unavailable to serve for any  reason  (which is not anticipated),  the Board of
Directors may designate a substitute  nominee  or nominees (in which event the  persons named on the
enclosed proxy card will vote the shares  represented by all valid proxy cards  for the  election of such
substitute nominee or nominees), allow the vacancies to remain open  until a suitable candidate or
candidates are located, or by resolution provide for a lesser number of  directors or fill the position. All
of the nominees for director are, at present, directors of Jaguar and  have been nominated by our
Nominating and Corporate Governance  Committee and  ratified by  our full Board.

Vote Required

The vote required to approve Proposal  1 is  the plurality of the votes cast by the holders  of shares

of Common Stock represented and entitled to vote at  the Annual Meeting, provided  a quorum is
present  and provided further that holders  of Preferred  Stock are not  entitled to vote for Class  I
directors pursuant to Proposal 1. As a result, in  accordance with Delaware law, votes that are  withheld
will be counted in determining whether a quorum is present but will have no other effect on  the
election of directors. Stockholders have  no right to cumulative voting as to any matter, including  the
election of directors.

The Board of Directors unanimously  recommends that the stockholders vote ‘‘FOR’’ Proposal

No. 1 to elect James J. Bochnowski, Lisa  A. Conte  and Jonathan B. Siegel as Class I directors.

Information Regarding the Board of  Directors and  Director Nominees

The following table lists our directors and proposed  director  nominees, their  respective ages and

positions  as  of  March  27,  2019:

Name

Age

Position

James J. Bochnowski(1)(2)(3) . . . . . .

75 Chairman of the Board (Class I)

Lisa A. Conte . . . . . . . . . . . . . . . . . .

60 Chief Executive Officer, President and

Director (Class I)

Jeffery C. Johnson(2)(3) . . . . . . . . . .

47 Director (Class III)

Greg J. Divis . . . . . . . . . . . . . . . . . .

52 Director (Class III)

John Micek III(1)(3) . . . . . . . . . . . . .

66 Director (Class II)

Jiahao Qui . . . . . . . . . . . . . . . . . . . .

33 Director (Class II)

Jonathan B. Siegel(1)(2) . . . . . . . . . .

45 Director (Class I)

Murray David MacNaughtan . . . . . . .

52 Director (Class III)

(1) Member of the audit committee.

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(2) Member of the compensation committee.

(3) Member of the nominating committee.

James J. Bochnowski. Mr. Bochnowski has served as a member of  our  board of  directors since

February 2014 and as Chairperson of our  board  since June 2014. Since 1988, Mr. Bochnowski has
served as the founder and Managing Member of Delphi Ventures, a venture  capital firm. In 1980,
Mr. Bochnowski co-founded Technology  Venture Investors. Mr. Bochnowski holds an M.B.A.  from
Harvard University Graduate School of  Business  and a  B.S.  in Aeronautics and  Astronautics from
Massachusetts Institute of Technology.

We  believe Mr. Bochnowski is qualified to serve on our board of directors due to his  significant

experience with venture capital backed healthcare companies and experience as  both  an executive
officer and member of the board of directors of numerous  companies.

Lisa A. Conte. Ms. Conte has served as our President, Chief  Executive Officer and  a member of

our  board of directors since she founded  the company in June 2013. From  2001 to 2014, Ms. Conte
served  as  the  Chief  Executive  Officer  of  our  wholly-owned  subsidiary,  Napo  Pharmaceuticals,  Inc.,  a
biopharmaceutical company she founded in  November 2001. In  1989, Ms. Conte founded  Shaman
Pharmaceuticals, Inc., a natural product pharmaceutical  company. Additionally, Ms.  Conte  is Napo
Pharmaceuticals Inc.’s current Interim Chief Executive Officer and has served as  a member of its board
of directors since 2001. Ms. Conte is also currently a member of the  board  of  directors of  Healing
Forest Conservatory, a California not-for-profit public benefit corporation and  the Board of  Visitors  of
the John Sloan Dickey Center for International Understanding, Dartmouth  College. Ms. Conte holds
an M.S. in Physiology and Pharmacology from the University of California,  San Diego,  and an  M.B.A.
and A.B. in Biochemistry from Dartmouth College.

We  believe Ms. Conte is qualified to serve on our board  of  directors due  to  her extensive
knowledge of our company and experience with our product and product candidates, as  well as her
experience managing and raising capital  for public and private  companies.

Jeffery C. Johnson. Mr. Johnson has served as a member of our board of directors  since March
2018.  Mr.  Johnson  is  a  partner  at  Sagard  Holdings,  ULC  and  an  investment  manager  at  Sagard  Capital
Partners  Management Corp. He previously served as portfolio manager and senior analyst at  Evercore
Asset Management. He also serves on the  board of  directors of Peak Achievement Athletics  and
previously served on the board of directors of  Vein  Clinics of America. Mr.  Johnson received his
M.B.A. in Finance and Accounting from  the Kellogg School of Management in 1999.  Mr.  Johnson was
elected to our board of directors pursuant to the  terms of the  Series A Preferred Stock Purchase
Agreement, dated as of March 23, 2018, by and between the Company and Sagard Capital
Partners,  L.P., and the Certificate of Designation, which gives the  Preferred Stock holders the right to
elect two Class III directors so long as  they are  entitled to vote in  the aggregate 5% or  more of all of
the votes entitled to be cast by holders of  all voting  securities of the  Company at any  meeting of
stockholders.

We  believe Jeffery C. Johnson is qualified to serve on our  board  of directors  due  to  his experience

evaluating, investing in and managing  companies in the  health care  sector for Sagard Holdings, ULC,
and for other investment firms he was  previously employed by.

Greg J. Divis. Mr. Micek has served as a member of our board of directors  since June 14, 2018.

Mr. Divis currently serves as the Chief Operating Officer of Avadel Pharmaceuticals plc (‘‘Avadel’’), an
emerging branded specialty pharmaceutical company he joined in 2017. Prior to Avadel  he served  as  an
Executive-in-Residence and Operating  Partner for Linden  Capital Partners, a  healthcare-focused  middle
market private equity firm. Previous roles  also include President  and Chief Executive Officer  of Lumara
Health, Inc., a specialty-branded pharmaceutical  company focused on  women’s health, where Mr. Divis

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led the successful turnaround and transformation of  the business  resulting in  a series of transactions
culminating in the successful sale to  AMAG  Pharmaceuticals, Inc. Mr. Divis  has also held  such notable
roles as Vice President, Business Development &  Lifecycle Management at Sanofi-Aventis, and
Vice-President and General Manager, UK  and Ireland, for Schering-Plough Corporation.  He  currently
serves on the board of directors of Mobius Therapeutics and  previously  served on the  board of
directors of Tolero Pharmaceuticals. Mr.  Divis  is a graduate of the  University of  Iowa.

We  believe Greg J. Divis is qualified  to  serve on our board of directors due  to  his extensive
experience in the pharmaceutical industry  and experience as both  an executive officer and  member of
the board of directors of other companies.

John Micek III. Mr. Micek has served as a member of our board of directors  since April  2016.

From 2000 to 2010, Mr. Micek was managing director of Silicon Prairie Partners, LP, a Palo Alto,
California based family-owned venture  fund. Since 2010, Mr. Micek has  been managing partner  of
Verdant Ventures, a merchant bank dedicated to sourcing and funding university and  corporate
laboratory spinouts in areas including pharmaceuticals and cleantech. Mr.  Micek serves on the board of
directors of Armanino Foods of Distinction, Innovare Corporation and  JAL/Universal Assurors. He is
also a board member and the Chief Executive  Officer and Chief Financial Officer of Enovo  Systems
and from March 2014 to August 2015 he  served as  interim Chief  Financial Officer for Smith Electric
Vehicles, Inc. Mr. Micek is a cum laude  graduate of Santa  Clara  University  and the  University  of  San
Francisco School of Law, and is a practicing California  attorney specializing  in financial services.

We  believe Mr. Micek is qualified to  serve on  our  board of directors due to his  many years of

executive experience in management  and  on boards of director.

Jiahao  Qui. Mr. Qui has served as a member of our  board  of  directors since February 2014.
Mr. Qui has been  employed at BioVeda  Management,  Ltd., a life science  investment firm, as associate
(2010-2012), senior associate (2012-2014) and Principal since April 2014. From 2009  to  2010, he served
as an interpreter for the Delegation  of the European Union  to  China.  Mr. Qui holds  a B.S.  in
Biotechnology from the Jiao Tong University in Shanghai, China.

We  believe Mr. Qui is qualified to serve on  our board of directors  due to his experience with
evaluating, managing and investing in  life science portfolio companies for BioVeda Management, Ltd.

Jonathan B. Siegel. Mr. Siegel has served as a member of our board of director since March 2018.

Mr. Siegel is founder of JBS Healthcare Ventures, which pursues investments in  public and private
healthcare entities. In 2017 he left Kingdon  Capital (‘‘Kingdon’’),  where he  was principal of the firm, a
member of the executive committee  and  the sector head  for  healthcare. He joined Kingdon in 2011 and
has more than 18 years of investment experience. Prior  to  joining Kingdon,  Mr.  Siegel was  with SAC
Capital Advisors from 2005 to 2011, serving as  a portfolio manager for healthcare starting in 2007.
Before joining SAC, he was an associate director of pharmaceutical and specialty pharmaceutical
research with Bear, Stearns & Co., a  research associate  with Dresdner  Kleinwort Wasserstein,
specializing in pharmaceuticals, a consultant to the Life Sciences Division  of Computer Sciences
Corporation; a research associate at the  Novartis Center for Immunobiology, Harvard  Medical School,
Beth Israel Deaconess Medical Center, and a  research  assistant at Tufts  University School of  Medicine.
Additionally, he previously served on  the board  of KV Pharmaceutical Company.  Mr.  Siegel received a
BS in Psychology from Tufts University in 1995 and an MBA from Columbia Business School  in 1999.

We  believe Mr. Siegel is qualified to serve  on our board of directors  due to his extensive

experience in the pharmaceutical investment sector.

Murray David MacNaughtan. Mr. MacNaughtan has served as a member  of our board of director

since June 18, 2018. Mr. MacNaughtan has served as senior principal of CPPIB Credit
Investments Inc., a wholly-owned subsidiary of the  Canada  Pension Plan Investment Board,  since 2010,

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where  he leads the intellectual property investment strategy  with a focus on  the acquisition and
securitization of pharmaceutical royalty  streams.  Prior to this, he was  co-head of the royalty
monetization  fund at DRI Capital (formerly Drug Royalty  Corp.).  From 1999 to 2002,  he was  Vice
President of Business Development at Paladin Labs  Inc. (‘‘Paladin’’), a  specialty pharmaceutical
company, where he led a team responsible  for acquiring  and  licensing  products for the Canadian
market. He joined Paladin from Royal  Bank Capital  Corp., the venture capital subsidiary of RBC,
where  he was an investment manager.  Mr. MacNaughtan began his  career in  the biopharmaceutical
industry at Hemosol Inc. as a process  development  engineer. David earned a  B.Sc.  and M.Sc.  in
Applied Science from Queen’s University  in Ontario, and  an MBA from the University of Toronto.

We  believe Mr. MacNaughtan is qualified to serve  on our board of directors due to his extensive

experience in specialty finance and the  pharmaceutical.

There  are  no  family  relationships  among  any  of  our  executive  officers  or  among  any  of  our
executive officers and our directors. There  is no arrangement or understanding between any director
and  any  other  person  pursuant  to  which  the  director  was  selected  except  to  the  extent  provided  in  our
Certificate of Designation.

See ‘‘Corporate Governance’’ and ‘‘Compensation  of  Directors  and Executive  Officers’’  below for

additional information regarding the Board of Directors.

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PROPOSAL 2—APPROVAL OF THE  ADOPTION OF  THE  AMENDMENT TO THE COI TO
EFFECT THE REVERSE STOCK SPLIT

At the Annual Meeting, stockholders  will  be  asked  to  approve  an amendment to our COI to effect
a reverse stock split of our issued and  outstanding Common Stock  by a numerical  ratio of not less than
1-for-30 and not more than 1-for-70,  with  the exact ratio, if approved and  effected at all, to be set
within that range at the discretion of the board of directors and publicly announced  by  the Company
on or before November 3, 2019. The  proposed amendment to the  COI reflecting the  Reverse  Stock
Split is included in Annex A to this Proxy Statement. By approving this proposal, stockholders would
give the board of directors the authority, but not the obligation, to effect  the Reverse Stock Split and
full discretion to approve the ratio at which shares of Common  Stock will be reclassified, from  and
including a ratio of 1-for-30 and up to  and including  a ratio of 1-for-70. The ratio (if any)  selected by
the board of directors for the Reverse  Stock Split  would be publicly disclosed by the Company  to  the
stockholders on or before the date on  which the amendment to the COI reflecting the Reverse Stock
Split is filed with the Secretary of State  of the State of Delaware.

We  are requesting stockholder approval to effect the Reverse Stock  Split at  a ratio of  not  less  than

1-for-30 and not more than 1-for-70,  with  the exact ratio determined by the  board of  directors and
publicly announced by the Company on  or before November 3, 2019, to provide the  board of  directors
with the flexibility to determine the appropriate ratio and timing  for the  Reverse Stock  Split based
upon our performance and other market  factors.  However,  the board of directors  reserves  the right to
elect not to proceed with the Reverse Stock Split, even if approved, and to abandon the  Reverse  Stock
Split if it determines, in its sole discretion, that the  Reverse Stock Split is no longer in the  best
interests of our stockholders. No further action  by the stockholders  will be required  for the  board of
directors to either implement or abandon the  Reverse  Stock Split.  For  the avoidance of doubt,  except
as  otherwise  specified  herein,  all  share  and  dollar  amounts  set  forth  in  this  proxy  statement  are  on  a
pre-Reverse Stock Split basis.

If the board of directors does not effect the Reverse Stock Split on  or before November 3,  2019,

any authority granted to the board of directors by our  stockholders pursuant to this  Proposal 2 will
terminate.

Reasons for the Reverse Stock Split

The board of directors has authorized the resolution to seek stockholder approval to effect  the

Reverse Stock Split with the primary intent of increasing the  price of our Common Stock in order to
meet The Nasdaq Capital Market’s minimum price per share criteria for  continued listing  on that
exchange. Our Common Stock is publicly traded and listed on The  Nasdaq Capital Market under the
symbol ‘‘JAGX.’’ The board of directors believes that, in addition  to  increasing  the price of our
Common Stock, the reverse stock split  would also reduce certain  of  our costs, such as Nasdaq listing
fees, and make our Common Stock more attractive to a broader range of institutional and other
investors. The combination of lower transaction costs  and increased interest from institutional  investors
and investment funds may ultimately improve the trading liquidity of our  Common  Stock. Accordingly,
we believe that authority granted to  the board of directors to effect the  Reverse Stock  Split is  in the
Company’s and the stockholders’ best interests.

On November 9, 2018, we received a  letter from the Listing Qualifications  Department  of  Nasdaq
notifying us that we were not in compliance  with Nasdaq Listing Rule 5550(a)(2), as the  minimum bid
price for the Company’s listed securities was less than  $1 for the previous  30 consecutive business days.
Our Common Stock is listed on The Nasdaq Capital  Market, which imposes, among other requirements
a minimum bid requirement. We were  granted a  180 calendar day grace period, or until  May 8,  2019,
to regain compliance with the minimum  bid price requirement.

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In addition to establishing a mechanism for the price of our Common Stock  to  meet Nasdaq’s
minimum bid price requirement, we  also  believe that  the Reverse Stock Split will make our Common
Stock more attractive to a broader range  of institutional and other investors. It is our understanding
that the current market price of our Common Stock may affect its acceptability to certain institutional
investors, professional investors and other  members of the investing public. It is  also our understanding
that many brokerage houses and institutional  investors  have internal  policies and  practices  that  either
prohibit them from investing in low-priced stocks or tend to discourage individual  brokers from
recommending low-priced stocks to their customers. In addition, some  of those policies and practices
may function to make the processing  of  trades in  low-priced stocks economically unattractive to
brokers. Moreover, because brokers’  commissions on  low-priced stocks generally represent a  higher
percentage of the stock price than commissions  on higher-priced stocks, the current average price  per
share of our Common Stock can result in individual stockholders paying transaction costs representing
a higher percentage of their total share value than would be the case  if the share price were
substantially higher. However, some investors may view the  Reverse Stock Split negatively because it
reduces the number of shares of Common  Stock available in  the public market.

Reducing the number of outstanding shares of our Common  Stock through the  Reverse  Stock Split

is intended, absent other factors, to increase the per share  market  price of our Common Stock.
However, other factors, such as our financial results, market conditions and the market perception of
our  business may adversely affect the market price of  our Common  Stock. As a result,  there can  be  no
assurance that the  Reverse Stock Split,  if  completed, will result  in the intended benefits  described
above, that the market price of our Common  Stock will increase following  the Reverse Stock Split, that
the market price of our Common Stock will not decrease  in the future, or that our Common  Stock will
achieve a high enough price per share to permit its continued listing  by Nasdaq.

Certain Risks Associated with the Reverse Stock  Split

In evaluating the proposed Reverse Stock Split, the  board  of  directors also took  into  consideration

certain risks associated with reverse stock  splits generally, including the negative perception of reverse
stock splits held by some investors, analysts and  other stock market participants, the fact that the stock
price of some companies that have effected reverse stock splits has  subsequently declined back to
pre-reverse stock split levels, and the risks  described below.

There can be no assurance that the total market capitalization of our Common Stock  (the  aggregate
value of our Common Stock at the then market price)  after the implementation  of  the Reverse Stock  Split will
be equal to or greater than the total market  capitalization before the Reverse Stock Split  or that the per share
market price of our Common Stock following  the Reverse Stock Split will increase in proportion to the
reduction in the number of shares of our  Common Stock  outstanding before the Reverse Stock Split.

There can be no assurance that the market price  per  share of our Common  Stock after the

Reverse Stock Split will remain unchanged or increase in proportion  to  the reduction in the number of
shares of our Common Stock outstanding before the Reverse Stock Split. For  example, based on the
closing price of our Common Stock on  March 27,  2019, of $0.282 per share, if the board of directors
were to implement the Reverse Stock  Split  and utilize a ratio  of 1-for-45, we  cannot assure you that the
post-split market price of our Common  Stock would be $12.69 (that is, $0.282 multiplied  by  45)  per
share or greater. The market price of  our  Common Stock may fluctuate and  potentially decline after
the Reverse Stock Split, such as the  decline  in the market price  of  our Common Stock  that  we
experienced after our previous reverse  stock split effectuated on June  1, 2018.

Accordingly, the total market capitalization  of our Common Stock  after the Reverse Stock Split

when and if approved and effected may be lower than the total market capitalization before the
Reverse Stock Split. Moreover, in the  future, the market price of our  Common Stock following the

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Reverse Stock Split may not exceed or  remain higher  than the  market  price prior to the  Reverse  Stock
Split.

If the Reverse Stock Split is approved and effected, the resulting per-share market price may not attract
institutional investors or investment funds and may not  satisfy the investing guidelines of such investors and,
consequently, the trading liquidity of our  Common Stock may not  improve.

While the board of directors believes that a  higher stock price may help generate  investor interest,
there can be no assurance that the Reverse Stock Split will result in  a per-share market  price that will
attract institutional investors or investment funds or that  such share  price will satisfy  the investing
guidelines of institutional investors or investment funds. As  a result,  the trading  liquidity of our
Common Stock may not necessarily improve.

A decline in the market price of our Common Stock  after  the  Reverse Stock Split is  approved  and effected

may result in a greater percentage decline  than would  occur in  the absence  of the  Reverse  Stock Split.

If the Reverse Stock Split is approved and  effected and  the market price of  our Common Stock

declines, the percentage decline may  be  greater than would occur  in the  absence of  the Reverse Stock
Split. The market price of our Common  Stock  will, however,  also  be  based upon our performance  and
other factors, which are unrelated to the  number of shares of Common Stock  outstanding.

Effecting  the Reverse Stock Split; Board Discretion to  Implement Reverse Stock  Split

If approved by stockholders at the Annual Meeting and the  board  of  directors decides that it is in
the best interests of the Company and  our stockholders to effect the  Reverse Stock Split,  the board  of
directors will establish an appropriate ratio for the  Reverse Stock  Split based  on several  factors existing
at such time, the Company will publicly  announce the  ratio selected by the board of directors and we
will subsequently file an amendment  to  the COI, in the form  of  the proposed amendment  to  COI
attached  in Annex A. The board of directors will consider, among other factors, prevailing market
conditions, the likely effect of the Reverse Stock  Split on  the trading price of our Common  Stock and
on our compliance with applicable Nasdaq listing  requirements,  and the marketability and liquidity of
our  Common Stock. The board of directors will also determine  the appropriate timing for filing  the
amendment to our COI with the Secretary of State of the State of Delaware to effect the Reverse
Stock Split. If, for any reason, the board  of directors deems it  advisable, the board  of  directors in its
sole discretion, may abandon the Reverse Stock Split at  any time prior  to the  effectiveness  of  the
amendment to our COI, without further  action by our stockholders.  Assuming  the board  of  directors
determines that it is in the best interests  of the  Company and our  stockholders  to  proceed with the
Reverse Stock Split, the Reverse Stock Split will  be  effective  as of the  date and time set forth in  the
amendment to our COI that is filed with the Secretary  of  State  of  the State of Delaware (the
‘‘Effective  Time’’).

At the Effective Time, without any further action on the part of the Company or our stockholders,

the outstanding shares of Common Stock  held  by stockholders  of  record as of the  Effective Time will
be converted into a lesser number of  shares of Common Stock based on the ratio  selected by the board
of directors and publicly announce by  the Company. For example, if the board of directors approves a
ratio of 1-for-45, a stockholder who holds  4,500 shares  of  Common Stock as of the Effective Time will
hold 100 shares of Common Stock following the Reverse Stock  Split.

Effect on Outstanding Shares, Options, and  Certain Other Securities

If the Reverse Stock Split is approved and  effected, the number of shares of our Common Stock
owned by each stockholder will be reduced in the same  proportion  as the reduction in the total  number
of shares outstanding, such that the percentage of our  Common Stock  owned by each stockholder will
remain unchanged, except for any de  minimis change resulting  from  the treatment  of any  fractional

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shares that such stockholder would have  received  as a result  of  the Reverse  Stock Split.  The number of
shares of Common Stock that may be  received upon conversion, exercise  or exchange,  as the case may
be, of outstanding options or other securities convertible into, or  exercisable or  exchangeable for,
shares of our Common Stock, and the exercise  or conversion prices  for these securities, will  also be
adjusted in accordance with their terms, as of  the Effective  Time.

Effect on Registration and Stock Trading

Our Common Stock is currently registered under Section 12(b)  of  the Securities Exchange Act of

1934, as amended (the ‘‘Exchange Act’’),  and we  are subject to the  periodic reporting and other
requirements of the Exchange Act. The proposed Reverse Stock Split will not affect the registration of
our  Common Stock under the Exchange Act. If the  Reverse Stock Split is approved and  effected,  our
Common Stock will receive a new CUSIP  number.

Mechanics of Reverse Split

If this Proposal 2 is approved by the stockholders at the Annual Meeting and  the board  of
directors decides that it is in the best  interests of the Company and our stockholders to effect the
Reverse Stock Split, our stockholders  will be notified of the ratio for the Reverse Stock  Split selected
by the board of directors and that the Reverse Stock Split has been  approved and effected. The
mechanics of the Reverse Stock Split  will differ  depending upon whether  a  stockholder holds  its shares
of Common Stock in brokerage accounts  or  ‘‘street name’’  or whether the  shares are  registered  directly
in a stockholder’s name and held in book-entry  form or certificate form.

• Our stockholders who hold shares of Common Stock in ‘‘street  name’’ through a nominee  (such

as a bank or broker) will be treated in the same manner as stockholders whose shares  are
registered in their names, and nominees  will be instructed to effect the Reverse Stock  Split for
their beneficial holders. However, nominees may have  different  procedures  for processing the
reverse stock split and stockholders holding  shares in  ‘‘street  name’’ are encouraged to contact
their nominees.

• Our registered stockholders may hold some or  all of their shares  of  Common Stock

electronically in book-entry form under the direct registration system for securities. These
stockholders will not have stock certificates evidencing their ownership of our Common  Stock.
They are, however, provided with a statement reflecting the number of  shares registered in their
accounts. Stockholders holding registered shares of our Common  Stock in  book-entry form need
not take any action to receive post-Reverse  Stock Split  shares as a transaction statement will
automatically be sent to the stockholder’s address  of  record indicating  the number  of  shares
held.

• Some of our registered stockholders hold all their shares of  Common Stock in certificate  form
or a combination of certificate and book-entry form. Stockholders holding  shares of Common
Stock in certificate form will receive a transmittal letter from the Transfer Agent as  soon  as
practicable after the Effective Date  of  the Reverse  Stock Split. The  letter of transmittal will
contain  instructions for the surrender of stock certificates  received prior  to the Effective Time
(the ‘‘Old Certificates’’) to the Transfer  Agent in exchange for new certificates representing the
appropriate number of whole shares  of Common  Stock giving effect to the  Reverse  Stock Split.
No new stock certificates will be issued to any stockholder until such stockholder  has
surrendered all Old Certificates, together with  a properly  completed and executed Letter of
Transmittal, to the Transfer Agent. The stockholders will then receive, at  their option, either  a
new certificate or certificates or book-entry  shares representing the  number of whole shares of
Common Stock into which their pre-Reverse  Stock Split  shares have  been converted as  a result
of the Reverse Stock Split. Until surrendered, we will deem outstanding Old Certificates held by

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stockholders to be cancelled and to only represent the number of whole shares of  post-Reverse
Stock Split Common Stock to which the stockholders are entitled.  STOCKHOLDERS SHOULD
NOT DESTROY ANY STOCK CERTIFICATE(S)  AND SHOULD NOT  SUBMIT ANY
CERTIFICATE(S) UNTIL REQUESTED TO DO SO.

Treatment of Fractional Shares

Stockholders who would otherwise hold fractional shares  because the number of shares of

Common Stock they hold before the  Reverse  Stock Split  is not evenly divisible, based  on the  Reverse
Stock Split ratio approved by our board of directors,  will  be entitled to receive cash (without  interest or
deduction) in lieu of such fractional  shares from  our  transfer agent, upon  receipt by our transfer agent
of a properly completed and duly executed  transmittal letter and, where shares are held  in certificated
form, the surrender of all old certificate(s), in an amount per share equal to the product obtained by
multiplying (a) the closing price per share of our Common Stock on the  effective date for the Reverse
Stock Split as reported on the Nasdaq  Stock  Market by (b) the fraction of the share  owned by the
stockholder, without interest. The ownership  of a fractional share interest will not give the  holder  any
voting, dividend or other rights, except to receive the  above-described cash payment.

Effect on Authorized but Unissued Shares  of Capital Stock

Currently, we are authorized to issue up  to  a total of 150,000,000 shares of  Common Stock,  of

which  59,415,042 shares were issued  and  outstanding  as of the Record Date, 50,000,000 shares of
non-voting common stock, of which 40,301,237 shares were issued  and  outstanding as of the  Record
Date, and 10,000,000 shares of Preferred Stock, of which 5,524,926  were issued  and outstanding as of
the Record Date. The Reverse Stock Split, if  approved and effected, will  not have any effect on the
authorized number of shares of our Common  Stock, non-voting  common stock or Preferred  Stock.

Accounting  Consequences

The Reverse Stock Split will not affect the par  value of  our Common Stock per share, which will

remain $0.0001 par value per share.  As a result, as  of  the Effective Time, the total of  the stated capital
attributable to Common Stock and the additional  paid-in capital account on  our  balance  sheet will not
change due to the Reverse Stock Split. Reported per share net  income or loss  will  be  higher because
there will be fewer shares of Common  Stock outstanding.

No Going Private Transaction

Notwithstanding the decrease in the number of outstanding  shares  following the  implementation of

the Reverse Stock Split, the board of  directors does not intend for this transaction to be the first step
in a ‘‘going private transaction’’ within the meaning of  Rule  13e-3 of  the Exchange Act, and the
implementation of the proposed Reverse  Stock Split  will  not  cause the  Company to go private.

No Dissenters’ Rights

Under the General Corporation Law  of  the State of Delaware (the ‘‘DGCL’’), stockholders will

not be entitled to dissenters’ rights with respect  to  the proposed amendment  to  our COI to effect the
reverse  stock split, and we do not intend  to independently provide stockholders  with any such right.

Reservation of Right to Abandon the Amendment to  our COI

The board of directors reserves the right to abandon the  proposed amendment to our COI

described in this Proposal 2 without further  action by our stockholders  at  any time before the Effective
Time, even if stockholders approve this  Proposal 2 at the Annual Meeting. By voting in  favor of the

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Reverse Stock Split, stockholders are  also  expressly  authorizing  the board  of directors  to  determine not
to proceed with, and abandon, the Reverse Stock Split if it should so decide.

Material U.S. Federal Income Tax Consequences  of  the Reverse Stock  Split

The following discussion is a summary of the  material  U.S.  federal income tax consequences of the
proposed reverse stock split to U.S. Holders  (as defined  below) of our Common  Stock. This discussion
is based on the Internal Revenue Code of 1986,  as amended  (the  ‘‘Code’’), U.S. Treasury Regulations
promulgated thereunder, judicial decisions, and published rulings and administrative pronouncements of
the U.S.  Internal Revenue Service (the  ‘‘IRS’’), in  each case in  effect as of the  date of this proxy
statement. These authorities may change  or be subject  to  differing interpretations. Any such change or
differing interpretation may be applied  retroactively in a manner that could adversely  affect a U.S.
Holder. We have not sought and will not seek any rulings from the IRS  regarding the  matters discussed
below and there can be no assurance  the IRS or  a court  will not  take  a  contrary position to that
discussed below regarding the tax consequences of the proposed reverse stock  split.

For purposes of this discussion, a ‘‘U.S.  Holder’’ is a beneficial owner  of our Common Stock that,
for U.S. federal income tax purposes,  is  or is treated as (i) an individual who  is a citizen  or resident of
the United States;  (ii) a corporation  (or  any  other  entity or arrangement  treated as a corporation)
created or organized under the laws of  the United States, any state  thereof,  or the District  of
Columbia; (iii) an estate, the income of which is subject to U.S. federal income tax  regardless  of its
source; or (iv) a trust if (1) its administration is subject  to  the primary supervision  of  a court  within the
United States and all of its substantial  decisions are subject to the control  of  one or more ‘‘United
States persons’’ (within the meaning  of  Section  7701(a)(30) of the Code), or (2)  it has a valid election
in effect under applicable U.S. Treasury regulations to be treated as a United States person.

This discussion is limited to U.S. Holders  who hold our Common Stock  as a ‘‘capital  asset’’ within

the meaning of Section 1221 of the Code (generally,  property held for investment). This  discussion
does not address all U.S. federal income tax consequences relevant  to  the particular circumstances of a
U.S. Holder, including the impact of the  Medicare contribution  tax  on net investment  income.  In
addition, it does not address consequences relevant to U.S. Holders that are subject to special rules,
including, without limitation, financial  institutions, insurance companies, real estate investment trusts,
regulated investment companies, grantor trusts, tax-exempt  organizations, brokers, dealers  or traders in
securities, commodities or currencies, stockholders who hold our  Common Stock as part  of  a position
in a straddle or as part of a hedging, conversion  or integrated transaction  for U.S. federal income tax
purposes, U.S. Holders that have a functional  currency other  than  the U.S.  dollar, or U.S. Holders  who
actually or constructively own 10% or  more of our voting  stock.

If a  partnership (or other entity treated as a partnership for U.S. federal income tax purposes) is
the beneficial owner of our Common Stock, the U.S.  federal income tax treatment of a partner in  the
partnership will generally depend on the status of the partner and  the activities of the partnership.
Accordingly, partnerships (and other entities treated  as partnerships  for U.S. federal income tax
purposes) holding our Common Stock  and  the partners in such entities should  consult  their  own tax
advisors regarding the U.S. federal income tax consequences of the proposed reverse  stock  split to
them.

In addition, the following discussion  does  not  address the U.S. federal estate and gift tax,
alternative minimum tax, or state, local  and non-U.S. tax law consequences  of  the proposed  reverse
stock split. Furthermore, the following  discussion does  not  address any  tax  consequences of  transactions
effectuated before, after or at the same  time as the proposed reverse  stock split,  whether or not they
are in connection with the proposed reverse stock  split.

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Each  stockholder should consult his,  her or its own  tax advisors concerning the  particular U.S.
federal tax consequences of the reverse  stock split,  as well as  the consequences  arising  under the laws
of any other taxing jurisdiction, including  any state, local  or foreign income tax consequences.

The proposed reverse stock split is intended  to  be  treated as a  ‘‘recapitalization’’ for U.S.  federal

income tax purposes pursuant to Section 368(a)(1)(E) of the Code. As a  result, a U.S. Holder generally
should not recognize gain or loss upon the proposed  reverse  stock split for U.S. federal income tax
purposes. A U.S. Holder’s aggregate  adjusted tax basis in the  shares  of  our Common Stock received
pursuant to the proposed reverse stock  split should  equal  the aggregate  adjusted tax basis  of  the shares
of our Common Stock exchanged therefor. The U.S.  Holder’s holding period in the  shares of our
Common Stock received pursuant to  the proposed reverse stock split  should include the  holding  period
in the shares of our Common Stock exchanged therefor. U.S. Treasury Regulations provide  detailed
rules for allocating the tax basis and holding period of shares of  Common Stock surrendered in a
recapitalization to shares received in  the  recapitalization. U.S. Holders of  shares of our Common  Stock
acquired on different dates and at different prices  should consult  their  tax advisors  regarding the
allocation of the tax basis and holding  period of such shares.

The U.S. federal income tax discussion  set forth above does  not  discuss  all  aspects of U.S.  federal

income taxation that may be relevant to a particular  stockholder  in light  of such stockholder’s
circumstances and income tax situation.  Accordingly, we urge you to consult with your own tax advisor
with respect to all of the potential U.S. federal, state, local and  foreign tax consequences to you  of  the
reverse  stock split.

Consequences if the Reverse Split is Not  Approved

In the event that the Reverse Stock Split is  not approved, we intend  to  actively monitor  the trading

price of our Common Stock on The Nasdaq  Capital Market and will  consider available options to
resolve our non-compliance with the  Nasdaq listing rules. We  believe that our ability to remain listed
on The Nasdaq Capital Market would be significantly  and negatively  affected  if the  Reverse  Stock Split
is not approved. If we are unable to achieve an increase in our stock  price and  our Common Stock is
subsequently delisted, we could experience significant negative impacts including the acceleration of our
outstanding debt with Kingdon Capital  Management L.L.C. In addition, if our  Common Stock  is
delisted it will significantly and negatively  affect our ability to obtain alternative debt or equity
financing in order to support Company  operations.

Required  Vote of Stockholders

The vote required to approve Proposal  2 is  the affirmative vote of the holders  of  a majority of the
outstanding shares of Common Stock and Preferred Stock  (on an as converted to Common Stock  basis
subject to the Nasdaq Voting Limitations)  as of the Record Date,  present  in person or  represented by
proxy at the Annual Meeting and entitled to vote, voting  together as a single class. As  a result,
abstentions will have the same practical  effect as a vote against Proposal 2.

The board of directors unanimously recommends that the stockholders vote ‘‘FOR’’  Proposal
No. 2 to effect a reverse stock split at  a  ratio of not  less than 1-for-30  and not  greater than 1-for-70,
with the exact ratio, if approved and effected at  all, to  be set within that range at the discretion  of the
board of  directors and publicly announced  by the  Company on or  before November 3, 2019,  without
further approval or authorization of our  stockholders.

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PROPOSAL 3—APPROVAL OF THE  AMENDMENT  OF  OUR 2014 PLAN TO INCREASE THE
NUMBER OF SHARES OF COMMON STOCK AUTHORIZED FOR ISSUANCE UNDER THE 2014
PLAN

At the Annual Meeting, stockholders  will  be  asked  to  approve  an amendment to our 2014 Plan to
increase the number of shares of Common  Stock authorized for issuance under the  2014 Plan such that
the aggregate authorized but unissued shares  under the  2014 Plan shall equal 12.5% of the issued and
outstanding shares of Common Stock on  a fully diluted basis including  for purposes of this calculation
as if such shares authorized under the 2014 Plan were included  in the denominator  (and assuming
conversion of all outstanding convertible securities,  including but not limited to conversion of our
Series A Preferred Stock into Common  Stock shares  in accordance with our Certificate of
Incorporation as amended from time to time without any regulatory limitations,  all  issued and
outstanding warrants, notes, RSUs and  stock options (whether issued under or outside the 2014 Plan
and the like)) calculated as of the earlier of (A)  the day immediately after  the consummation of the
Company’s next underwritten public  equity offering with gross  proceeds of  $5 million or more or
(B)  July 31, 2019 (collectively, the ‘‘Calculation Date’’). This amendment of our 2014 Plan under this
Proposal 3 is contingent upon the Reverse  Stock Split  being  approved and effected in  accordance  with
Proposal 2 on, or prior to, the Calculation Date. For illustrative purposes only, and only by way of
example, if the total number of issued and outstanding  shares  of  Common Stock on a fully diluted  basis
as of  the Calculation Date is 75 Million  shares, then the total number of  shares approved for  issuance
under the 2014 Plan as of the Calculation Date would  be  approximately 10,714,000 shares
(e.g., 10,714,000 / 85,140,000 = 12.5%).

The purpose of the 2014 Plan is to promote the success and  enhance the value of our company  by
linking  the personal interests of employees,  directors, and consultants to those of our shareholders  and
by providing these individuals with an  incentive to work to generate superior returns  to  our
shareholders. The 2014 Plan is also intended to provide us with flexibility in  creating competitive plans
to motivate, attract, and retain the services of employees,  directors, and consultants  upon whose
judgment, interest, and special effort our success is  largely dependent.

We  believe that our interests and those of the shareholders will  be  advanced if we can continue to
offer our employees, notably at the senior  management level, consultants, and  directors the  opportunity
to acquire or increase their proprietary  interests  in us. We  have determined that the  total number  of
shares available for issuance under the  2014 Plan should be increased to equal 12.5%  of the issued and
outstanding shares of Common Stock on  a fully diluted basis, contingent upon the Reverse  Stock Split
being approved and effected in accordance with Proposal  2  on,  or  prior to, the  Calculation  Date, so
that we may continue our compensation  structure and strategy  and succession planning  process.

Background

On March 22, 2019, the Board unanimously  approved the  amendment  of the 2014 Plan, subject  to
approval by the stockholders and contingent upon the Reverse Stock Split  being  approved and effected
(see Proposal 2), to increase the number of shares  of Common Stock  authorized  for issuance under the
2014 Plan to a number of shares equal  to  12.5%  of  the issued and outstanding shares of Common
Stock on a fully diluted basis as of the Calculation Date.

The Board has directed that the proposal to amend the 2014  Plan  be  submitted to the

stockholders for their approval at the Annual Meeting.  The Board  believes that our interests and  the
interests of our stockholders will be advanced if we can  continue to offer our employees,  notably at  the
senior management level, advisors, consultants,  and non-employee directors the  opportunity to acquire
or increase their proprietary interests in  us. The Board has concluded that our ability to attract, retain
and motivate top quality management and employees is material  to  our success and would be enhanced
by our continued ability to grant equity compensation under the 2014  Plan. Accordingly, the Board  has

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determined that the number of shares available for issuance under  the 2014 Plan should be increased
so that we may continue our compensation structure and strategy and  succession  planning process.

When adopted, a total of 22,222 shares were allocated to the 2014  Plan.  Since its adoption,
additional shares have been allocated to the 2014 Plan. Effective January  1, 2016, 10,833 shares were
added to the 2014 Plan share pool under the 2014  Plan’s automatic annual share  pool increase. On
April 1, 2016, the Board approved, subject to shareholder approval, an amendment to the 2014  Plan
that increased the number of shares available  for issuance  under the 2014 Plan  by  103,333 shares.  Our
shareholders approved this increase in the  number of shares on June 14, 2016.  On January 1,  2017,
18,676 shares were added to the 2014  Plan share pool under  the automatic  annual share pool increase.
On March 28, 2017, the Board approved, subject to shareholder approval, an amendment to the 2014
Plan that increased the number of shares  available for  issuance under the 2014  Plan  by  433,345 shares.
Our shareholders approved this increase  in the number of shares  on  July 27,  2017. On August 2, 2017,
the Board approved the amendment of the 2014 Plan to increase the number of shares  of  Common
Stock authorized for issuance under  the 2014 Plan by 346,666. Our shareholders  approved this increase
in the number of shares on March 18, 2018. On January  1, 2018, 140,433  shares were added to the
2014 Plan share pool under the automatic annual share  pool  increase.  On November 29,  2018, the
Board approved the amendment of the  2014 Plan to increase the number  of  shares of Common Stock
authorized for issuance by 3,533,826 shares. Our shareholders  approved this increase in  the number  of
shares on February 28, 2019. On January 1, 2019, 545,797  shares  were added  to  the 2014 Plan share
pool under the automatic annual share  pool increase. The  2014 Plan currently has 4,236,399  shares
available for issuance.

Under the 2014 Plan, stock awards are outstanding for a total of 3,125,360 shares that have been

granted to 103 employees, directors and consultants.  Thus, the total number of shares currently
available for issuance under the 2014  Plan  as of March 27, 2019 is 4,236,399 shares, not taking  into
consideration the increase of the 2014  Plan  share pool  that is the subject  of this  Proposal  3. For
illustrative purposes only, and only by  way  of  example, if the total  number of issued and outstanding
shares  of  Common  Stock  on  a  fully  diluted  basis  as  of  the  Calculation  Date  is  75,000,000,  then  the  total
number of shares approved for issuance  under the  2014 Plan as of the Calculation Date would  be
approximately 10,714,000 shares (e.g.,  10,714,000 / 85,140,000 =  12.5%).  Based on  current forecasts and
estimated stock award grant rates, if the increase is not approved, it  is anticipated that the 2014  Plan
could run out of available shares as soon  as  December 31,  2019.

Stockholder approval of the amendment of the 2014 Plan is being sought (i)  in order for  incentive

stock options to meet the requirements of the Code,  and (ii) in order  to meet  The Nasdaq  Capital
Market listing requirements. If the stockholders do not approve the amendment and restatement of the
2014 Plan at the Annual Meeting, the amendment of the 2014 Plan will not become effective,  and the
number of shares authorized for issuance  under  the 2014 Plan will not be increased.

For information with respect to grants to certain executive officers in Fiscal  Year 2018 under the
2014 Plan, see page 43 and for information  with respect to grants to our non-employee  directors, see
page  46.

Material Terms of the 2014 Plan

In July 2014, our Board of Directors adopted the 2014 Plan, and in  July 2014,  our stockholders
approved the 2014 Plan. The 2014 Plan became  effective in May 2015. The  2014 Plan provides for the
grant of incentive stock options to our  Eligible Employees, and for  the  grant of nonstatutory stock
options, restricted stock, and RSUs to  Eligible  Employees, directors and consultants.

Authorized  Shares. We originally approved 22,222 shares  of  Common Stock  for issuance pursuant
to the 2014 Plan. On April 1, 2016, we  unanimously approved  the amendment of the  2014 Plan, subject
to approval by the stockholders, which was received on  June  14, 2016, to increase  the number  of shares

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of Common Stock authorized for contingent issuance under the  2014 Plan by 103,333 shares from
33,055 to 136,388. On March 28, 2017, we unanimously approved the amendment of  the 2014 Plan,
subject to approval by the stockholders,  which was  received on July 27, 2017,  to  increase the number of
shares of Common Stock authorized  for  issuance under  the 2014 Plan by 433,345  shares from  155,065
to 588,410. On August 2, 2017, we unanimously approved  the amendment of the 2014 Plan,  subject to
approval by the stockholders, to increase the number of shares of Common Stock  authorized for
issuance under the 2014 Plan by 346,666  shares from 588,410  to  935,078. On January  31, 2018, we
unanimously approved the amendment of  the 2014 Plan, subject  to  approval by the stockholders, to
increase the number of shares of Common  Stock authorized for issuance under the  2014 Plan by up to
2,390,666 shares from 1,075,511 to 3,466,174.  On November 29, 2018, we unanimously approved  the
amendment of the 2014 Plan, subject to approval by the  stockholders, to increase the number of shares
of Common Stock authorized for issuance  under the 2014 Plan by up to 3,533,826  shares to 7,000,000.

On January 1st of each year, ending  no  later than January 1,  2024, the  number of shares allocated

to the 2014 Plan automatically increases  in an amount equal  to  2%  of the total number of shares of
common stock outstanding on December  31st of the preceding  calendar  year.  The Board of Directors
may act prior to January 1st of any given  year, at its discretion,  to  provide for  no increase  in shares  or
to add  a lesser number of shares than  provided for in  the prior sentence. On January  1, 2016, a  total  of
10,833 shares were added to the 2014  Plan share pool under  the automatic  annual share pool increase.
On January 1, 2017, a total of 18,676  shares were  added to  the 2014  Plan  share pool under the
automatic annual share pool increase.  On  January 1,  2018,  a total  of  140,433 shares  were added  to  the
2014 Plan share pool under the automatic annual share  pool  increase.  On January 1, 2019, a total of
545,797 shares were added to the 2014 Plan share pool under the automatic  annual share pool increase.

If a  stock award expires without having been  exercised in  full, or, with respect to restricted  stock
and RSUs, a stock award is forfeited,  the shares  that were subject  to  those  stock  awards will  become
available for future grant or sale under  the  2014 Plan (unless the 2014 Plan  has terminated). If
unvested shares of restricted stock or RSUs  are repurchased  by the company or  are forfeited to the
company, such shares will become available  for  future awards  under the 2014 Plan.

Plan Administration. The 2014 Plan is administered by the Compensation Committee. In the  case

of awards intended to qualify as ‘‘performance-based  compensation’’  within the meaning  of
Section 162(m) of the Code, the Compensation Committee will  consist of  two or  more ‘‘outside
directors’’ within the meaning of Section  162(m) of  the Code.  In addition,  if  we determine it is
desirable to qualify transactions under the 2014  Plan  as exempt  under Rule 16b-3, such  transactions will
be structured to satisfy the requirements for  exemption  under Rule  16b-3. Subject  to  the provisions  of
the 2014 Plan, the committee has the power to administer the 2014 Plan, including but  not  limited to,
the power to interpret the terms of the 2014  Plan  and  stock awards  granted under it,  to  create, amend
and revoke rules relating to the 2014 Plan, including creating sub-plans, and  to  determine the  terms of
the awards, including the exercise price, the number  of shares subject  to  each such award, the
exercisability of the awards and the form  of consideration, if  any, payable  upon exercise.

Options. Both incentive stock options qualifying  under Section  422 of the Code and non-statutory
stock options may be granted under the  2014 Plan. Of the  total  number  of shares allocated to the  2014
Plan, the maximum aggregate number  of shares that may be issued  pursuant to the  exercise of
incentive stock options shall not exceed 7,000,000 shares.  The  exercise price of options granted under
the 2014 Plan must at least be equal to  the fair market value of the Common  Stock on  the date  of
grant. The term of an incentive stock  option  may not exceed ten years, except that with respect  to  any
participant who owns more than 10%  of  the voting power of all  classes of our  outstanding stock, the
term must not exceed five years and  the exercise price must equal at least 110%  of the fair market
value on  the grant date. For nonstatutory stock  options  the exercise price must equal  at least 100%  of
the fair market value. The committee will  determine the methods  of  payment of  the exercise price of
an option, which may include cash, shares  or  other  property acceptable to the committee, as well  as

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other types of consideration permitted by  applicable law. After the  termination of  service  of  an
employee, director or consultant, he  or  she may exercise  the vested  portion of his or her  option for the
period of time stated in his or her award  agreement, except in the case of  an employee terminated for
cause  (as defined in the 2014 Plan) the option will terminate  upon his or her termination from service.
Generally, if termination is due to death or disability, the vested portion of  the option  will remain
exercisable for 12 months. In all other cases, the vested portion of the option  generally will  remain
exercisable for three months following  the termination of service. An  option may  not  be  exercised after
expiration of its term. However, if the  exercise of an  option is  prevented by applicable law the exercise
period may be extended under certain  circumstances. Subject to the provisions of the 2014  Plan, the
committee determines the other terms  of options.

Restricted Stock. Restricted stock awards may be granted under the 2014 Plan. Restricted stock

awards are grants of shares of Common  Stock  that  vest in accordance with terms and conditions
established by the committee. The committee  will determine the  number of  shares of restricted  stock
granted to any employee, director or consultant and, subject to the provisions  of the 2014 Plan, will
determine the terms and conditions of  such awards. The committee may impose whatever conditions to
vesting it determines to be appropriate (for example, the committee may  set restrictions based  on the
achievement of specific performance  goals or continued service  to  us);  provided,  however, that the
committee, in its sole discretion, may  accelerate  the time  at which any restrictions will lapse  or be
removed. Recipients of restricted stock  awards generally will have voting and dividend  rights with
respect to such shares upon grant without  regard  to  vesting,  unless the committee provides otherwise.
Shares of restricted stock that do not  vest  are subject to our  right of repurchase or forfeiture.

RSUs. Awards of RSUs may be granted under  the 2014 Plan. An  RSU is the right  to  receive a

share of Common Stock at a future date.  The committee determines  the  terms and conditions of
RSUs, including the vesting criteria (which  may include accomplishing specified  performance criteria or
continued service to us) and the form and  timing of payment.  Notwithstanding the foregoing,  the
committee, in its sole discretion, may  accelerate  the time  at which RSUs  will  vest.

Non-Transferability of Awards. Unless the committee provides otherwise, stock awards issued under

the 2014 Plan are not transferrable other than by will or the laws of  descent and distribution, and only
the recipient of an award may exercise an award during his or  her lifetime, although a recipient  may
designate a beneficiary to exercise an award after  death.

Certain Adjustments.

In the event of certain changes in the capitalization, to prevent  diminution or

enlargement of the benefits or potential benefits available under  the 2014 Plan, the committee will
adjust the number and class of shares  that may be delivered under  the 2014 Plan and/or  the number,
class and price of shares covered by each  outstanding  award,  and the numerical  share limits set forth in
the 2014 Plan. In the event of the proposed  liquidation  or dissolution, the committee will notify
participants as soon as practicable and all  awards will terminate immediately prior to the  consummation
of such proposed transaction.

Merger or Change in Control. The 2014 Plan provides that in the event  of  a merger or  change in

control, as defined under the 2014 Plan, each  outstanding award  will be treated as the committee
determines, including (i) the assumption, continuation  or substitution of  the  stock awards by the
successor corporation or its parent or  subsidiary, (ii) the acceleration  of vesting  for any unvested
portion of the stock awards, or (iii) the cash-out of the  stock  awards.

Amendment;  Termination. The Board has the authority to amend, suspend or terminate  the 2014

Plan provided such action does not impair  the existing  rights of any participant.

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Required Vote of Stockholders

To approve the amendment of the 2014 Plan (this Proposal 3), the affirmative vote of the  holders

of a majority of shares of votes cast, in person or by remote communication,  if  applicable, or
represented by proxy at the Annual Meeting,  voting together  as a single class  and entitled to vote, is
required. Although failure to submit  a proxy or vote  in person at the Annual Meeting, or a failure to
provide your broker, nominee, fiduciary or other custodian, as applicable, with instructions on  how to
vote your shares will not affect the outcome of the vote on this  proposal, the failure to submit a proxy
or vote in person at the Annual Meeting  will  make it more difficult to meet the requirement  under our
bylaws that the holders of a majority  of our capital stock issued  and outstanding  and entitled to vote at
the Annual Meeting be present in person or  by  proxy to constitute  a  quorum  at the  Annual Meeting.

The Board of Directors unanimously  recommends that the stockholders vote ‘‘FOR’’ Proposal
No. 3 to amend the 2014 Plan to increase  the  number of  shares  of Common Stock  authorized for
issuance under the 2014 Plan, contingent  upon the  Reverse Stock Split  being approved  and effected in
accordance with Proposal 2.

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PROPOSAL 4—APPROVAL OF THE ISSUANCE OF SHARES OF  COMMON STOCK UPON
EXCHANGE OF PROMISSORY NOTES AND EXERCISE OF WARRANTS ISSUED IN THE NOTES
FINANCING

At the Annual Meeting, stockholders  will  be  asked  to  approve  the issuance of shares of Common

Stock upon exchange of promissory notes and exercise of warrants  issued in one or more private
placement transactions. All per share  dollar figures included  in this Proposal 4  are subject to
adjustment for stock splits, stock dividends, reclassifications and other similar recapitalization
transactions.

Background

Notes Financing

On March 18, 2019 (the ‘‘Execution Date’’), the Company  began  entering into securities purchase

agreements (each, a ‘‘Securities Purchase Agreement’’) with selected accredited investors (each, an
‘‘Investor’’), pursuant to which the Company intends to issue  up to $5.5  million aggregate principal
amount of promissory notes (collectively, the  ‘‘Notes’’) to such  Investors. The Company  will use the
proceeds for working capital and other  general corporate purposes. The  initial offering closed on
March 18, 2019, and as of March 21, 2019, $800,000  aggregate principal amount of Notes were issued
and the proceeds from such offering were  paid to the  Company.

The Notes bear interest at the rate of 12% per annum  and mature on July 18, 2019  (the ‘‘Maturity

Date’’). Each Note is subject to a right  to  purchase  by Sagard Capital  Partners, L.P. and its affiliates
(collectively, ‘‘Sagard’’), pursuant to which Sagard may elect, within 5 business days of providing notice
thereof to the holder such Note, to purchase  all  or any portion of such Note  and all accrued  interest
thereon.

At the time of entering into a Securities Purchase Agreement,  an Investor may  elect  to  purchase
either a Note that is subject to a mandatory exchange provision (each  a ‘‘125% Coverage Note’’)  or a
Note that is not subject to a mandatory  exchange provision but  is otherwise  substantially the same as
the 125% Coverage Note (each, a ‘‘75%  Coverage Note’’). The mandatory exchange provision  in the
125% Coverage Notes provides that, at  the Company’s option  upon the  consummation of an
underwritten public offering of Common Stock by  the Company on or before the  Maturity Date  (the
‘‘Public Offering’’), the principal amount of the 125% Coverage  Notes plus  any unaccrued interest
thereon will be mandatorily exchanged  into shares of Common Stock (the ‘‘Exchange Shares’’) at a
price equal to the per share price at which  the Company issues Common Stock in the Public  Offering
(the ‘‘Exchange Price’’), subject to adjustment for reorganization, recapitalization,  non-cash dividend,
stock split, reverse stock split or other  similar transaction. Upon such exchange,  the 125% Coverage
Notes would be deemed repaid and terminated.

As an inducement to enter into the Securities Purchase Agreements, (i) each holder of 75%

Coverage Notes will receive a 5-year warrant  (the  ‘‘75% Coverage Warrant’’) to purchase shares  of
Common Stock (the ‘‘Warrant Shares’’) in an  amount  equal to 75% of the  principal amount of such
holder’s 75% Coverage Note divided  by  the Exercise Price  (as defined below) and (ii)  each  holder of
125% Coverage Notes will receive a  5-year warrant (the ‘‘125%  Coverage  Warrant’’ and, together with
the 75% Coverage Warrant, the ‘‘Warrants’’) to purchase Warrant Shares in  an amount equal to 125%
of the principal amount of such holder’s  125%  Coverage Note divided by the Exercise Price. The
exercise price for the 75% Coverage Warrant and 125% Coverage Warrant is the price  per  share at
which  the Company issues Common  Stock  in the Public Offering, provided that if  the Company has not
consummated a Public Offering by the Maturity  Date, then the  exercise price will be equal to the
closing sales price of the shares of Common  Stock on  the Maturity Date, in  each case subject to
adjustment for reclassification of the  Common Stock, non-cash dividend,  stock split, reverse stock split
or other  similar transaction (the ‘‘Exercise Price’’).

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Under the Securities Purchase Agreements, the Company is subject to certain restrictive  covenants,

including a covenant restricting the Company’s right to pay dividends or otherwise  make  any payment
or distribution in respect of the Company’s capital stock,  subject  to  certain limited exceptions, without
the prior written consent of the holders of  the Notes.  In addition, the  Company is  required to use
100% of the net amount of any outside  investments received by the Company  (excluding  product sales
revenue) for repayment of the Notes.

The Company and each Investor have contractually agreed  to  restrict the  Company’s ability to
exchange the 125% Coverage Notes and such Investor’s  ability to exercise the Warrants such  that  the
total cumulative number of number of Exchange Shares and Warrant Shares that may  be  issued to the
Investors after such exchange or exercise  does not exceed 19.99% of the Company’s then total issued
and outstanding shares of Common Stock  (the  ‘‘Notes Financing Exchange  Cap’’),  unless stockholder
approval is obtained to issue more shares  than the Notes Financing Exchange Cap. The  Notes
Financing Exchange Cap shall be appropriately adjusted for any reorganization, recapitalization,
non-cash dividend, stock split, reverse stock  split  or other similar transaction.

Among  those  contemplating  participation  in  the  Company’s  proposed  issuance  of  Notes  and
Warrants  are  James  J.  Bochnowski,  a  member  of  the  Board  of  Directors,  Lisa  A.  Conte,  our  President,
Chief Executive Officer and a member of  our Board of Directors, and Jonathan B. Siegel, a member of
the Board of Directors who may purchase  up  to  approximately $700,000  of Notes.

Stockholder  Approval  Requirements

Nasdaq Listing Rule 5635(c)

Pursuant to Nasdaq Listing Rule 5635(c), stockholder approval is required prior to the  issuance  of
Common Stock in connection with certain non-public offerings involving the sale, issuance or potential
issuance by the Company of equity compensation. For this purpose,  ‘‘equity compensation’’ includes
Common  Stock  (and/or  securities  convertible  into  or  exercisable  for  Common  Stock)  issued  to  the
Company’s  officers,  directors,  employees  or  consultants  at  a  discount  to  the  market  price  of  the
Common Stock, and ‘‘market value’’ is  the closing bid  price immediately preceding the time that the
Company enters into a binding agreement with such officer, director, employee or consultant to issue
the equity compensation.

As noted above, the Exercise Price for  the Warrants  and  Exchange Price for  the 125% Coverage

Notes is at a future determined price, including potentially at a price below  the market price of the
Common Stock. Therefore, the issuance  of Common  Stock upon exchange of the 125%  Coverage
Notes or exercise of the Warrants to James J. Bochnowski, Lisa A. Conte, and Jonathan B.  Siegel may
be considered to be ‘‘equity compensation’’ under Nasdaq Listing Rule 5635(c).

We  are  therefore  seeking  stockholder  approval  for  the  potential  issuance  of  Notes  and  Warrants  to

James  J.  Bochnowski,  Lisa  A.  Conte,  and  Jonathan  B.  Siegel.

Nasdaq Listing Rule 5635(d)

As noted above, the Notes and the Warrants restrict the amount of shares that may be issued  to
the Investors to the Notes Financing Exchange Cap. We can remove this  Notes Financing  Exchange
Cap by obtaining stockholder approval  in  compliance with the applicable Listing Rules  of The Nasdaq
Stock Market. The Common Stock is  listed on  The  Nasdaq Capital Market  and, as  such, we are subject
to the Nasdaq Listing Rules.

Pursuant to Nasdaq Listing Rule 5635(d), stockholder approval is required  prior to a 20%  Issuance
at a price that is less than the Minimum  Price.  For purposes  of Nasdaq  Listing Rule 5635(d), (A) ‘‘20%
Issuance’’ means a transaction, other than a  public offering, involving:  (i) the sale, issuance or potential
issuance by us of Common Stock (or  securities convertible into or exercisable for Common Stock),

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which  alone or together with sales by our officers, directors or substantial stockholders equals 20%  or
more of Common Stock (which for purposes of this calculation,  includes issued and outstanding shares
of our voting Common Stock and non-voting common stock) or 20%  or  more of the voting power
outstanding before the issuance and (B) ‘‘Minimum Price’’ means  a  price that is  the lower of:  (i) the
closing price (as reflected on Nasdaq.com) immediately  preceding the signing  of the binding agreement;
or (ii) the average closing price of Common Stock (as reflected on  Nasdaq.com) for the five trading
days immediately preceding the signing of the binding agreement. Stockholder  approval of this proposal
will constitute stockholder approval for  purposes of Nasdaq Listing Rule 5635(d).

On March 27, 2019, there were 62,101,791 shares of our  Common Stock  and non-voting common
stock issued and outstanding in the aggregate. Accordingly, our  issuance  of  more than  9,609,247 shares
under the Notes and Warrants requires  the  approval of our stockholders under Nasdaq  Listing
Rule 5635(d). The issuance of shares of  Common Stock to Investors upon the exchange of the 125%
Coverage Notes, together with the issuance  of  shares of  Common Stock to Investors  upon exercise  of
the Warrants, could result in the issuance  of shares  of  Common Stock to the  Investors that represents
more than 20% of our Common Stock  or 20%  of the voting power  outstanding prior  to  the issuance of
the Notes and Warrants. For illustration  purposes only, below is  a  table  showing the  number of shares
of common stock that may potentially  be  issued pursuant to the Notes and Warrants based on three
hypothetical Exercise Prices, assuming  that all $5.5 million Notes are issued and that each of the
noteholders  elected  to  receive  the  125%  Coverage  Notes  and  the  125%  Coverage  Warrants.  The
number of shares issuable will correspondingly increase or decrease depending on  the actual Exchange
Price  and  Exercise  Price  for  the  Notes  and  Warrants,  respectively.  Please  note  that  the  share  figures
and exercise prices set forth in the table  below  are on  a pre-Reverse Stock Split basis:

Hypothetical Exercise Price of Warrants . . . . . . . . . . . .
Hypothetical Aggregate Principal Amount  of 125%

$

Scenario A

Scenario B

Scenario C

0.15

$

0.30

$

0.45

Coverage  Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Number of Exchange Shares . . . . . . . . . . . . . . . . . . . .
Number of Warrant Shares Issuable under 125%

$5,500,000.00
36,666,667

$5,500,000.00
18,333,333

$5,500,000.00
12,222,222

Coverage  Warrants . . . . . . . . . . . . . . . . . . . . . . . . .

45,833,333

22,916,667

15,277,778

Total  Number of Shares . . . . . . . . . . . . . . . . . . . . . . .

82,500,000

41,250,000

27,500,000

We  are therefore seeking stockholder approval  for the  issuance  of  shares of  Common Stock  that
may be issued to Investors upon (i) exchange of the outstanding balance (including interest thereon), or
any portion thereof, of the Notes at  the Exchange Price,  subject  to  the terms  of the Notes and
(ii) exercise of the Warrants pursuant to the  terms thereof at the Exercise Price.

Required Vote of Stockholders

To approve the issuance of shares of common  stock upon  the exchange  of promissory  notes and
exercise of warrants issued in the Notes Financing (this  Proposal 4), the affirmative vote of the holders
of a majority of shares of votes cast, in person or by remote communication,  if  applicable, or
represented by proxy at the Annual Meeting,  voting together  as a single class  and entitled to vote, is
required. Although failure to submit  a proxy or vote  in person at the Annual Meeting, or a failure to
provide your broker, nominee, fiduciary or other custodian, as applicable, with instructions on  how to
vote your shares will not affect the outcome of the vote on this  proposal, the failure to submit a proxy
or vote in person at the Annual Meeting  will  make it more difficult to meet the requirement  under our
bylaws that the holders of a majority  of our capital stock issued  and outstanding  and entitled to vote at
the Annual Meeting be present in person or  by  proxy to constitute  a  quorum  at the  Annual Meeting.

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The board of directors unanimously recommends that the stockholders vote ‘‘FOR’’  Proposal

No. 4 to issue shares of common stock upon exchange of promissory  notes and exercise of warrants
issued in the Notes Financing in accordance with  the stockholder approval requirements of Nasdaq
Listing Rules 5635(c) and 5635(d).

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PROPOSAL 5—APPROVAL OF THE  ISSUANCE  OF SHARES OF  COMMON STOCK UPON THE
EXERCISE OF THE LOC WARRANT

At the Annual Meeting, stockholders  will  be  asked  to  approve  the issuance of shares of Common
Stock upon exercise of the LOC Warrant (as defined  below)  issued in connection with the Company’s
entry in the LOC Cancellation and Warrant Issuance Agreement (as  defined below). All  per  share
dollar figures included in this Proposal 5  are  subject to adjustment for stock splits, stock dividends,
reclassifications and other similar recapitalization transactions.

Background

On August 28, 2018, the Company entered into an  Office Lease Agreement (the ‘‘Lease’’)  with
CA-Mission Street Limited Partnership,  a  Delaware limited partnership (‘‘Landlord’’),  to  extend the
Company’s lease for approximately 6,311 square  feet of office  space  located  at 201  Mission Street,
Suite 2375, San Francisco, California  (the  ‘‘Premises’’). Concurrently with the execution  of  this  Lease,
the Company was required to deliver to the Landlord a standby,  unconditional, irrevocable, transferable
letter of credit, naming Landlord as beneficiary, as collateral  for the  full  performance by the  Company
of all of its obligations under the Lease and for all losses  and damages Landlord may suffer as a result
of the Company’s failure to comply with  one or  more  provisions of  the Lease.

To satisfy the letter of credit requirement in  the Lease, Pacific Capital Management, LLC  (the
‘‘LC Facilitator’’), one of the Company’s  existing  shareholders, caused its financial institution  to  issue a
letter of credit in the amount of $475,000  (the  ‘‘Landlord  Letter of Credit’’) on behalf  of the Company
in favor of Landlord pursuant to the  terms of the  Landlord Letter of Credit & Warrant Issuance
Agreement, dated August 28, 2018, by  and between the  Company and  the LC Facilitator (‘‘Landlord
LOC Agreement’’). Under the terms  of the  Landlord LOC Agreement, if the Company did not receive
on a consolidated  basis at least $5 million  of gross proceeds in the aggregate from  any source (in the
form of debt or equity or debt or equity like  instruments or  any combination  thereof) on, or before,
October 1, 2018 (‘‘Capital Raise Requirement’’), then the Company was required  to  cause LC
Facilitator’s exposure under the Landlord Letter  of Credit  to be reduced  by  $122,000, whether pursuant
to a release of LC Facilitator of such  amount  under the  Landlord Letter of Credit, replacement or
modification of the Landlord Letter of Credit in  whole or  in part, partial  replacement  or additional
collateral in favor of LC Facilitator or otherwise (the ‘‘Reduced  Exposure Obligation’’). Since the
Company did not meet the Capital Raise  Requirement, the  Company caused its financial institution,
Western Alliance Bank (the ‘‘Issuing Bank’’), to issue a  letter of credit  in the amount of $122,000  in
favor of the letter of credit beneficiary (‘‘LC Beneficiary’’), who  is the managing member of the LC
Facilitator, pursuant to the terms of the Irrevocable Standby Letter of  Credit No. LC22120-602,  dated
December 13, 2018 signed by the Issuing Bank (the ‘‘LC Beneficiary Letter of Credit’’) in order  to
reduce LC Facilitator’s exposure under  the  Landlord Letter  of  Credit.

The Company and the LC Beneficiary intend to enter  into  a  letter  of credit  cancellation and
warrant issuance agreement (‘‘LOC Cancellation and Warrant Issuance Agreement’’), pursuant to which
LC Beneficiary will agree to cancel the  LC Beneficiary Letter of Credit and terminate the Company’s
Reduced Exposure Obligation in consideration for the  Company’s issuance of a 5-year warrant  to
purchase shares of Common Stock (the ‘‘LOC Warrant’’) in an amount equal to 75% of  the principal
amount of Reduced Exposure Obligation  divided by the  Exercise Price. For illustration purposes only,
below is a table showing the number  of  shares of common stock that  may  potentially be issued
pursuant to the LOC Warrant based  on  three hypothetical Exercise Prices. The number  of shares
issuable will correspondingly increase or  decrease  depending on the actual  Exercise Price for  the LOC

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Warrant. Please note that the share figures and exercise  prices set forth in the table  below are on a
pre-Reverse Stock Split basis:

Hypothetical Exercise Price of LOC Warrant .
Aggregate Amount of LOC Warrant . . . . . . . .
Number of Warrant Shares Issuable Under

Scenario A

Scenario B

Scenario C

0.15
$
$91,500.00

0.30
$
$91,500.00

0.45
$
$91,500.00

LOC Warrant . . . . . . . . . . . . . . . . . . . . . .

762,500

381,250

254,167

Stockholder  Approval  Requirement

Pursuant to Nasdaq Listing Rule 5635(d), stockholder approval is required  prior to a 20%  Issuance
at a price that is less than the Minimum  Price.  For purposes  of Nasdaq  Listing Rule 5635(d), (A) ‘‘20%
Issuance’’ means a transaction, other than a  public offering, involving:  (i) the sale, issuance or potential
issuance by us of Common Stock (or  securities convertible into or exercisable for Common Stock),
which  alone or together with sales by our officers, directors or substantial stockholders equals 20%  or
more of Common Stock (which for purposes of this calculation,  includes issued and outstanding shares
of our voting Common Stock and non-voting common stock) or 20%  or  more of the voting power
outstanding before the issuance and (B) ‘‘Minimum Price’’ means  a  price that is  the lower of:  (i) the
closing price (as reflected on Nasdaq.com) immediately  preceding the signing  of the binding agreement;
or (ii) the average closing price of Common Stock (as reflected on  Nasdaq.com) for the five trading
days immediately preceding the signing of the binding agreement. Stockholder  approval of this proposal
will constitute stockholder approval for  purposes of Nasdaq Listing Rule 5635(d).

The issuance of shares of Common Stock to the LC Beneficiary upon the exercise of the  LOC
Warrant could result in the issuance  of shares  of  Common Stock to the  LC Beneficiary  that  represents
more than 20% of our Common Stock  or 20%  of the voting power  outstanding prior  to  the issuance of
the LOC Warrant.

We  are therefore seeking stockholder approval  for the  issuance  of  shares of  Common Stock  that

may be issued to the LC Beneficiary  upon the exercise of the LOC Warrant pursuant to the  terms
thereof at the Exercise Price.

Required Vote of Stockholders

To approve the issuance of shares of common  stock upon  the exercise of  the LOC Warrant (this
Proposal 5), the affirmative vote of the holders of a majority  of shares  of  votes  cast, in person  or by
remote communication, if applicable,  or represented  by proxy at the  Annual  Meeting, voting together
as a single class and entitled to vote,  is required. Although failure to submit  a proxy or  vote  in person
at the Annual Meeting, or a failure to provide  your broker,  nominee,  fiduciary or other custodian, as
applicable, with instructions on how to vote  your shares  will not affect the outcome  of the vote on  this
proposal, the failure to submit a proxy or  vote in person  at the  Annual Meeting will make it more
difficult to meet the requirement under  our bylaws that the  holders  of a  majority  of our  capital stock
issued and outstanding and entitled to  vote at the Annual Meeting be present in person or by proxy to
constitute a quorum at the Annual Meeting.

The board of directors unanimously recommends that the stockholders vote ‘‘FOR’’  Proposal
No. 5 to issue shares of common stock upon exercise of  the LOC Warrant in accordance with  the
stockholder approval requirements of  Nasdaq  Listing Rule 5635(d).

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PROPOSAL 6—GRANT OF DISCRETIONARY AUTHORITY TO ADJOURN THE ANNUAL
MEETING IF NECESSARY TO SOLICIT  ADDITIONAL PROXIES

Although it is not expected, the Annual  Meeting may  be  adjourned for the purpose of  soliciting
additional proxies. Any such adjournment of the Annual Meeting may be made without  notice,  other
than by the announcement made at the  Annual Meeting, by  approval  of the holders  of  a majority of
the outstanding shares of our Common  Stock and Preferred  Stock, voting  together  as a single class,
present  in person or by proxy and entitled to vote at the Annual  Meeting, whether or  not  a quorum
exists. We are soliciting proxies to grant  discretionary  authority to the chairperson of the  Annual
Meeting to adjourn the Annual Meeting,  if necessary, for  the purpose of  soliciting  additional proxies in
favor of Proposals 1 through 5. The chairperson will have  the discretion to decide  whether or not to
use the authority granted to such person pursuant to this  Proposal 6 to adjourn the  Annual  Meeting.

Required Vote of Stockholders

To approve the grant of discretionary authority to the chairperson of the Annual Meeting to
adjourn the Annual Meeting, if necessary,  for the purpose of soliciting additional proxies in favor of
Proposals 1 through 5, the affirmative  vote of the  holders  of a majority  of shares of  our Common Stock
and Preferred Stock, present in person  or  by remote  communication, if applicable, or represented by
proxy at the Annual Meeting, voting together as  a single class and  entitled to vote, is required.
Although failure to submit a proxy or vote in person  at the  Annual Meeting, or  a failure to provide
your broker, nominee, fiduciary or other  custodian, as applicable, with instructions on  how to vote your
shares will not affect the outcome of the vote on  this  proposal, the failure  to  submit  a proxy or  vote  in
person at the Annual Meeting will make  it more  difficult  to meet the requirement under our bylaws
that the holders of a majority of the  our capital stock issued and  outstanding and entitled  to  vote  at the
Annual Meeting be present in person  or  by proxy  to  constitute a quorum at the Annual Meeting.

The Board of Directors unanimously  recommends that the stockholders vote ‘‘FOR’’ Proposal
No. 6 to grant discretionary authority  to  adjourn the Annual  Meeting,  if necessary,  to solicit additional
proxies in favor of Proposals 1 through  5.

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Director  Independence

CORPORATE GOVERNANCE

Our common stock is listed on The Nasdaq Capital Market.  Under  Nasdaq rules,  independent
directors must comprise a majority of  a listed company’s board of directors.  In addition, Nasdaq rules
require that, subject to specified exceptions, each member of a  listed company’s Audit,  Compensation
and Nominating Committee must be independent. Audit  Committee members must also satisfy the
independence criteria set forth in Rule  10A-3  under the  Exchange Act. Under Nasdaq rules, a  director
will only qualify as an ‘‘independent director’’ if, in  the opinion of  the  company’s board of directors,
such person does not have a relationship that  would interfere with  the exercise of independent
judgment in carrying out the responsibilities of a director.

To be considered independent for purposes  of  Rule 10A-3, a member  of an audit committee of a

listed company may not, other than in his  or her capacity as a  member of the audit committee,  our
board of directors, or any other board  committee (1) accept, directly  or  indirectly, any  consulting,
advisory, or other compensatory fee from the  listed company or any of its subsidiaries or (2)  be  an
affiliated  person of the listed company or  any of its subsidiaries.

Our board of directors periodically undertakes  a review of its composition, the composition of its
committees and the independence of our  directors  and considered whether any director  has a material
relationship with us that could compromise  his or  her ability to exercise  independent judgment in
carrying  out his or her responsibilities.  Based  upon information requested from  and provided by each
director concerning his or her background, employment  and  affiliations,  including family relationships,
our  board of directors has determined  that five of our eight  directors (i.e., Mr. Bochnowski, Mr. Micek,
Mr. Qui, Mr. Siegel and Mr. Divis) do  not  have a relationship  that would interfere with the exercise of
independent judgment in carrying out  the responsibilities of  a  director  and that each of these directors
is ‘‘independent’’ as that term is defined  under  the Nasdaq rules.  Our board of  directors also
determined that Mr. Micek (chairperson),  Mr. Bochnowski, and  Mr. Siegel, who  comprise our  Audit
Committee, Mr. Bochnowski (chairperson), Mr. Johnson  and  Mr. Siegel, who  comprise our
Compensation Committee, and Mr. Johnson (chairperson), Mr.  Bochnowski  and Mr. Micek, who
comprised our Nominating Committee,  satisfy the  independence  standards for those committees
established by applicable SEC rules and  the Nasdaq rules and listing standards.

In making this determination, our board of directors  considered the relationships that each

non-employee director has with us and  all other facts  and  circumstances our  board of directors deemed
relevant in determining independence, including the beneficial  ownership of our capital stock by each
non-employee  director.

MEETINGS AND COMMITTEES OF THE  BOARD OF DIRECTORS

Audit Committee

The members of our Audit Committee are  Mr. Micek, Mr. Bochnowski, and  Mr.  Siegel. Mr. Micek

is the chairperson of the Audit Committee. Our  Audit Committee’s responsibilities include:

• appointing, approving the compensation  of, and assessing  the independence of our registered

public accounting firm;

• overseeing the work of our independent registered public accounting firm, including through the

receipt and consideration of reports from that firm;

• reviewing and discussing with management and our independent registered  public accounting

firm our annual and quarterly financial statements and related disclosures;

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• monitoring our internal control over financial reporting, disclosure controls and procedures and

code of conduct;

• discussing our risk management policies;

• establishing policies regarding hiring  employees from our independent registered public

accounting firm and procedures for the receipt and retention of accounting  related complaints
and concerns;

• reviewing and approving or ratifying any related person transactions; and

• preparing the Audit Committee report required by SEC rules.

All audit and non-audit services, other  than  de minimis non-audit services, to be provided to  us by

our  independent registered public accounting firm  must be  approved in advance by our Audit
Committee.

Our board of directors has determined that each of Mr. Micek,  Mr. Bochnowski, and Mr. Siegel  is

an independent director under Nasdaq  rules and under Rule  10A-3. All  members  of  our  Audit
Committee meet the requirements for  financial  literacy under the applicable rules and regulations  of
the SEC and Nasdaq. Our board of directors has  determined that Mr. Micek is  an ‘‘audit  committee
financial expert,’’ as defined by applicable  SEC rules, and has the  requisite financial  sophistication as
defined under the applicable Nasdaq rules and  regulations.

The Audit Committee held 4 meetings in 2018. The  audit committee has adopted a written charter

approved by our board of directors, which  is available on our website at:
https://jaguarhealth.gcs-web.com/static-files/aeabd726-16c2-4219-a755-475e9c87b851

Compensation  Committee

The members of our Compensation Committee are  Mr.  Bochnowski  (chairperson), Mr. Johnson

and Mr. Siegel. Mr. Bochnowski is the chairperson of the  Compensation Committee.  Our
Compensation  Committee’s  responsibilities  include:

• determining, or making recommendations  to  our board of directors with respect to, the

compensation of our Chief Executive Officer;

• determining, or making recommendations  to  our board of directors with respect to, the

compensation of our other executive officers;

• overseeing and administering our cash  and equity incentive  plans;

• reviewing and making recommendations to our board  of directors  with respect  to  director

compensation;  and

• preparing the Compensation Committee report and necessary disclosure in  our annual proxy

statement in accordance with applicable SEC rules.

To  determine  compensation,  the  Compensation  Committee,  with  input  from  the  Chief  Executive

Officer  (who  does  not  participate  in  the  deliberations  regarding  her  own  compensation),  reviews,  at
least annually, and makes recommendations to the  board of  directors appropriate compensation levels
for  each  executive  officer  of  the  Company.  The  Compensation  Committee  considers  all  factors  it  deems
relevant in setting executive compensation.

Our board has determined that each  of Mr. Bochnowski (chairperson),  Mr. Johnson and
Mr. Siegel is independent under the applicable Nasdaq rules and regulations, is a  ‘‘non-employee
director’’ as defined in Rule 16b-3 promulgated under  the Exchange Act,  and is an ‘‘outside director’’
as that term is defined in Section 162(m) of the Internal Revenue  Code of 1986, as  amended.

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The Compensation Committee held 3 meetings  in 2018.  All compensation-related matters  were

approved at the board of directors level.  The Compensation Committee  has adopted a written charter
approved by the board of directors, which is available  on our website  at:
https://jaguarhealth.gcs-web.com/static-files/653862da-1aa9-4819-b559-5c5654189e80.  Under  its  charter,
the Compensation Committee has the authority,  in its sole discretion, to select, retain and  obtain  the
advice  of  a  compensation  consultant  as  necessary  to  assist  with  the  execution  of  its  duties  and
responsibilities as set forth in its charter but only  after taking  into  consideration  factors relevant to the
compensation consultant’s independence from management specified in NASDAQ Listing
Rule 5605(d)(3)(D).  The  Compensation  Committee  currently  has  not  retained  or  sought  advice  from  a
compensation  consultant.

Nominating  Committee

The members of our Nominating Committee are Mr. Bochnowski (chairperson), Mr. Johnson and

Mr. Micek. Mr. Johnson is the chairperson of the Nominating  Committee. Our Nominating
Committee’s  responsibilities  include:

• identifying individuals qualified to become  members of our board  of directors;

• evaluating qualifications of directors;

• recommending to our board of directors  the persons to be nominated  for election  as directors

and to each of the committees of our board of directors; and

• overseeing an annual evaluation of  our  board  of  directors.

The Nominating Committee did not hold  any meetings  in 2018. All  nomination-related matters

were approved at the board of directors level.  The  Nominating Committee has adopted a  written
charter approved by the board of directors, which is available  on our website at:
https://jaguarhealth.gcs-web.com/static-files/02dfed04-9508-44cd-a96a-3215e565111c.

Meetings and Attendance During 2018

The board of directors held 13 meetings  in 2018. Except  for Jiahao  Qui, each  director who  served
as a director during 2018 participated in  75% or more  of  the meetings  of  the board  of  directors and of
the committees on which he or she served, if any, during the  year ended December  31, 2018 (during
the period that such director served).  Mr. Johnson, Mr. Siegel and  Mr. Divis were not appointed to the
board of directors until March 23, 2018, March 29,  2018 and  June 14, 2018,  respectively, and therefore,
did not attend any meetings in 2018 prior to their respective dates of appointment.

We  do not have a written policy on director attendance at  annual meetings of stockholders. We

encourage, but do not require, our directors  to  attend the Annual  Meeting.  One  director attended the
2018 Annual Meeting of Stockholders.

Code of Business Conduct and Ethics

We  have adopted a Code of Business Conduct and Ethics  that applies to  our directors,  officers and

employees, including our President and  Chief Executive  Officer, our  Chief Financial Officer and  other
employees who perform financial or accounting functions. The Code of Business Conduct and Ethics
sets forth the basic principles that guide the  business conduct of our  employees. A current copy of the
code is on our website at https://jaguarhealth.gcs-web.com/static-files/2686b919-e219-4c2a-
b863-e6df4533aea9. We intend to disclose  future amendments  to  certain  provisions of  our code of
business conduct and ethics, or waivers of such provisions  on our website to the extent required by
applicable rules and exchange requirements.  The inclusion  of our  website address in this proxy

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statement does not incorporate by reference the information on  or accessible through our website into
this  proxy statement.

Compensation Committee Interlocks  and  Insider Participation

None of the members of our Compensation Committee  has ever  been an  officer  or employee of

our  company. None of our executive officers  currently serves,  or  in the past  year has served, as a
member of the board of directors or Compensation Committee or other board committee performing
equivalent functions of any entity that  has  one or more of  its  executive officers  serving  on our board of
directors or Compensation Committee.

Limitation of Liability and Indemnification

Our COI and Bylaws contain provisions that limit the personal liability of our  directors for
monetary damages to the fullest extent  permitted by Delaware law. Delaware law provides that
directors of a corporation will not be  personally liable to us  or our stockholders for  monetary  damages
for any breach of fiduciary duties as directors, except liability for:

• any breach of the director’s duty of loyalty  to  us  or our stockholders;

• any act or omission not in good faith  or that involves intentional misconduct or  a knowing

violation of law;

• unlawful payments of dividends or  unlawful stock repurchases  or  redemptions as provided in

Section  174 of the DGCL; or

• any transaction from which the director  derived an  improper  personal benefit.

Such limitation of liability does not apply to liabilities  arising under federal securities laws and

does not affect the availability of equitable remedies, such as injunctive relief  or rescission.

Our COI provides that we indemnify  our directors to the  fullest extent permitted by Delaware law.

In addition, our Bylaws provide that we  indemnify  our  directors and officers to the  fullest extent
permitted by Delaware law. Our Bylaws  also provide that we shall advance expenses incurred by a
director or officer in advance of the final  disposition of any action or proceeding, and permit us to
secure insurance on behalf of any officer,  director, employee  or other agent for any liability arising out
of his  or her actions in that capacity, regardless  of  whether we  would otherwise  be  permitted to
indemnify him or her under the provisions of Delaware law. We  have entered and expect  to  continue to
enter into agreements to indemnify our directors, executive officers and other employees as determined
by our board of directors. With certain  exceptions, these  agreements  provide for indemnification for
related expenses including, among others, attorneys’ fees, judgments, fines and settlement  amounts
incurred by any of these individuals in any  action or proceeding. We  believe that these bylaw provisions
and indemnification agreements are  necessary  to  attract and retain  qualified persons as directors  and
officers. We also maintain directors’ and officers’ liability insurance.

The limitation of liability and indemnification provisions  in our  COI and  Bylaws and our

indemnification agreements, may discourage stockholders from bringing a  lawsuit  against our directors
for breach of their fiduciary duty of care.  They may also reduce the  likelihood of derivative litigation
against our directors and officers, even  though an action,  if successful, might benefit  us  and other
stockholders. Furthermore, a stockholder’s  investment may be adversely  affected to the extent that we
pay the costs of settlement and damage  awards against directors  and officers.  There is no pending
litigation or proceeding involving any  of our directors, officers or employees for which indemnification
is sought, and we are not aware of any  threatened  litigation that may result  in claims for
indemnification.

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Board Leadership Structure

Our Bylaws and corporate governance  guidelines provide our board  of directors with flexibility  in
its  discretion to combine or separate the  positions of Chairperson  of the board of directors  and chief
executive officer. As a general policy, our  board of directors believes that  separation of the  positions of
Chairperson and chief executive officer  reinforces the independence of the board  of directors  from
management, creates an environment  that encourages  objective oversight of management’s performance
and enhances the effectiveness of the  board of directors  as a whole. We expect and intend the positions
of Chairperson of the board and chief  executive officer to be held by  two individuals in the future.

Risk Oversight

Our board of directors monitors our exposure to a  variety  of  risks through  our  Audit Committee.

Our Audit Committee charter gives the  Audit Committee responsibilities and duties that include
discussing with management and the independent  auditors our major  financial risk  exposures and the
steps management has taken to monitor and control such exposures, including  our  risk assessment and
risk management policies.

Nomination of Directors

There have been no material changes to the procedures by which  stockholders  may recommend

nominees to our board of directors. Recommendations to the board of directors for  election as
directors of Jaguar at an annual meeting may be made only by the Nominating Committee or by the
Company’s stockholders (through the Nominating Committee) who comply with  the timing,
informational, and other requirements  of  our Bylaws,  except for the right of the holders of  Series A
Preferred Stock to elect up to two directors (voting as a separate class), which is not subject  to  such
procedural limitations. Stockholders have the  right to recommend persons  for nomination by submitting
such recommendation, in written form, to the Nominating  Committee, and such  recommendation will
be evaluated pursuant to the policies and  procedures  adopted by  the  board of  directors. Such
recommendation must be delivered to  or mailed to and  received  by the Secretary of the  Company at
the principal executive offices not less than 90 days nor more than 120 calendar days prior  to  the first
anniversary of the date the preceding  year’s  annual meeting, except that if no annual meeting  of
stockholders was held in the preceding  year or if the  date of  the  annual meeting  of stockholders has
been changed by more than 30 calendar  days  from the date  contemplated  at the time of the  preceding
year’s proxy statement, the notice shall be received by the  Secretary  at  the Company’s principal
executive offices not less than 150 calendar  days  prior to the date of the  contemplated  annual meeting
or the date that is 10 calendar days after the date  of  the first public announcement or  other
notification to stockholders of the date  of  the contemplated annual meeting, whichever first occurs. The
deadline to submit recommendations  for election  as directors at the 2019 Annual Meeting has already
passed.

The Nominating Committee, in accordance with  the board of directors’  governance  principles,
seeks to create a board that has the ability  to  contribute to the  effective  oversight  and management of
the Company, that is as a whole strong  in  its collective knowledge of and diversity of  skills  and
experience with respect to accounting and finance, management and leadership,  vision and  strategy,
business judgment, biotechnology industry  knowledge,  corporate  governance and  global markets. The
Nominating Committee does not currently have a policy with  regard to the  consideration of diversity in
identifying director nominees. When the Nominating Committee reviews  a potential new  candidate, the
Nominating Committee looks specifically at the candidate’s qualifications  in light of the needs of  the
board of directors and the Company at  that time given the then current mix of director  attributes.

General criteria for the nomination and evaluation  of  director candidates include:

• loyalty and commitment to promoting  the long term  interests of the Company’s  stockholders;

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• the highest personal and professional ethical  standards and  integrity;

• an ability to provide wise, informed  and thoughtful counsel to top management on a range  of

issues;

• a history of achievement that reflects superior standards for themselves and others;

• an ability to take tough positions in constructively-challenging the  Company’s management  while

at the same time working as a team player;  and

• individual backgrounds that provide  a portfolio of personal and professional experience and

knowledge commensurate with the needs of the Company.

The Nominating Committee must also  ensure that the  members of the board of directors as a
group maintain the requisite qualifications  under the  applicable  Nasdaq  Stock Market listing standards
for populating the Audit, Compensation  and Nominating Committees.

Written recommendations from a stockholder  for  a director  candidate must include the following

information:

• the stockholder’s name and address, as  they  appear on our  corporate books;

• the class and number of shares that are  beneficially owned by such stockholder;

• the dates upon which the stockholder acquired such  shares;  and

• documentary support for any claim  of beneficial ownership.

Additionally, the recommendation needs to include, as  to  each  person whom the stockholder
proposes to recommend to the Nominating Committee  for nomination to election or  reelection as a
director, all information relating to the person  that  is required pursuant to Regulation 14A under the
Exchange Act, as amended, and evidence satisfactory  to  us that  the nominee has  no interests that
would limit their ability to fulfill their duties of office.

Once the Nominating Committee receives a recommendation, it will deliver  a questionnaire to the

director candidate that requests additional  information about his or her independence, qualifications
and other information that would assist the Nominating Committee  in evaluating the individual, as well
as certain information that must be disclosed about the  individual in the Company’s proxy statement, if
nominated. Individuals must complete and  return the questionnaire  within the time frame  provided to
be considered for nomination by the Nominating Committee.

The Nominating Committee will review the  stockholder  recommendations and make

recommendations to the board of directors  that the Committee  feels  are in the  best interests of the
Company and its stockholders.

The Nominating Committee has not received any recommendations from stockholders for the

Annual Meeting.

Communications with the Board of Directors

Stockholders may contact an individual director or the board of directors as a  group, or a specified

board committee or group, including  the non-employee directors  as a  group, by the following means:

Mail:

Attn: Board of Directors
Jaguar Health, Inc.
201 Mission Street, Suite 2375
San Francisco, CA 94105
Email: AskBoard@jaguar.health

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Each  communication should specify the  applicable  addressee or  addressees to be contacted as well
as the general topic of the communication. We will initially receive and process communications  before
forwarding them to the addressee. We also may  refer communications  to  other departments  within the
Company. We generally will not forward to the directors a communication that is primarily commercial
in nature, relates to an improper or irrelevant topic,  or requests the Company’s general information.

Complaint and Investigation Procedures  for Accounting, Internal  Accounting  Controls, Fraud or

Auditing Matters

We  have created procedures for confidential submission of  complaints or concerns relating to
accounting or auditing matters and contracted with Nasdaq to facilitate the gathering, monitoring and
delivering reports on any submissions. As  of the  date of  this  report,  there have been no submissions of
complaints or concerns to Nasdaq. Complaints or concerns about  our accounting, internal  accounting
controls or auditing matters may be submitted to the  Audit Committee  and our executive officers by
contacting Nasdaq. Nasdaq provides  phone, internet and e-mail access and is available  24 hours per
day, seven days per week, 365 days per  year. The hotline number is  1-844-417-8861 and the website is
https://www.openboard.info/jagx. Any person may  submit  a written Accounting  Complaint to
jagx@openboard.info.

Our Audit Committee under the direction and oversight of the Audit Committee Chair will

promptly review all submissions and determine the appropriate course  of  action. The Audit  Committee
Chair has the authority, in his discretion, to bring any submission immediately to the  attention of other
parties or persons, including the full  board of directors, accountants and attorneys. The  Audit
Committee Chair shall determine the  appropriate means  of  addressing the concerns or complaints  and
delegate that task to the appropriate member of senior management,  or  take  such other action  as it
deems necessary or appropriate to address the complaint or concern, including obtaining outside
counsel or other advisors to assist the  Audit Committee.

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Our executive officers as of the date of this proxy statement are as follows:

Name

Age

Position

EXECUTIVE  OFFICERS

Lisa A. Conte . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . .
Steven R. King, Ph.D.

60 Chief Executive Officer, President and Director
61 Executive Vice President, Sustainable Supply,
Ethnobotanical Research and Intellectual
Property and Secretary

Karen S. Wright . . . . . . . . . . . . . . . . . . . . . . .

63 Chief Financial Officer and Treasurer

Set forth below is a summary of the business experience of our Executive Vice President of
Sustainable Supply, Ethnobotanical Research  and  Intellectual Property and Secretary, Steven R. King,
and our Chief Financial Officer, Karen  S. Wright. Our  Chief Executive Officer’s biography has  been
provided  above.

Steven R. King, Ph.D. Dr. King has served as our Executive Vice President  of Sustainable Supply,

Ethnobotanical Research and Intellectual Property since March 2014 and as  our Secretary  since
September 2014. From 2002 to 2014, Dr.  King served as the  Senior  Vice President of Sustainable
Supply, Ethnobotanical Research and  Intellectual  Property at our  wholly-owned subsidiary, Napo
Pharmaceuticals, Inc. Prior to that, Dr. King served as the  Vice President of Ethnobotany and
Conservation at Shaman Pharmaceuticals,  Inc. Dr. King has been recognized by the International
Natural Products and Conservation Community for  the creation and dissemination  of  research  on the
long-term sustainable harvest and management  of  Croton lechleri, the widespread source of crofelemer.
Dr. King is currently a member of the board of directors  of Healing Forest  Conservatory, a California
not-for-profit public benefit corporation. Dr. King holds a Ph.D. in Biology from the  Institute of
Economic Botany of the New York Botanical  Garden and an M.S. in Biology from  the City  University
of New York.

Karen S. Wright. Ms. Wright has served as our Chief Financial Officer  since December 15, 2015.

Prior to joining us, Ms. Wright served  as  head of  finance for Clene Nanomedicine, Inc., beginning in
August 2014. From June 2011 to May  2014, Ms. Wright served as  vice president of finance  and
corporate controller at Veracyte, Inc., and from 2006 to 2011, she served as  vice president of finance,
corporate controller and principal accounting officer of VIA Pharmaceuticals, Inc. Ms. Wright holds a
BS in Accounting and Marketing from the University of California Walter  A. Haas  School of Business.

Officers  serve  at  the  discretion  of  the  board  of  directors.  There  are  no  family  relationships  among

any of our executive officers or among any of our executive officers  and  our directors. There is no
arrangement or understanding between  any executive officer and  any other person pursuant to which
the executive officer was selected.

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COMPENSATION OF DIRECTORS AND EXECUTIVE OFFICERS

Summary Compensation Table (2018 and 2017)

The total compensation paid to the Company’s  Principal Executive Officer and its three highest

compensated executive officers other  than the  Principal Executive Officer,  respectively, for services
rendered in 2018 and 2017, as applicable, is summarized as follows:

Lisa A. Conte . . . . . . . . . . . . . . . .
President and Chief Executive
Officer

Steven R. King, Ph.D.

. . . . . . . . . .

Executive Vice President,
Sustainable  Supply,
Ethnobotanical

Research and Intellectual

Property

Karen S. Wright . . . . . . . . . . . . . .

Chief Financial Officer and
Treasurer(3)

Year

Salary ($)

Bonus ($)

Option
awards  ($)(1)

All other
compensation
($)(2)

2018
2017

2018
2017

480,000
440,000

$30,000
—

490,046
184,990

287,045
280,500

—
—

460,001
80,925

19,014
17,599

36,316
32,032

Total ($)

1,019,060
642,589

783,362
393,457

2018
2017

280,667
240,000

30,000
5,000

120,509
554,108

—
—

431,175
300,108

Footnotes to Summary Compensation  Table

(1) Represents the dollar amounts recognized  for financial statement reporting purposes with respect
to the fiscal year (for stock option awards) determined under FASB ASC Topic 718.  The  following
are the options held by each executive officer as  of December 31, 2018:

a. Ms.  Conte—an aggregate of 734,411 shares were  granted  as follows: 10,691  shares granted
April 1, 2014, 5,707 shares granted July 2,  2015, 7,546 shares granted July  7, 2015, 7,546
shares granted July 7, 2015, 4,664 shares  granted April 1,  2016 which became effective  at the
annual stockholders’ meeting of June 14,  2016, 21,200 shares granted  September 22,  2016,
1,133 shares granted December 19, 2016, 19,053 shares granted  December  21, 2017, 216,482
shares granted on March 12, 2018 and  447,935 shares  granted on June 1,  2018. The weighted
average exercise price of all of Ms. Conte option grants is $6.54.

b. Dr. King—an aggregate of 257,470 shares were granted as follows: 6,237 shares  granted
April 1, 2014, 3,328 shares granted July 2,  2015 which  became effective at the  annual
stockholders’ meeting of June 14, 2016, 1,883  shares granted April 1, 2016  which became
effective at the annual stockholders’  meeting of  June 14, 2016,  1,536 shares granted
September 22, 2016, 299 shares granted  December 19,  2016, 6,351 shares  granted
December 21, 2017, 88,525 shares granted on  March 12,  2018 and 149,311  shares granted on
June 1, 2018. The weighted average exercise price of all of Dr. King’s option grants is $6.72.

c. Ms. Wright—an aggregate of 164,753 shares were granted as follows:  1,333 shares  granted
November 23, 2015, 253 shares granted  April 1, 2016 which became effective  at the annual
stockholders’ meeting of June 14, 2016, 6,913  shares granted September 22, 2016, 191 shares
granted December 19, 2016, 3,619 shares granted December  21, 2017, 66,590 shares granted
on March 12, 2018 and 85,854 shares  granted on June  1, 2018. The weighted average exercise
price of all of Ms. Wright’s option grants  is $5.94.

d. All of the April 1, 2014 option grants vested  25% on  January 1, 2015 (nine months from  grant

date), with the remainder vesting equally over  the following 27 months  such that the options

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are vested in full on April 1, 2017. Ms. Wright’s November 23, 2015 option vested 25% on
September 9, 2016, with the remainder vesting equally over the following 27  months such that
the option is vested in full on November 9, 2018.  All of the July 2, 2015  options were  granted
contingent upon approval of the Company’s stockholders at the June 14, 2016  annual
stockholders’ meeting and vest 1/36th per month beginning one month after grant date, with
the remainder vesting equally over the following  35 months such that the option is  vested  in
full on July 2, 2018. Ms. Conte’s July 7, 2015 option  was likewise  granted contingent upon
approval of the Company’s stockholders at  the June 14, 2016  annual stockholders’ meeting
and vests 1/36th per month beginning one month after grant  date, with the  remainder vesting
equally over the following 35 months  such that the  option is vested  in full on July  7, 2018. All
of the options granted on April 1, 2016 which became effective  at the annual stockholders’
meeting of June 14, 2016, September 22, 2016, December 19, 2016  vest 1/36th per month
beginning one month after grant, with  the remainder  vesting equally over the  following
35 months such that the option is vested in full on December  19, 2019. All of the
December 21, 2017 options grants vested in  full as of  March 31, 2018 if the option holder was
an employee on that date. All of the March 12, 2018  options  grants  vest 1/36th per month
beginning one month after grant, with  the remainder  vesting equally over the  following
35 months such that the option is vested in full on March  12, 2021. All  of  the June 1, 2018
options grants vest 1/36th per month beginning one month after grant, with the  remainder
vesting equally over the following 35 months  such that the option is vested in  full on  June 1,
2021.

(2) Amounts shown in this column reflect incremental  health insurance  premiums paid  for such

executive’s family members.

(3) Ms. Wright has served as Chief Financial Officer  and Treasurer since December 15,  2015.

Narrative to Summary Compensation Table

Understanding our history is key to the  understanding of our compensation structure for  2017 and

2018. After our initial public offering closed  on May 18,  2015,  the executive officers of privately-held
Jaguar  Health, Inc. (f/k/a Jaguar Animal Health, Inc.) became our named executive officers.

Base Salary

On July 2, 2015, the Compensation Committee  increased  Ms. Conte’s annual base salary from
$400,000 to $440,000 and Dr. King’s annual base salary from $255,000  to  $280,500. The pay  increases
were effective June 15, 2015. On December 15, 2015, the  Company’s board of directors appointed
Karen S. Wright as the Company’s new Chief Financial  Officer. Ms. Wright’s annual base salary is
$240,000. On April 12, 2018, the Compensation Committee increased  Ms. Conte’s annual base salary
from $440,000 to $500,000, Dr. King’s annual base salary  from $280,500  to $290,317, and  Ms. Wright’s
annual base salary from $240,000 to $301,000,  all effective May 31, 2018.

Bonuses

We  paid a performance based bonus to Ms. Wright of $5,000 in 2017 and a  one-time cash  bonus of

$30,000 to both Ms. Conte and Ms. Wright in  2018.

Equity Compensation

Ms. Conte and Dr. King received stock option  grants at the time they were hired by privately-held
Jaguar  Animal Health, Inc. Such options  generally  vest over time,  with 25%  of the options vesting after
nine months of employment and monthly  vesting  thereafter with full vesting after three  years.
Ms. Wright received stock option grants with a  similar vesting schedule  at  the time  they were hired by

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us. The board of directors periodically grants additional options to the current named executive officers
that typically vest ratably over a three-year period.

All stock options and RSUs issued to  our current named executive officers vest and become

exercisable upon a change in control.

Outstanding Equity Awards at 2018 Fiscal Year End

The following table provides information regarding outstanding equity  awards held by our named

executive officers as of December 31,  2018.

Lisa A. Conte . . . . . . . . . . . . . . . . . .

Steven R. King, Ph.D.

. . . . . . . . . . . .

Karen S. Wright . . . . . . . . . . . . . . . . .

Options
Vesting
Commencement
Date

Number of Securities
Underlying  Unexercised
Options

Exerciseable

Unexerciseable

Option
exercise
price

Stock  Option
expiration
date

4/1/2014
7/2/2015
7/7/2015
4/1/2016
9/22/2016
12/19/2016
12/21/2017
3/12/2018
6/1/2018
4/1/2014
7/2/2015
4/1/2016
9/22/2016
12/19/2016
12/21/2017
3/12/2018
6/1/2018
11/9/2015
4/1/2016
9/22/2016
12/19/2016
12/21/2017
3/12/2018
6/1/2018

10,691
5,707
7,546
4,146
8,833
755
19,053
96,214
99,541
6,237
3,328
1,674
640
199
6,351
39,344
33,180
1,333
225
5,185
127
3,619
29,596
19,079

—(1) $37.95
—(2) $76.35
—(3) $75.60
518(5) $23.70
12,367(6) $18.75
378(7) $11.10
—(8) $ 1.85
120,268(9) $ 8.40
348,394(10) $ 2.73
—(1) $37.95
—(2) $76.35
209(5) $23.70
896(6) $18.75
100(7) $11.10
—(8) $ 1.85
49,181(9) $ 8.40
116,131(10) $ 2.73
—(4) $30.60
28(5) $23.70
1,728(6) $18.75
64(7) $11.10
—(8) $ 1.85
36,994(9) $ 8.40
66,775(10) $ 2.73

4/1/2024
7/2/2025
7/7/2025
4/1/2026
9/22/2026
12/19/2026
12/21/2027
3/12/2028
6/1/2028
4/1/2024
7/2/2025
4/1/2026
9/22/2026
12/19/2026
12/21/2027
3/12/2028
6/1/2028
11/23/2025
4/1/2026
9/22/2026
12/19/2026
12/21/2027
3/12/2028
6/1/2028

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(1) On January 1, 2015, 25% of each of such named  executive  officer’s shares  vested  and became

exercisable. The remainder of the shares  were vested in  approximately  equal  monthly installments
through April 1, 2017, subject to continued service  with us  through each relevant  vesting  date.

(2) The shares were granted on July  2, 2015 contingent  upon the  approval of the stockholders at the
June 14, 2016 annual stockholders’ meeting and vest 1/36th  per  month beginning one month  after
grant date, with the remainder vested equally over  the following 35 months such  that  the option
was fully vested on July 2, 2018, subject to continued service with  us through each relevant vesting
date.

(3) The shares were granted on July  7, 2015 contingent  upon the  approval of the stockholders at the

June 14, 2016 annual stockholders’ meeting and vested 1/36th per month beginning one month
after grant date, with the remainder vested equally over the following 35 months such that the

43

 
option was fully vested on July 7, 2018, subject to continued service  with us through  each relevant
vesting date.

(4) The shares were granted on November 23,  2015. On  August 9, 2016, 25% of such named  executive

officer’s shares vested and became exercisable.  The  remainder of the shares  vested in
approximately equal monthly installments through November  9, 2018.

(5) The options were granted on April  1, 2016, which became effective at the annual stockholders’
meeting  of June 14, 2016, and vest 1/36th per month  beginning  one  month after grant,  with the
remainder vesting equally over the following 35  months such  that the option is vested in  full on
April 1, 2019, subject to continued service with us through each  relevant  vesting date.

(6) The options were granted on September 22, 2016 and vest  1/36th  per  month beginning one month
after grant, with the remainder vesting  equally over the following 35 months such that the  option is
vested in full on September 22, 2019, subject to continued service with us through each relevant
vesting date.

(7) The options were granted on December 19, 2016  and  vest 1/36th per month beginning one  month

after grant, with the remainder vesting  equally over the following 35 months such that the  option is
vested in full on December 19, 2019, subject  to  continued service  with us  through  each  relevant
vesting date.(10)

(8) The options were granted on December 21, 2017  and  vest 100%  on March 31, 2018 if the officer is

an employee as of such date.

(9) The options were granted on March  12, 2018 and vest 1/36th  per  month over thirty-six  months

such that the option is vested in full on March 12, 2021, subject  to  continued  service  with us
through each relevant vesting date.

(10) The options were granted on June 1, 2018  and  vest 1/36th per month  over thirty-six months  such

that the option is vested in full on June 12, 2021, subject  to  continued service with us through each
relevant vesting date.

Executive  Employment  Agreements

Lisa A. Conte

In March 2014, we entered into an offer  letter with Ms.  Conte  to  serve as  our  Chief Executive
Officer, effective March 1, 2014, in an at-will capacity. Under this  offer letter, Ms. Conte’s annual  base
salary is $400,000, she is eligible for an  annual  target  bonus of 30% of her base salary.  Effective
June 15, 2015, our board of directors has reviewed  the terms  of  Ms. Conte’s employment arrangement
in connection with its annual compensation review, and has  adjusted Ms. Conte’s base salary to
$440,000. Ms. Conte is entitled to participate in all  employee benefit plans, including group health care
plans and all  fringe benefit plans. Effective May 1, 2018,  the Compensation Committee adjusted
Ms. Conte’s base salary to $500,000.

In April 2014, Ms. Conte was granted a stock  option to purchase 160,383 shares of  Common Stock
at an exercise price of $2.54 per share. The option has  a 10-year  term and vests as follows:  25% vested
on January 1, 2015, 9 months after the grant  date, with the remainder  vesting  equally over the
next 27 months such that the option  was vested  in full on April  1, 2017. On  June  2, 2014, Ms. Conte
was granted 17,820 RSUs, or RSUs. Fifty percent  of the shares  of Common Stock underlying the RSUs
vested and were issued on January 1, 2016, and  the remaining 50%  will vest and be issuable  on July 1,
2017 pursuant to the terms of the RSU  agreement.  In the  event of a  change in control, as  defined  in
the Jaguar Health, Inc. 2013 Equity Incentive Plan (the ‘‘2013 Plan’’),  the vesting of all outstanding
awards granted to Ms. Conte under the  2013 Plan will accelerate if  Ms.  Conte’s service with us  is
terminated without cause within twelve  months of the  change in control.

44

Steven R. King, Ph.D.

In February 2014, we entered into an offer letter  with Dr.  King to serve  as our Executive  Vice

President, Sustainable Supply, Ethnobotanical  Research and Intellectual Property, effective March 1,
2014, in an at-will capacity. Under the  offer letter, Dr. King’s annual  base salary  of  $255,000, he is
eligible for an annual target bonus of 30% of his base salary, and he  is eligible to participate  in the
employee benefit plans we offer to our  other employees. Effective June 15,  2015, our board  of  directors
has reviewed the terms of Dr. King’s employment arrangement  in connection with its annual
compensation review, and has adjusted Dr. King’s base salary to $280,500.  Dr. King is entitled to
participate in all employee benefit plans, including  group health care plans and  all  fringe  benefit plans.
Effective May 1, 2018, the Compensation  Committee adjusted Dr.  King’s base salary to $290,317.

In April 2014, Dr.  King was granted  a stock option to purchase 93,556 shares of Common Stock at
an exercise price of $2.54 per share. The option  has a 10-year term and vests as  follows: 25% vested on
January 1, 2015, 9 months after the grant date, with the remainder vesting equally over  the
next 27 months such that the option  was vested  in full on April  1, 2017. In June 2014, Dr.  King was
granted 10,395 RSUs. Fifty percent of  the shares  of  Common Stock underlying the  RSUs  vested and
were issued on January 1, 2016, and the remaining 50%  will  vest  and  be issuable on  July 1, 2017
pursuant to the terms of the RSU agreement. In the event  of  a change in control, as defined in  the
2013 Plan, the vesting of all outstanding awards granted to  Dr. King under the 2013 Plan will
accelerate if Dr. King’s service with us is  terminated  without  cause within twelve months  of  the change
in control.

Karen S. Wright

In October 2015, we entered into an  offer letter  with Ms. Wright to serve  as our Executive Vice
President, Finance, effective November 9,  2015,  in an at-will capacity.  On December 15, 2015  the board
of directors approved Ms. Wright’s appointment to serve as our Chief Finance Officer. Under the offer
letter, Ms. Wright’s annual base salary is  $240,000, she is  eligible for an annual  target  bonus of 25%  of
her base salary, and she is eligible to participate in the employee  benefit  plans  we offer to our other
employees. Effective May 1, 2018, the  Compensation Committee  adjusted Ms. Wright’s base salary  to
$301,000.

In November 2015, Ms. Wright was granted a stock option to purchase 20,000 shares of Common
Stock at an exercise price of $2.04 per  share. The option  has a  10-year term and vests as  follows: 25%
vested on August 9, 2016, 9 months after the  hire date,  with the  remainder vesting equally  over the
next 27 months such that the option  is vested in full on November  9, 2018.

Compensation of Directors

The following table summarizes the total compensation earned in 2017 and 2018  for the

Company’s non-management directors. Ms. Conte receives no additional compensation for her service
as a director. Messrs. Johnson and Siegel did not join  the board of directors  until March 2018,  and

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Messrs. Divis and MacNaughtan did not join the board of directors until June 2018,  and therefore,  did
not receive any compensation for 2018.

James J. Bochnowski . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Folkert W. Kamphuis(1) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Jiahao Qui

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Zhi Yang(2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

John Micek III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Ari Azhir(3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Jeffery C. Johnson . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Greg J. Divis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Jonathan B. Siegel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Murray  David MacNaughtan . . . . . . . . . . . . . . . . . . . . . . . .

Fees
Earned
or Paid in
Cash ($)

Option
awards ($)(4)

—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—

160,622
88,941
109,931
88,410
18,065
16,435
18,065
16,435
108,760
42,861
30,327
20,380
29,286
—
15,223
—
29,286
—
15,223
—

Year

2018
2017
2018
2017
2018
2017
2018
2017
2018
2017
2018
2017
2018
2017
2018
2017
2018
2017
2018
2017

Total ($)

114,976
88,941
109,931
88,410
18,065
16,435
18,065
16,435
108,760
42,861
30,327
20,380
29,286
—
15,223
—
29,286
—
15,223
—

Footnote to Compensation of Directors Table

(1) Mr. Kamphuis’s 3-year term on the board of directors ended effective  May 18, 2018.

(2) Dr. Yang’s 3-year term on the board  of  directors ended  effective May 18, 2018.

(3) Dr. Azhir resigned from the board of  directors effective March 29, 2018.

(4) Represents the dollar amounts recognized for financial statement reporting purposes with respect

to the fiscal year (for stock option awards)  determined  under FASB ASC Topic 718.  The  aggregate
number of options held by each non-management director officer as of December 31, 2018  was  as
follows: Mr. Bochnowski holds an aggregate of 334,177 options (2,627 options granted in  fiscal
year 2014, 1,333 options granted in fiscal year 2015, 6,843 options granted in fiscal  year 2016 and
323,374 options granted in fiscal year  2018); Mr. Kamphuis  holds an aggregate of 62,247  options
(3,333 shares granted in fiscal year 2015; 5,750 shares granted  in fiscal year 2016 and 53,614 shares
granted in fiscal year 2018); Mr. Qui  holds an aggregate  of 13,757 options (666 shares granted in
fiscal year 2015; 126 shares granted in fiscal  year 2016 and 12,965 shares  granted in fiscal year
2015); Dr. Yang holds an aggregate of 133 options (100 shares  granted fiscal year 2015,  24 shares
granted fiscal year 2016 and 8 shares granted  fiscal  year 2018); Mr. Micek III holds an aggregate
of 192,626 options (7,179 shares granted fiscal year 2016 and  185,447 shares granted  fiscal year
2018); Mr. Azhir holds an aggregate  of  21,818 options (4,358 shares granted fiscal year 2016 and
17,460 shares granted fiscal year 2018);  Mr.  Johnson holds an aggregate of 104,860 options
(104,860 shares granted fiscal year 2018); Mr. Divis holds  an aggregate  of  104,860 options (104,860
shares granted fiscal year 2018); Mr.  Siegel holds an aggregate of 104,860 options (104,860 shares
granted fiscal year 2018); and Mr. MacNaughtan holds an  aggregate  of 104,860 options (104,860
shares granted fiscal year 2018).

46

CERTAIN RELATIONSHIPS AND RELATED PERSON TRANSACTIONS

The following includes a summary of transactions since January  1, 2018, to  which we have been  a

party in which the amount involved exceeded or will exceed  the lesser of (i) $120,000 and (ii)  one
percent (1%) of the average of our total assets at year-end for the prior two fiscal years, and in which
any of our directors, executive officers  or  beneficial owners of more than 5%  of our  capital stock or
any member of the immediate family of any of the foregoing  persons had or will have a  direct or
indirect material interest. Compensation  arrangements for our directors  and executive officers  are
described in our annual proxy statement  on Schedule 14A.

Transactions with Sagard

Preferred Stock Offering

Preferred Stock Purchase Agreement

On March 23, 2018, we entered into the  Preferred  Stock Purchase  Agreement with  Sagard Capital

Partners,  L.P. (‘‘Sagard’’), pursuant to  which we,  in a private placement, agreed to issue and sell  to
Sagard 5,524,926 shares of Preferred Stock (the ‘‘Preferred Shares’’), for  an aggregate purchase price of
$9,199,001. The Preferred Stock Purchase  Agreement  also provides for  customary representations,
warranties and covenants among the parties. Among other  things, the  Preferred Stock Purchase
Agreement requires that we (i) file prior  to  the initial  closing the  Certificate of Designation  and
(ii) enter into a registration rights agreement with Sagard  providing  for the  registration of shares  of  our
Common Stock, issuable upon conversion of the Preferred Shares (the ‘‘Conversion Shares’’). In
addition, so long as Sagard or its affiliates own, in the aggregate, no less than 50% or  more of the
cumulative amount of the Preferred Shares and Conversion Shares issued in  the Preferred Stock
Offering, Sagard and its affiliates have  the right to purchase (x) 100% of the  first  $10 million of any
new securities issued by us and thereafter (y)  a pro rata portion of any new securities  that  we may issue
from time to time, subject to certain exceptions specified  in the Preferred  Stock Purchase Agreement.
The Preferred Shares are subject to a  12-month  lock-up period, which period may be shortened in
limited circumstances specified in the Preferred Stock Purchase Agreement.

The Preferred Stock Purchase Agreement  also provides that Sagard has  the right to designate  at
least one non-voting observer (subject to increase to two  if at any time two  designees of the  Preferred
Shares and the Conversion Shares are not represented  on the board of directors) to attend meetings of
the Board, the board of directors of any of our  subsidiaries and  each  committee of any of the  foregoing
(a ‘‘Board Observer’’). In addition, at  such time as no shares of Preferred Stock  are outstanding,  and so
long as Sagard holds (i) at least 35%  of the  total number  of  the Conversion Shares that have  been
issued upon conversion of all shares of  Preferred Stock issued  in the Preferred Stock Offering, Sagard
shall be  entitled thereunder to nominate two  directors of the Company  (each, a ‘‘Series A  Director’’)
and (ii) less than 35% but at least 20%  of  the total number of  the  Conversion Shares that have been
issued upon conversion of all shares of  Preferred Stock issued  in the Preferred Stock Offering, Sagard
shall be  entitled thereunder to nominate one director  of the Company.

Notwithstanding the foregoing, the number of Series  A Directors shall be reduced to the extent
necessary to comply with our obligations, if  any, under the rules or regulations of  the Nasdaq  Stock
Market (including Nasdaq Listing Rule  5640).  The Preferred Stock Purchase Agreement provides that,
if one Series A Director may not be appointed  due to compliance with  Nasdaq  Listing Rule  5640, then
Sagard shall be entitled to designate one additional Board  Observer to attend meetings  of  the board of
directors, the board of directors of any  of  our subsidiaries and each committee of any of the foregoing
as an observer.

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Terms of Series A Preferred Stock

The Certificate of Designation authorizes 5,524,926 shares of  Preferred Stock  and provides  for the

rights, preferences and privileges of such Preferred Stock. Any  reference  to  share prices  in the below
description of the Preferred Stock, including but not limited to the conversion price for the Preferred
Shares and the amount of the liquidation  preference per share, is subject  to  adjustment in the event  of
any stock dividend, stock split, reverse  stock  split, combination or  other similar recapitalization, as
further described in the Certificate of Designation.

Dividends

Holders of shares of Preferred Stock  are entitled  to  participate equally and ratably with the

holders  of shares of Common Stock in  all  dividends paid and distributions made to the holders  of
Common Stock on the shares of Common  Stock on an as  converted basis.

Election of Directors and Voting Rights

The holders of a majority of the outstanding shares  of Preferred Stock  are entitled  to  elect
two (2) members of the Company’s Board of Directors.  Notwithstanding the foregoing,  the number  of
Series A Directors shall be reduced to the  extent necessary to comply with  the Company’s obligations,
if any, under the rules or regulations of  the Nasdaq Stock Market (including Nasdaq Listing
Rule 5640).

The holders of shares of Preferred Stock have the  right to vote with holders of shares of the
Common Stock, voting together as one class  on all other  matters, with each share of  Preferred  Stock
entitling the holder thereof to cast that  number of votes per share as is equal to the aggregate number
of shares of Common Stock into which it  is  then convertible;  provided  that,  holders of shares  of
Preferred Stock will not be entitled to  vote  together with the holders of Common Stock  on any matter
presented to the stockholders of the Company to the extent that such vote would be in violation of
Nasdaq Listing Rule 5640.

Voluntary Conversion

Each  share of Preferred Stock is initially  convertible into six shares of Common Stock  at an
effective conversion price of $0.2775 per  share  (based on an original price per Preferred Share of
$1.665). Subject to certain limited exceptions,  the shares  of Preferred Stock cannot be offered, pledged
or sold by Sagard for one year from  the date of issuance. The conversion price  is subject  to  certain
adjustments in the event of any stock  dividend, stock split, reverse stock split, combination or  other
similar recapitalization.

Mandatory  Conversion

The shares of Preferred Stock will be mandatorily converted upon the date and time,  or the
occurrence of an event, specified by vote  or written consent of the  holders of a majority  of  the then
outstanding shares of Preferred Stock at  a conversion price of $0.2775  per share. In  each case, the
number of shares of Common Stock issuable upon  such conversion will be limited to the extent
necessary to satisfy limitations on beneficial ownership  as described  under ‘‘Voluntary  Conversion’’
above.

Optional  Redemption

At any time after the first anniversary of  the issuance of the Preferred  Shares,  so long as certain
call conditions specified in the Certificate of Designation  have been satisfied, the Company  shall  have
the right to offer to redeem shares of  Preferred  Stock at a share price equal to two times the original

48

share issue price of the Preferred Shares.  The  Company is  only permitted  to  exercise this  right to
redeem two times, the first of which  must be for  an aggregate  redemption price of $9,199,001 and the
second  of which must be for all remaining shares of Preferred  Stock  remaining. If  a holder of Preferred
Shares fails to accept the Company’s  redemption  offer,  such holder’s shares of Preferred Stock shall be
automatically converted into shares of Common  Stock pursuant to the  terms of ‘‘Mandatory
Conversion’’ as described above.

Mandatory  Redemption

If (i) the Company’s consolidated net  revenues attributable to the Mytesi products (‘‘Mytesi
Revenues’’) for the six-month period  ended March 31,  2021 are  less than $22  million, (ii) the average
volume-weighted average price of the Common Stock  for  the thirty days immediately prior to the
Measurement Date (as defined below)  is  less than  $1.50 or  (iii) the Company fails  to  file with the  SEC
on or before June 30, 2021 its quarterly  report on Form 10-Q for the three months ended March 31,
2021, then the holders of at least a majority of shares  of  Preferred Stock then  outstanding may require
the Company to redeem all shares of  Preferred  Stock then  outstanding at a per share  purchase  price
equal to $2.3057. For purposes of the  foregoing sentence, ‘‘Measurement Date’’ means the later  of
(x) April 30, 2021  and (y) the date on  which the Company files  its  quarterly report on Form  10-Q  for
the three months ended March 31, 2021 (but in no  event later than  June 30, 2021).

The mandatory redemption right described  above  shall terminate  if, prior to the Measurement

Date, both (i) the Mytesi Revenues for  any six-month period ending  at the  end of a calendar quarter
are equal to or exceed $22 million and  (ii) the  average volume-weighted average price of the Common
Stock for the thirty days immediately  preceding  the end of such calendar quarter is  equal to or greater
than $1.50.

Services Agreement

On March 23, 2018, the Company entered into a management services agreement  with Sagard

Capital Partners Management Corp. (‘‘SCPM’’), an affiliate of Sagard, pursuant to which SCPM will
provide certain consulting and management advisory services to the  Company over a three-year period
(the ‘‘Initial Term’’) for an annual fee  of  $450,000, which  fees  will be paid in equal installments over
the Initial Term beginning in the second year  of  the Initial Term (the ‘‘Services Agreement’’). The
Services Agreement may be terminated earlier than the initial three-year term (i) upon mutual consent
of the parties, (ii) by either party following a breach of  the Services Agreement by the other party that
remains uncured following 30 days’ written notice thereof, (iii) in SCPM’s  sole  discretion with 10  day’s
prior written notice, or (iv) upon the consummation of a Deemed Liquidation (so  long as  all  accrued
and unpaid fees payable thereunder as of  such termination have been paid  in full) or a Fundamental
Change in which all of the Company’s shares of Preferred Stock are repurchased  by  the Company.

As described above, Jeffery C. Johnson,  a member of our board of directors, is an  investment

manager at SCPM.

Transactions with CVP

On  February  26,  2018,  the  Company  entered  into  a  securities  purchase  agreement  with  Chicago
Venture Partners L.P. (‘‘CVP’’), pursuant to which  the Company issued to CVP a  promissory note in
the aggregate principal amount of $2,240,909 for  an aggregate  purchase price of $1,560,000 (the ‘‘Feb
2018 Note’’). The Feb 2018 Note carries  an original  issue discount  of  $655,909, and the initial principal
balance also includes $25,000 to cover CVP’s transaction expenses. The Feb  2018 Note  bears interest at
the rate of 8% per annum and matures on August  26, 2019.

On March 21, 2018, the Company entered into a securities purchase agreement  with CVP,

pursuant to which the Company issued  to  CVP a  promissory note  in the aggregate principal  amount  of

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$1,090,341 for an aggregate purchase price  of $750,000 (the ‘‘March 2018 Note’’). The  March 2018
Note carries an original issue discount  of  $315,341, and the initial principal balance also includes
$25,000 to cover CVP’s transaction expenses. The March 2018 Note bears  interest at the rate of 8%
per  annum and matures on September 21, 2019.

Effective August 13, 2018, the Company entered into an  acknowledgement agreement with  CVP
extending the maturity date of the $2,155,000 secured convertible promissory note  dated  July 29, 2017
(the ‘‘June 2017 Note’’) from August  2,  2018 to August 26,  2019 and also extending the  maturity date
of the $1,587,500 secured promissory  note dated December 8,  2017 (the ‘‘Dec 2017 Note’’ and, together
witht eh June 2017 Note, the Feb 2018  Note and the March 2018 Note, the ‘‘CVP Notes’’)  from
September 8, 2018 to August 26, 2019.

In  January  through  March  2019,  the  Company  entered  into  exchange  agreements  with  CVP,

pursuant to which the Company issued  18,764,637 shares of Common  Stock in  the aggregate to CVP in
exchange for a reduction of approximately $4.4  million  in the principal amount of the  CVP  Notes. The
shares of Common Stock that were exchanged for  portions of the secured promissory notes  were issued
in reliance on the exemption from registration provided under Section  3(a)(9) of  the Securities Act.

Transactions with Oasis Capital

On  January 7,  2019,  the  Company  entered  into  a  common  stock  purchase  agreement  (the  ‘‘January

CSPA’’) with Oasis Capital, LLC (‘‘Oasis  Capital’’), relating  to  an offering (the ‘‘Original  Equity  Line
Offering’’)  of  an  aggregate  of  up  to  5,633,333  shares  (the  ‘‘Original  Shares’’)  of  Common  Stock,  of
which  5,333,333 of such Original Shares are being  offered  in a primary offering consisting  of an equity
line of credit. The Company initially issued 300,000 shares of Common Stock (the  ‘‘Commitment
Shares’’) to Oasis Capital as an inducement  to  enter into the January  CSPA.  Additionally, under the
terms of the January CSPA, the Company  has  the right to ‘‘put,’’ or  sell, up to 5,333,333 shares of
Common Stock (the ‘‘January Purchase Shares’’)  to  Oasis Capital for  an  amount  equal to the product
of  (i) the  number  of  January  Purchase  Shares  set  forth  on  the  applicable  put  notice  (minus  the  deposit
and clearing fees associated with such  purchase) and (ii) a fixed price  of $0.75 per share  or such other
price agreed upon between the Company  and  Oasis Capital.  The Company had the option to increase
the  equity  line  of  credit  by  an  additional  8,000,000  shares  of  Common  Stock  by  notifying  Oasis  Capital
at any time after the effective date of  the January CSPA (the ‘‘January Upsize Option’’). On March 18,
2019,  the  Company  delivered  a  notice  to  Oasis  Capital  of  its  decision  to  exercise  the  January  Upsize
Option. The Company has sold the Original  Shares  and all 8,000,000  shares of  Common Stock under
the  January  Upsize  Option  to  Oasis  Capital.

On  March 24,  2019,  the  Company  entered  into  a  securities  purchase  agreement  (the  ‘‘Purchase

Agreement’’) with Oasis Capital, pursuant to which the Company agreed to issue and  sell, in  a
registered public offering by the Company directly to Oasis  Capital (the ‘‘RDO’’), an  aggregate of
1,331,332 shares of Common Stock (the  ‘‘RDO  Shares’’) at an offering price  of $0.20 per share  for
gross  proceeds  of  approximately  $266,266  before  deducting  the  placement  agent  fee  and  related
offering  expenses.

On  April 1,  2019,  the  Company  entered  into  another  common  stock  purchase  agreement  (the

‘‘April CSPA’’) with Oasis Capital relating  to  an offering (the ‘‘April Equity Line Offering’’) of an
aggregate of up to 20,000,000 shares (the  ‘‘April Purchase Shares’’) of the Company’s common stock, all
of  which  are  being  offered  in  a  primary  offering  consisting  of  an  equity  line  of  credit.  Under  the  terms
of the April CSPA, the Company has  the right to ‘‘put,’’ or sell, the April Purchase Shares to Oasis
Capital for an amount equal to the product of  (i) the  number of April Purchase Shares set  forth  in the
applicable  put  notice  (minus  the  deposit  and  clearing  fees  associated  with  such  purchase)  and  (ii) a
fixed  price  of  $0.28  per  share  or  such  other  price  agreed  upon  between  the  Company  and  Oasis
Capital. The Company had the option to increase  the equity line of credit by an additional 20,000,000

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shares of Common Stock by notifying Oasis Capital at any time  after the effective date of the April
CSPA.

Transactions with Lisa A. Conte

Lisa A. Conte has served as our President, Chief Executive Officer  and a member of our board of

directors since she founded the company in June 2013. On July 18,  2018, Ms. Conte purchased 1,500
shares of common stock for an aggregate purchase price of $1,668.60.

Transactions with Jonathan B. Siegel

On March 29, 2018, our board of directors appointed  Mr. Jonathan B.  Siegel to fill the vacancy

created by Dr. Azhir’s resignation and  serve  as Class I  director of the Company until  the 2019 annual
meeting  of stockholders or until his successor is elected and qualified.

Mr. Siegel was formerly a principal and  member  of  the executive committee  of Kingdon Capital
(‘‘Kingdon’’) and the head for Kingdon’s healthcare  sector. As described further above,  on March 31,
2017, Napo Pharmaceuticals, Inc. (‘‘Napo’’) entered into the  Kingdon NPA with the Kingdon
Purchasers, which are affiliates of Kingdon, under which  remains outstanding approximately $10  million
in aggregate principal amount of the Kingdon Notes. Napo’s obligations  under the Kingdon Notes are
secured by a security interest in substantially all of  Napo’s  assets, including Napo intellectual  property.

On July 16, 17, and 18, 2018, JBS Healthcare Ventures LLC  purchased an aggregate of  15,000
shares of common stock in the open market for an  aggregate  purchase price of $18,653. Mr. Siegel  is
the sole member of JBS Healthcare  Ventures LLC.

Transactions with Charles C. Conte

Charles C. Conte is the brother of Lisa  A. Conte, who  has served as  our President, Chief
Executive Officer and a member of our  board of  directors since  she  founded the company  in June
2013.

On September 11, 2018, Charles C. Conte purchased a  convertible promissory note  in the

aggregate principal amount of $111,250  convertible at a price  of $0.85 per share  of  common stock and
a warrant exercisable for 33,918 shares  of  common stock with  an exercise price of  $1.23 per share on
terms substantially the same as those  negotiated  with a  third party.

Indemnification  Agreements

We  have entered into indemnification agreements with each of our  directors and officers. These

agreements, among other things, require us  or will  require us to indemnify each director  to  the fullest
extent permitted by Delaware law, including  indemnification of expenses  such as expenses, judgments,
penalties, fines and amounts paid in settlement to the extent  legally  permitted incurred by the  director
or officer in any action or proceeding,  including  any action  or proceeding  by  or in right  of  us, arising
out of the person’s services as a director or officer.

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SECTION 16(A) BENEFICIAL OWNERSHIP REPORTING COMPLIANCE

Section 16(a) of the Exchange Act, and  regulations  of  the SEC thereunder require our directors,

officers and persons who own more than 10% of our  Common Stock,  as well as  certain affiliates of
such persons, to file initial reports of  their ownership of our Common  Stock and subsequent reports  of
changes in such ownership with the SEC.  Directors, officers and persons owning more than  10% of our
Common Stock are required by SEC  regulations  to  furnish us with copies of all Section 16(a) reports
they file. Based solely on our review of  the copies of such reports and amendments thereto received by
us and written representations from these  persons that no other reports were required, we  believe that
during the fiscal year ended December  31,  2018, our directors, officers and owners of  more than 10%
of our Common Stock complied with all  applicable filing  requirements  except that each of Ari  Azhir,
Zhi Yang, Folkert Kamphuis, Jiahao Qui,  John Micek III and James Bochnowski filed a Form  4 on
June 6, 2018 reporting a grant of stock  options  that should have  been filed on  March 14, 2018  pursuant
to Section 16(a) of the Exchange Act.

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AUDIT AND OTHER FEES AND AUDIT AND

AUDIT COMMITTEE PRE-APPROVAL PROCESS

Principal Accountant Fees and Services

Below  is  a  listing  of  the  services  provided  by  type  and  amount  charged  to  us  by  our  independent

registered  public  accounting  firms  for  fiscal  years  2018  and  2017.  Effective  on  April 2,  2019,  BDO
USA, LLP (‘‘BDO’’) declined to stand  for  re-election as our  independent registered public accounting
firm for the fiscal year ending December 31,  2019. The change will not be effective until  the Company
files its Form 10-K for the year ended  December 31, 2018.

The  reports  of  BDO  on  the  Company’s  consolidated  financial  statements  for  the  fiscal  years  ended

December 31, 2017 and 2016 contained  an  explanatory  paragraph regarding  the Company’s ability  to
continue as a going concern and contained no adverse opinion or disclaimer of  opinion and  were not
qualified  or  modified  as  to  uncertainty,  audit  scope  or  accounting  principles.  During  the  fiscal  years
ended December 31, 2017 and 2016, and in  the subsequent interim period through April 2, 2019,  there
have been no disagreements with BDO on any  matters  of  accounting principles or practices, financial
statement  disclosure  or  auditing  scope  and  procedure  which,  if  not  resolved  to  the  satisfaction  of  BDO,
would have caused BDO to make reference to the matter in its reports on the financial statements for
such years.

During  the two fiscal years ended December 31,  2017 and 2016 and the subsequent interim period

through April 2, 2019, there were no reportable  events (as that term is described in Item 304(a)(1)(v)
of Regulation S-K), except as follows:

• BDO’s audit reports for the fiscal years ended December 31,  2017 and 2016 included an

explanatory  paragraph  indicating  that  there  was  substantial  doubt  about  the  Company’s  ability  to
continue as a going concern.

• As previously disclosed in the Company’s  Annual Report  on Form 10-K  for the  fiscal  year  ended

December 31, 2017, there was a material weakness in the internal control over  financial
information relating to the review of the tax provision.

• The  Company  will  disclose  a  material  weakness  in  the  internal  control  over  financial  information
in its Annual Report on Form 10-K for the fiscal year ended  December 31,  2018 relating  to  staff
turnover in its accounting department. The  Company did not maintain a sufficient complement
of internal personnel with appropriate knowledge, experience and/or training commensurate with
its  financial  reporting  requirements.  The  Company  relied  on  outside  consulting  technical  experts
and did not maintain adequate internal qualified  personnel to properly  supervise  and review  the
information provided by the outside consulting technical experts to ensure certain significant
complex  transactions  and  technical  matters  were  properly  accounted  for,  specifically  with  respect
to  accurately  reflecting  all  potential  accrued  services  on  the  balance  sheet  at  December 31,  2018.
In addition, the Company identified inadequate internal technical staffing  levels and expertise to
properly  supervise  and  review  the  information  of  the  outside  consulting  technical  experts  to
properly apply ASC 815-40 for liability classification of certain warrants and ASC  470-50  and
ASC 470-60 to properly reflect the accounting impact to multiple  modifications of  the
Company’s debt instruments.

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The  following  table  sets  forth  the  fees  billed  for  audit  and  other  services  rendered  by  BDO  for  the

two fiscal years ended December 31,  2018 and 2017:

Years ended
December 31,

2018

2017

Audit Fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Audit Related Fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tax Fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
All Other Fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$599,140
—
—
—

$594,909
—
—
—

Total

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$599,140

$594,909

Audit fees include fees and out-of-pocket  expenses, whether or not yet invoiced, for professional

services provided in connection with the audit of our annual financial statements and review of  our
quarterly financial statements. In 2017 and 2018,  audit fees also include fees for our  follow-on  public
offerings  and  reviews  of  services  provided  in  connection  with  other  SEC  filings.

Policy on Audit Committee Preapproval  of Audit and Permissible Non-audit Services of  the

Independent Registered Public Accounting  Firm

As specified in the Audit Committee charter,  the Audit  Committee pre-approves all audit  and
non-audit services  provided by the independent registered public accounting firm prior to the receipt of
such services. Thus, the Audit Committee approved 100%  of the services set  forth in the above table
prior  to  the  receipt  of  such  services  and  no  services  were  provided  under  the  permitted de minimus
threshold  provisions.

The  Audit  Committee  determined  that  the  provision  of  such  services  was  compatible  with  the

maintenance of the independence of  BDO.

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AUDIT COMMITTEE REPORT

Management has primary responsibility for our financial statements  and the overall reporting
process, including maintaining effective  internal control over financial reporting and assessing the
effectiveness of our system of internal controls. The  independent registered public accounting firm
audits the annual financial statements  prepared  by  management, expresses an  opinion as to whether
those financial statements fairly present  our financial position, results of operations  and cash flows in
conformity with U.S. generally accepted  accounting  principles, and discusses with the  Audit Committee
any issues it believes should be raised with  the Audit  Committee. These discussions  include a discussion
of the quality, not just the acceptability, of the accounting principles, the reasonableness of significant
judgments, and the clarity of disclosures  in the  financial statements.  The Audit Committee monitors
our  processes, relying, without independent verification, on  the information provided  to  it and on  the
representations made by management  and the  independent registered public accounting firm.

BDO USA, LLP (BDO), our Company’s independent auditor for the year ended  December 31,

2018, is responsible for expressing an opinion  on the  fairness of the presentation  of the Company’s
financial statements in conformity with  accounting principles generally accepted in the United  States of
America, in all material respects.

In this context, the Audit Committee  has reviewed  and discussed with management and BDO  the

audited financial statements for the year  ended December 31, 2018.  The  Audit  Committee  has
discussed with BDO the matters that are required to be discussed under  the Public Accounting
Oversight Board Auditing Standard No. 1301 ‘‘Communications with Audit Committees’’. BDO has
provided to the Audit Committee the  written  disclosures and the letter required  by  applicable
requirements of the Public Company Accounting Oversight Board’s Ethics and  Independence rule 3526
‘‘Communications with Audit Committees Concerning  Independence’’, and the Audit Committee has
discussed with BDO that firm’s independence. The Audit  Committee has concluded that BDO’s
provision  of audit and non-audit services  to the Company  are compatible with BDO’s independence.

Based on the considerations and discussions  referred to above, the Audit Committee

recommended to our Board of Directors  that the audited financial statements for the year ended
December 31, 2018 be included in our Annual Report  on Form  10-K for 2018. This report is provided
by the following independent directors,  who  comprise the Audit Committee:

Audit Committee:

John Micek III, Chairperson
James J. Bochnowski
Jonathan B. Siegel

May 1, 2019

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STOCKHOLDER PROPOSALS FOR  2020 ANNUAL MEETING

In accordance with SEC Rule 14a-8,  in order for stockholder proposals  intended to be presented

at the 2020 Annual Meeting of Stockholders to be eligible for  inclusion in our proxy  statement  for such
meeting,  they must be received by us at our executive offices  in San Francisco,  California, before
December 28, 2019. The board of directors has not determined the date  of the 2020 Annual Meeting
of the Company’s Stockholders, but does not currently anticipate that the date will be changed by more
than 30 calendar days from the date of  the 2019 Annual Meeting of Stockholders.

Stockholder proposals (including recommendations of  nominees for election to the board of

directors) intended to be presented at the  2020 Annual Meeting of Stockholders, other than a
stockholder proposal submitted pursuant to SEC  Rule  14a-8,  must be received in writing at  our
principal executive office no earlier than January  1, 2020  and no later  January 31, 2020, in accordance
with our bylaws. If the date of the 2020 Annual Meeting  of  Stockholders is scheduled for a date more
than 30 days before or more than 60  days after May 24, 2020, then such proposals must be received
not later than the close of business on  the later  of the 90th day prior  to  the scheduled date of the 2020
Annual Meeting or the 10th day following the day on which  public disclosure of the date of the 2020
Annual Meeting of Stockholders is first  made, as  set forth in  our bylaws.

AVAILABILITY OF ANNUAL REPORT TO STOCKHOLDERS AND REPORT ON  FORM  10-K

A copy of our Annual Report, which includes certain financial information about the Company, is

being provided with this Proxy Statement. Copies  of  our  Annual Report (exclusive  of exhibits and
documents incorporated by reference)  may also be obtained for  free by directing  written  requests to:
Jaguar  Health, Inc., Attention: Karen  S.  Wright,  201 Mission Street, Suite 2375,  San Francisco,
CA 94105 (415.371.8300 phone). Copies of exhibits and basic  documents  filed with  the Annual  Report
or referenced therein will be furnished  to  stockholders  upon written  request  and payment of a nominal
fee in  connection with the furnishing of  such  documents. You  may also  obtain  the Annual  Report over
the Internet at the SEC’s website, www.sec.gov, or at
https://jaguarhealth.gcs-web.com/financial-information/annual-reports.

LIST OF THE COMPANY’S STOCKHOLDERS

A list of our stockholders as of March 27, 2019,  the Record Date, will be available for inspection

at our corporate headquarters during  normal business  hours  during the 10-day period prior to the
Annual Meeting. The list of stockholders  will also be available for such examination at the Annual
Meeting.

DELIVERY OF PROXY MATERIALS TO HOUSEHOLDS

Unless contrary instructions are received, we may send  a single  copy  of the Annual Report, Proxy

Statement and Notice of Annual Meeting  to  any  household at  which two  or more  stockholders  reside if
we believe the stockholders are members  of  the same family. Each stockholder  in the household will
continue to receive a separate proxy card. This process is known as ‘‘householding’’ and  helps reduce
the volume of duplicate information  received  at a  single household, which reduces costs  and expenses
borne by us.

If you would like to receive a separate set of our  annual disclosure documents this year or in

future years, follow the instructions described below and we will deliver  promptly a separate set.

56

Similarly, if you share an address with another  stockholder and the  two  of  you would  like to receive
only a single set of our annual disclosure documents,  follow the instructions below:

1.

2.

If your shares are registered in your own name, please  contact our transfer agent by writing to
them at Computershare Investor Services, PO Box 30170, College Station, Texas 77842-3170
(Attn: Jaguar Health, Inc. Representative) or  calling 1-800-962-4284.

If a bank, broker or other nominee holds your shares, please contact your  bank,  broker or
other nominee directly.

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OTHER MATTERS THAT MAY COME BEFORE  THE  ANNUAL  MEETING

Our board of directors knows of no matters other than those referred  to  in the accompanying
Notice of Annual Meeting of Stockholders which  may properly  come before the  Annual  Meeting.
However, if any other matter should  be properly  presented  for consideration  and voting at the  Annual
Meeting or any adjournments or postponements  thereof, it is the  intention of  the persons named as
proxies on the enclosed form of proxy  card to vote the  shares  represented  by  all  valid  proxy cards in
accordance with their judgment of what  is in the best  interest of the Company.

By Order of the Board of Directors.

21SEP201610551301

Lisa A. Conte
Chief Executive Officer & President

San Francisco, California
May 1, 2019

58

ANNEX  A

CERTIFICATE OF FOURTH AMENDMENT TO THE
THIRD AMENDED AND RESTATED CERTIFICATE OF INCORPORATION  OF
JAGUAR HEALTH, INC.

Jaguar  Health, Inc., a corporation organized and existing under  the laws of the State of  Delaware

(the ‘‘Corporation’’), hereby certifies  that:

1. The name of the Corporation is Jaguar  Health, Inc. The  date of  filing of the

Corporation’s original Certificate of Incorporation with  the Secretary of State of  the State of
Delaware was June 6, 2013, under the name Jaguar Animal Health,  Inc.

2. This Certificate of Fourth Amendment to the  Third Amended and Restated Certificate of

Incorporation was duly authorized and adopted by the Corporation’s Board  of  Directors and
stockholders in accordance with Section 242  of  the General Corporation Law of the State of
Delaware and amends the provisions  of the  Company’s Third Amended  and Restated Certificate
of Incorporation.

3. The amendment to the existing Third  Amended and Restated Certificate of  Incorporation

being effected hereby is as follows:

a. Add the following paragraph at the end  of Section IV.A. as a new Section IV.A.7:

‘‘7. Second Reverse Stock Split. Upon this Amendment to the Third Restated
Certificate becoming effective pursuant to the  DGCL  (the  ‘‘Effective  Time’’), each thirty
to seventy shares of Common Stock issued and outstanding  immediately prior to the
Effective Time shall automatically be reclassified  and  combined into one (1) validly
issued, fully paid and non-assessable share  of  Common Stock,  the exact ratio within  the
foregoing range to be determined by the Board of Directors  prior to the Effective Time
and publicly announced by the Corporation, without any  further action by the
Corporation or the holder thereof (the ‘‘Second Reverse Stock Split’’). No fractional shares
shall be issued in connection with the  Second Reverse Stock Split. Stockholders  who
otherwise would be entitled to receive  fractional shares  of  Common Stock shall  be
entitled to receive cash (without interest or deduction) from  the Corporation’s  transfer
agent in lieu of such fractional share interests upon the submission of a  transmission
letter by a stockholder holding the shares in book-entry form and,  where shares are held
in certificated form, upon the surrender of the stockholder’s  Old Certificates (as defined
below), in an amount equal to the product obtained by multiplying  (a) the  closing  price
per share of the Common Stock as reported on the Nasdaq Capital Market as of  the date
of the Effective Time, by (b) the fraction  of one share  owned by the stockholder. Each
certificate that immediately prior to the Effective Time represented shares of Common
Stock (‘‘Old Certificates’’), shall thereafter represent that number  of shares of Common
Stock into which the shares of Common Stock represented by the Old Certificate shall
have been combined, subject to the elimination  of  fractional share  interests  as described
above.’’

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4. This Certificate of Fourth Amendment to the  Third Amended and Restated Certificate of

Incorporation shall be effective immediately upon filing with the Delaware Secretary of State.

****

A-1

 
IN WITNESS WHEREOF, Jaguar Health, Inc.  has caused  this Certificate of  Fourth Amendment

to the Third Amended and Restated  Certificate of Incorporation to be signed by
[

],  this [ (cid:2) ] day of [ (cid:2) ], 2019.

], its [

JAGUAR HEALTH, INC.

A Delaware corporation

By:

Name:
Title:

A-2

UNITED STATES 
SECURITIES AND EXCHANGE COMMISSION 

Washington, DC 20549 

Form 10-K 

(Mark One)  

(cid:95)  ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES 

EXCHANGE ACT OF 1934 

For the fiscal year ended December 31, 2018 

(cid:134)  TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES 

EXCHANGE ACT OF 1934 

For the transition period from                 to                 

COMMISSION FILE NO. 001-36714 

JAGUAR HEALTH, INC. 
(Exact name of registrant as specified in its charter) 

Delaware 
(State or other jurisdiction of 
incorporation or organization) 

46-2956775 
(I.R.S. Employer 
Identification No.) 

201 Mission Street, Suite 2375 
San Francisco, California 94105 
(Address of principal executive offices) 

Registrant’s telephone number, including area code: 
(415) 371-8300 

SECURITIES REGISTERED PURSUANT TO SECTION 12(b) OF THE ACT: 

Title of each class 
Common Stock, Par Value $0.0001 Per Share 

Name of each exchange on which registered 
The NASDAQ Capital Market 

SECURITIES REGISTERED PURSUANT TO SECTION 12(g) OF THE ACT: None 

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes (cid:134) No (cid:95) 

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or 15(d) of the Act. Yes (cid:134) No (cid:95) 

Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities 
Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and 
(2) has been subject to such filing requirements for the past 90 days. Yes (cid:95)  No (cid:134) 

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted 
pursuant to Rule 405 of Regulation S-T  during the preceding 12 months (or for such shorter period that the registrant was required to submit 
such files). Yes (cid:95)  No (cid:134) 

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will 
not be contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of 
this Form 10-K or any amendment to this Form 10-K. (cid:95) 

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

Large accelerated filer (cid:134) 

Accelerated filer (cid:134) 

Non-accelerated filer (cid:134) 

Smaller reporting company (cid:95) 
Emerging growth company (cid:95) 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for 

complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. (cid:95) 

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes (cid:134)   No (cid:95) 

As  of  June  30,  2018,  the  aggregate  market  value  of  the  registrant’s  common  stock  held  by  non-affiliates  was  approximately 

$12,405,942 based upon the closing sales price of the registrant’s common stock on The NASDAQ Global Market on such date. 

The number of shares of the registrant’s Common Stock outstanding as of April 5 was 59,415,042 shares of voting common stock 
and 40,301,237 shares of non-voting common stock. The company also had 5,524,926 shares of convertible preferred stock outstanding 
(convertible into 33,149,556 shares of voting common stock, subject to certain voting restrictions as provided in the Certificate of Designation 
for the convertible preferred stock). 

DOCUMENTS INCORPORATED BY REFERENCE 

Portions of the proxy statement for the registrant’s 2019 Annual Meeting of Stockholders, or Proxy Statement, to be filed within 
120 days of the end of the fiscal year ended December 31, 2018 are incorporated by reference in Part III hereof. Except with respect to 
information specifically incorporated by reference in this Form 10-K, the Proxy Statement is not deemed to be filed as a part hereof. 

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TABLE OF CONTENTS 

Page No.

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127
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129

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Item No.   
PART I 
Item 1.  Business  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Item 1A.Risk Factors  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Item 1B. Unresolved Staff Comments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Item 2.  Properties  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Item 3.  Legal Proceedings  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Item 4.  Mine Safety Disclosure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
PART II 
Item 5.  Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of 

Equity Securities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Item 6.  Selected Financial Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Item 7.  Management’s Discussion and Analysis of Financial Condition and Results of Operation . . . . . . . . . .    
Item 7A.Qualitative and Quantitative Disclosures About Market Risk  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Item 8.  Financial Statements and Supplementary Data  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Item 9.  Changes in and Disagreements with Accountants on Accounting and Financial Disclosure . . . . . . . . .    
Item 9A.Controls and Procedures  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Item 9B. Other Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
PART III 
Item 10.  Directors, Executive Officers and Corporate Governance  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Item 11.  Executive Compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Item 12.  Security Ownership of Certain Beneficial Owners and Management and Related 

Stockholder Matters  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Item 13.  Certain Relationships and Related Transactions, and Director Independence . . . . . . . . . . . . . . . . . . . . .    
Item 14.  Principal Accountant Fees and Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
PART IV 
Item 15.  Exhibits, Financial Statement Schedules  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
SIGNATURES  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  

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Forward-looking statements 

PART I 

This  Form 10-K  contains  forward-looking  statements  within  the  meaning  of  Section 21E  of  the  Securities 
Exchange  Act  of  1934,  as  amended,  or  the  Exchange  Act.  All  statements  other  than  statements  of  historical  facts 
contained  in  this  Form 10-K,  including  statements  regarding  our  future  results  of  operations  and  financial  position, 
business strategy, prospective products, product approvals, research and development costs, timing of receipt of clinical 
trial, field study and other study data, and likelihood of success, commercialization plans and timing, other plans and 
objectives  of  management  for  future  operations,  and  future  results  of  current  and  anticipated  products  are 
forward-looking  statements.  These  statements  involve  known  and  unknown  risks,  uncertainties  and  other  important 
factors that may cause our actual results, performance or achievements to be materially different from any future results, 
performance or achievements expressed or implied by the forward-looking statements. 

In some cases, you can identify forward-looking statements by terms such as “may,” “will,” “should,” “expect,” 
“plan,”  “aim,”  “anticipate,”  “could,”  “intend,”  “target,”  “project,”  “contemplate,”  “believe,”  “estimate,”  “predict,” 
“potential” or “continue” or the negative of these terms or other similar expressions. The forward-looking statements in 
this  Form 10-K  are  only  predictions.  We  have  based  these  forward-looking  statements  largely  on  our  current 
expectations and projections about future events and financial trends that we believe may affect our business, financial 
condition and results of operations. These forward-looking statements speak only as of the date of this Form 10-K and 
are subject to a number of risks, uncertainties and assumptions described under the sections in this Form 10-K titled 
“Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and 
elsewhere in this Form 10-K. Forward-looking statements are subject to inherent risks and uncertainties, some of which 
cannot be predicted or quantified and some of which are beyond our control. The events and circumstances reflected in 
our  forward-looking  statements  may  not  be  achieved  or  occur  and  actual  results  could  differ  materially  from  those 
projected in the forward-looking statements. Moreover, we operate in a dynamic industry and economy. New risk factors 
and uncertainties may emerge from time to time, and it is not possible for management to predict all risk factors and 
uncertainties that we may face. Except as required by applicable law, we do not plan to publicly update or revise any 
forward-looking  statements  contained  herein,  whether  as  a  result  of  any  new  information,  future  events,  changed 
circumstances or otherwise. 

Jaguar Health, our logo, Canalevia and Neonorm are our trademarks that are used in this Form 10-K. This 
Form 10-K also includes trademarks, tradenames and service marks that are the property of other organizations. Solely 
for convenience, trademarks and tradenames referred to in this Form 10-K appear without the ©, ® or ™ symbols, but 
those references are not intended to indicate that we will not assert, to the fullest extent under applicable law, our rights 
or that the applicable owner will not assert its rights, to these trademarks and tradenames. 

ITEM 1.       BUSINESS 

Overview 

BUSINESS 

We  are  a  commercial  stage  natural-products  pharmaceuticals  company  focused  on  developing  novel, 
sustainably  derived  gastrointestinal  products  on  a  global  basis.  Our  wholly-owned  subsidiary,  Napo 
Pharmaceuticals, Inc.  (“Napo”),  focuses  on  developing  and  commercializing  proprietary  human  gastrointestinal 
pharmaceuticals for the global marketplace from plants used traditionally in rainforest areas. Our Mytesi (crofelemer) 
product is approved by the U.S. Food and Drug Administration (“FDA”) for the symptomatic relief of noninfectious 
diarrhea in adults with HIV/AIDS on antiretroviral therapy.  

Jaguar was founded in San Francisco, California as a Delaware corporation on June 6, 2013. Napo formed 
Jaguar  to  develop  and  commercialize  animal  health  products.  Effective  as  of  December 31,  2013,  Jaguar  was  a 
wholly-owned  subsidiary  of  Napo,  and,  until  May 13,  2015,  Jaguar  was  a  majority-owned  subsidiary  of  Napo.  On 

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July 31, 2017, the  merger  of  Jaguar Animal  Health, Inc.  and Napo became  effective,  at  which point  Jaguar Animal 
Health’s name changed to Jaguar Health, Inc. and Napo began operating as a wholly-owned subsidiary of Jaguar focused 
on human health and the ongoing commercialization of, and development of follow-on indications for Mytesi. Most of 
the  activities  of  the  Company  are  now  focused  on  the  commercialization  of  Mytesi  and  development  of  follow-on 
indications for crofelemer and a second-generation anti-secretory product, lechlemer. In the field of animal health, we 
have limited activities which are focused on developing and commercializing first-in-class gastrointestinal products for 
dogs, dairy calves, foals, and high value horses. 

We  believe  Jaguar  is  poised  to  realize  a  number  of  synergistic,  value  adding  benefits—and  an  expanded 
pipeline of potential blockbuster human follow-on indications of crofelemer, and a  second-generation anti-secretory 
agent--upon which to build global partnerships. As previously announced, Jaguar, through Napo, now holds extensive 
global  rights  for  Mytesi,  and  crofelemer  manufacturing  is  being  conducted  at  two  FDA-inspected  and  approved 
locations,  including  a  new, multimillion-dollar  commercial  manufacturing  facility.  Additionally,  several  of  the  drug 
product candidates in Jaguar’s Mytesi pipeline are backed by strong Phase 2 evidence from completed Phase 2 trials. 

Mytesi is a novel, first-in-class anti-secretory agent which has a basic normalizing effect locally on the gut, 
and  this  mechanism  of  action  has  the  potential  to  benefit  multiple  disorders.  Mytesi  is  in  development  for  multiple 
possible follow-on indications, including diarrhea related to targeted cancer therapy; orphan-drug indications for infants 
and children with congenital diarrheal disorders and short bowel syndrome (SBS); supportive care for inflammatory 
bowel  disease  (IBD);  irritable  bowel  syndrome  (IBS);  and  for  idiopathic/functional  diarrhea.  In  addition,  a 
second-generation  proprietary  anti-secretory  agent,  lechlemer,  is  in  development  for  cholera.  Mytesi  has  received 
orphan-drug designation for SBS. 

Napo has a direct sales force of 16 sales representatives, a national sales director and one regional sales director 
covering U.S. geographies with the highest potential. In June 2018, we hired Robert J. Griffing, a seasoned industry 
veteran with a broad range of experience that includes commercializing supportive care and HIV treatments, as chief 
commercial  officer  for  Napo.  With  support  provided  by  concomitant  marketing,  promotional  activities,  patient 
empowerment programs and medical education initiatives described below, we expect continued growth in the number 
of patients treated with Mytesi. 

The goal of Napo's internal sales team is to deliver a frequent and consistent selling message to targeted, high-
volume prescribers of antiretroviral therapies (ART) and to gastroenterologists who see large numbers of HIV patients. 
In December 2017 we released the results of a survey of 350 people living with HIV and AIDS regarding the topic of 
"Talking to Your Doctor About Symptoms". The survey results show that diarrhea remains prevalent in those living 
with HIV/AIDS, as 27% of respondents living with HIV/AIDS reported that they currently have diarrhea, while 56% 
reported that they have had diarrhea in the past. Additionally, the results of a recent Napo-sponsored survey of 271 U.S. 
board  certified  gastroenterologists  indicate  that  the  number  one  GI  complaint  for  people  living  with  HIV/AIDS  is 
diarrhea, and 93% of U.S. gastroenterologists see patients with HIV/AIDS in their practice. 

Key to the success of our sales representatives in growing Mytesi sales is differentiating and targeting the right 
doctors—those HIV specialists who are high prescribers of ART medications and those gastrointestinal doctors who 
see large populations of people living with HIV/AIDS. The target list of prescribers for our sales reps includes a pool 
of  approximately  3,100  high  volume  ART  prescribing  HIV  specialists,  and  gastroenterologists  who  see  the  largest 
number of people living with HIV/AIDs, and we've strategically placed our sales force in the US geographies with the 
highest  potential,  including  San  Francisco,  southern  California,  Arizona,  Nevada,  Miami/southern  Florida,  northern 
Florida, New York City/Long Island, Massachusetts, Rhode Island, New Hampshire, Connecticut, New Jersey, northern 
Texas,  southern  Texas,  Chicago,  Alabama,  Mississippi,  Louisiana,  North  Carolina/South  Carolina,  Michigan, 
Indianapolis, Ohio and Atlanta. 

In  June  2018,  Napo  entered  into  an  agreement  with  RedHill  Biopharma,  a  specialty  biopharmaceutical 
company  primarily  focused  on  late  clinical-stage  development  and  commercialization  of  proprietary  drugs  for 
gastrointestinal diseases and cancer, to establish a U.S. co-promotion program for Mytesi. 

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RedHill's specialized, GI-focused field sales force is promoting Mytesi to health care practitioners in 36 U.S. 
territories that contain significant numbers of HIV patients and health care practitioners that are not currently covered 
by Napo's field sales force. In these geographies, RedHill sales representatives target gastroenterologists who see large 
populations  of  people  living  with  HIV,  along  with  nurse  practitioners  and  physician  assistants.  RedHill  field 
representatives also target lower-level prescribers of anti-retroviral infectious disease specialists in regions currently 
covered by Napo's sales force. Four RedHill inside sales representatives actively target health care practitioners in other 
regions not covered by the Napo or RedHill field representatives. We believe this copromotion program will play an 
important  role  in  extending  the  reach  of  our  commercial  efforts  into  the  GI  medical  community  in  support  of  the 
treatment of people living with HIV (PLWH) with Mytesi. Under the terms of the Agreement, RedHill is compensated 
based on performance, and the program can be extended by agreement between the two companies , as it was in January 
2019. 

Medical education presentations led by health care practitioners (HCPs) participating in the Napo Speakers 
Bureau—a  group  that  includes  HIV/AIDS  specialists,  infectious  disease  specialists,  gastroenterologists,  colorectal 
surgeons, and nurse practitioners—focus on the prevalence and pathophysiology of gastrointestinal consequences of 
HIV  infection  and  on  the  latest  treatment  options  for  HIV-related  diarrhea.  Presentations  given  by  patient  advocate 
members provide information to PLWH about the prevalence of diarrhea in PLWH and offer guidance about talking to 
HCPs regarding diarrhea-related concerns. 

On July 24, 2018, we announced the results of an analysis conducted to examine whether the rate of HIV-
associated diarrhea has changed over time. The analysis of data, sourced from the National Institutes of Health (NIH) 
clinicaltrials.gov  database,  revealed  that  18%  of  HIV  patients  experience  diarrhea  and  the  rates  have  not  declined 
significantly over time. The analysis includes data from 38 U.S. clinical trials from 2008-2016 in more than 21,000 
patients. The results were reported at the International AIDS 2018 Conference (AIDS 2018) on Tuesday, July 24 in 
Amsterdam,  Netherlands.  The  poster 
link: 
available  on 
https://programme.aids2018.org//PAGMaterial/eposters/4900.pdf. 

the  AIDS  2018  website 

this 

at 

is 

With the introduction of newer antiretroviral (ARV) drug therapy, there has been a reduction in the severity of 
ARV-induced diarrhea. However, a significant portion of this patient population still suffers from diarrhea caused by 
HIV enteropathy, which is due to direct and indirect effects of HIV on the intestinal mucosa. Chronic diarrhea remains 
a significant complaint of people living with HIV/ AIDS, particularly those who are older and have lived with the virus 
in their gut for 10+ years. According to data from the U.S. Centers for Disease Control and Prevention, currently more 
than 50% of people living with HIV are over age 50; by 2020 this figure will increase to 70%. 

Crofelemer  (Mytesi)  data  from  a  supplemental  analysis  of  the  ADVENT  trial  was  featured  in  a  poster 
presentation at the 9th International Aids Society (IAS) Conference on HIV Science held in July 2017 in Paris, France. 
The presentation was titled Long-Term Crofelemer Use Gives Clinically Relevant Reductions in HIV-Related Diarrhea. 
IAS features the latest HIV science, including basic, clinical and prevention research, and brings together a broad cross 
section of HIV professionals from around the world with a focus on implementation—moving scientific advances into 
practice. The results indicate that at the end of the study period, more than 50% of the patients treated had complete 
resolution of their diarrhea; and 83% had at least a 50% reduction in diarrhea. Entry criteria required at least 7 watery 
stools in a week, and the average was 20 (with some patients having as high at 67 stools in a week). 

Napo continues to pursue AIDS Drug Assistance Program (ADAP) formulary listing.  ADAPs provide life-
saving HIV treatments to low income, uninsured, and underinsured individuals living with HIV/AIDS in all 50 states 
and the territories. The ADAP program provides Mytesi free of charge to patients who qualify and copay support for 
some patients who have insurance coverage. In the third quarter of 2018, Mytesi was added to the ADAP formularies 
in  New  York,  Tennessee,  Mississippi  and  DC.  As  announced  January  24,  2019,  Mytesi  has  also  been  added  to  the 
formulary for Florida's ADAP, which is the third largest in the U.S. based on enrollment. As a result of this addition, 
based on data from healthcare research firm Decision Resource Group, approximately 86% of ADAP-eligible US lives 
now have access to Mytesi, which is now on the ADAP formularies for 30 states, including the five programs with the 
largest enrollment. 

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As  we  announced  April  10,  2018,  Napo  has  signed  an  agreement  with  the  ADAP  Crisis  Task  Force.  The 
agreement establishes a reduced price provided by Napo ADAPs in all U.S. states and territories for purchases of Mytesi. 
Formed in 2002, the Task Force negotiates reduced drug prices for all ADAPs. Task Force membership is currently 
comprised  of  representatives  from  Arizona,  California,  Florida,  Illinois,  Massachusetts,  New  York,  North  Carolina, 
Tennessee, Texas, Virginia, and Washington state HIV/AIDS divisions. Per the terms of the agreement, all state ADAPs 
are guaranteed the same reduced price for the drug. ADAPs provide HIV-related services and approved medications to 
more than half a million people in the U.S. each year, and we expect this agreement to help further expand the number 
of patients able to benefit from the novel, first-in-class anti-secretory mechanism of action of Mytesi. 

Mytesi is currently reimbursed by Medicaid in all 50 states. It is also currently covered on 100% of the top 10 
commercial  insurance  plan  national  formularies,  representing  more  than  245  million  U.S.  lives.  Additionally,  Napo 
operates a co-pay coupon program, which helps ensure that the majority of participating patients do not have a Mytesi 
co-pay  greater  than  $25.  Information  about  the  NapoCares  Patient  Assistance  Program,  which  assists  patients  with 
benefit verification, prior authorization, and claims appeals, can be found at mytesi.com/mytesi-savings.html.  

Pipeline within a product—crofelemer 

According to the World Health Organization, there are nearly 1.7 billion cases of diarrheal disease globally 
every year. Although not all types of diarrhea are secretory in nature, we view the current, initial approval of Mytesi as 
the opening of the door to an important pipeline—underscored by the current approval by the FDA of the Chemistry, 
Manufacturing and Controls (CMC) for this natural product, as well as acknowledgement by the FDA of the safety of 
the product for chronic use for the approved indication. 

Crofelemer  is  in  development  for  the  symptomatic  relief  of  cancer  therapy-related  diarrhea  (CTD).  A 
significant proportion of patients undergoing cancer therapy experience diarrhea. Novel targeted cancer therapy agents, 
such as epidermal growth factor receptor antibodies and tyrosine kinase inhibitors, with or without cycle chemotherapy 
agents, may activate intestinal chloride secretory pathways leading to increased chloride secretion into the gut lumen, 
coupled with significant loss of water, that would result in secretory diarrhea. 

Our  planned  study  for  diarrhea  related  to  CTD  is  analogous  to  the  successful  pivotal  program  we  ran  for 
Mytesi’s currently-approved HIV indication, and as part of risk mitigation we intend to use the same formulation and 
dosing as the current commercialized Mytesi. As part of Jaguar’s near-term plan, Jaguar had a meeting with the FDA 
in March 2019 to discuss the anticipated protocol for a planned pivotal trial for the evaluation of crofelemer in CTD. 
The meeting, which included academic key opinion leaders (KOLs)/Napo Scientific Advisory Board members from 
leading oncology treatment institutions, resulted in a productive regulatory discussion about design refinements for the 
anticipated pivotal trial. 

There  are  two  ongoing  investigator-initiated  trials  (IITs)  utilizing  Mytesi  to  address  CTD.  Enrollment  is 
ongoing for the HALT-D study at Georgetown University in breast cancer patients on treatment with Herceptin, which 
is being funded by Genentech Roche, and interim results are expected to be read out in the first half of 2019. The second 
study, which is funded by Puma, is evaluating the use of crofelemer in subjects receiving neratinib, which has extremely 
high rates of diarrhea. 

According to data appearing in “Treatment Guidelines for CID” (chemotherapy-induced diarrhea) in the April 
2004  issue  of  Gastroenterology  and  Endoscopy  News,  diarrhea  is  the  most  common  adverse  event  reported  in 
chemotherapy patients. Approved third-party supportive care products for chemotherapy-induced nausea and vomiting 
(CINV) include Sustol, Aloxi, Akynzeo and Sancuso. According to Transparency Market Research, sales of therapeutics 
for the prevention of CINV approximated $620 million in 2013, and sales of such therapeutics are expected to reach 
$1 billion in 2020. 

Diarrhea  has  been  reported  as  the  most  common  side  effect  of  the  recently  approved  CDK 4/6  inhibitor 
abemaciclib and the pan-HER TKI neratinib, with occurrence ranging from 86% to >95% and grade 3 over 40%, in 
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non-adherence to treatment. A novel anti-diarrheal like Mytesi may hold promise for treating secretory diarrhea—and 
therefore also support long-term cancer treatment adherence—in this population. 

As we announced on January 22, 2018, Napo has accepted a request for support submitted by Dr. Mohamad 
Miqdady, Chief of Pediatric Gastroenterology, Hepatology and Nutrition at Sheikh Khalifa Medical City (SKMC) in 
Abu  Dhabi,  for  an  investigator-initiated  trial  of  crofelemer,  the  active  pharmaceutical  ingredient  in  Mytesi,  for 
congenital diarrheal disorders (CDDs) in children. 

CDDs are a group of rare, chronic intestinal channel diseases, with onset in early infancy, that are characterized 
by severe, lifelong diarrhea and a lifelong need for nutritional intake either parenterally or with a feeding tube. CDDs 
are related to specific genetic defects inherited as autosomal recessive traits. The incidence of CDDs is prevalent in 
regions where consanguineous marriages (related by blood) is part of the culture. CDDs are directly associated with 
serious secondary conditions including dehydration, metabolic acidosis, and failure to thrive, prompting the need for 
immediate therapy to prevent death and limit lifelong disability. 

SKMC is the Abu Dhabi public health system’s flagship institution and the largest hospital in the United Arab 
Emirates (UAE), consisting of a 586-bed tertiary hospital, 14 outpatient specialty clinics, and the Abu Dhabi Blood 
Bank, all of which are accredited by Joint Commission International, the oldest and largest healthcare standards-setting 
and accrediting body in the United States. Dr. Miqdady is an American Board certified in Pediatric Gastroenterology, 
Hepatology and Nutrition, and he is a member of Napo’s Scientific Advisory Board. 

Napo intends to submit documentation in the first half of 2019 to the U.S. FDA for the planned formulation of 

crofelemer appropriate for feeding tube administration to support this investigation. 

As announced on June 5, 2017, Napo has received orphan-drug designation from the FDA for pediatric short 
bowel syndrome (SBS). The Orphan Drug Act provides for granting special status to a drug or biological product to 
treat a rare disease or condition upon request of a sponsor. Orphan-drug designation qualifies the sponsor of the drug 
for various development incentives, including extended exclusivity, tax credits for qualified clinical testing, and relief 
of filing fees. 

Jaguar’s and Napo’s portfolio development strategy involves meeting with Key Opinion Leaders (KOLs) to 
identify indications that are potentially high-value because they address important medical needs that are significantly 
or  globally  unmet,  obtain  input  on  protocol  practicality  and  protocol  generation,  and  then  strategically  sequencing 
indication development priorities, second-generation product pipeline development, and partnering goals on a global 
basis,  as  well  as  identifying  possible  opportunities  for  a  Special  Protocol  Assessment  (SPA)  from  the  FDA.  When 
granted, SPA provides that, upon request, FDA will evaluate within 45 days certain protocols to assess whether they are 
adequate to meet scientific and regulatory requirements identified by the sponsor. In 2007, under the SPA process, Napo 
obtained agreement with the FDA for the design of the pivotal study protocol for the currently approved indication of 
crofelemer  (Mytesi)  for  the  symptomatic  relief  of  noninfectious  diarrhea  in  adults  with  HIV/AIDS  on  antiretroviral 
therapy.  The  2007  SPA  agreement  was  an  important  milestone  for  Napo,  allowing  Napo  to  address  and  mitigate 
regulatory uncertainty prior to the completion of its final Phase 3 trial of crofelemer for its currently approved indication.  

In October 2017, Napo established a scientific advisory board for each potential follow-on indication currently 
planned for Mytesi. Napo has developed relationships with physicians and patient advocates around the world who are 
recognized specialists and key opinion leaders (KOLs) in the planned Mytesi follow-on indications. The two charts 
below  provide  the  names,  credentials  and  affiliations  of  current  Napo  scientific  advisory  board  members  and  KOL 
advisors to Napo. 

We are confident that our scientific advisory boards will provide expert, actionable input regarding all aspects 
of development, including trial design, for Mytesi for our follow-on indications—each of which addresses a significant, 
global, unmet medical need. We also expect that our scientific advisory board members will serve as speakers for our 
medical education programs, authors on Napo abstracts and publications, and as a resource for media inquiries. 

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Napo’s  HIV  Scientific  Advisory  Board  has  focused  primarily  on  physician  education,  and  community  and 
global  awareness  regarding  the  importance  and  availability  of  solutions  for  neglected  comorbidities,  such  as  the 
first-in-class anti-secretory mechanism of action of Mytesi for its currently approved indication. 

Napo Scientific Advisory Board (SAB) Members 

Pravin Chaturvedi, PhD . . . . . . . . . . . . . . . .    Chair of Napo’s Scientific Advisory Boards; 25+ years drug 

development experience in pharmaceutical/biotech field; 
Successfully developed crofelemer (Mytesi) (first pivotal adaptive 
design) 

HIV Physicians Scientific Advisory Board 

David Asmuth, MD . . . . . . . . . . . . . . . . . . . .    Infectious  diseases  specialist  and  Professor  of  Medicine,  UC  Davis 

Health 

Gary Blick, MD, AAHIVS . . . . . . . . . . . . . .    Founder  of  Health  Care  Advocates  International  and  BEAT  AIDS 

Project Zimbabwe 

Christine Wanke, MD . . . . . . . . . . . . . . . . . .    Director  of  the  Nutrition  and  Infection  Unit;  Associate  Chair  and 
Professor,  Department  of  Public  Health  and  Community  Medicine; 
Professor,  Department  of  Medicine,  Tufts  University  School  of 
Medicine;  Professor,  Sackler  School  of  Biomedical  Science; 
Professor, Friedman School of Nutrition Science and Policy 

Cancer Therapy-Related Diarrhea Scientific Advisory Board 

Lee Schwartzberg, MD, FACP  . . . . . . . . . .    Executive  Director  of  the  West  Cancer  Center,  a  multispecialty 
oncology practice affiliated with the University of Tennessee; Chief, 
Division  of  Hematology/Oncology,  the  University  of  Tennessee 
Health Science Center 

Eric Roeland, M.D. . . . . . . . . . . . . . . . . . . . .    Attending  Physician,  Center  for  Palliative  Care,  Harvard  Medical 

School 

Hope Rugo, MD . . . . . . . . . . . . . . . . . . . . . . .    Clinical  Professor  of  Medicine,  Director  Breast  Oncology  and 
Clinical  Trials  Education,  Division  of  Hematology  and  Oncology, 
University of California San Francisco 

IBD Scientific Advisory Board 

Corey Siegel, MD, MS . . . . . . . . . . . . . . . . . .    Associate  Professor  of  Medicine;  Associate  Professor  of  The 
Dartmouth  Institute;  Director  of  the  Inflammatory  Bowel  Disease 
Center at the Dartmouth-Hitchcock Medical Center 

Pediatric Indications (SBS and CDD) Scientific Advisory Board 

Mohammed Miqdady, MD . . . . . . . . . . . . .    Chief of Pediatric Gastroenterology, Hepatology & Nutrition at Sheikh 

Khalifa Medical City in Abu Dhabi 

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Martin Martin, MD . . . . . . . . . . . . . . . . . . .    Professor, Department of Pediatrics, David Geffen School of Medicine 

at UCLA 

Sue Rhee, MD . . . . . . . . . . . . . . . . . . . . . . . .    Division Chief, Pediatric Gastroenterology, Hepatology and Nutrition 
Pediatric  gastroenterologist  and  liver  specialist,  UCSF  Benioff 
Children’s Hospital 

Key Opinion Leader (KOL) Advisors to Napo (on an as-needed basis) 

KOL Advisors: Cancer Therapy-Related Diarrhea 

Herbert DuPont, MD  . . . . . . . . . . . . . . . . . .    Professor and Director, Center for Infectious Diseases, University of 

Texas Houston School of Public Health 

Pablo C. Okhuysen, M.D. . . . . . . . . . . . . . . .    Department of Infectious Diseases, Infection Control, and Employee 

Health, Division of Internal Medicine, MD Anderson 

KOL Advisors: Diarrhea Related to IBD 

David Rubin, MD . . . . . . . . . . . . . . . . . . . . . .    Joseph  B.  Kirsner  Professor  of  Medicine  Section  Chief, 
Gastroenterology, Hepatology  and Nutrition  Co-Director,  Digestive 
Diseases Center, University of Chicago Medicine 

Charles Bernstein, MD . . . . . . . . . . . . . . . . .    Distinguished  Professor  of  Medicine  and  Bingham  Chair  in 

Gastroenterology Research, University of Manitoba 

William Sandborn, MD  . . . . . . . . . . . . . . . .    Director,  Inflammatory  Bowel  Disease  Center  Chief,  Division  of 

Gastroenterology Professor of Medicine, US San Diego Health 

Scott Lee, MD . . . . . . . . . . . . . . . . . . . . . . . . .    Associate Professor of Medicine, Digestive Health Center, University 

of Washington Medical Center 

Edward Loftus, Jr., MD . . . . . . . . . . . . . . . .    Consultant,  Division  of  Gastroenterology  and  Hepatology, 

Department of Internal Medicine, Mayo Clinic 

Douglas Wolf, MD . . . . . . . . . . . . . . . . . . . . .    Medical  Director  of  IBD  Research  at  Atlanta  Gastroenterology 
Associates.  Clinical  Assistant  Professor  of  Medicine,  Emory 
University School of Medicine 

Brooks D. Cash, MD, AGAF, FACG, 

FACP, FASGE . . . . . . . . . . . . . . . . . . . . . .   

Division  Director,  Gastroenterology,  Hepatology,  and  Nutrition 
Visiting Professor of Medicine, The University of Texas McGovern 
Medical School 

KOL Advisors: Pediatric Indications (SBS and CDD) 

Jay Thiagarajah, MD, PhD  . . . . . . . . . . . . .    Attending Physician, Division of Gastroenterology, Hepatology and 
Nutrition,  Boston  Children’s  Hospital.  Instructor  of  Pediatrics, 
Harvard Medical School 

James Goldenring, M.D., Ph.D. . . . . . . . . . .    Professor of Surgery, Vanderbilt University School of Medicine. Paul 
W.  Sanger  Chair  in  Experimental  Surgery.  Professor  of  Cell  and 
Developmental Biology 

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KOL Advisors: Diarrhea Related to HIV and other Infectious Diseases 

Herbert DuPont, MD  . . . . . . . . . . . . . . . . . .    Professor and Director, Center for Infectious Diseases, University of 

Texas Houston School of Public Health 

Pradip Bardhan, MBBS, MD . . . . . . . . . . . .    Chief Physician at ICDDR,B, Bangladesh 

Patrick Clay, Pharm D . . . . . . . . . . . . . . . . .    Consultant 

Paulo Pacheco, MD . . . . . . . . . . . . . . . . . . . .    Clinical Assistant Professor, Department of Medicine, New York 

University Langone Health 

Elie Schochet, MD, FACS . . . . . . . . . . . . . . .    Colorectal surgeon, Holy Cross Medical Group 

KOL Advisors: Diarrhea Related to IBS 

Anthony Lembo, MD  . . . . . . . . . . . . . . . . . .    Director of the GI Motility and Functional Bowel Disorders Program 
at Beth Israel Deaconess Medical Center and Associate Professor of 
Medicine at Harvard Medical School 

Doug Drossman, MD . . . . . . . . . . . . . . . . . . .    Co-Director  Emeritus,  UNC  Center  for  Functional  GI  and  Motility 
Disorders Adjunct Professor of Medicine and Psychiatry, University 
of North Carolina School of Medicine 

William Chey, MD . . . . . . . . . . . . . . . . . . . . .    Professor of Internal Medicine and Professor of Nutritional Sciences, 

University of Michigan School of Public Health 

According to a 2017 report from Research and Markets, the combined global market for prescription and OTC 
gastrointestinal agents is expected to reach $21 billion by 2025. Jaguar estimates that a first-in-class anti-secretory agent 
should be able to achieve a significant portion of the market share. 

Our management team has significant experience in gastrointestinal product development for both humans and 
animals. Napo was founded 30 years ago to perform drug discovery and development by leveraging the knowledge of 
traditional healers working in rainforest areas. Ten members of the Jaguar and Napo team have been together for more 
than  15 years.  Dr. Steven  King,  our  executive  vice  president  of  sustainable  supply,  ethnobotanical  research  and 
intellectual property, and Lisa Conte, our founder, president and CEO, have worked together for more than 30 years. 
Together, these dedicated personnel successfully transformed crofelemer, which is extracted from trees growing in the 
rainforest, to Mytesi, which is a natural, sustainably harvested, FDA-approved drug. 

There are significant barriers to entry for Mytesi (crofelemer). Through Napo, we hold an extensive global 
patent portfolio. At the present time we hold approximately 142 issued worldwide patents, with coverage in many cases 
that  extends  until  2031.  These  issued  patents  cover  multiple  indications  including  HIV-AIDS  diarrhea,  IBS,  IBD, 
manufacturing, enteric protection from gastric juices, among others. We also have approximately 24 pending patent 
applications worldwide in the human health areas that are being prosecuted. 

Mytesi is the first oral drug approved by the FDA under botanical guidance, which provides another barrier to 
entry  from  potential  generic  competition.  The  FDA  requires  that  the  manufacturer  of  crofelemer  use  a  validated 
proprietary  bioassay  to  release  the  drug  substance  and  drug  product  of  Mytesi.  While  most  generic  products  are 
fashioned to meet chemical release specifications that are in the public domain, the specifics of this assay are not publicly 
available.  There  is  no  pathway  by  which  a  generic  product  can  be  developed  for  a  drug  approved  under  botanical 
guidance.  In  addition,  Mytesi  is  not  systemically  absorbed,  so  the  classic  approach  of  creating  a  generic  drug  by 

8 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
matching pharmacokinetic blood levels is not possible. A generic player would have to conduct costly and risky clinical 
trials. 

While Jaguar’s commercial and development efforts have evolved to focus primarily on Mytesi and human 
pipeline indications since its merger with Napo, the Company is continuing limited initiatives related to Canalevia, its 
drug  product  candidate  for  treatment  of  chemotherapy-induced  diarrhea  (“CID”)  in  dogs,  and  Equilevia,  its 
non-prescription, personalized, premium product for total gut health in equine athletes. CID in dogs is typically caused 
by the same mechanism of action as in humans, and hence the work in dogs serves as a preclinical proof of concept for 
the diarrhea in humans that is related to targeted cancer therapy. 

As previously announced, Jaguar has received MUMS (Minor Use and Minor Species) designation status from 
the FDA for Canalevia for the indication of CID in dogs. MUMS designation is modeled on the orphan-drug designation 
for human drug development and offers possible financial incentives to encourage MUMS drug development, such as 
the availability of grants to help with the cost of developing the MUMS drug. Additionally, as announced on March 8, 
2018,  the  FDA’s  Center  for  Veterinary  Medicine  (CVM)  has  indicated  that  Jaguar’s  Reasonable  Expectation  of 
Effectiveness (RxE) technical section is complete towards conditional approval of Canalevia. As announced March 20, 
2019,  Jaguar  has  completed  the  filing  with  CVM  of  the  Chemistry,  Manufacturing,  and  Controls  (CMC)  technical 
section in support of the Company’s application for conditional approval of Canalevia for treatment of CID in dogs. 
Jaguar has now completed three of the four required technical sections—the CMC, Effectiveness, and Environmental 
Impact technical sections—of the Company’s application for conditional approval of Canalevia for CID in dogs. We 
anticipate filing the Target Animal Safety technical section with CVM in the second quarter of 2019. If Canalevia is 
approved for CID in dogs, we expect to conduct the commercial launch of Canalevia for this indication in 2020. 

Crofelemer  is  extracted  from  the  Croton  lechleri  tree,  which  we  sustainably  harvest  and  manage  through 
programs that we have been developing over the past 29 years. This process has involved working with communities to 
plant trees, obtaining permits for export, and creating a supply network that is robust and reliable. 

We continue to have working relationships with partners that began in the 1990s. Additionally, through the 
establishment of a nonprofit called the Healing Forest Conservancy (HFC), our team has created a long-term mechanism 
for benefit sharing that recognizes the intellectual contribution of indigenous populations. This program is intended to 
contribute to the continued strength and effectiveness of the valued and strategically important relationships we have 
carefully cultivated over the past 29 years. 

Product Pipeline 

In addition to our Mytesi (crofelemer) product that is approved by the U.S. FDA for the symptomatic relief of 
noninfectious  diarrhea  in  adults  with  HIV/AIDS  on  antiretroviral  therapy,  we  are  also  developing  a  pipeline  of 
prescription  drug  product  candidates  to  address  unmet  needs  in  gastrointestinal  health  through  Napo.  Mytesi 
(crofelemer) is a novel, first-in-class anti-secretory agent which has a basic normalizing effect locally on the gut, and 
this mechanism of action has the potential to benefit multiple disorders. Clinical trials demonstrated that nearly 80% of 
Mytesi users experienced an improvement in their diarrhea over a four-week period. At week 20 of the pivotal trial, 
over half the patients had no watery stools, or a 100% decrease, and 83% had at least a 50% decrease in watery stools. 
Our Mytesi pipeline currently includes prescription drug product candidates for four follow-on indications, several of 
which  are  backed  by  Phase 2  evidence  from  completed  Phase 2  trials.  In  addition,  a  second-generation  proprietary 
anti-secretory agent is in development for cholera. 

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Napo Prescription Drug Product Candidates 

Product 
Candidates 
Mytesi  . . . . . . . . . . . . . . . . .  

Indication 
Cancer 
therapy-related 
diarrhea (CTD) 

Mytesi  . . . . . . . . . . . . . . . . .   Supportive care for 

IBD 

Formulation of crofelemer .  

Mytesi  . . . . . . . . . . . . . . . . .  

Rare disease 
indications (SBS & 
CDD) 
Irritable bowel 
syndrome—diarrhea 
predominant 
(IBS-D) 

Mytesi  . . . . . . . . . . . . . . . . .   Idiopathic/functional 

diarrhea 

SB-300 (lechlemer) . . . . . . .   Second-generation 
anti-secretory agent 
for multiple 
indications including 
cholera 

Current Phase 
of 
Development 
Phase 3 

Anticipated Near-Term 
Milestones* 

•  Availability of 

interim data IIT for 
Genentech-Roche-
funded trial in Q2 
2019 

Phase 2 

•  Protocol 

development with 
KOLs for 
discussions with 
FDA 

•  Formulation/IIT, 
Abu Dhabi, 
Protocol design 

•  Publication of 
supplemental 
analysis of Phase 2 
data 
Initiation of IIT 

• 

Phase 2 

Phase 2 

Phase 2 

Pre IND 

•  Formulation / POC 

Completed Milestones 

•  Two 

investigator-initiated 
(IIT) clinical trials 
funded by 
Genentech-Roche & 
Puma 

•  Met with FDA in 
March 2019 to 
discuss the 
anticipated protocol 
for a planned pivotal 
trial 
•  Safety 
•  Multiple Phase 2 

studies completed in 
various secretory 
diarrhea (not IBD) 

•  Phase 1 study 
•  Orphan-drug 

designation for SBS 

•  Phase 1 study 
•  Two Phase 2 studies 

completed 

•  Safety 
•  Multiple Phase 2 

studies completed in 
various secretory 
diarrhea 
IIT request accepted 
• 
•  Animal and human 
studies in secretory 
diarrhea; successful 
cholera trial design 
for anti-secretory 
mechanism of action 
with API 

*    Clinical trials are funding dependent 

Estimated Size of Mytesi Target Markets 

We believe the medical need for Mytesi is significant, compelling, and unmet, and that doctors are looking 
for a drug product with a mechanism of action that is distinct from the options currently available to resolve diarrhea. 
A growing percentage of HIV patients have lived with the virus in their gut for 10+ years, often causing gut enteropathy 

10 

 
 
 
 
 
and chronic or chronic-episodic diarrhea. According to data from the U.S. Centers for Disease Control and Prevention, 
by 2020 more than 70% of Americans with HIV are expected to be 50 and older.(1) 

Market 
HIV-D . . . . . . . . . . . . . . . . . . . . . . . . . . .   

CTD  . . . . . . . . . . . . . . . . . . . . . . . . . . . .   

IBD . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
IBS-D . . . . . . . . . . . . . . . . . . . . . . . . . . .   

CDD/SBS . . . . . . . . . . . . . . . . . . . . . . . .   
Cholera (hydration maintenance) 

PRV (SB-300) . . . . . . . . . . . . . . . . . .   

Number of 
Competitors for 
Mytesi’s Approved/ 
Anticipated Labelled 
Indication 

0 

0 
0 

3 
0 

0 

Market Size/Potential 
We estimate the U.S. market revenue potential 
for Mytesi to be approximately $100 million in 
gross annual sales 
An estimated 650,000 U.S. cancer patients 
receive chemotherapy in an outpatient 
oncology clinic.(2) Comparable supportive care 
(i.e. CINV) product sales of ~$620 million in 
2013, which is projected to reach $1.0 billion 
by 2020(3) 
Estimated 1,171,000 Americans have IBD(4) 
Most IBS products have estimated revenue 
potential of greater than $1.0 billion(5) 
Financial benefits of Orphan-drug Designation 
In recent transactions by other companies, 
priority review vouchers have sold for $67 
million to $350 million(6) 

(1)  HIV Among People Aged 50 and Older (https://www.cdc.gov/hiv/group/age/olderamericans/index.html) 

(2)  Centers for Disease Control and Prevention. Preventing Infections in Cancer Patients: Information for Health Care 

Providers (cdc.gov/cancer/preventinfections/providers.htm) 

(3)  Heron Therapeutics, Inc. Form 10-K for the fiscal year ended December 31, 2016 

(4)  Kappelman, M. et al. Recent Trends in the Prevalence of Crohn’s Disease and Ulcerative Colitis in a Commercially 

Insured US Population. Dig Dis Sci. 2013 Feb; 58(2): 519-525 

(5)  Merrill  Lynch 

forecasts 

peak  US 

sales 

of 

roughly 

$1.5 

bn 

for 

Ironwood’s  Linzess 

(http://247wallst.com/healthcare-business/2015/04/27/key-analyst-sees-nearly-30-upside-in-ironwood); 
Rodman &  Renshaw  estimate  peak  annual  sales  of  Synergy  Pharmaceuticals’  Trulance  at  $2.3  bn  in  2021 
(Source: https://www.benzinga.com/analyst-ratings/analyst-color/17/03/9224181/analyst-synergy-pharma-could-
achieve-sustainable-profita) 

(6)  In  Aug.  2015,  AbbVie Inc.  bought  a  priority  review  voucher  from  United  Therapeutics  Corp  for  $350 million 
(http://www.reuters.com/article/us-abbvie-priorityreview/abbvie-buys-special-review-voucher-for-350-million-
idUSKCN0QO1LQ20150819).  In  July 2014,  BioMarin  announced  that  it  had  sold a priority  review voucher  to 
Sanofi  and  Regeneron  for  $67.5  million.  (https://investors.biomarin.com/2014-07-30-BioMarin-Sells-Priority-
Review-Voucher-for-67-5-Million). 

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The  following  diagram  illustrates  the  mechanism  of  action  of  our  human  and  animal  gastrointestinal  drug 
products and drug product candidates, which normalize chloride and water flow and transit time of fluids within the 
intestinal lumen. 

Business Strategy 

Our goal is to become a leading pharmaceutical company with first-in-class, sustainably derived products that 

address significant unmet gastrointestinal medical needs globally. To accomplish this goal, we plan to: 

Expand  Mytesi  by  leveraging  our  significant  gastrointestinal  knowledge,  experience  and  intellectual  property 
portfolio 

Mytesi is a novel, first-in-class anti-secretory agent which has a basic normalizing effect locally on the gut, 
and this mechanism of action has the potential to benefit multiple gastrointestinal disorders. Our Mytesi (crofelemer) 
product is approved by the U.S. FDA for the symptomatic relief of noninfectious diarrhea in adults with HIV/AIDS on 
antiretroviral therapy. Jaguar,  through Napo, holds extensive global rights for Mytesi. Mytesi is in development for 
multiple possible follow-on indications, including diarrhea related to targeted cancer therapy; orphan-drug indications 
for infants and children with congenital diarrheal disorders and short bowel syndrome; supportive care for inflammatory 
bowel  disease;  irritable  bowel  syndrome;  and  for  idiopathic/functional  diarrhea.  In  addition,  a  second-generation 
proprietary anti-secretory agent is in development for cholera. 

Our  management  team  collectively  has  more  than  100 years  of  experience  in  the  development  of 
gastrointestinal  prescription  drug  and  non-prescription  products.  This  experience  covers  all  aspects  of  product 
development, including discovery, preclinical and clinical development, GMP manufacturing, and regulatory strategy. 
Key members of this team successfully developed Mytesi. 

Establish and expand commercial capabilities in Mytesi sales and marketing efforts 

As announced on August 7, 2017, we appointed Pete Riojas, a 29-year pharmaceutical industry veteran, to lead 
Napo’s direct sales organization, which is comprised of Mytesi field sales representatives strategically positioned to 
cover U.S. geographies with the highest potential. Additionally, in June 2018, we hired Robert J. Griffing, a seasoned 
industry veteran with a broad range of experience that includes commercializing supportive care and HIV treatments, 
as chief commercial officer for Napo. With support provided by concomitant marketing, promotional activities, patient 
empowerment programs, including an integrated social digital campaign, and medical education initiatives described 
below, we expect a proportional response in the number of patients treated with Mytesi. 

In  June  2018,  as  stated  above,  Napo  entered  into  an  agreement  with  RedHill  Biopharma,  a  specialty 
biopharmaceutical company primarily focused on late clinical-stage development and commercialization of proprietary 
drugs  for  gastrointestinal  diseases  and  cancer,  to  establish  a  U.S.  co-promotion  program  for  Mytesi.  RedHill’s 
specialized, GI-focused field sales force promotes Mytesi to health care practitioners in 36 U.S. territories that contain 

12 

 
significant numbers of HIV patients and health care practitioners that are not currently covered by Napo’s field sales 
force.  In  these  regions,  RedHill  sales  representatives  target  gastroenterologists  who  see  large  populations  of  people 
living  with  HIV,  along  with  nurse  practitioners  and  physician  assistants.  RedHill  field  representatives  also  target 
lower-level  ART  prescribing  infectious  disease  specialists  in  regions  currently  covered  by  Napo’s  sales  force.  Four 
RedHill inside sales representatives actively target health care practitioners in other regions not covered by the Napo or 
RedHill field representatives. We believe this co-promotion program will play a significant role in extending the reach 
of our commercial efforts into the GI medical community in support of the treatment of people living with HIV (PLWH) 
with Mytesi. Under the terms of the Agreement, RedHill is compensated based on performance, and the program can 
be extended by agreement between the two companies , as it was in January 2019. 

Leverage our relationships with key opinion leaders regarding development of follow-on indications 

To date, more than 30 key opinion leaders (KOLs) who are recognized specialists in HIV patient care, CTD, 
IBD, IBS, cholera, SBS, CDD and equine gut health, are participating in our scientific advisory board or KOL advisory 
program in some manner. 

Establish partnerships to support moving pipeline indications to pivotal clinical trials 

Jaguar is actively pursuing development of a robust pipeline of potential follow-on indications for crofelemer, 

and the Company’s goal is to establish partnerships to support moving pipeline indications to pivotal clinical trials. 

Strategically sequence the development of follow-on indications of Mytesi and seek geographically-focused licensing 
opportunities 

As announced September 24, 2018, Jaguar and Knight Therapeutics Inc. (“Knight”) entered into a Distribution, 
License and Supply Agreement that grants Knight the exclusive right to commercialize Mytesi and related products in 
Canada and Israel. 

Although it is possible that we may enter into additional corporate partnering relationships related to Mytesi, 
our intention would be to retain all commercialization and promotional rights in the U.S., so that we do not become 
primarily a royalty-collecting organization, and we are opposed to entering into any Mytesi partnering relationship that 
would require splitting indications. We are seeking to put limited geographically-focused partnerships in place in the 
near term, while also considering possibilities for a worldwide partnership with a leading global entity (excluding the 
US exclusive commercial rights) in the field of gastrointestinal care and cancer in the long term. 

Reduce risks relating to product development 

Risk reduction is a key focus of our product development planning. Mytesi is approved for chronic indication, 
providing  us  the  ability  to  leverage  this  corresponding  safety  data  when  seeking  approval  for  planned  follow-on 
indications that are also chronic or chronic episodic indications. Crofelemer manufacturing is being conducted at two 
FDA-inspected and approved locations, including a new, multimillion-dollar commercial manufacturing facility.  In an 
effort to reduce risk further, we have implemented the following approach: First, we meet with key opinion leaders, 
typically at medical conferences—as we did in 2017 at Digestive Disease Week for IBS and IBD, the American Society 
of Clinical Oncology annual meeting, and the Multinational Association of Supportive Care and Congress. Next, we 
confirm unmet medical needs with these key opinion leaders and discuss the practicality of patient enrollment and trial 
implementation.  We  then  generate  protocols  to  discuss  with  the  FDA,  seeking,  when  possible,  special  protocol 
assessments. Our goal, by the time we start devoting significant funds to a clinical trial, is to have de-risked the program 
as much as we believe we possibly can, in particular the regulatory pathway. We believe this approach will lead to better 
long-term outcomes for our products in development. 

We believe that Jaguar is poised to realize a number of synergistic, value adding benefits—and an expanded 
pipeline of important human follow-on indications and a second-generation anti secretory agent, upon which to build 
global partnerships. 

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In May 2016, the New Drug Application (“NDA”) and commercial rights for human applications of crofelemer 
(Mytesi)  previously  licensed  to  Salix  Pharmaceuticals, Inc.  (“Salix”)  were  transferred  to  Napo.  The  active 
pharmaceutical  ingredient  (“API”)  in  Mytesi  is  crofelemer,  our  proprietary,  patented  gastrointestinal  anti-secretory 
agent sustainably harvested from the rainforest. 

Diarrhea is a common adverse event seen with chemotherapy agents typically used in breast and colon cancers, 
and  in  particular  in  the  more  recently  introduced  therapeutic  classes  of  epidermal  growth  factor receptor  (“EGFR”) 
monoclonal  antibodies  and  tyrosine  kinase  inhibitors  (“TKI”)  often  used  for  chronic  adjuvant  care  management  of 
cancer. The increased need for and use of these agents has made diarrhea one of the most disabling issues for cancer 
patients. 

We will seek partnerships outside the United States for the above indications, while focusing on development, 
and  commercial  access  in  the  United  States  directly.  We  are  also  focused  on  investigating  SB-300  (lechlemer)  for 
various gastrointestinal indications. Lechlemer is a proprietary Jaguar pharmaceutical product, a standardized botanical 
extract distinct from crofelemer, also sustainably derived from the Croton lechleri tree. 

We believe lechlemer, which has the same mechanism of action as crofelemer and is significantly less costly 
to produce, may support efforts to receive a priority review voucher from the U.S. FDA for a cholera indication. Priority 
review vouchers are granted by the FDA to drug developers as an incentive to develop treatments for neglected diseases 
and  rare  pediatric  diseases.  Additionally,  we  believe  lechlemer  represents  a  long-term  pipeline  opportunity  as  a 
second-generation  anti-secretory  agent,  on  a  global  basis,  for  multiple  gastrointestinal  diseases—especially  in 
resource-constrained countries where cost of goods is a factor, in part, because requirements often exist in such regions 
for drug prices to decrease annually. 

The Company has presented Phase 2 data on crofelemer for the treatment of devastating dehydration in cholera 
patients from the renowned International Centre for Diarrhoeal Disease Research (icddr,b) in Bangladesh, and Napo 
plans to follow the same study design for a trial conducted in association with icddr,b in support of development of 
lechlemer for the potential cholera-related indication. 

Our portfolio development strategy is based on identifying indications that are potentially high-value because 
they  address  important  medical  needs  that  are  significantly  or  globally  unmet,  and  then  strategically  sequencing 
indication development priorities, second-generation product pipeline development, and partnering goals on a global 
basis. 

Our  technology  for  proprietary  gastrointestinal  disease  products  is  central  to  the  product  pipelines  of  both 
veterinary and human indications. Crofelemer is also the API in Canalevia, our lead prescription drug product candidate, 
intended for the treatment of chemotherapy-induced diarrhea in dogs. We expect our first veterinary prescription product 
launch will be Canalevia for chemotherapy-induced diarrhea, an interesting commercial synergy with the pursuit of 
follow-on indications for Mytesi. 

Mytesi Clinical Data 

Mytesi has been clinically demonstrated to have: 

•  Minimal absorption, with plasma concentrations below the level of detection 

•  No clinically relevant drug-drug interactions 

•  No effect on viral load or CD4 counts 

•  Adverse events comparable to those with placebo 

14 

The  efficacy  of  Mytesi  125-mg  delayed-release  tablets  twice  daily  was  evaluated  in  a  randomized, 
double-blind, 24-week, multicenter study (the ADVENT trial) comprised of a placebo-controlled (1 month) treatment 
period and a placebo-free (5 month) treatment period. The study enrolled HIV-positive patients on stable ART with a 
history of diarrhea for 1 month or more. In the Mytesi 125mg bid group, more than twice as many patients (18% vs. 8% 
on placebo, p<0.01) achieved the highly rigorous endpoint defined as reduction to (cid:148)2 watery stools per week for 2 out 
of the 4 weeks in the placebo-controlled period (the average baseline in the ADVENT population was 20 watery stools 
per week). 

In a supplemental analysis of the ADVENT study population, 78% of patients in the Mytesi 125mg BID group 
experienced a decrease in watery stools at week 4. Among these patients that experienced a decrease, 61% had at least 
a 50% decrease in watery stools. At week 20, 89% of patients in the Mytesi BID group experienced a decrease in watery 
stools. Among these patients that experienced a decrease, 83% had at least a 50% decrease in watery stools, and over 
half of patients had no watery stools at all (100% decrease). 

Products in Development 

Cancer Therapy-Related Diarrhea (CTD) 

Diarrhea related to TCT is a common problem with a relevant mechanism for crofelemer 

National Cancer Institute Criteria for Grading Severity of Diarrhea 

Grade 1 

Grade 2 

Grade 3 

Grade 4 

Patients without a 

colostomy 

Increase of <4 stools per 
day over pretreatment 

Increase  of  4 to 
6 stools  per  day  or 
nocturnal stools 

Increase 
of 
(cid:149)7 stools per day or 
incontinence;  need 
parenteral 
for 
support 
for 
hydration 

Physiologic 
consequences 
requiring  intensive 
care; hemodynamic 
collapse 

Diarrhea is a common adverse event seen with chemotherapy agents in the therapeutic classes of epidermal 
growth factor receptor (“EGFR”) tyrosine kinase inhibitors (“TKI’s”) and EGFR monoclonal antibodies (for breast, 
lung,  and  other  malignancies).  The  increased  need  for  and  use  of  these  agents  has  made  diarrhea  one  of  the  most 
disabling issues for cancer patients. Crofelemer offers the potential for an appropriate mechanism of action against this 
likely  secretory  diarrhea  and  has  prompted  interest  among  physicians  concerned  about  this  diarrheal  symptom, 
stimulating  the  aforementioned  investigator-initiated  trials.  Diarrhea  is  also  a  common  adverse  event  seen  with 
chemotherapy agents used in colorectal and gastric cancers, and chronic maintenance chemotherapy. There are currently 
no anti-diarrhea agents approved generally for chemotherapy-induced diarrhea. 

Clinical Studies 

A  study  titled  HALT-D:  DiarrHeA  Prevention  and  ProphyLaxis  with  Crofelemer  in  HER2  Positive  Breast 
Cancer  Patients  Receiving  Trastuzumab,  Pertuzumab,  and  Docetaxel  or  Paclitaxel  with  or  without  Carboplatin  is 
currently underway in conjunction with Georgetown University. The primary objective of the study is to characterize 
the  incidence  and  severity  of  diarrhea  in  patients  receiving  investigational  therapy  in  the  setting  of  prophylactic 
anti-diarrheal management. 

A second study, titled An open label study to characterize the incidence and severity of diarrhea in patients 
with  early  stage  HER2+  breast  cancer  treated  with  adjuvant  trastuzumab  and  neratinib  followed  by  neratinib 
monotherapy,  and  intensive  anti-diarrhea  prophylaxis,  is  currently  underway  in  conjunction  with  the  University  of 
California at San Francisco. The study is designed to evaluate crofelemer as a salvage anti-diarrheal therapy used with 
the investigational breast cancer agent neratinib. The primary objective is to characterize the incidence and severity of 
diarrhea in patients with early stage breast cancer receiving adjuvant trastuzumab and neratinib followed by 1 year of 

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neratinib  monotherapy  in  the  setting  of  prophylactic  anti-diarrheal  management.  The  secondary  objectives  are  to 
evaluate the activity of crofelemer as a rescue anti-diarrheal medication; to assess neratinib adherence, holds, delays, 
and  early  discontinuation  throughout  the  course  of  study  therapy,  which  includes  patients  receiving  neratinib  for 
>1 year;  and  to  assess  overall  toxicity  including  constipation  and  cardiac  toxicity  with  concomitant  neratinib  and 
trastuzumab. 

Irritable Bowel Syndrome—Diarrhea Predominant (IBS-D) 

Diarrhea  is  a  common  symptom  of  irritable  bowel  syndrome  (IBS),  a  frustrating,  underdiagnosed  and 
undertreated condition. IBS-D is a subtype characterized mainly by loose or watery stools at least 25 percent of the time. 
According to the U.S. FDA, studies estimate that IBS affects 10 to 15 percent of adults in the United States. 

Abdominal pain is the key symptom of IBS, and the pain, which is associated with a change in stool frequency 
or consistency, can be severe. To improve the diagnosis and outcomes for IBS patients and to update clinicians on the 
latest research, Dr. William Chey, a gastroenterologist and professor of medicine and nutrition sciences at the University 
of  Michigan,  along  with  an  international  team  of  collaborators,  compiled  Rome  IV,  an  updated  compendium  of 
diagnostic criteria on functional GI disorders such IBS. Rome IV contains a chapter titled Centrally Mediated Disorders 
of Gastrointestinal Pain. 

Although new agents for IBS-D have come on the market, there is an unmet medical need for long-term, safe 
management of the abdominal pain associated with IBS-D. We recognize that patients suffering from IBS-D may require 
a  poly-pharmacy  approach  to  lifetime  management  of  their  disease.  Mytesi,  which  represents  a  novel  mechanistic 
approach  with  the benefit  of  a  long-term  safety  profile,  could possibly be  an  important  addition  to the  treatment  of 
IBS-D, if approved for this indication. 

Mytesi has been demonstrated to be safe for chronic use, and two studies provide statistically significant results 

of crofelemer use for abdominal pain in women. 

The  largest  group  of  IBS  sufferers  are  those  with  the  subtype  referred  to  as  IBS-M  (mixed  diarrhea  and 
constipation). IBS-M is also referred to as IBS-A, because the condition often involves frequent alternating between 
IBS-D  and IBS-C  (constipation predominant).  IBS-M  is  distressing for patients  as  well  as  difficult  to  diagnose  and 
manage, and is often associated with pain and urgency as well as significant abdominal distension and bloating. No 
approved drugs currently exist for IBS-M. Leading gastroenterologists have stated that IBS-C drugs may cause diarrhea 
in an IBS-M patient, and an IBS-D drug may cause significant constipation. Since Mytesi has not caused constipation 
in clinical trials or real-world experience, we therefore believe an opportunity exists for an IBS-M indication for Mytesi. 
Resultingly, and due to the demonstrated safety of Mytesi for chronic use and its demonstrated benefit for abdominal 
pain in women, Napo is considering expanding development efforts to evaluate the IBS-M indication. 

Clinical Study 

Crofelemer  has  been  tested  in  safety  studies  and  two  significant  Phase 2  studies  for  d-IBS  (diarrhea-

predominate Irritable Bowel Syndrome) as detailed below. 

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Completed Studies—IBS-D 

Phase 2a—a randomized double-blind placebo-controlled, dose-ranging (placebo, 125 mg, 250 mg, and 500 
mg bid) study over a 12-week treatment period in 246 patients with d-IBS (Rome II criteria), including both males and 
females, whose average age was 50 years old. 

n=245 subjects 
61 placebo 
62 125 mg crofelemer BID 
59 250 mg crofelemer BID 
62 500 mg crofelemer BID 

IBS symptoms (pain, urgency, stool frequency and consistency, and adequate relief) were self-reported by the 
patients via an interactive voice response system. Patients needed to exhibit active disease during the two-week baseline 
period as defined by a mean daily stool frequency greater than or equal to 2/day, pain score greater than or equal to 1 
and stool consistency greater than or equal to 3 (5-point Lickert scale for pain and consistency) to be enrolled. Patients 
received treatment for 12 weeks followed by a two-week treatment free period. 

The protocol-specified primary efficacy measure was daily stool consistency. Statistical analysis of the primary 
endpoint found no significant differences between placebo and any of the crofelemer dose groups (p (cid:149) 0.1434) and no 
significant  dose  relationship  was  seen  with  regard  to  change  from  Baseline  to  Month  3  in  stool  consistency  scores 
(p = 0.1165) in the ITT population. 

A supplementary analysis of Rome Foundation-defined stool consistency and abdominal pain showed positive 
results. Responders were subjects who had stool consistency score of (cid:149) 4 for < 25% of days in a given week and (cid:149) 30% 
improvement in abdominal pain scores a given week (i.e., Rome Foundation-defined stool consistency and abdominal 
pain responders). 

When  we  look  at  a  supplemental  analysis  at  a  reduction  in  a  composite  abdominal  pain/stool  consistency 
endpoint, the regulatory endpoint in accordance with FDA guidance, we see at the 125 mg dose bid a significant 15% 
difference with just women patients compared to placebo; and a significant 11% when we include both men and women. 
The current IBS-d products on the market have a 7-8% reduction (Viberzi and Xifaxan). 

In this analysis, Rome Foundation-defined stool consistency and abdominal pain responders were significantly 
more likely during the entire 3 months in the 125 mg BID group when compared with placebo (24.2% versus 13.1%, 
p = 0.0399) and there was a statistical trend in favor of crofelemer 125 mg BID during Months 1 through 2 (27.4% 
versus  16.4%,  p =  0.0640).  Similar  positive  effects  of  crofelemer 125 mg  BID  were  observed  in  female  subjects 
(n = 183). When the supplementary analysis was applied to the female patients, crofelemer at a dose of 125 mg BID 
was superior to placebo at Month 3 (26.1% vs 10.9%, p=0.0337). 

•  Results: The 125mg bid of crofelemer exhibited a consistent response during each month among most 

efficacy endpoints in women with d-IBS reaching statistical significance (p<0.05) for pain. 

•  Crofelemer  had  little  effect  on  the  stool  consistency  score,  though  there  was  a  trend  toward 

reduced stool frequency. 

•  Treatment benefits were not apparent in men, although relatively few men enrolled in the trial 

(13-16/group). 

•  As with previous trials of crofelemer, no drug-related serious adverse events were reported. Adverse event 
rates were similar across all dose groups, although in the two highest doses (250 and 500 mg bid) there 
were  a  higher  percentage  of  dropouts.  There  were  no  drug-related  or  dose-related  differences  in 
constipation. During the two-week treatment-free follow-up period symptoms approached baseline levels. 

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Safety:  Crofelemer at doses of 125, 250 and 500 mg had a safety profile that was generally similar to placebo 

among men and women with IBS-D. 

Phase 2—A Randomized, double-blind, placebo-controlled study to assess the safety and efficacy of crofelemer 
for  the  symptomatic  treatment  of  diarrhea  predominant  irritable  bowel  syndrome  (d-IBS)  in  240  female  subjects 
18 years or older with active d-IBS according to the Rome II criteria for the diagnosis of d-IBS. 

The study consisted of a 2-week screening period and a 12-week blinded treatment period followed by a 4-week 
treatment-free follow-up period. During the 12-week treatment period 240 subjects were given 125 mg of crofelemer 
BID or placebo BID and recorded daily assessments of their IBS symptoms in the interactive voice response system. 

The primary endpoint was the change from baseline for overall percentage of abdominal pain/discomfort free 
days (PFDs). On a daily basis, respondents recorded the intensity of their abdominal pain/discomfort for that day using 
the 5-pint Likert scale: 0=none, 1=mild, 2=moderate, 3=intense, 4=severe. Any day that a score of zero (0) was recorded 
was considered a PFD. 

Stool consistency and abdominal pain endpoints were analyzed using definitions of symptom improvement 
from a recent FDA guidance on IBS endpoints (March 2010) and recommendations of the Rome Foundation (letter 
dated 28 June 2010) concerning the IBS endpoints described in this guidance. 

Results:    The  overall  increase  in  pain-free  days  (protocol-specified  primary  endpoint)  for  subjects  in  the 

crofelemer group was not statistically significant when compared with subjects in the placebo group (p = 0.5107) 

A  supplementary  analysis  of  abdominal  pain  showed  positive  results.  Responders  were  subjects  who 
had (cid:149) 30% improvement in abdominal pain scores a given week (i.e., FDA-defined abdominal pain responders; this 
definition of abdominal pain responders was presented in the March 2010 guidance on IBS endpoints). 

In this analysis, abdominal pain responders were significantly more likely during Months 1 through 2 (58.3% 
versus 45.0%, p = 0.0303) and during the entire 3 months (54.2% versus 42.5%, p = 0.0371) in the crofelemer group 
when compared to placebo. 

Safety:  The overall safety profile for crofelemer 125 mg BID for 12 weeks was comparable to that observed 

with placebo and was consistent with the IBS population under study. 

Rare Pediatric Disease Indications: Congenital Diarrheal Disorders and Short Bowel Syndrome (SBS) 

Congenital diarrheal disorders (CDD) are a group of rare, chronic intestinal channel diseases, occurring in early 
infancy, that are characterized by severe, lifelong diarrhea and a lifelong need for nutritional intake either parenterally 
or with  a  feeding  tube.  CDDs  are  related  to  specific  genetic  defects  inherited  as autosomal  recessive  traits,  and  the 
incidence of CDDs is much more prevalent in regions where consanguineous marriage is part of the culture. CDDs are 
directly associated with serious secondary conditions including dehydration, metabolic acidosis, and failure to thrive, 
prompting the need for immediate therapy to prevent death and limit lifelong disability. 

Potential Orphan-Drug: Congenital Diarrheal Disorders (CDD) & Short Bowel Syndrome (SBS) 

Clinical Study—CDD 

We  have  completed  safety  studies  of  crofelemer  in  children  as  young  as  3 months  of  age,  and  Napo  has 
accepted a request for support submitted by Dr. Mohamad Miqdady, Chief of Pediatric Gastroenterology, Hepatology 
and Nutrition at Sheikh Khalifa Medical City (SKMC) in Abu Dhabi, for an investigator-initiated trial of crofelemer, 
the active pharmaceutical ingredient in Mytesi, for CDD in children. 

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A pre-clinical  study  in  mice,  conducted  by  an  independent  third-party investigator,  is underway  to  support 
possible orphan-drug designation for crofelemer for Congenital Diarrheal Disorders (CDD). This animal model study 
is  examining  the  effects  of  crofelemer  on  diarrhea  caused  by  microvillous  inclusion  disease  (MVID),  a  very  rare 
autosomal recessive disorder which belongs to the CDD category. 

SBS  is  a  complex  condition  characterized  by  malabsorption  of  fluids  and  nutrients  due  to  congenital 
deficiencies  or  surgical  resection  of  small  bowel  segments.  Consequently,  patients  suffer  from  symptoms  such  as 
debilitating diarrhea, malnutrition, dehydration and imbalances of fluids and salts. This could be due to either a genetic 
disorder or premature birth. In countries such as the United Arab Emirates and Saudi Arabia, SBS occurs with much 
higher incidence. Napo recently visited with medical centers in this region. 

We have received orphan-drug status for Mytesi (crofelemer) for the SBS pediatric indication and are pursuing 
orphan-drug  status  for  CDD.  The  mission  of  the  FDA  Office  of  Orphan  Products  Development  is  to  advance  the 
evaluation and development of products (drugs, biologics, devices, or medical foods) that demonstrate promise for the 
diagnosis and/or treatment of rare diseases or conditions. 

IBD—Supportive Care: 

Key opinion leaders (“KOLs”) identified an unmet need to treat diarrhea in IBD patients, particularly in specific 
subsets of patients. KOLs felt all IBD patients who undergo ileal pouch-anal anastomosis (IPAA) surgery suffer severe, 
chronic  diarrhea  following  the  procedure.  Because  this  is  a  highly-motivated  patient  population  with  a  low 
placebo-responder  risk,  we  believe  a  relatively  small  proof-of-concept  trial  is  the  appropriate  next  step  from  a 
development standpoint. 

KOLs felt crofelemer’s novel mechanism of action may also prove to be an effective treatment for diarrhea 
that results from bile acid malabsorption, which has been shown to occur in approximately 30% of patients with IBD. 

Additionally, KOLs felt crofelemer’s novel mechanism of action may prove to be an effective treatment for 
diarrhea experienced by patients receiving IV infusions of Entyvio, a Takeda Pharmaceuticals prescription medicine 
used in adults with moderate to severe ulcerative colitis or Crohn’s disease. Secretory diarrhea occurs when the intestine 
does not complete absorption of electrolytes and water from luminal contents. This can happen when a nonabsorbable, 
osmotically active substance is ingested (“osmotic diarrhea”) or when electrolyte absorption is impaired (“secretory 
diarrhea”). 

Secretory  diarrhea  can  result from  bacterial  toxins,  luminal  secretagogues  (such as bile  acids  or  laxatives), 
reduced absorptive surface area caused by disease or resection, circulating secretagogues (such as various hormones, 
drugs, and poisons), and medical problems that compromise regulation of intestinal function. These studies in acute 
diarrhea support the normalizing aspect of the mechanism of action, regardless of the cause of the diarrhea, and are 
supportive of the supportive care indication under development in IBD patients. 

Clinical Study 

Mytesi has safety studies that support chronic use for the current approved indication, and has demonstrated 
statistically significant results in multiple supportive care settings, though not specifically in IBD patients. Next steps 
would include a Phase 2 proof of concept study for supportive care in patients with IBD. 

Completed Study—Travelers’ Diarrhea (supportive care) 

Phase 2—A study of crofelemer in 184 persons in a double-blind, placebo-controlled study for the symptomatic 

treatment of acute diarrhea among travelers to Jamaica and Mexico. 

The study was designed to evaluate the effectiveness of crofelemer in the treatment of travelers’ diarrhea. 

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A total of 184 persons from the United States who acquired diarrhea in Jamaica or Mexico were enrolled in a 
double-blind, placebo-controlled study examining the effectiveness of three doses of crofelemer in reducing illness. 
Subjects were treated with 125 mg, 250 mg, or 500 mg crofelemer or a matching placebo four times a day for 2 days. 
Subjects kept daily diaries of symptoms and were seen each day for 3 days. Of the subjects, 169 (92%) were included 
in the efficacy analysis. 

The most common etiological agent identified was enterotoxigenic Escherichia coli, found in 19% of subjects. 
The mean time interval from taking the first dose of medication until passage of the last unformed stool during 48-hour 
therapy (TLUS48) was 38.7 hours for the placebo group. 

TLUS48 was shortened by crofelemer: 

30.6 h for the 125-mg dose group (p = 0.005); 

30.3 h for the 250-mg group; and 

32.6 h for the 500-mg group (p = 0.01). 

Treatment failures were seen in 29.3% in the placebo group compared with 7.3% (p = 0.01), 4.3 (p = 0.002), 

and 9.8 (p = 0.026) in the three treatment groups. Crofelemer was well tolerated at all doses. 

The study provided statistically significant results of crofelemer use for shortening the duration of travelers’ 
diarrhea. This antisecretory approach works directly against the pathophysiology of travelers’ diarrhea and is not likely 
to potentiate invasive forms of diarrhea or to produce posttreatment constipation. 

Cholera/General Watery Diarrhea 

According  to  the  Centers  for  Disease  Control  and  Prevention  of  the  U.S.  Department  of  Health &  Human 
Services, Cholera is an acute, diarrheal illness caused by infection of the intestine with the bacterium Vibrio cholerae. 
An estimated 3-5 million cases and over 100,000 deaths occur each year around the world. The infection is often mild 
or without symptoms, but can sometimes be severe. Approximately one in 10 (5-10%) of infected persons will have 
severe disease characterized by profuse watery diarrhea, vomiting, and leg cramps. In these people, rapid loss of body 
fluids leads to dehydration and shock. Without treatment, death can occur within hours. At this time, for example, the 
largest cholera outbreak in recorded history is occurring in Yemen. 

We are investigating lechlemer for the indication of cholera/general watery diarrhea. Lechlemer is a distinct 
and proprietary Napo pharmaceutical formulation of a standardized botanical extract, also sustainably derived from the 
Croton  lechleri  tree.  We  believe  lechlemer  represents  a  long-term  pipeline  opportunity  as  a  second-generation 
anti-secretory agent, on a global basis, for multiple gastrointestinal diseases. Additionally, we believe lechlemer, which 
has the same mechanism of action as crofelemer and is significantly less costly to produce, may support efforts to receive 
a priority review voucher from the U.S. FDA for a cholera indication. Priority review vouchers are granted by the FDA 
to drug developers as an incentive to develop treatments for neglected diseases and rare pediatric diseases. If approved 
for this indication, lechlemer could serve as long-term pipeline anti-secretory agent for cholera/general watery diarrhea 
in geographies where cost of goods is a critical factor, for example, in resource-constrained regions and countries in 
which a requirement exists for drug prices to decrease annually. 

Clinical Study 

We have initiated CMC and have multiple animal and human studies in secretory diarrheas. We have also 
completed  a  successful  trial  design  for  cholera  with  an  anti-secretory  mechanism  of  action,  published  studies  with 
crofelemer in patients with cholera and other acute severe watery diarrhea disease. 

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Completed Studies—Cholera and Severe Acute Dehydrating Watery Diarrhea 

Phase 2  study  of  crofelemer  in  the  treatment  acute,  severely  dehydrating  watery  diarrhea  with  confirmed 
cholera with the use of an antibiotic (azithromycin) and oral rehydration therapy in 100 adult patients between 18 and 
55 in Bangladesh. 

A total of 100 adult patients, from Bangladesh, between the ages of 18 and 55, with acute, severely dehydrating 
watery diarrhea with confirmed cholera were treated with crofelemer on a background of an antibiotic (azithromycin) 
and oral rehydration therapy. After a four-hour period of rapid rehydration therapy, patients were randomized 1:2:2 to 
placebo or 125 mg or 250 mg oral dose of crofelemer. Crofelemer or placebo doses were administered about one hour 
after the oral administration of azithromycin (1 gm dose). The primary objective was to evaluate the safety and effects 
of  crofelemer  on  reducing  the  watery  stool  output  normalized  to  body  weight  (mL/kg)  in  the  first  24 hours  on  the 
background of azithromycin and rehydration therapy. Crofelemer was well tolerated and there were no drug related 
adverse events in this study. Both doses of crofelemer produced approximately 25-30% reduction in median watery 
stool volumes in the 0-6 and 0-12 hour period following initiation of therapy. Crofelemer showed a strong trend in the 
reduction  of  watery  stool  output  in  the  0-6 hour  and  0-12 hour  intervals  (p=0.07).  Upon  exclusion  of  three  outlier 
patients, the crofelemer dose of 125 mg produced a statistically significant reduction in the normalized stool output 
(p=0.028) and the dose of 250 mg crofelemer showed a strong trend for reduction of watery stool output (p=0.07). 

In another study, the effects of crofelemer were evaluated in patients with acute dehydrating watery diarrhea 
caused  by  various  bacterial  pathogens,  such  as  enterotoxic  strains  of  Escherichia  coli  (ETEC)  and  Vibrio  cholerae 
infection. Crofelemer was evaluated in adult Indian patients with acute watery diarrhea of less than 24-hour duration 
with suspected bacterial infections, without the use of antibiotics. In this study, patients received oral doses of placebo 
or crofelemer at a dose of 250 mg every 6 hours for 2 days on the background of oral rehydration therapy only. The use 
of antibiotics was prohibited in this study. A total of 98 patients were randomized into this study (47 in placebo group 
and 51 in the crofelemer group). Primary endpoints for this study were changes in stool weight, frequency, consistency, 
duration of diarrhea. Secondary endpoints included the assessment of clinical symptoms scored as total of 7-item GI 
index.  Clinical  success  was  defined  as  no  diarrhea  within  48 hours  from  study  start  date  and  treatment  failure  was 
defined as no improvement/worsening of symptoms after 24 hours, fever, bloody stools or dehydration. 

Results:  98 patients (51 crofelemer, 47 placebo) were enrolled in the study. 16 patients (4 in the crofelemer 
group and 12 in the placebo group) used antibiotics and were considered as treatment failures and were excluded from 
the  “per  protocol  efficacy  analysis”.  Groups  were  similar  in  age,  weight,  vital  signs,  stool  frequency,  consistency, 
dehydration and GI index. 

The crofelemer group had improvement over baseline and compared to placebo at day 3. More specifically, 
crofelemer showed superior effects in reducing stool weight (61% vs 11%), stool frequency (65% vs 21%), reversion 
to soft stool (92% vs 49%) and improved the 7-item GI index (70% C vs 33% P), (all p<0.05). 

Crofelemer  was  well  tolerated  with  no  related  serious  adverse  events  or  concerning  changes  in  lab  values. 

Progression to dehydration and report of fecal incontinence was more common in placebo group (p<0.05). 

Conclusions:    Clinical  success  (cessation  of  diarrhea  within  48 hours  of  1st dose)  was  achieved  in  79%  of 

crofelemer patients compared to 28% placebo patients (p<0.05). 

Other Product Potential Future Indications 

Institutional Diarrhea 

Patients in medical institutions such as hospitals often experience diarrhea following infection with Clostridium 
difficile, an anaerobic bacillus shed in feces. According to the Centers for Disease Control and Prevention of the U.S. 
Department of Health & Human Services, any surface, device, or material (e.g., commodes, bathing tubs, and electronic 
rectal thermometers) that becomes contaminated with feces may serve as a reservoir for the C. difficile spores, which 

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are transferred to patients mainly via the hands of healthcare personnel who have touched a contaminated surface or 
item. We believe development of an approved formulation of crofelemer for use in C. difficile has the potential to help 
patients infected with C. difficile leave the hospital sooner, help keep patients infected with C. difficile out of the hospital, 
and aid in controlling C. difficile contagion in institutional settings, which would also represent a significant economic 
benefit. 

Competition 

There  are  several  significantly  larger  pharmaceutical  companies  competing  with  us  in  the  gastrointestinal 
segment. These companies include Valeant Pharmaceuticals International, Merck & Co., Inc., and Allergan plc as well 
as smaller pharmaceutical companies. 

Diarrhea in adult patients living with HIV/AIDs.  We are not aware of any other FDA-approved drugs for the 
symptomatic  relief  of  diarrhea  in  HIV/AIDs  patients.  HIV/AIDs  patients  also  use  loperamide  and  over  the  counter 
anti-diarrheal remedies such as Mylanta or Kaopectate to treat their diarrhea, but these medicines affect motility and 
can result in rebound diarrhea. 

Diarrhea  predominant  irritable  bowel  syndrome.    Two  drugs  were  approved  in  2015  for  the  treatment  of 
diarrhea  predominant  irritable  bowel  syndrome,  Allergan plc’s  Virbezi  and  Xifaxan  which  is  marketed  by  Valeant 
Pharmaceuticals International. Also, Lotronex was approved by the FDA in 2000 but was withdrawn from the market 
and later reintroduced in 2002 under a Risk Management Program. With the exception of Lotronex, the sponsors of 
Verbezi and Xifaxan employ extensive media and print promotion for the commercialization of these products. We are 
seeking a partner to further the clinical development and commercialization of crofelemer for d-IBS. There are currently 
numerous trials on going for d-IBS. 

Pediatric  diarrhea.    Acute  diarrhea  in  children  is  commonly  treated  by  a  change  in  diet,  oral  rehydration 
therapy and/or antibiotics, assuming the cause of the diarrhea is bacterial in nature. Children aged 12 and younger are 
advised not to use anti-motility drugs (loperamide for example) unless directed to do so by a physician. There are recent 
clinical  trials  for  probiotics  and  zinc  sulfate.  Other  recent  anti-diarrheal  studies  in  children  include  a  safety  and 
tolerability study of Fidaxomicin for C difficile associated diarrhea. 

Cancer therapy-related diarrhea.  We are not aware of any FDA-approved drugs specifically indicated for 
cancer therapy-related diarrhea, including chemotherapy-related diarrhea. A recent Phase IIb trial of elsiglutide for the 
treatment of chemotherapy induced diarrhea in colorectal cancer patients did not meet statistical significance. Opioids 
and over the counter drugs are commonly used to treat chemotherapy induced diarrhea, but these drugs affect motility. 
Certain  tyrosine-kinase  inhibitor  chemotherapy  agents  have  diarrhea  as  a  significant  side  effect.  For  example,  FDA 
guidance suggests diarrhea prophylaxis prior to initiating adjuvant therapy with neratinib. 

Congenital Diarrheal Disorders and Short Bowel Syndrome.  We are not aware of any FDA-approved drugs 

specifically indicated for Congenital Diarrheal Disorders and Short Bowel Syndrome. 

Cholera.  We are not aware of any FDA-approved drugs specifically indicated as an anti-secretory agent for 

use to address the devastating dehydration in cholera patients. 

Irritable Bowel Syndrome (IBS).  If we receive regulatory approval for Mytesi for IBS, we expect to compete 
with major pharmaceutical and biotechnology companies that operate in the gastrointestinal space, such as Sucampo 
AG,  Takeda  Pharmaceuticals,  Allergan, Inc.,  Ironwood  Pharmaceuticals, Inc.,  Synergy  Pharmaceuticals Inc.,  Sebela 
Pharmaceuticals, Inc. and Salix Pharmaceuticals. Because Mytesi is approved with chronic safety and several of the 
other agents have safety concerns, there is likely to be an opportunity for a polypharmacetuical approach to long-term 
management of these patients, removing a direct competitive scenario from Mytesi’s potential entry to the marketplace 
and disease indication. 

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To our knowledge, there are currently no FDA-approved anti-secretory products, in particular which act locally 
in the gut with the chronic safety profile of crofelemer, in development or on the market. Crofelemer represents a new 
tool in gastrointestinal disease management. 

Distribution and Marketing Agreements 

Napo has agreements in place with BexR, a distributor in Texas, for the distribution, marketing and sale of 
Mytesi. The agreement compensates BexR with a percentage of net sales, as defined. Payments by Napo to BexR will 
be a specified percentage of net sales, ranging in the low double digits but in no instance exceeding 20% of net sales, 
depending on the period in which the sales occur and the amount of such sales. 

On  December 4,  2018,  Napo  entered  into  the  Suspension,  Settlement  and  Termination  Agreement  (the 
“Termination  Agreement”)  with  SmartPharma, LLC  (“SmartPharma”)  and  the  Company,  as  guarantor,  pursuant  to 
which the parties mutually agreed to suspend and then terminate the Strategic Marketing Alliance Agreement, dated 
April 4,  2016,  between  Napo  and  SmartPharma  (the  “Alliance  Agreement”).  Under  the  Alliance  Agreement, 
SmartPharma  performed  certain  marketing  and  commercialization  activities  (collectively,  the  “SP  Services”)  with 
respect to Mytesi in consideration for the receipt of a specified percentage of net sales ranging in the low double digits 
but in no instance exceeding 20% of net sales, depending on the amount of such sales. In the event of termination, Napo 
would be required to pay SmartPharma a termination fee equal to a certain percentage of net sales generated within a 
specified period after the termination date. All payment obligations under the Termination Agreement are guaranteed 
by Jaguar.  The Buyout Fee was  made on or before January 8, 2019 and the Alliance Agreement has been automatically 
terminated. 

Manufacturing 

The  plant  material  used  to  manufacture  is  crude  plant  latex  (“CPL”)  extracted  and  purified  from  Croton 
lechleri, a widespread and naturally regenerating tree in the rainforest that is managed as part of sustainable harvesting 
programs.  The  tree  is  found  in  several  South  American  countries  and  has  been  the  focus  of  long-term  sustainable 
harvesting research and development work. Napo’s collaborating suppliers obtain CPL and arrange for the shipment of 
CPL to Napo’s third-party contract manufacturer. 

Napo’s  third-party  contract  manufacturer,  India-based  Glenmark  Pharmaceuticals Ltd.  (Glenmark),  a 
research-driven, global, integrated pharmaceutical company, is Napo’s primary manufacturer of crofelemer, the active 
pharmaceutical ingredient in Mytesi. Glenmark processes CPL into crofelemer utilizing a proprietary manufacturing 
process. The processing occurs at two FDA-approved Glenmark facilities. Additionally, Napo plans to establish a third 
processing site, which will be operated by Indena S.p.A., a Milan, Italy-based contract manufacturer dedicated to the 
identification,  development  and  production  of  high-quality  active  principles  derived  from  plants,  for  use  in  the 
pharmaceutical, health food and personal care industries. Indena has completed the required technology transfer and 
pilot manufacturing and has the equipment in place for the initiation of scale up and validation activities to ultimately 
support commercial scale manufacturing. 

Canalevia will be manufactured by the same process used to manufacture the API that was used in the animal 
safety  studies  and  the  human  studies  in  support  of  the  approval  of  Mytesi.  Napo  has  also  licensed  this  intellectual 
property to third parties in connection with its agreements related to the manufacture of crofelemer. 

In May 2014 and June 2014, and as amended in February 2015, we entered into binding memorandums of 
understanding  with  Indena S.p.A.  to  negotiate  a  definitive  commercial  supply  agreement  for  the  manufacture  of 
crofelemer and the botanical extract, SB-300. 

We  have  contracts  in  place with  all  the  manufacturers  and  third  party  testing  labs required  to  manufacture 
Mytesi and lechlemer. We are finalizing a master service agreement with Glenmark for the manufacture of crofelemer 
which  addresses  cost  of  goods  reductions  at  increasing  scale.  We  are  in  the  process  of  evaluating  alternative  and 

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secondary third parties to reduce costs associated with finished product manufacture and the assays necessary to the 
release specifications of Mytesi. 

Proprietary Library of Medicinal Plants 

We possess a proprietary library of more than 2,300 medicinal plants. 

Intellectual Property 

Trademarks 

We plan to market all of our products under a trademark or trademarks we select and we will own all rights, 
title and interest, including all goodwill, associated with such trademarks. Mytesi is a registered trademark owned by 
Napo. 

License Agreements 

Termination, Asset Transfer and Transition Agreement 

On  September 19,  2017  (the  “Transfer  Date”),  Napo  entered  into  the  Termination,  Asset  Transfer  and 
Transition Agreement (the “Glenmark Transition Agreement”) with Glenmark. The Glenmark Transition Agreement 
supersedes the Glenmark Collaboration Agreement and returns to Napo certain rights which Napo licensed to Glenmark 
pursuant to the Glenmark Collaboration Agreement related to the development and commercialization of crofelemer for 
certain specified human indications in India and 140 other countries largely in developing regions (the “Transferred 
Assets”). 

As a result of the execution of the Glenmark Transition Agreement, we, through Napo, now hold extensive 
global rights for Mytesi, and also hold commercial rights to the existing regulatory approvals for crofelemer in Brazil, 
Ecuador, Zimbabwe and Botswana. 

In consideration for Glenmark’s assignment and transfer of the Transferred Assets to Napo, Napo agreed to 
pay Glenmark in cash, within 45 days after receipt by Napo, 25% of any payment that Napo receives from a third party 
to whom Napo grants a license or sublicense or with whom Napo partners in respect of, or sells or otherwise transfers 
the  certain  specified  human  indications  in  India  and  140  other  countries  largely  in  developing  regions  any  of  the 
Transferred  Assets,  subject  to  certain  limitations,  until  Glenmark  has  received  a  total  of  $7 million.  As  additional 
consideration for the assignment and transfer of the Transferred Assets, Napo agreed (i) to enter into a manufacturing 
and  supply  agreement  with  Glenmark  for  crofelemer,  which  will  be  manufactured  at  either  or  both  of  Glenmark’s 
facilities in India (this master service agreement is in final draft form, though not yet fully executed) and (ii) to transfer 
and assign to Glenmark all right, title and interest in and to certain required dedicated equipment used to manufacture 
crofelemer located at Glenmark’s Ankleshwar facility, subject to certain limitations. 

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Patent Portfolio   

Napo 

Napo  owns  a  portfolio  of  patents  and  patent  applications  covering  formulations  of  and  methods  of  treatment  with 
proanthocyanidin polymers isolated from Croton spp. or Calophyllum spp., including Mytesi (crofelemer). The patent 
family  associated  with  International  Patent  publication  WO1998/16111  relates  to  enteric  protected  formulations  of 
proanthocyanidin  polymers  isolated  from  Croton  spp.  or  Calophyllum  spp.,  including  crofelemer,  and  methods  of 
treating watery diarrhea using these enteric protected formulations. There is one U.S. patent in force in this family, US 
7,341,744, which has a term until at least June 23, 2019, which term has been extended under 35 U.S.C. 156 by 1,075 
days. Based upon the June 23, 2019 expiration date, the expiration date for crofelemer is June 2, 2022, to account for 
the regulatory delay in obtaining human marketing approval for crofelemer. 

Napo additionally owns a family of patents arising from International Patent Application Publication WO2012/058664 
that  cover  methods  of  treating  HIV  associated  diarrhea  and  HAART  associated  diarrhea  with  proanthocyanidin 
polymers isolated from Croton spp. or Calophyllum spp., including crofelemer. In the U.S., there are two issued patents, 
US 8,962,680 and US 9,585,868, both of which expire October 31, 2031. Outside the U.S., patent protection for methods 
of treating HIV associated diarrhea has been obtained in Australia, Europe, Hong Kong, Japan, Kenya, Mexico, Russia, 
Ukraine, South Africa, and Zimbabwe, with expiration dates of October 31, 2031, and applications are pending in Brazil, 
Hong  Kong,  Canada,  China,  and  Malaysia.  Napo  also  has  patent  families  related  to  methods  of  treating  diarrhea 
predominant  irritable bowel syndrome,  methods of  treating  constipation predominant  irritable bowel syndrome,  and 
methods  of  treating  inflammatory  bowel  disease,  familial  adenomatous  polyposis  and  colon  cancer,  with 
proanthocyanidin  polymers  isolated  from  Croton  spp.  or  Calophyllum  spp.,  including  crofelemer.  In  particular,  for 
diarrhea predominant irritable bowel syndrome, Napo has two issued U.S. patents, US 8,846,113 and US 9,980,938, 
which expire on February 9, 2027, as well as issued patents in Australia, Canada, Europe, Gulf States, Hong Kong, 
Japan, South Korea, Mexico, New Zealand, Singapore, and Taiwan and pending applications in Bangladesh, Bolivia, 
Chile, Mexico, Panama, Peru, Paraguay, Thailand, and Venezuela, all of which are estimated to expire April 30, 2027; 
for constipation predominant irritable bowel syndrome, Napo has three issued U.S. patents, with terms to at least April 
30, 2027, patents in Australia, Canada, Europe, Hong Kong, Mexico, New Zealand, and Singapore, all of which are 
estimated to expire April 30, 2027; and for inflammatory bowel disease, familial adenomatous polyposis and/or colon 
cancer, Napo has two issued U.S. patents, US 8,852,649 and US 9,987,250 with terms until at least January 4, 2028, as 
well as issued patents in Australia, Hong Kong, and Europe and an allowed application in Canada, which have estimated 
expiration  dates  of  April  30,  2027.  Napo  has  a  pending  U.S.  non  provisional  application  for  the  treatment  of 
chemotherapy induced diarrhea (CID) with crofelemer filed on March 9, 2018 and two International Patent Applications 
on other human indications including for the treatments of short bowel syndrome and congenital diarrhea disorder filed 
on May 31, 2018. 

For  methods  of  manufacturing  proanthocyanidin  polymers  isolated  from  Croton  spp.  or  Calophyllum  spp., 
including crofelemer, Napo owns issued patents in India, South Africa, and Eurasia with terms at least until August 26, 
2029. Napo also owns issued patents in India, Russia, and South Africa and pending applications in Argentina, Brazil, 
and  Venezuela  that  also  cover  methods  of  manufacturing  proanthocyanidin  polymers  isolated  from  Croton  spp.  or 
Calophyllum spp., including crofelemer, with terms at least until January 17, 2032. Napo holds a patent in South Africa 
covering  non  enteric  formulations  of  crofelemer  estimated  to  expire  August  17,  2032.  Lastly,  Napo  owns  two  U.S. 
patents covering a formulation of NP 500 (nordihydroguiaretic acid (NDGA)) and its use in treating a metabolic disorder 
that have terms until April 23, 2031. 

Government Regulation 

The FDA and comparable regulatory authorities in state and local jurisdictions and in other countries impose 
substantial and burdensome requirements upon companies involved in the clinical development, manufacture, marketing 
and distribution of prescription drugs such as those Napo is developing. These agencies and other federal, state and local 
entities  regulate,  among  other  things,  the  research  and  development,  testing,  manufacture,  quality  control,  safety, 
effectiveness,  labeling,  storage,  record  keeping,  approval,  advertising  and  promotion,  distribution,  post-approval 
monitoring  and  reporting,  sampling  and  export  and  import  of  Napo’s  drug  product  candidates.  To  comply  with  the 

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regulatory  requirements  in  each  of  the  jurisdictions  in  which  Napo  is  seeking  to  market  and  subsequently  sell  its 
prescription products, Napo is establishing processes and resources to provide oversight of the development, approval 
processes and launch of its products and to position those products in order to gain market share. 

U.S. Government Regulation 

In the United States, the FDA approves and regulates drugs under the Federal Food, Drug, and Cosmetic Act 

(“FDCA”), and its implementing regulations. 

The process of obtaining regulatory approvals and the subsequent compliance with applicable federal, state, 
local and foreign statutes and regulations requires the expenditure of substantial time and financial resources. Failure to 
comply with the applicable U.S. requirements at any time during the product development process, approval process or 
after approval, may subject an applicant to a variety of administrative or judicial sanctions, such as the FDA’s refusal 
to approve pending NDAs, withdrawal of an approval, imposition of a clinical hold, issuance of warning letters, product 
recalls,  product  seizures,  total  or  partial  suspension  of  production  or  distribution,  injunctions,  fines,  refusals  of 
government contracts, restitution, disgorgement or civil or criminal penalties. 

The process required by the FDA before a drug may be marketed in the United States generally involves the 

following: 

• 

• 

• 

• 

• 

• 

• 

completion of pre-clinical laboratory tests, animal studies and formulation studies in compliance with the 
FDA’s good laboratory practice, or GLP, regulations; 

submission to the FDA of an investigational new drug application, or IND, which must become approved 
before human clinical trials may begin; 

approval by an institutional review board, or IRB, of the study protocol and informed consent forms for 
the  clinical  site  before  each  trial  may  be  initiated.  Multiple  sites  may  necessitate  the  involvement  of 
multiple IRBs and submissions; 

performance  of  adequate  and  well-controlled  human  clinical  trials  in  accordance  with  good  clinical 
practice, or GCP, requirements to establish the safety and efficacy of the proposed drug product for each 
indication; 

submission to the FDA of an NDA which would include the study reports of the clinical trials, chemistry 
and  manufacturing  of  the  active  pharmaceutical  ingredient  and  the  final  dosage  form  as  well  as  other 
required sections to be included in the NDA; 

satisfactory completion of an FDA advisory committee review, if applicable; 

satisfactory  completion  of  an  FDA  inspection  of  the  manufacturing  facility  or  facilities  at  which  the 
product  is  produced  to  assess  compliance  with  current  good  manufacturing  practice,  or  cGMP, 
requirements and to assure that the facilities, methods and controls are adequate to preserve the drug’s 
identity, strength, quality and purity; and 

•  FDA review and approval of the NDA. 

Pre-clinical Studies 

Pre-clinical studies include laboratory evaluation of the drug product’s chemistry, toxicity and formulation, as 
well as animal studies to assess potential safety and efficacy. An IND sponsor must submit the results of the pre-clinical 
tests, together with manufacturing information, analytical data and any available clinical data or literature, among other 
things, to the FDA as part of an IND. Some pre-clinical testing may continue even after the IND is submitted. An IND 

26 

automatically becomes effective 30 days after receipt by the FDA, unless before that time the FDA raises concerns or 
questions related to one or more proposed clinical trials and places the clinical trial on a clinical hold. In such a case, 
the IND sponsor and the FDA must resolve any outstanding concerns before the clinical trial can begin. As a result, 
submission of an IND may not result in the FDA allowing clinical trials to commence. 

Clinical Trials 

Clinical  trials  involve  the  administration  of  the  investigational  new  drug  to  human  subjects  pursuant  to  a 
clinical protocol, under the supervision of qualified investigators in accordance with GCP requirements, which include 
the requirement that all research subjects provide their informed consent in writing for their participation in any clinical 
trial. Clinical trials are conducted under protocols detailing, among other things, the objectives or endpoints of the trial, 
the parameters to be used in monitoring safety, and the effectiveness criteria to be evaluated. A protocol for each clinical 
trial and any subsequent protocol amendments must be submitted to the FDA under the IND. In addition, an IRB at each 
institution participating in the clinical trial must review and approve the plan for any clinical trial before it commences 
at that institution. Information about certain clinical trials must be submitted within specific timeframes to the National 
Institutes of Health, or NIH, for public dissemination on their www.clinicaltrials.govwebsite. 

Human clinical trials are typically conducted in three sequential phases, which may overlap or be combined: 

•  Phase 1: The drug is initially introduced into healthy human subjects or patients with the target disease or 
condition and tested for safety, dosage tolerance, absorption, metabolism, distribution, excretion and, if 
possible, to gain an early indication of its effectiveness depending on the endpoints set forth in the protocol. 

•  Phase 2: The drug is administered to a limited patient population to identify possible adverse effects and 
safety  risks,  to  preliminarily  evaluate  the  efficacy  of  the  product  for  specific  targeted  diseases  and  to 
determine dosage tolerance and optimal dosage. 

•  Phase 3: The drug is administered to an expanded patient population, generally at geographically dispersed 
clinical  trial  sites,  in  well-controlled  clinical  trials  to  generate  enough  data  to  statistically  evaluate  the 
efficacy and safety of the product for approval, to establish the overall risk-benefit profile of the product, 
and to provide adequate information for the labeling of the product. 

Progress reports detailing the results of the clinical trials must be submitted at least annually to the FDA and 
more  frequently  if  serious  adverse  events  occur.  Phase 1,  Phase 2  and  Phase 3  clinical  trials  may  not  be  completed 
successfully within any specified period, or at all. Furthermore, the FDA or the sponsor may suspend or terminate a 
clinical  trial  at  any  time  on  various  grounds,  including  a  finding  that  the  research  subjects  are  being  exposed  to  an 
unacceptable health risk. Similarly, an IRB can suspend or terminate approval of a clinical trial at its institution if the 
clinical trial is not being conducted in accordance with the IRB’s requirements or if the drug has been associated with 
unexpected serious harm to patients. 

Special Protocol Assessment 

The special protocol assessment, or SPA, process is designed to facilitate the FDA’s review and approval of 
drugs by allowing the FDA to evaluate issues related to the adequacy of certain clinical trials, including Phase 3 clinical 
trials that can form the primary basis for a drug product’s efficacy claim in an NDA. Upon specific request by a clinical 
trial sponsor, the FDA will evaluate the protocol and respond to a sponsor’s questions regarding, among other things, 
primary efficacy endpoints, trial conduct and data analysis, within 45 days of receipt of the request. 

The FDA ultimately assesses whether the protocol design and planned analysis of the trial are acceptable to 
support  regulatory  approval  of  the  product  candidate  with  respect  to  effectiveness  of  the  indication  studied.  All 
agreements and disagreements between the FDA and the sponsor regarding a SPA must be clearly documented in a SPA 
letter or the minutes of a meeting between the sponsor and the FDA. 

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Even if the FDA agrees to the design, execution and analyses proposed in protocols reviewed under the SPA 

process, the FDA may revoke or alter its agreement under the following circumstances: 

• 

• 

• 

• 

public health concerns emerge that were unrecognized at the time of the protocol assessment; 

the director of the review division determines that a substantial scientific issue essential to determining 
safety or efficacy has been identified after testing has begun; 

a sponsor fails to follow a protocol that was agreed upon with the FDA; or 

the relevant data, assumptions, or information provided by the sponsor in a request for SPA change, are 
found to be false statements or misstatements, or are found to omit relevant facts. 

A  documented  SPA  may  be  modified,  and  such  modification  will  be  deemed  binding  on  the  FDA  review 
division,  except  under  the  circumstances  described  above,  if  FDA  and  the  sponsor  agree  in  writing  to  modify  the 
protocol and such modification is intended to improve the study. 

Marketing Approval 

Assuming  successful  completion  of  the  required  clinical  testing,  the  results  of  the  pre-clinical  studies  and 
clinical trials, together with detailed information relating to the product’s chemistry, manufacture, controls and proposed 
labeling, among other things, are submitted to the FDA as part of an NDA requesting approval to market the product 
for one or more indications. In most cases, the submission of an NDA is subject to a substantial application user fee. 
Under the Prescription Drug User Fee Act (“PDUFA”), guidelines that are currently in effect, the FDA has a goal of ten 
months from the date of “filing” of a standard NDA for a new molecular entity to review and act on the submission. 
This  review  typically  takes  twelve  months  from  the  date  the  NDA  is  submitted  to  FDA  because  the  FDA  has 
approximately two months to make a “filing” decision. 

In addition, under the Pediatric Research Equity Act of 2003 (“PREA”), as amended and reauthorized, certain 
NDAs or supplements to an NDA must contain data that are adequate to assess the safety and effectiveness of the drug 
for  the  claimed  indications  in  all  relevant  pediatric  subpopulations;  this  would  include  information  which  supports 
dosing and administration for each pediatric subpopulation for which the product is safe and effective. The FDA may, 
on its own initiative or at the request of the applicant, grant deferrals for submission of some or all pediatric data until 
after approval of the product for use in adults or full or partial waivers from the pediatric data requirements. 

The FDA may also require submission of a risk evaluation and mitigation strategy, or REMS, plan to ensure 
that  the  benefits  of  the  drug  outweigh  its  risks.  The  REMS  plan  could  include  medication  guides,  physician 
communication plans,  assessment  plans,  and/or  elements  to  assure  safe use,  such  as restricted distribution  methods, 
patient registries, or other risk minimization tools. 

The  FDA  may  also  require  other  information  as  part  of  the  NDA  filing  such  as  an  environmental  impact 

statement. The FDA can waive some or delay compliance with some of these requirements. 

The FDA conducts a preliminary review of all NDAs within the first 60 days after submission, before accepting 
them for filing, to determine whether they are sufficiently complete to permit substantive review. The FDA may request 
additional information rather than accept an NDA for filing. In this event, the application must be resubmitted with the 
additional information. The resubmitted application is also subject to review before the FDA accepts it for filing. Once 
the submission is accepted for filing, the FDA begins an in-depth substantive review. The FDA reviews an NDA to 
determine,  among  other  things,  whether  the  drug  is  safe  and  effective  and  whether  the  facility  in  which  it  is 
manufactured, processed, packaged or held meets standards designed to assure the product’s continued safety, quality 
and purity. 

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The FDA may refer an application for a novel drug to an advisory committee. An advisory committee is a 
panel of independent experts, including clinicians and other scientific experts, that reviews, evaluates and provides a 
recommendation as to whether the application should be approved and under what conditions. The FDA is not bound 
by  the  recommendations  of  an  advisory  committee,  but  it  considers  such  recommendations  carefully  when  making 
decisions. 

Before  approving  an  NDA,  the  FDA  typically  will  inspect  the  facility  or  facilities  where  the  product  is 
manufactured.  The  FDA  will  not  approve  an  application  unless  it  determines  that  the  manufacturing  processes  and 
facilities are in compliance with cGMP requirements and adequate to assure consistent production of the product within 
required specifications. Additionally, before approving an NDA, the FDA may inspect one or more clinical trial sites to 
assure compliance with GCP requirements. 

After evaluating the NDA and all related information, including the advisory committee recommendation, if 
any, and inspection reports regarding the manufacturing facilities and clinical trial sites, the FDA may issue an approval 
letter, or, in some cases, a complete response letter. A complete response letter must contain a statement of specific 
items that prevent the FDA from approving the application and will also contain conditions that must be met in order to 
secure  final  approval  of  the  NDA  and  may  require  additional  clinical  or  pre-clinical  testing  in  order  for  FDA  to 
reconsider the application. Even with submission of this additional information, the FDA ultimately may decide that the 
application does not satisfy the regulatory criteria for approval. If and when those conditions have been met to the FDA’s 
satisfaction, the FDA will typically issue an approval letter. An approval letter authorizes commercial marketing of the 
drug with specific prescribing information for specific indications. 

Even if the FDA approves a product, it may limit the approved indications for use of the product, require that 
contraindications,  warnings  or  precautions  be  included  in  the  product  labeling,  require  that  post-approval  studies, 
Phase 4 clinical trials, be conducted to further assess a drug’s safety after approval, require testing and surveillance 
programs to monitor the product after commercialization, or impose other conditions, including distribution and use 
restrictions or other risk management mechanisms under a REMS, which can materially affect the potential market and 
profitability  of  the  product.  The  FDA  may  prevent  or  limit  further  marketing  of  a  product  based  on  the  results  of 
post-marketing studies or surveillance programs. After approval, some types of changes to the approved product, such 
as  adding  new  indications,  manufacturing  changes,  and  additional  labeling  claims,  are  subject  to  further  testing 
requirements and FDA review and approval. 

Post-Approval Requirements 

Drugs  manufactured  or  distributed  pursuant  to  FDA  approvals  are  subject  to  pervasive  and  continuing 
regulation  by  the  FDA,  including,  among  other  things,  requirements  relating  to  recordkeeping,  periodic  reporting, 
product sampling and distribution, advertising and promotion and reporting of adverse experiences with the product. 
After  approval,  most  changes  to  the  approved  product,  such  as  adding  new  indications  or  other  labeling  claims  are 
subject to prior FDA review and approval. New secondary indications must be supported by clinical trials or data. There 
also  are  continuing,  annual  user  fee  requirements  for  any  marketed  products  and  the  establishments  at  which  such 
products are manufactured, as well as new application fees for supplemental applications with clinical data. 

The FDA may impose a number of post-approval requirements as a condition of approval of an NDA. For 
example, the FDA may require post-marketing testing, including Phase 4 clinical trials, and surveillance to further assess 
and monitor the product’s safety and effectiveness after commercialization. 

In addition, drug manufacturers and other entities involved in the manufacture and distribution of approved 
drugs  are  required  to  register  their  establishments  with  the  FDA  and  state  agencies,  and  are  subject  to  periodic 
unannounced inspections by the FDA and these state agencies for compliance with cGMP requirements. Changes to the 
manufacturing  process  are  strictly  regulated  and often  require  prior  FDA  approval  before  being  implemented.  FDA 
regulations also require investigation and correction of any deviations from cGMP requirements and impose reporting 
and documentation requirements upon the sponsor and any third-party manufacturers that the sponsor may decide to 
use. Accordingly, manufacturers must continue to expend time, money and effort in the area of production and quality 
control to maintain cGMP compliance. 

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Once an approval is granted, the FDA may withdraw the approval if compliance with regulatory requirements 
and standards is not maintained or if problems occur after the product reaches the market. Later discovery of previously 
unknown  problems  with  a  product,  including  adverse  events  of  unanticipated  severity  or  frequency,  or  with 
manufacturing processes, or failure to comply with regulatory requirements, may result in mandatory revisions to the 
approved labeling to add new safety information; imposition of post-market studies or clinical trials to assess new safety 
risks; or imposition of distribution or other restrictions under a REMS program. Other potential consequences include, 
include, but are not limited to: 

• 

• 

• 

• 

• 

restrictions on the marketing or manufacturing of the product, complete withdrawal of the product from 
the market or product recalls; 

fines, warning letters or holds on post-approval clinical trials; 

refusal  of  the  FDA  to  approve  pending  NDAs  or  supplements  to  approved  NDAs,  or  suspension  or 
revocation of product approvals; 

product seizure or detention, or refusal to permit the import or export of products; or 

injunctions or the imposition of civil or criminal penalties. 

The FDA strictly regulates marketing, labeling, advertising and promotion of products that are placed on the 
market. Drugs may be promoted only for the approved indications and in accordance with the provisions of the approved 
label. The FDA and other agencies actively enforce the laws and regulations prohibiting the promotion of off-label uses, 
and  a  company  that  is  found  to  have  improperly  promoted  off-label  uses  may  be  subject  to  significant  liability.  In 
addition, the FDA regulates the purity and or consistency of the approved product. Products, if deemed adulterated can 
lead to serious consequences as set forth above as well as civil and criminal penalties. 

Foreign Government Regulation 

To the extent that any of Napo’s product candidates, once approved, are sold in a foreign country, Napo may 
be  subject  to  similar  foreign  laws  and  regulations,  which  may  include,  for  instance,  applicable  post-marketing 
requirements,  including  safety  surveillance,  anti-fraud  and  abuse  laws  and  implementation  of  corporate  compliance 
programs and reporting of payments or other transfers of value to healthcare professionals. 

In order to market Napo’s future products in the EEA (which is comprised of the 28 Member States of the EU 
plus Norway, Iceland and Liechtenstein) and many other foreign jurisdictions, a sponsor must obtain separate regulatory 
approvals. More concretely, in the EEA, medicinal products can only be commercialized after obtaining a Marketing 
Authorization, or MA. There are two types of marketing authorizations: 

• 

the Community MA, which is issued by the European Commission through the Centralized Procedure, 
based on the opinion of the Committee for Medicinal Products for Human Use of the European Medicines 
Agency, or EMA, and which is valid throughout the entire territory of the EEA. The Centralized Procedure 
is mandatory for certain types of products, such as biotechnology medicinal products, orphan medicinal 
products and medicinal products indicated for the treatment of AIDS, cancer, neurodegenerative disorders, 
diabetes, auto-immune and viral diseases. The Centralized Procedure is optional for products containing a 
new active substance not yet authorized in the EEA, or for products that constitute a significant therapeutic, 
scientific or technical innovation or which are in the interest of public health in the EU; and 

•  National MAs, which are issued by the competent authorities of the Member States of the EEA and only 
cover their respective territory, are available for products not falling within the mandatory scope of the 
Centralized Procedure. Where a product has already been authorized for marketing in a Member State of 
the EEA, this National MA can be recognized in another Member State through the Mutual Recognition 

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Procedure. If the product has not received a National MA in any Member State at the time of application, 
it can be approved simultaneously in various Member States through the Decentralized Procedure. 

Under the above described procedures, before granting the MA, the EMA or the competent authorities of the 
Member  States  of  the  EEA make  an  assessment  of  the  risk-benefit balance of  the product  on  the basis  of  scientific 
criteria concerning its quality, safety and efficacy. 

In  the  EEA,  new  products  authorized  for  marketing,  or  reference  products,  qualify  for  eight  years  of  data 
exclusivity and an additional two years of market exclusivity upon marketing authorization. The data exclusivity period 
prevents generic or biosimilar applicants from relying on the pre-clinical and clinical trial data contained in the dossier 
of the reference product when applying for a generic or biosimilar marketing authorization in the EU during a period of 
eight years from the date on which the reference product was first authorized in the EU. The market exclusivity period 
prevents a successful generic or biosimilar applicant from commercializing its product in the EU until 10 years have 
elapsed from the initial authorization of the reference product in the EU. The 10-year market exclusivity period can be 
extended to a maximum of eleven years if, during the first eight years of those 10 years, the marketing authorization 
holder obtains an authorization for one or more new therapeutic indications which, during the scientific evaluation prior 
to their authorization, are held to bring a significant clinical benefit in comparison with existing therapies. 

In the EEA, marketing authorization applications for new medicinal products not authorized have to include 
the results of studies conducted in the pediatric population, in compliance with a pediatric investigation plan, or PIP, 
agreed with the EMA’s Pediatric Committee (“PDCO”). The PIP sets out the timing and measures proposed to generate 
data to support a pediatric indication of the drug for which marketing authorization is being sought. The PDCO can 
grant a deferral of the obligation to implement some or all of the measures of the PIP until there are sufficient data to 
demonstrate the efficacy and safety of the product in adults. Further, the obligation to provide pediatric clinical trial 
data  can  be  waived  by  the  PDCO  when  these  data  is  not  needed  or  appropriate  because  the  product  is  likely  to  be 
ineffective  or  unsafe  in  children,  the  disease  or  condition  for  which  the  product  is  intended  occurs  only  in  adult 
populations,  or  when  the  product  does  not  represent  a  significant  therapeutic  benefit  over  existing  treatments  for 
pediatric patients. Once the marketing authorization is obtained in all Member States of the EU and study results are 
included  in  the  product  information,  even  when  negative,  the  product  is  eligible  for  six  months’  supplementary 
protection  certificate  extension.  For  orphan-drug  designated  medicinal  products,  the  10-year  period  of  market 
exclusivity is extended to 12 years. 

Other U.S. Healthcare Laws 

In addition to FDA restrictions on marketing of pharmaceutical and biological products, other U.S. federal and 
state healthcare regulatory laws restrict business practices in the pharmaceutical industry, which include, but are not 
limited  to,  state  and  federal  anti-kickback,  false  claims,  data  privacy  and  security  and  physician  payment  and  drug 
pricing transparency laws. 

The U.S. federal Anti-Kickback Statute prohibits, among other things, any person or entity from knowingly 
and  willfully  offering,  paying,  soliciting,  receiving  or  providing  any  remuneration,  directly  or  indirectly,  overtly  or 
covertly, to induce or in return for purchasing, leasing, ordering, or arranging for or recommending the purchase, lease, 
or order of any good, facility, item or service reimbursable, in whole or in part, under Medicare, Medicaid or other 
federal healthcare programs. The term “remuneration” has been broadly interpreted to include anything of value. The 
Anti-Kickback Statute has been interpreted to apply to arrangements between pharmaceutical manufacturers on the one 
hand and prescribers, purchasers, formulary managers and beneficiaries on the other. Although there are a number of 
statutory exceptions and regulatory safe harbors protecting some common activities from prosecution, the exceptions 
and safe harbors are drawn narrowly. Practices that involve remuneration that may be alleged to be intended to induce 
prescribing,  purchases,  or  recommendations  may  be  subject  to  scrutiny  if  they  do  not  meet  the  requirements  of  a 
statutory  or  regulatory  exception  or  safe  harbor.  Failure  to  meet  all  of  the  requirements  of  a  particular  applicable 
statutory  exception  or  regulatory  safe  harbor  does  not  make  the  conduct  per  se  illegal  under  the  U.S.  federal 
Anti-Kickback Statute. Instead, the legality of the arrangement will be evaluated on a case-by-case basis based on a 
cumulative review of all its facts and circumstances. Several courts have interpreted the statute’s intent requirement to 

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mean  that  if  any  one  purpose  of  an  arrangement  involving  remuneration  is  to  induce  referrals  of  federal  healthcare 
covered business, the statute has been violated. 

Additionally, the intent standard under the U.S. federal Anti-Kickback Statute was amended by the Patient 
Protection  and  Affordable  Care  Act,  as  amended  by  the  Health  Care  and  Education  Reconciliation  Act  of  2010,  or 
collectively, the ACA, to a stricter standard such that a person or entity does not need to have actual knowledge of the 
statute or specific intent to violate it in order to have committed a violation. In addition, the ACA codified case law that 
a claim including items or services resulting from a violation of the U.S. federal Anti-Kickback Statute constitutes a 
false or fraudulent claim for purposes of the federal civil False Claims Act. The majority of states also have anti-kickback 
laws,  which  establish  similar  prohibitions  and  in  some  cases  may  apply  to  items  or  services  reimbursed  by  any 
third-party payor, including commercial insurers. 

The federal false claims and civil monetary penalties laws, including the civil False Claims Act, prohibit any 
person  or  entity  from,  among  other  things,  knowingly  presenting,  or  causing  to  be  presented,  a  false,  fictitious  or 
fraudulent claim for payment to, or approval by, the federal government, knowingly making, using, or causing to be 
made  or used a  false  record or  statement  material  to  a false  or fraudulent  claim  to  the  federal  government, or  from 
knowingly  making  a  false  statement  to  avoid,  decrease  or  conceal  an  obligation  to  pay  money  to  the  U.S.  federal 
government.  A  claim  includes  “any  request  or  demand”  for  money  or  property  presented  to  the  U.S.  government. 
Actions under the civil False Claims Act may be brought by the Attorney General or as a qui tam action by a private 
individual in the name of the government. Violations of the civil False Claims Act can result in very significant monetary 
penalties and treble damages. Several pharmaceutical and other healthcare companies have been prosecuted under these 
laws for, among other things, allegedly providing free product to customers with the expectation that the customers 
would  bill  federal  programs  for  the  product.  Other  companies  have  been  prosecuted  for  causing  false  claims  to  be 
submitted because of the companies’ marketing of products for unapproved, or off-label, uses. Companies also have 
been prosecuted for allegedly violating the Anti-Kickback Statute and False Claims Act as a result of impermissible 
arrangements between companies and healthcare practitioners or as a result of the provision of remuneration by the 
companies to the healthcare practitioners. In addition, the civil monetary penalties statute imposes penalties against any 
person who is determined to have presented or caused to be presented a claim to a federal health program that the person 
knows or should know is for an item or service that was not provided as claimed or is false or fraudulent. Many states 
also have similar fraud and abuse statutes or regulations that apply to items and services reimbursed under Medicaid 
and other state programs, or, in several states, apply regardless of the payor. 

Violations of fraud and abuse laws, including federal and state anti-kickback and false claims laws, may be 
punishable by criminal and civil sanctions, including fines and civil monetary penalties, the possibility of exclusion 
from federal healthcare programs (including Medicare and Medicaid), disgorgement and corporate integrity agreements, 
which impose, among other things, rigorous operational and monitoring requirements on companies. Similar sanctions 
and penalties, as well as imprisonment, also can be imposed upon executive officers and employees of such companies. 
Given the significant size of actual and potential settlements, it is expected that the government authorities will continue 
to devote substantial resources to investigating healthcare providers’ and manufacturers’ compliance with applicable 
fraud and abuse laws. 

The federal Health Insurance Portability and Accountability Act of 1996, or HIPAA, created additional federal 
criminal  statutes  that  prohibit,  among  other  actions,  knowingly  and  willfully  executing,  or  attempting  to  execute,  a 
scheme  to  defraud  any  healthcare  benefit  program,  including  private  third-party  payors,  knowingly  and  willfully 
embezzling or stealing from a healthcare benefit program, willfully obstructing a criminal investigation of a healthcare 
offense and knowingly and willfully falsifying, concealing or covering up a material fact or making any materially false, 
fictitious or fraudulent statement in connection with the delivery of or payment for healthcare benefits, items or services. 
Similar to the U.S. federal Anti-Kickback Statute, the ACA broadened the reach of certain criminal healthcare fraud 
statutes created under HIPAA by amending the intent requirement such that a person or entity does not need to have 
actual knowledge of the statute or specific intent to violate it in order to have committed a violation. 

In  addition,  there  has  been  a  recent  trend  of  increased  federal  and  state  regulation  of  payments  made  to 
physicians  and  certain  other  healthcare  providers.  The  ACA  imposed,  among  other  things,  new  annual  reporting 
requirements  through  the  Physician  Payments  Sunshine  Act  for  covered  manufacturers  for  certain  payments  and 

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“transfers of value” provided to physicians and teaching hospitals, as well as ownership and investment interests held 
by physicians and their immediate family members. Failure to submit timely, accurately and completely the required 
information  for  all  payments,  transfers of value  and  ownership  or  investment  interests  may  result  in  civil  monetary 
penalties of up to an aggregate of $150,000 per year and up to an aggregate of $1 million per year for “knowing failures.” 
Covered manufacturers must submit reports by the 90th day of each subsequent calendar year. In addition, certain states 
require  implementation  of  compliance  programs  and  compliance  with  the  pharmaceutical  industry’s  voluntary 
compliance  guidelines  and  the  relevant  compliance  guidance  promulgated  by  the  federal  government,  impose 
restrictions on marketing practices and/or tracking and reporting of gifts, compensation and other remuneration or items 
of value provided to physicians and other healthcare professionals and entities. 

Napo may also be subject to data privacy and security regulation by both the federal government and the states 
in which Napo conducts its business. HIPAA, as amended by the Health Information Technology for Economic and 
Clinical Health Act, or HITECH, and their respective implementing regulations, including the Final HIPAA Omnibus 
Rule published on January 25, 2013, impose specified requirements relating to the privacy, security and transmission 
of  individually  identifiable  health  information  held  by  covered  entities  and  their  business  associates.  Among  other 
things, HITECH made HIPAA’s security standards directly applicable to “business associates,” defined as independent 
contractors  or  agents  of  covered  entities  that  create,  receive,  maintain  or  transmit  protected  health  information  in 
connection with providing a service for or on behalf of a covered entity. HITECH also increased the civil and criminal 
penalties that may be imposed against covered entities, business associates and possibly other persons, and gave state 
attorneys general new authority to file civil actions for damages or injunctions in federal courts to enforce the federal 
HIPAA laws and seek attorney’s fees and costs associated with pursuing federal civil actions. In addition, state laws 
govern the privacy and security of health information in certain circumstances, many of which differ from each other in 
significant ways and may not have the same requirements, thus complicating compliance efforts. 

Coverage and Reimbursement 

Significant uncertainty exists as to the coverage and reimbursement status of any pharmaceutical products for 
which Napo obtains regulatory approval. In the United States and markets in other countries, patients who are prescribed 
treatments for their conditions and providers performing the prescribed services generally rely on third-party payors to 
reimburse all or part of the associated healthcare costs. Patients are unlikely to use Napo’s products unless coverage is 
provided  and  reimbursement is  adequate  to cover  a  significant portion  of  the  cost of Napo’s products.  Sales of  any 
products  for  which  Napo  receives  regulatory  approval  for  commercial  sale  will  therefore  depend,  in  part,  on  the 
availability of coverage and adequate reimbursement from third-party payors. Third-party payors include government 
authorities, managed care plans, private health insurers and other organizations. In the United States, the process for 
determining whether a third-party payor will provide coverage for a pharmaceutical or biological product typically is 
separate from the process for setting the price of such product or for establishing the reimbursement rate that the payor 
will pay for the product once coverage is approved. Third-party payors may limit coverage to specific products on an 
approved list, also known as a formulary, which might not include all of the FDA-approved products for a particular 
indication. A decision by a third-party payor not to cover Napo’s product candidates could reduce physician utilization 
of Napo’s products once approved and have a material adverse effect on Napo’s sales, results of operations and financial 
condition. Moreover, a third-party payor’s decision to provide coverage for a pharmaceutical or biological product does 
not  imply  that  an  adequate  reimbursement  rate  will  be  approved.  Adequate  third-party  reimbursement  may  not  be 
available to enable Napo to maintain price levels sufficient to realize an appropriate return on Napo’s investment in 
product development. Additionally, coverage and reimbursement for products can differ significantly from payor to 
payor. One third-party payor’s decision to cover a particular medical product or service does not ensure that other payors 
will also provide coverage for the medical product or service, or will provide coverage at an adequate reimbursement 
rate. As a result, the coverage determination process will require Napo to provide scientific and clinical support for the 
use of Napo’s products to each payor separately and will be a time-consuming process. 

In the EEA, governments influence the price of products through their pricing and reimbursement rules and 
control  of  national  health  care  systems  that  fund  a  large  part  of  the  cost  of  those  products  to  consumers.  Some 
jurisdictions  operate  positive  and  negative  list  systems  under  which  products  may  only  be  marketed  once  a 
reimbursement price has been agreed to by the government. To obtain reimbursement or pricing approval, some of these 
countries  may  require  the  completion  of  clinical  trials  that  compare  the  cost  effectiveness  of  a  particular  product 

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candidate to currently available therapies. Other member states allow companies to fix their own prices for medicines, 
but  monitor  and  control  company  profits.  The  downward  pressure  on  health  care  costs  in  general,  particularly 
prescription products, has become very intense. As a result, increasingly high barriers are being erected to the entry of 
new products. In addition, in some countries, cross border imports from low-priced markets exert a commercial pressure 
on pricing within a country. 

The containment of healthcare costs has become a priority of federal, state and foreign governments, and the 
prices of pharmaceutical or biological products have been a focus in this effort. Third-party payors are increasingly 
challenging the prices charged for medical products and services, examining the medical necessity and reviewing the 
cost-effectiveness  of  pharmaceutical  or  biological  products,  medical  devices  and  medical  services,  in  addition  to 
questioning  safety  and  efficacy.  If  these  third-party  payors  do  not  consider  Napo’s  products  to  be  cost-effective 
compared to other available therapies, they may not cover Napo’s products after FDA approval or, if they do, the level 
of payment may not be sufficient to allow Napo to sell its products at a profit. 

Healthcare Reform 

A primary trend in the U.S. healthcare industry and elsewhere is cost containment. Government authorities and 
other  third-party  payors have  attempted  to control  costs by  limiting  coverage  and  the amount of  reimbursement  for 
particular medical products. For example, in March 2010, the ACA was enacted, which, among other things, increased 
the minimum Medicaid rebates owed by most manufacturers under the Medicaid Drug Rebate Program; introduced a 
new methodology by which rebates owed by manufacturers under the Medicaid Drug Rebate Program are calculated 
for drugs  that are  inhaled,  infused,  instilled,  implanted or injected;  extended  the  Medicaid Drug  Rebate  Program  to 
utilization of prescriptions of individuals enrolled in Medicaid managed care plans; imposed mandatory discounts for 
certain  Medicare  Part D  beneficiaries  as  a  condition  for  manufacturers’  outpatient  drugs  coverage  under  Medicare 
Part D; subjected drug manufacturers to new annual fees based on pharmaceutical companies’ share of sales to federal 
healthcare programs; created a new Patient Centered Outcomes Research Institute to oversee, identify priorities in, and 
conduct comparative clinical effectiveness research, along with funding for such research; creation of the Independent 
Payment Advisory Board, once empaneled, will have authority to recommend certain changes to the Medicare program 
that could result in reduced payments for prescription drugs; and establishment of a Center for Medicare Innovation at 
the CMS to test innovative payment and service delivery models to lower Medicare and Medicaid spending. Since its 
enactment, the U.S. federal government has delayed or suspended implementation of certain provisions of the ACA. In 
addition, there have been judicial and Congressional challenges to certain aspects of the ACA, and Napo expects there 
will be additional challenges and amendments to the ACA in the future. For example, in January 2017, the U.S. House 
of Representatives and Senate passed legislation, which, if signed into law, would repeal certain aspects of the ACA. In 
addition, Congress could consider subsequent legislation to replace those elements of the ACA if so repealed. 

Napo expects that the ACA, as well as other healthcare reform measures that may be adopted in the future, 
may result in more rigorous coverage criteria and lower reimbursement, and additional downward pressure on the price 
that  Napo  receives  for  any  approved  product.  Any  reduction  in  reimbursement  from  Medicare  or  other 
government-funded programs may result in a similar reduction in payments from private payors. Moreover, recently 
there has been heightened governmental scrutiny over the manner in which manufacturers set prices for their marketed 
products. The implementation of cost containment measures or other healthcare reforms may prevent Napo from being 
able to generate revenue, attain profitability or commercialize Napo’s drugs. 

Additionally, on August 2, 2011, the Budget Control Act of 2011 created measures for spending reductions by 
Congress. A Joint Select Committee on Deficit Reduction, tasked with recommending a targeted deficit reduction of at 
least $1.2 trillion for the years 2013 through 2021, was unable to reach required goals, thereby triggering the legislation’s 
automatic  reduction  to  several  government  programs.  This  included  aggregate  reductions  of  Medicare  payments  to 
providers of 2% per fiscal year, which went into effect on April 1, 2013 and, due to subsequent legislative amendments 
to the statute, will stay in effect through 2025 unless additional action is taken by Congress. On January 2, 2013, the 
American  Taxpayer  Relief  Act  of  2012  was  signed  into  law,  which,  among  other  things,  further  reduced  Medicare 
payments to several types of providers, including hospitals, imaging centers and cancer treatment centers, and increased 
the statute of limitations period for the government to recover overpayments to providers from three to five years. More 
recently, there has been heightened governmental scrutiny recently over the manner in which manufacturers set prices 

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for their marketed products, which have resulted in several recent Congressional inquiries and proposed bills designed 
to,  among  other  things,  bring  more  transparency  to  product  pricing,  review  the  relationship  between  pricing  and 
manufacturer  patient  programs,  and  reform  government  program  reimbursement  methodologies  for  pharmaceutical 
products. 

Napo expects that additional state and federal healthcare reform measures will be adopted in the future, any of 
which could limit the amounts that federal and state governments will pay for healthcare products and services, which 
could result in reduced demand for Napo’s products once approved or additional pricing pressures. 

Animal Health Business 

The development, approval and sale of animal health products are governed by the laws and regulations of 
each country in which we intend to seek approval, where necessary, to market and subsequently sell our prescription 
drug and non-drug products. To comply with these regulatory requirements, we are establishing processes and resources 
to provide oversight of the development, approval processes and launch of its products and to position those products 
in order to gain market share in each respective market. 

Certain U.S. federal regulatory agencies are charged with oversight and regulatory authority of animal health 
products in the United States. These agencies, depending on the product and its intended use may include the FDA, the 
USDA  and  the  Environmental  Protection  Agency.  The  approval  of  prescription  drugs  intended  for  animal  use  is 
regulated by the FDA’s Center for Veterinary Medicine (“CVM”). In addition, the Drug Enforcement Administration 
regulates animal therapeutics that are classified as controlled substances. In addition, the Federal Trade Commission 
may in the case of non-drug products, regulate the marketing and advertising claims being made. 

Marketing Exclusivity 

We are currently planning on seeking MUMS designation for some of our prescription drug products and if we 
receive such a designation, we will be entitled to a seven-year marketing exclusivity, which means that we will face no 
competition from another sponsor marketing the same drug in the same dosage form for the same intended use. If we 
were to lose such designation or not receive such designation but our application as a new animal drug is found to be a 
new  chemical  entity  that  meets  the  criteria  described  by  the  FDA,  we  would  be  entitled  to  a  five-year  marketing 
exclusivity. In order to receive this five-year exclusivity, the FDA would have to find in its approval of our application 
that our NADA contains an API not previously approved in another application, that the application itself is an original 
application,  not  a  supplemental  application,  and  that  our  application  included  the  following  studies:  one  or  more 
investigations  to  demonstrate  substantial  evidence  of  effectiveness  of  the  drug  for  which  we  are  seeking  approval; 
animal safety studies and human food safety studies (where applicable). If the NADA is seeking approval of a drug for 
which  we  have  received  conditional  approval,  we,  upon  approval  would  still  be  entitled  to  a  five-year  marketing 
exclusivity provided we meet the criteria as set forth above. If, however, our NADA is for a drug for which the FDA 
has determined that the drug contains an API that has previously been approved, regardless of whether the original 
approval was for use in humans or not, we may only be entitled to a three-year marketing exclusivity provided that the 
NADA is an original, not supplemental, application and contains both safety and efficacy studies demonstrating the 
safety  and  efficacy  of  the  drug  which  is  the  subject  of  the  application.  We  have  received  MUMS  designation  for 
Canalevia for the indication of chemotherapy-induced diarrhea, or CID, in dogs. Additionally, the FDA has indicated 
that the use of Canalevia for the treatment of EID in dogs qualifies as a “minor use”, which means that Canalevia is 
eligible for conditional approval for the indication of EID in dogs. 

Labeling 

The FDA plays a significant role in regulating the labeling, advertising and promotion of animal drugs. This is 
also true of regulatory agencies in the EU and other territories. In addition, advertising and promotion of animal health 
products is controlled by regulations in many countries. These rules generally restrict advertising and promotion to those 
claims and uses that have been reviewed and approved by the applicable agency. We will conduct a review of advertising 

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and promotional material for compliance with the local and regional requirements in the markets where we eventually 
may sell its product candidates. 

Other Regulatory Considerations 

We believe regulatory rules relating to human food safety, food additives, or drug residues in food will not 
apply  to  the  products  we  currently  are  developing  because  our  animal  prescription  drug  product  candidates  are  not 
intended  for  use  in  production  animals,  with  the  exception  of  horses,  which  qualify  as  food  animals  in  Europe  and 
Canada; and our non-prescription products are not regulated by section 201(g) of the Federal Food, Drug, and Cosmetic 
Act, which the FDA is authorized to administer. 

Our animal prescription drug product candidates currently in development, if approved, may eventually face 
generic competition in the United States and in the EU after the period of exclusivity has expired. In the United States, 
a generic animal drug may be approved pursuant to an abbreviated new animal drug application (ANADA). With an 
ANADA, a generic applicant is not subject to the submission of new clinical and safety data but instead must only show 
that the proposed generic product is a copy of the novel drug product, and bioequivalent to the approved novel product. 
However, if our product candidates are the first approved by the FDA or the EMA as applicable for use in animals, they 
will be eligible for a five-year marketing exclusivity in the United States and 10 years in the EU thereby prohibiting 
generic entry into the market. If the product has MUMS designation it has a seven-year marketing exclusivity. 

We do not believe that our animal non-prescription products are currently subject to regulation in the United 
States. The CVM only regulates those animal supplements that fall within the FDA’s definition of an animal drug, food 
or feed additive. The Federal Food Drug and Cosmetic Act defines food as “articles used for food or drink for man or 
other animals and articles used as components of any such article.” Animal foods are not subject to pre-market approval 
and are designed to provide a nutritive purpose to the animals that receive them. Feed additives are defined as those 
articles  that  are  added  to  an  animal’s  feed  or  water  as  illustrated  by  the  guidance  documents.  Our  non-prescription 
products are not added to food, are not ingredients in food nor are they added to any animal’s drinking water. Therefore, 
our non-prescription products do not fall within the definition of a food or feed additive. The FDA seeks to regulate 
such  supplements  as  food  or  food  additives  depending  on  the  intended  use  of  the  product.  The  intended  use  is 
demonstrated by how the article is included in a food, or added to the animals’ intake (i.e., through its drinking water). 
If the intended use of the product does not fall within the proscribed use making the product a food, it cannot be regulated 
as a food. There is no intent to make our non-prescription products a component of an animal food, either directly or 
indirectly. A feed additive is a product that is added to a feed for any reason including the top dressing of an already 
prepared feed. Some additives, such as certain forage, are deemed to be Generally Recognized as Safe (“GRAS”), and 
therefore, not subject to a feed Additive Petition approval prior to use. However, the substances deemed GRAS are 
generally those that are recognized as providing nutrients as a food does. We do not believe that our non-prescription 
products fit within this framework either. Finally, a new animal drug refers to drugs intended for use in the diagnosis, 
cure,  mitigation,  treatment,  or  prevention  of  disease  in  animals.  Our  non-prescription  products  are  not  intended  to 
diagnose, cure, mitigate, treat or prevent disease and therefore, do not fit within the definition of an animal drug. Our 
non-prescription products are intended to support a healthy gut, support fluid retention, and normalize stool formation 
in  animals  suffering  from  scours.  Additionally,  because  a  previously  marketed  human  formulation  of  the  botanical 
extract in our non-prescription products was considered a dietary supplement subject to the Dietary Supplement Health 
and Education Act of 1994 (and not regulated as a drug by the FDA), we do not believe that the FDA would regulate 
the  animal  formulation  used  in  our  non-prescription  products  in  a  different  manner.  We  do  not  believe  that  our 
non-prescription products fit the definition of an animal drug, food or food additive and therefore are not regulated by 
the FDA at this time. 

In  addition  to  the  foregoing,  we  may  be  subject  to  state,  federal  and  foreign  healthcare  and/or  veterinary 
medicine laws, including but not limited to anti-kickback laws, as we may from time to time enter consulting and other 
financial arrangements with veterinarians, who may prescribe or recommend our products. If our financial relationships 
with veterinarians are found to be in violation of such laws that apply to us, we may be subject to penalties. 

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Legal Proceedings 

From time to time, we may become involved in litigation relating to claims arising from the ordinary course of 
business.  Other  than  as  set  forth  below,  there  are  currently  no  claims  or  actions  pending  against  us,  the  ultimate 
disposition of which could have a material adverse effect on our results of operations, financial condition or cash flows. 

March 2018 Demand Letter relating to 2018 Special Meeting of Stockholders 

While not a legal proceeding, on March 27, 2018, we received a demand letter from a law firm representing a 
purported stockholder, relating to certain approvals obtained at a special meeting of stockholders on March 12, 2018 
(the “2018 Special Meeting”). The demand letter alleges that we miscalculated the votes with respect to (i) the proposal 
to amend our Third Amended and Restated Certificate of Incorporation as filed with Secretary of State of the State of 
Delaware on March 15, 2018 (the “COI”), which increased the authorized shares of Common Stock from 250,000,000 
to 500,000,000 (the “Share Increase Proposal”) and (ii) the proposal to amend the COI to effect a reverse stock split at 
a ratio of not less than 1-for-1.2 and not greater than 1-for-10 (the “Former Reverse Stock Split Proposal”).We did not 
implement the Former Reverse Stock Split Proposal. In addition, at the 2018 annual meeting of stockholders held on 
May 18, 2018, stockholders approved amendments to the COI to (i) effect a reverse stock split at a ratio of not less than 
1-for-11  and  not  greater  than  1-for-15  and  (ii) decrease  the  number  of  authorized  shares  of  Common  Stock  to 
150,000,000. 

On  September 5,  2018,  we  responded  to  the  law  firm,  indicating  that  the  Board  unanimously  rejected  the 
demands set forth in the demand letter (the “Demand Letter Claims”). While no proceedings with respect to the demand 
letter were ever initiated, we believe that the allegations set forth in the demand letter were without merit and we would 
have vigorously defended against any such proceeding. The Demand Letter Claims were settled with a release of all 
such claims in March 2019 without any material financial settlement costs incurred by us. 

July 2017 Complaint Relating to the Merger 

On  July 20, 2017,  a putative class  action  complaint  was filed  in  the United States District  Court,  Northern 
District of California, Civil Action No. 3:17-cv-04102, by Tony Plant (the “Plaintiff”) on behalf of shareholders of the 
Company who held shares on September 30, 2017 and were entitled to vote at the 2017 Special Shareholders Meeting, 
against  the  Company  and  certain  individuals  who  were  directors  as  of  the  date  of  the  vote  (collectively,  the 
“Defendants”),  in  a  matter  captioned  Tony  Plant  v.  Jaguar  Animal  Health, Inc.,  et  al.,  making  claims  arising  under 
Section 14(a) and Section 20(a) of the Exchange Act and Rule 14a-9, 17 C.F.R. § 240.14a-9, promulgated thereunder 
by  the  SEC.  The  claims  alleged  false  and  misleading  information  provided  to  investors  in  the  Joint  Proxy 
Statement/Prospectus on Form S-4 (File No. 333-217364) declared effective by the SEC on July 6, 2017 related to the 
solicitation  of  votes  from  shareholders  to  approve  the  merger  and  certain  transactions  related  thereto.  We  accepted 
service  of  the  complaint  and  summons  on  behalf  of  itself  and  the  United  States-based  director  Defendants  on 
November 1, 2017. We have not accepted service on behalf of, and Plaintiff has not yet served, the non-U.S.-based 
director Defendants. 

On October 3, 2017, Plaintiff filed a motion seeking appointment as lead plaintiff and appointment of Monteverde & 
Associates PC as lead counsel. That motion was granted. Plaintiff filed an amended complaint against the Company and 
the  United  States-based  director  Defendants  on  January 10,  2018.  The  Defendants  filed  a  motion  to  dismiss  on 
March 12,  2018,  for  which  oral  arguments  were  held  on  June 14,  2018.  The  court  dismissed  the  complaint  on 
September 20,  2018.  Plaintiff  was  entitled  to  amend  the  complaint  within  20 days  from  the  date  of  dismissal.  On 
October 10, 2018, Plaintiff amended the complaint to focus on our commercial strategy in support of Equilevia and the 
related disclosure statements in the Form S-4 described above. On November 6, 2018, the Defendants moved to dismiss 
the second amended complaint. The Defendants argue in their motion that the complaint fails to state a claim upon 
which relief can be granted because the omissions and misrepresentations alleged in the complaint are immaterial as a 
matter of law. The court has elected to rule on Defendants’ motion to dismiss without holding oral arguments. If the 
Plaintiff were able to prove its allegations in this matter and to establish the damages it asserts, then an adverse ruling 
could have a material impact on us. We believe that it is not probable that an asset has been impaired or a liability has 
been incurred as of the date of the financial statements and the amount of any potential loss is not reasonably estimable.  

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Corporate Information 

We were incorporated in the State of Delaware on June 6, 2013. Our principal executive offices are located at 
201 Mission Street, Suite 2375, San Francisco, CA 94015 and our telephone number is (415) 371-8300. Our website 
address is www.jaguar.health. The information contained on, or that can be accessed through, our website is not part of 
this  prospectus.  Our  voting  common  stock  is  listed  on  the  NASDAQ  Capital  Market  and  trades  under  the  symbol 
“JAGX.” On July 31, 2017, we completed the acquisition of Napo pursuant to the Agreement and Plan of Merger, dated 
March 31, 2017, by and among the Company, Napo, Napo Acquisition Corporation, and Napo’s representative. 

Employees 

As of December 31, 2018, we had 40 employees. Six employees hold D.V.M. or Ph.D. degrees. 13 of our 
employees are engaged in research and development activities and 20 employees are engaged in sales and marketing. 
None of our employees are represented by labor unions or covered by collective bargaining agreements. 

Description of Properties 

Our corporate headquarters are located in San Francisco, California, where we lease 6,311 rentable square feet 
of office space from CA-Mission Street Limited Partnership. Our lease agreement expires on September 30, 2020. We 
believe that our existing facilities are adequate for our near term needs. 

ITEM 1A.    RISK FACTORS 

The business, financial condition and operating results of the Company may be affected by a number of factors, 
whether currently known or unknown, including but not limited to those described below. Any one or more of such 
factors could directly or indirectly cause the Company’s actual results of operations and financial condition to vary 
materially from past or anticipated future results of operations and financial condition. Any of these factors, in whole 
or in part, could materially and adversely affect the Company’s business, financial condition, results of operations and 
stock price. The following information should be read in conjunction with Part II, Item 7, “Management’s Discussion 
and Analysis of Financial Condition and Results of Operations” and the consolidated financial statements and related 
notes in Part II, Item 8, “Financial Statements and Supplementary Data” of this Annual Report. 

Risks Related to Our Business 

We  have a  limited  operating  history,  expect  to  incur further  losses  as  we  grow and may be unable  to achieve or 
sustain profitability. Our independent registered public accounting firm has expressed substantial doubt about our 
ability to continue as a going concern. 

Since formation in June 2013, our operations have been primarily limited to the research and development of 
our  animal  prescription  drug  product  candidate,  Canalevia,  to  treat  various  forms  of  diarrhea  in  dogs,  our 
non-prescription product, Neonorm Calf, to help dairies and calf farms proactively retain fluid in calves, the ongoing 
commercialization  of  Neonorm  Foal,  our  antidiarrheal  for  newborn  horses,  and  Equilevia,  our  non-prescription, 
personalized, premium product for total gut health in high-performance equine athletes. Since the consummation of the 
Merger on July 31, 2017, our operations have also been heavily focused on research, development and the ongoing 
commercialization of our lead prescription drug product candidate, Mytesi, which is approved by the U.S. FDA for the 
symptomatic relief of noninfectious diarrhea in adults with HIV/AIDS on antiretroviral therapy. As a result, we have 
limited  meaningful  historical  operations  upon  which  to  evaluate  our  business  and  prospects  and  have  not  yet 
demonstrated an ability to broadly commercialize any of our animal health products, obtain any required marketing 
approval for any of our animal prescription drug product candidates or successfully overcome the risks and uncertainties 
frequently encountered by companies in emerging fields such as the animal health industry or the gastrointestinal health 
industry in general. We also have not generated any material revenue to date, and expect to continue to incur significant 
research and development and other expenses. Our net loss and comprehensive loss for the year ended December 31, 
2018 was $32.1 million.  As of December 31, 2018, we had total stockholders’ equity of $5.4 million. We expect to 

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continue to incur losses for the foreseeable future, which will increase significantly from historical levels as we expand 
our product development activities, seek necessary approvals for our human and veterinary drug product candidates, 
conduct species-specific formulation studies for our non-prescription products and begin commercialization activities. 
Even if we succeed in developing and broadly commercializing one or more of our products or product candidates, we 
expect to continue to incur losses for the foreseeable future, and we may never become profitable. If we fail to achieve 
or maintain profitability, then we may be unable to continue our operations at planned levels and be forced to reduce or 
cease operations. 

As more fully discussed in Note 1 to our financial statements, we believe there is substantial doubt about our 
ability  to  continue  as  a  going  concern  as  we  do  not  currently  have  sufficient  cash  resources  to  fund  our  operations 
through March 31, 2020, or one year from the filing date of our Form 10-K. Our financial statements do not include any 
adjustments that may result from the outcome of this uncertainty. If we are unable to continue as a viable entity, our 
stockholders may lose their entire investment. 

We currently generate limited revenue from the sale of products and may never become profitable. 

We are a pharmaceuticals company focused on the development and commercialization of novel, sustainably 
derived  gastrointestinal  products  for  both  human  prescription  use  and  animals  on  a  global  basis.  Napo,  our 
wholly-owned subsidiary, began the commercial pre-launch activities of our first FDA-approved product, Mytesi, in 
February 2017. Accordingly, we have only generated limited revenue from product sales. There is no guarantee that our 
ongoing commercialization efforts for Neonorm Calf for preweaned dairy calves in the United States and Neonorm Foal 
for newborn horses in the United States will be successful or that we will be able to generate a consistent revenue stream 
from  the  sale  of  any  of  these  products  in  the  future.  Further,  in  order  to  commercialize  our  other  prescription  drug 
product  candidates,  we  must  receive  regulatory  approval  from  the  FDA  in  the  United  States  and  other  regulatory 
agencies  in  various  jurisdictions.  Other  than  Mytesi,  we  have  not  yet  received  any  regulatory  approvals  for  our 
prescription drug product candidates. In addition, certain of our non-prescription products, such as Neonorm Calf, may 
be subject to regulatory approval outside the United States prior to commercialization in other countries. Accordingly, 
until and unless we receive any necessary regulatory approvals, we cannot market or sell our products in many regions. 
Moreover, even if we receive the necessary approvals, we may not be successful in generating revenue from sales of 
our products as we do not have any meaningful experience marketing or distributing our products. Accordingly, we may 
never generate any material revenue from our operations. 

We  expect  to  incur significant  additional costs as  we  continue  commercialization  efforts for  current  prescription 
drug candidates, Neonorm, or other product candidates, and undertake the clinical trials necessary to obtain any 
necessary regulatory approvals, which will increase our losses. 

Napo commenced sales of Mytesi for adults with HIV/AIDS on antiretroviral therapy in February 2017. We 
will need to continue to invest in developing our internal and third-party sales and distribution network and outreach 
efforts to key opinion leaders in the gastrointestinal health industry, including physicians as applicable.  

We are actively identifying additional products for development and commercialization, and will continue to 
expend substantial resources for the foreseeable future to develop Mytesi and lechlemerThese expenditures will include 
costs associated with: 

• 

• 

• 

• 

• 

identifying additional potential prescription drug product candidates and non-prescription products; 

formulation studies; 

conducting pilot, pivotal and toxicology studies; 

completing other research and development activities; 

payments to technology licensors; 

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•  maintaining our intellectual property; 

• 

• 

• 

obtaining necessary regulatory approvals; 

establishing commercial supply capabilities; and 

sales, marketing and distribution of our commercialized products. 

We  also  may  incur  unanticipated  costs  in  connection  with  developing  and  commercializing  our  products. 
Because the outcome of our development activities and commercialization efforts is inherently uncertain, the actual 
amounts necessary to successfully complete the development and commercialization of our current or future products 
and product candidates may be greater than we anticipate. 

Because we anticipate incurring significant costs for the foreseeable future, if we are not successful in broadly 
commercializing any of our current or future products or product candidates or raising additional funding to pursue our 
research and development efforts, we may never realize the benefit of our development efforts and our business may be 
harmed. 

We will need to raise substantial additional capital in the future in the event that we conduct clinical trials for new 
indications and we may be unable to raise such funds when needed and on acceptable terms, which would force us 
to delay, limit, reduce or terminate one or more of our product development programs. 

We  are  forecasting  continued  losses  and  negative  cash  flows  as  we  continue  to  fund  our  operating  and 
marketing activities and research and development programs, and we will not have sufficient cash on hand to fund our 
operating plan through March 31, 2020 and to complete the development of all the current products in our pipeline, or 
any additional products we may identify. We will need to seek additional funds sooner than planned through public or 
private equity or debt financings or other sources such as strategic collaborations. Any such financings or collaborations 
may  result  in  dilution  to  our  stockholders,  the  imposition  of  debt  covenants  and  repayment  obligations  or  other 
restrictions that may harm our business or the value of our common stock. We may also seek from time to time to raise 
additional capital based upon favorable market conditions or strategic considerations such as potential acquisitions or 
potential license arrangements. 

Our future capital requirements depend on many factors, including, but not limited to: 

• 

• 

• 

• 

• 

• 

• 

the scope, progress, results and costs of researching and developing our current and future prescription 
drug product candidates and non-prescription products; 

the timing of, and the costs involved in, obtaining any regulatory approvals for our current and any future 
products; 

the number and characteristics of the products we pursue; 

the cost of manufacturing our current and future products and any products we successfully commercialize; 

the  cost  of  commercialization  activities  for  Mytesi,  Neonorm,  Equilevia  and  Canalevia,  if  approved, 
including sales, marketing and distribution costs; 

the expenses needed to attract and retain skilled personnel; 

the costs associated with being a public company; 

40 

• 

• 

our ability to establish and maintain strategic collaborations, distribution or other arrangements and the 
financial terms of such agreements; and 

the costs involved in preparing, filing, prosecuting, maintaining, defending and enforcing possible patent 
claims, including litigation costs and the outcome of any such litigation. 

Additional  funds  may  not  be  available  when  we  need  them  on  terms  that  are  acceptable  to  us,  or  at  all.  If 
adequate funds are not available to us on a timely basis, we may be required to delay, limit, reduce or terminate one or 
more of our product development programs or future commercialization efforts. 

We are substantially dependent on the success of our current lead prescription drug product candidates, Mytesi and 
Canalevia,  and  our  non-prescription  products,  Equilevia  and  Neonorm,  and  cannot  be  certain  that  necessary 
approvals will be received for planned Mytesi follow-on indications or Canalevia or that these product candidates 
will be successfully commercialized, either by us or any of our partners. 

Other  than  Mytesi,  we  currently  do  not  have  regulatory  approval  for  any  of  our  prescription  drug  product 
candidates, including Canalevia. Our current efforts are primarily focused on the ongoing commercialization of Mytesi, 
and development efforts related to Mytesi, Equilevia, and Canalevia. With regard to Mytesi, we are focused on the 
commercial launch of the product in the United States as well as on development efforts related to a follow-on indication 
for Mytesi in CTD, an important supportive care indication for patients undergoing primary or adjuvant chemotherapy 
for cancer treatment. Mytesi is in development for multiple possible follow-on indications, including diarrhea related to 
targeted cancer therapy; orphan-drug indications for infants and children with congenital diarrheal disorders and short 
bowel syndrome (SBS); supportive care for inflammatory bowel disease (IBD); irritable bowel syndrome (IBS); and 
for idiopathic/functional diarrhea. In addition, a second-generation proprietary anti-secretory agent is in development 
for cholera. Mytesi has received orphan-drug designation for SBS. Accordingly, our near term prospects, including our 
ability to generate material product revenue, obtain any new financing if needed to fund our business and operations or 
enter  into potential  strategic transactions,  will  depend heavily  on  the success  of  Mytesi,  as well  as on  Canalevia, if 
Canalevia is approved. 

Substantial time and capital resources have been previously devoted by third parties in the development of 
crofelemer, the active pharmaceutical ingredient, or API, in Mytesi and Canalevia, and the development of the botanical 
extract used in Equilevia and Neonorm. Both crofelemer and the botanical extract used in Equilevia and Neonorm were 
originally  developed  at  Shaman  Pharmaceuticals, Inc.  (“Shaman”),  by  certain  members  of  our  management  team, 
including  Lisa  A.  Conte,  our  chief  executive  officer  and  president,  and  Steven  R.  King,  Ph.D.,  our  executive  vice 
president  of  sustainable  supply,  ethnobotanical  research  and  intellectual  property  and  secretary.  Shaman  spent 
significant development resources before voluntarily filing for bankruptcy in 2001 pursuant to Chapter 11 of the U.S. 
Bankruptcy Code. The rights to crofelemer and the botanical extract used in Equilevia and Neonorm, as well as other 
intellectual property rights, were subsequently acquired by Napo from Shaman in 2001 pursuant to a court approved 
sale  of  assets.  Ms. Conte  founded  Napo  in  2001  and  was  the  current  interim  chief  executive  officer  of  Napo  and  a 
member of Napo’s board of directors prior to the Merger. While at Napo, certain members of our management team, 
including  Ms. Conte  and  Dr. King,  continued  the  development  of  crofelemer.  In  2005,  Napo  entered  into  license 
agreements with Glenmark and Luye Pharma Group Limited for rights to various human indications of crofelemer in 
certain territories as defined in the respective license agreements with these licensees. Subsequently, after expending 
significant  sums  developing  crofelemer,  including  trial  design  and  on-going  patient  enrollment  in  the  final  pivotal 
Phase 3 trial for crofelemer for non-infectious diarrhea in adults with HIV/AIDS on antiretroviral therapy, in late 2008, 
Napo  entered  into  a  collaboration  agreement  with  Salix  Pharmaceuticals, Inc.,  or  Salix,  for  development  and 
commercialization rights to certain indications worldwide and certain rights in North America, Europe, and Japan, to 
crofelemer for human use. In January 2014, Jaguar entered into the Napo License Agreement pursuant to which Jaguar 
acquired an exclusive worldwide license to Napo’s intellectual property rights and technology, including crofelemer 
and the botanical extract used in Equilevia and Neonorm, for all veterinary treatment uses and indications for all species 
of animals. In February 2014, most of the executive officers of Napo, and substantially all Napo’s employees, became 
Jaguar’s  employees.  Following  the  merger  of  Jaguar  and  Napo  in  July 2017,  Napo  became  Jaguar’s  wholly-owned 

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subsidiary.  If  we  are  not  successful  in  the  development  and  commercialization  of  Mytesi,  Neonorm,  Equilevia  and 
Canalevia, our business and our prospects will be harmed. 

The  successful  development  and  commercialization  of  Mytesi,  Equilevia,  and,  if  approved,  Canalevia  will 

depend on a number of factors, including the following: 

• 

• 

• 

• 

• 

• 

• 

• 

• 

the  successful  completion  of  the  pivotal  trials  and  toxicology  studies  for  Canalevia,  which  may  take 
significantly  longer  than  we  currently  anticipate  and  will  depend,  in  part,  upon  the  satisfactory 
performance of third-party contractors; 

our ability to demonstrate to the satisfaction of the FDA and any other regulatory bodies, the safety and 
efficacy of Canalevia; 

our  ability  and  that  of  our  contract  manufacturers  to  manufacture  supplies  of  Mytesi,  Equilevia  and 
Canalevia  and  to  develop,  validate  and  maintain  viable  commercial  manufacturing  processes  that  are 
compliant with current good manufacturing practices, or cGMP, if required; 

our ability to successfully launch Mytesi, whether alone or in collaboration with others; 

our ability to successfully launch Canalevia, assuming approval is obtained, and Equilevia, whether alone 
or in collaboration with others; 

the availability, perceived advantages, relative cost, relative safety and relative efficacy of our prescription 
drug product candidates and non-prescription products compared to alternative and competing treatments; 

the  acceptance  of  our  prescription  drug  product  candidates  and  non-prescription  products  as  safe  and 
effective  by  physicians,  veterinarians,  patients,  animal  owners  and  the  human  and  animal  health 
community, as applicable; 

our ability to achieve and maintain compliance with all regulatory requirements applicable to our business; 
and 

our ability to obtain and enforce our intellectual property rights and obtain marketing exclusivity for our 
prescription drug product candidates and non-prescription products, and avoid or prevail in any third-party 
patent  interference,  patent  infringement  claims  or  administrative  patent  proceedings  initiated  by  third 
parties or the U.S. Patent and Trademark Office (“USPTO”). 

Many  of  these  factors  are  beyond  our  control.  Accordingly,  we  may  not  be  successful  in  developing  or 
commercializing Mytesi, Neonorm, Equilevia, Canalevia or any of our other potential products. If we are unsuccessful 
or  are  significantly  delayed  in  developing  and  commercializing  Mytesi,  Equilevia,  Canalevia  or  any  of  our  other 
potential products, our business and prospects will be harmed and you may lose all or a portion of the value of your 
investment in our common stock. 

If we are not successful in identifying, licensing, developing and commercializing additional product candidates and 
products, our ability to expand our business and achieve our strategic objectives could be impaired. 

Although a substantial amount of our efforts is focused on the commercial performance of Mytesi, Equilevia, 
and the continued development and potential approval of Canalevia, a key element of our strategy is to identify, develop 
and commercialize a portfolio of products to serve the gastrointestinal health market. Most of our potential products are 
based  on  our  knowledge  of  medicinal  plants.  Our  current  focus  is  primarily  on  product  candidates  whose  active 
pharmaceutical ingredient or botanical extract has been successfully commercialized or demonstrated to be safe and 
effective in human or animal trials. In some instances, we may be unable to further develop these potential products 

42 

because of perceived regulatory and commercial risks. Even if we successfully identify potential products, we may still 
fail to yield products for development and commercialization for many reasons, including the following: 

• 

• 

• 

• 

• 

• 

competitors may develop alternatives that render our potential products obsolete; 

an outside party may develop a cure for any disease state that is the target indication for any of our planned 
or approved drug products; 

potential products we seek to develop may be covered by third-party patents or other exclusive rights; 

a potential product may on further study be shown to have harmful side effects or other characteristics that 
indicate it is unlikely to be effective or otherwise does not meet applicable regulatory criteria; 

a potential product may not be capable of being produced in commercial quantities at an acceptable cost, 
or at all; and 

a potential product may not be accepted as safe and effective by physicians, veterinarians, patients, animal 
owners, key opinion leaders and other decision-makers in the gastrointestinal health market, as applicable. 

While we are developing specific formulations, including flavors, methods of administration, new patents and 
other strategies with respect to our current potential products, we may be unable to prevent competitors from developing 
substantially similar products and bringing those products to market earlier than we can. If such competing products 
achieve regulatory approval and commercialization prior to our potential products, our competitive position may be 
impaired.  If  we  fail  to  develop  and  successfully  commercialize  other  potential  products,  our  business  and  future 
prospects  may  be  harmed  and  we  will  be  more  vulnerable  to  any  problems  that  we  encounter  in  developing  and 
commercializing our current potential products. 

Mytesi faces significant competition from other pharmaceutical companies, both for its currently approved indication 
and for planned follow-on indications, and our operating results will suffer if we fail to compete effectively. 

The development and commercialization of products for human gastrointestinal health is highly competitive 
and our success depends on our ability to compete effectively with other products in the market. During the ongoing 
commercialization of Mytesi for its currently approved indication, and during the future commercialization of Mytesi 
for any planned follow-on indications, if such follow-on indications receive regulatory approval, we expect to compete 
with major pharmaceutical and biotechnology companies that operate in the gastrointestinal space, such as Sucampo 
AG,  Takeda  Pharmaceuticals,  Allergan, Inc.,  Ironwood  Pharmaceuticals, Inc.,  Synergy  Pharmaceuticals Inc.,  Heron 
Therapeutics, Inc., Sebela Pharmaceuticals, Inc. and Salix Pharmaceuticals. 

Many of our competitors and potential competitors in the human gastrointestinal space have substantially more 
financial, technical and human resources and greater ability to lower costs of manufacturing and sales and marketing 
than  we  do.  Many  also  have  more  experience  in  the  development,  manufacture,  regulation  and  worldwide 
commercialization of human gastrointestinal health products. 

For these reasons, we cannot be certain that we and Mytesi can compete effectively. 

Our animal health products face significant competition from other pharmaceutical companies and our operating 
results will suffer if we fail to compete effectively. 

The  development  and  commercialization  of  animal  health  products  is  highly  competitive  and  our  success 
depends on our ability to compete effectively with other products in the market. We expect to compete with the animal 
health divisions of major pharmaceutical and biotechnology companies such as Merck Animal Health, Elanco Animal 
Health, Bayer Animal Health GmbH, Novartis Animal Health Inc. and Boehringer Ingelheim Animal Health, as well as 
specialty animal health medicines companies such as Zoetis Inc., Phibro Animal Health Corporation and, in Europe, 

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Virbac S.A., Vétoquinol S.A., Ceva Animal Health S.A. and Dechra Pharmaceuticals PLC. We are also aware of several 
early-stage  companies  that  are  developing  products  for  use  in  the  animal  health  market,  including  Aratana 
Therapeutics, Inc., Kindred Biosciences, Inc., Parnell Pharmaceuticals Holdings Ltd. and ImmuCell Corporation. We 
also compete with academic institutions, governmental agencies and private organizations that are conducting research 
in the field of animal health products. 

Although there are currently no FDA-approved anti-secretory products to treat chemotherapy-induced diarrhea 
(CID)  in  dogs,  we  anticipate  that  Canalevia,  if  approved,  may  face  competition  from  various  products,  including 
products approved for use in humans that are used extra-label in animals. Extra-label use is the use of an approved drug 
outside  of  its  cleared  or  approved  indications  in  the  animal  context.  All  of  our  potential  products  could  also  face 
competition from new products in development. These and other potential competing products may benefit from greater 
brand recognition and brand loyalty than our products and product candidates may achieve. 

Many of our competitors and potential competitors have substantially  more financial, technical and human 
resources than we do. Many also have more experience in the development, manufacture, regulation and worldwide 
commercialization of animal health products, including animal prescription drugs and non-prescription products. 

For these reasons, we cannot be certain that we and our products can compete effectively. 

We may be unable to obtain, or obtain on a timely basis, regulatory approval for our existing or future human or 
animal  prescription  drug  product  candidates  under  applicable  regulatory  requirements,  which  would  harm  our 
operating results. 

The research, testing, manufacturing, labeling, approval, sale, marketing and distribution of human and animal 
health  products  are  subject  to  extensive  regulation.  We  are  typically  not  permitted  to  market  our  prescription  drug 
product candidates in the United States until we receive approval of the product from the FDA through the filing of an 
NDA or NADA, as applicable. To gain approval to market a prescription drug, we must provide the FDA with safety 
and efficacy data from pivotal trials that adequately demonstrate that our prescription drug product candidates are safe 
and  effective  for  the  intended  indications.  Likewise,  to  gain  approval  to  market  an  animal  prescription  drug  for  a 
particular species, we must provide the FDA with safety and efficacy data from pivotal trials that adequately demonstrate 
that our prescription drug product candidates are safe and effective in the target species (e.g. dogs, cats or horses) for 
the intended indications. In addition, we must provide manufacturing data evidencing that we can produce our product 
candidates in accordance with cGMP. For the FDA, we must also provide data from toxicology studies, also called 
target animal safety studies, and in some cases environmental impact data. In addition to our internal activities, we will 
partially rely on contract research organizations (“CROs”), and other third parties to conduct our toxicology studies and 
for certain other product development activities. The results of toxicology studies, other initial development activities, 
and/or any previous studies in humans or animals conducted by us or third parties may not be predictive of future results 
of pivotal trials or other future studies, and failure can occur at any time during the conduct of pivotal trials and other 
development  activities  by us or  our  CROs. Our pivotal  trials  may  fail  to  show  the desired  safety  or  efficacy of our 
prescription drug product candidates despite promising initial data or the results in previous human or animal studies 
conducted by others. Success of a prescription drug product candidate in prior animal studies, or in the treatment of 
humans, does not ensure success in subsequent studies. Clinical trials in humans and pivotal trials in animals sometimes 
fail to show a benefit even for drugs that are effective because of statistical limitations in the design of the trials or other 
statistical  anomalies.  Therefore,  even  if  our  studies  and  other  development  activities  are  completed  as  planned,  the 
results may not be sufficient to obtain a required regulatory approval for a product candidate. 

Regulatory authorities can delay, limit or deny approval of any of our prescription drug product candidates for 

many reasons, including: 

• 

• 

if they disagree with our interpretation of data from our pivotal studies or other development efforts; 

if we are unable to demonstrate to their satisfaction that our product candidate is safe and effective for the 
target indication and, if applicable, in the target species; 

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• 

• 

• 

if they require additional studies or change their approval policies or regulations; 

if they do not approve of the formulation, labeling or the specifications of our current and future product 
candidates; and 

if they fail to approve the manufacturing processes of our third-party contract manufacturers. 

Further, even if we receive a required approval, such approval may be for a more limited indication than we 
originally requested, and the regulatory authority may not approve the labeling that we believe is necessary or desirable 
for successful commercialization. 

Any delay or failure in obtaining any necessary regulatory approval for the intended indications of our human 
or animal product candidates would delay or prevent commercialization of such product candidates and would harm our 
business and our operating results. 

The  results  of  our  earlier  studies  of  Mytesi  may  not  be  predictive  of  the  results  in  any  future  clinical  trials  and 
species-specific  formulation  studies,  respectively,  and  we  may  not  be  successful  in  our  efforts  to  develop  or 
commercialize line extensions of Mytesi. 

Our  human  and  animal  product  pipeline  includes  a  number  of  potential  indications  of  Mytesi,  our  lead 
prescription product. The results of our studies and other development activities and of any previous studies in humans 
or  animals  conducted  by  us  or  third  parties  may  not  be  predictive  of  future  results  of  these  clinical  studies  and 
formulation studies, respectively. Failure can occur at any time during the conduct of these trials and other development 
activities. Even if our formulation/clinical studies and other development activities are completed as planned, the results 
may not be sufficient to pursue a particular line extension for Mytesi. Further, even if we obtain promising results from 
our clinical trials or species-specific formulation studies, as applicable, we may not successfully commercialize any line 
extension. Because line extensions are developed for a particular market, we may not be able to leverage our experience 
from  the  commercial  launch  of  Mytesi  in  new  markets.  If  we  are  not  successful  in  developing  and  successfully 
commercializing  these  line  extension  products,  we  may  not  be  able  to  grow  our  revenue  and  our  business  may  be 
harmed. 

Development of prescription drug products is inherently expensive, time-consuming and uncertain, and any delay or 
discontinuance of our current or future pivotal trials would harm our business and prospects. 

Development of prescription drug products for human and animal gastrointestinal health remains an inherently 
lengthy,  expensive  and  uncertain  process,  and  our  development  activities  may  not  be  successful.  We  do  not  know 
whether our current or planned pivotal trials for any of our product candidates will begin or conclude on time, and they 
may be delayed or discontinued for a variety of reasons, including if we are unable to: 

• 

• 

• 

• 

• 

address any safety concerns that arise during the course of the studies; 

complete the studies due to deviations from the study protocols or the occurrence of adverse events; 

add new study sites; 

address any conflicts with new or existing laws or regulations; or 

reach agreement on acceptable terms with study sites, which can be subject to extensive negotiation and 
may vary significantly among different sites. 

Further, we may not be successful in developing new indications for Mytesi, and Neonorm may be subject to 
the  same  regulatory  regime  as  prescription  drug  products  in  jurisdictions  outside  the  United  States.  Any  delays  in 
completing our development efforts will increase our costs, delay our development efforts and approval process and 

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jeopardize  our  ability  to  commence  product  sales  and  generate  revenue.  Any  of  these  occurrences  may  harm  our 
business,  financial  condition  and  prospects.  In  addition,  factors  that  may  cause  a  delay  in  the  commencement  or 
completion of our development efforts may also ultimately lead to the denial of regulatory  approval of our product 
candidates which, as described above, would harm our business and prospects. 

We will partially rely on third parties to conduct our development activities. If these third parties do not successfully 
carry out their contractual duties, we may be unable to obtain regulatory approvals or commercialize our current or 
future human or animal product candidates on a timely basis, or at all. 

We will partially rely upon CROs to conduct our toxicology studies and for other development activities. We 
intend to rely on CROs to conduct one or more of our planned pivotal trials. These CROs are not our employees, and 
except for contractual duties and obligations, we have limited ability to control the amount or timing of resources that 
they devote to our programs or manage the risks associated with their activities on our behalf. We are responsible for 
ensuring that each of our studies is conducted in accordance with the development plans and trial protocols presented 
to regulatory authorities. Any deviations by our CROs may adversely affect our ability to obtain regulatory approvals, 
subject us to penalties or harm our credibility with regulators. The FDA and foreign regulatory authorities also require 
us and our CROs to comply with regulations and standards, commonly referred to as good clinical practices (GCPs), or 
good laboratory practices (“GLPs”), for conducting, monitoring, recording and reporting the results of our studies to 
ensure that the data and results are scientifically valid and accurate. 

Agreements  with  CROs  generally  allow  the  CROs  to  terminate  in  certain  circumstances  with  little  or  no 
advance notice. These agreements generally will require our CROs to reasonably cooperate with us at our expense for 
an orderly winding down of the CROs’ services under the agreements. If the CROs conducting our studies do not comply 
with their contractual duties or obligations, or if they experience work stoppages, do not meet expected deadlines, or if 
the quality or accuracy of the data they obtain is compromised, we may need to secure new arrangements with alternative 
CROs,  which  could  be  difficult  and  costly.  In  such  event,  our  studies  also  may  need  to  be  extended,  delayed  or 
terminated as a result, or may need to be repeated. If any of the foregoing were to occur, regulatory approval, if required, 
and  commercialization  of  our  product  candidates  may  be  delayed  and  we  may  be  required  to  expend  substantial 
additional resources. 

Even if we obtain regulatory approval for planned follow-on indications of Mytesi, or for Canalevia or our other 
product candidates, they may never achieve market acceptance. Further, even if we are successful in the ongoing 
commercialization of Mytesi, we may not achieve commercial success. 

If we obtain necessary regulatory approvals for planned follow-on indications of Mytesi or for Canalevia or 
our  other  product  candidates,  such  products  may  still  not  achieve  market  acceptance  and  may  not  be  commercially 
successful. Market acceptance of Mytesi, Canalevia, and any of our other products depends on a number of factors, 
including: 

• 

• 

• 

• 

• 

the safety of our products as demonstrated in our target animal studies; 

the indications for which our products are approved or marketed; 

the  potential  and  perceived  advantages  over  alternative  treatments  or  products,  including  generic 
medicines and competing products currently prescribed by physicians or veterinarians, as applicable, and, 
in the case of animal products, products approved for use in humans that are used extra-label in animals; 

the acceptance by physicians, veterinarians, companion animal owners, as applicable, of our products as 
safe and effective; 

the  cost  in  relation  to  alternative  treatments  and  willingness  on  the  part  of  physicians,  veterinarians, 
patients and animal owners, as applicable, to pay for our products; 

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• 

• 

• 

the prevalence and severity of any adverse side effects of our products; 

the relative convenience and ease of administration of our products; and 

the effectiveness of our sales, marketing and distribution efforts. 

Any  failure  by  Mytesi,  Canalevia,  Equilevia  or  any  of  our  other  products  to  achieve  market  acceptance  or 

commercial success would harm our financial condition and results of operations. 

Human and animal gastrointestinal  health  products are subject  to  unanticipated  post-approval  safety  or  efficacy 
concerns, which may harm our business and reputation. 

The success of our commercialization efforts will depend upon the perceived safety and effectiveness of human 
and  animal  gastrointestinal  health  products,  in  general,  and  of  our  products,  in  particular.  Unanticipated  safety  or 
efficacy  concerns  can  subsequently  arise  with  respect  to  approved  prescription  drug  products,  such  as  Mytesi,  or 
non-prescription products, such as Neonorm, which may result in product recalls or withdrawals or suspension of sales, 
as well as product liability and other claims. Any safety or efficacy concerns, or recalls, withdrawals or suspensions of 
sales  of  our  products  could  harm  our  reputation  and  business,  regardless  of  whether  such  concerns  or  actions  are 
justified. 

Future federal and state legislation may result in increased exposure to product liability claims, which could result 
in substantial losses. 

Under current federal and state laws, companion and production animals are generally considered to be the 
personal  property  of  their  owners  and,  as  such,  the  owners’  recovery  for  product  liability  claims  involving  their 
companion and production animals may be limited to the replacement value of the animal. Companion animal owners 
and their advocates, however, have filed lawsuits from time to time seeking non-economic damages such as pain and 
suffering and emotional distress for harm to their companion animals based on theories applicable to personal injuries 
to  humans.  If  new  legislation  is  passed  to  allow  recovery  for  such  non-economic  damages,  or  if  precedents  are  set 
allowing for such recovery, we could be exposed to increased product liability claims that could result in substantial 
losses to us if successful. In addition, some horses can be worth millions of dollars or more, and product liability for 
horses may be very high. While we currently have product liability insurance, such insurance may not be sufficient to 
cover any future product liability claims against us. 

If we fail to retain current members of our senior management, or to identify, attract, integrate and retain additional 
key personnel, our business will be harmed. 

Our success depends on our continued ability to attract, retain and motivate highly qualified management and 
scientific personnel. We are highly dependent upon our senior management, particularly Lisa A. Conte, our president 
and Chief Executive Officer. The loss of services of any of our key personnel would cause a disruption in our ability to 
develop our current or future product pipeline and commercialize our products and product candidates. Although we 
have offer letters with these key members of senior management, such agreements do not prohibit them from resigning 
at  any  time.  For  example,  the  resignation  of  our  former  Chief  Financial  Officer,  Charles  O.  Thompson,  in 
September 2014, and the mutually agreed departure of our former Chief Veterinary Officer, Serge Martinod, D.V.M., 
Ph.D. in February 2015, caused us to incur additional expenses and expend resources to ensure a smooth transition with 
their respective successors, which diverted management attention away from executing our operational plan during this 
period. We currently do not maintain “key man” life insurance on any of our senior management team. The loss of 
Ms. Conte or other members of our current senior management could adversely affect the timing or outcomes of our 
current and planned studies, as well as the prospects for commercializing our products. 

In  addition,  competition  for  qualified  personnel  in  the  human  and  animal  gastrointestinal  health  fields  is 
intense, because there are a limited number of individuals who are trained or experienced in the field. We will need to 
hire  additional  personnel  as  we  expand  our  product  development  and  commercialization  activities.  Even  if  we  are 

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successful in hiring qualified individuals, as we are a growing organization, we do not have a track record for integrating 
and retaining individuals. If we are not successful in identifying, attracting, integrating or retaining qualified personnel 
on acceptable terms, or at all, our business will be harmed. 

We are dependent on two suppliers for the raw material used to produce the active pharmaceutical ingredient in 
Mytesi  and  Canalevia  and  the  botanical  extract  in  Neonorm  and  Equilevia.  The  termination  of  either  of  these 
contracts would result in a disruption to product development and our business will be harmed. 

The raw material used to manufacture Mytesi, Canalevia, Neonorm and Equilevia is crude plant latex (CPL), 
derived from the Croton lechleri tree, which is found in countries in South America, principally Peru. The ability of our 
contract  suppliers  to  harvest  CPL  is  governed  by  the  terms  of  their  respective  agreements  with  local  government 
authorities. Although CPL is available from multiple suppliers, we only have contracts with two suppliers to obtain CPL 
and arrange the shipment to our contract manufacturer. Accordingly, if our contract suppliers do not or are unable to 
comply with the terms of our respective agreements, and we are not able to negotiate new agreements with alternate 
suppliers on terms that we deem commercially reasonable, it may harm our business and prospects. The countries from 
which we obtain CPL could change their laws and regulations regarding the export of the natural products or impose or 
increase taxes or duties payable by exporters of such products. Restrictions could be imposed on the harvesting of the 
natural  products  or  additional  requirements  could  be  implemented  for  the  replanting  and  regeneration  of  the  raw 
material. Such events could have a significant impact on our cost and ability to produce Mytesi, Canalevia, Neonorm, 
Equilevia and anticipated line extensions. 

We  are  dependent  upon  third-party  contract  manufacturers,  both  for  the  supply  of  the  active  pharmaceutical 
ingredient in Mytesi and Canalevia and the botanical extract in Neonorm and Equilevia, as well as for the supply of 
finished products for commercialization. 

We have contracted with third parties for the formulation of API and botanical extract into finished products 
for our studies. We have also entered into memorandums of understanding with Indena S.p.A. for the manufacture of 
CPL received from our suppliers into the API in Canalevia to support our regulatory filings, as well as the botanical 
extract  in Neonorm  and  agreed  to negotiate  a  commercial  supply  agreement.  Indena S.p.A. has  never  manufactured 
either such ingredient to commercial scale. AGlenmark is the current manufacturer of crofelemer, the active API in 
Canalevia, for Mytesi, and the manufacturer on file for the NADA to which we have a right of reference. As announced 
in October of 2015, we have entered an agreement with Patheon, a provider of drug development and delivery solutions, 
under which Patheon provides enteric-coated tablets to us for use in animals. We also may contract with additional third 
parties  for  the  formulation  and  supply  of  finished  products,  which  we  will  use  in  our  planned  studies  and 
commercialization efforts. 

We will be dependent upon our contract manufacturers for the supply of the API in Mytesi and Canalevia. We 
currently have sufficient quantities of the API used in Mytesi to support our projected sales efforts for 2019.  However, 
we will require additional quantities of API to ensure our ongoing sales efforts for 2010 and beyond.  If our contract 
manufacturer cannot manufacture sufficient quantities of the API in a timely manner we could suffer losses due to lost 
sales opportunities. We currently have sufficient quantities of the botanical extract used in Neonorm and Equilevia to 
support planned commercialization efforts for Neonorm and Equilevia. However, we will require additional quantities 
of the botanical extract if our ongoing commercialization efforts for Neonorm or our ongoing commercial launch of 
Equilevia is successful. If we are not successful in reaching agreements with third parties on terms that we consider 
commercially reasonable for manufacturing and formulation, or if our contract manufacturer and formulator are not able 
to produce sufficient quantities or quality of API, botanical extract or finished product under their agreements, it could 
delay our plans and harm our business prospects. 

The facilities used by our third-party contractors are subject to inspections, including by the FDA, and other 
regulators,  as  applicable.  We  also  depend  on  our  third-party  contractors  to  comply  with  cGMP.  If  our  third-party 
contractors do not maintain compliance with these strict regulatory requirements, we and they will not be able to secure 
or maintain regulatory approval for their facilities, which would have an adverse effect on our operations. In addition, 
in  some  cases,  we  also  are  dependent  on  our  third-party  contractors  to  produce  supplies  in  conformity  to  our 
specifications and maintain quality control and quality assurance practices and not to employ disqualified personnel. If 

48 

the FDA or a comparable foreign regulatory authority does not approve the facilities of our third-party contractors if so 
required, or if it withdraws any such approval in the future, we may need to find alternative manufacturing or formulation 
facilities, which could result in delays in our ability to develop or commercialize our human and animal products, if at 
all. We and our third-party contractors also may be subject to penalties and sanctions from the FDA and other regulatory 
authorities for any violations of applicable regulatory requirements. The USDA and the European Medicines Agency 
(the “EMA”), employ different regulatory standards than the FDA, so we may require multiple manufacturing processes 
and facilities for the same human or animal product candidate or any approved product. We are also exposed to risk if 
our  third-party  contractors  do  not  comply  with  the  negotiated  terms  of  our  agreements,  or  if  they  suffer  damage  or 
destruction to their facilities or equipment. 

If we are unable to establish sales capabilities on our own or through third parties, we may not be able to market and 
sell our current or future human or animal products and product candidates, if approved, and generate product or 
other revenue. 

We currently have limited sales, marketing or distribution capabilities, and prior to Napo’s launch of Mytesi 
for the symptomatic relief of noninfectious diarrhea in adults with HIV/AIDS on antiretroviral therapy, and our launch 
of Neonorm  for preweaned dairy  calves, we  had no  experience  in  the sale,  marketing  and distribution of human  or 
animal health products. There are significant risks involved in building and managing a sales organization, including 
our potential inability to attract, hire, retain and motivate qualified individuals, generate sufficient sales leads, provide 
adequate  training  to  sales  and  marketing  personnel  and  effectively  oversee  a  geographically  dispersed  sales  and 
marketing team. Any failure or delay in the development of our internal sales, marketing and distribution capabilities 
and entry into adequate arrangements with distributors or other partners would adversely impact the commercialization 
of  Mytesi,  Neonorm,  Equilevia  and,  if  approved,  Canalevia.  If  we  are  not  successful  in  commercializing  Mytesi, 
Equilevia, Canalevia or any of our other line extension products, either on our own or through one or more distributors, 
or in generating upfront licensing or other fees, we may never generate significant revenue and may continue to incur 
significant losses, which would harm our financial condition and results of operations. 

Changes in distribution channels for animal health prescription drugs may make it more difficult or expensive to 
distribute our animal health prescription drug products. 

In the United States, animal owners typically purchase their animal health prescription drugs from their local 
veterinarians who also prescribe such drugs. There is a trend, however, toward increased purchases of animal health 
prescription drugs from Internet-based retailers, “big-box” retail stores and other over-the-counter distribution channels, 
which follows an emerging shift in recent years away from the traditional veterinarian distribution channel. It is also 
possible that animal owners may come to rely increasingly on Internet-based animal health information rather than on 
their veterinarians. We currently expect to market our animal health prescription drugs directly to veterinarians, so any 
reduced reliance on veterinarians by animal owners could harm our business and prospects by making it more difficult 
or expensive for us to distribute our animal health prescription drug products. 

Legislation has been or may be proposed in various states that would require veterinarians to provide animal 
owners with written prescriptions and disclosures that the animal owner has the right to fill the prescriptions through 
other means. If enacted, such legislation could lead to a reduction in the number of animal owners who purchase their 
animal health pharmaceuticals directly from veterinarians, which also could harm our business. 

Consolidation of our customers could negatively affect the pricing of our animal health products. 

Veterinarians will be our primary customers for our prescription animal health drug products, as well as, to 
some extent, our non-prescription animal health products, such as Neonorm and Equilevia. In recent years, there has 
been a trend towards the consolidation of veterinary clinics and animal hospitals. If this trend continues, these large 
clinics and hospitals could attempt to leverage their buying power to obtain favorable pricing from us and other animal 
health product companies. Any downward pressure on the prices of any of our animal health products could harm our 
operating results and financial condition. 

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We will need to increase the size of our organization and may not successfully manage such growth. 

As of December 31, 2018, we had 40 employees. Our ability to manage our growth effectively will require us 
to hire, train, retain, manage and motivate additional employees and to implement and improve our operational, financial 
and management systems. These demands also may require the hiring of additional senior management personnel or the 
development  of  additional  expertise  by  our  senior  management  personnel.  If  we  fail  to  expand  and  enhance  our 
operational,  financial  and  management  systems  in  conjunction  with  our  potential  future  growth,  it  could  harm  our 
business and operating results. 

Research and development with respect to our animal health products and product candidates relies on evaluations 
in animals, which is controversial and may become subject to bans or additional regulations. 

The evaluation of our animal health products and product candidates in target animals is required to develop, 
formulate and commercialize our animal health products and product candidates. Although our animal testing will be 
subject to GLPs and GCPs, as applicable, animal testing in the human pharmaceutical industry and in other industries 
continues to be the subject of controversy and adverse publicity. Some organizations and individuals have sought to ban 
animal testing or encourage the adoption of additional regulations applicable to animal testing. To the extent that such 
bans or regulations are imposed, our research and development activities with respect to animal health products, and by 
extension our operating results and financial condition, could be harmed. In addition, negative publicity about animal 
practices by us or in our industry could harm our reputation among potential customers. 

If approved, our animal health prescription drug product candidates may be marketed in the United States only in 
the  target  animals  and  for  the  indications  for  which  they  are  approved,  and  if  we  want  to  expand  the  approved 
animals or indications, it will need to obtain additional approvals, which may not be granted. 

If  our  animal  health  prescription  drug  product  candidates  are  approved  by  regulatory  authorities,  we  may 
market or advertise them only in the specific species and for treatment of the specific indications for which they were 
approved, which could limit use of the products by veterinarians and animal owners. We intend to develop, promote 
and  commercialize  approved  products  for  new  animal  treatment  indications  in  the  future,  but  we  cannot  be  certain 
whether or at what additional time and expense we will be able to do so. If we do not obtain marketing approvals for 
new indications, our ability to expand our animal health business may be harmed. 

Under  the  Animal  Medicinal  Drug  Use  Clarification  Act  of  1994,  veterinarians  are  permitted  to  prescribe 
extra-label uses of certain approved animal drugs and approved human drugs for animals under certain conditions. While 
veterinarians may in the future prescribe and use human-approved products or use our products for extra-label uses, we 
may not promote our animal health products for extra-label uses. We note that extra-label uses are uses for which the 
product has not received approval. If the FDA determines that any of our marketing activities constitute promotion of 
an extra-label use, we could be subject to regulatory enforcement, including seizure of any misbranded or mislabeled 
drugs, and civil or criminal penalties, any of which could have an adverse impact on our reputation and expose us to 
potential  liability.  We  will  continue  to  spend  resources  ensuring  that  our  promotional  claims  for  our  animal  health 
products and product candidates remain compliant with applicable FDA laws and regulations, including materials we 
post or link to on our website. For example, in 2012, our Chief Executive Officer received an “untitled letter” from the 
FDA while at Napo regarding preapproval promotion statements constituting misbranding of crofelemer, which was 
then an investigational drug. These statements were included in archived press releases included on Napo’s website. 
Napo was required to expend time and resources to revise its website to remove the links in order to address the concerns 
raised in the FDA’s letter. 

If our human or animal prescription drug product candidates are approved by regulatory authorities, the misuse or 
extra-label use of such products may harm our reputation or result in financial or other damages. 

If our human or animal prescription drug product candidates are approved by regulatory authorities, there may 
be increased risk of product liability if physicians, veterinarians, patients, animal owners or others, as applicable, attempt 
to use such products extra-label, including the use of our products for indications or in species for which they have not 

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been approved. Furthermore, the use of an approved human or animal drug for indications other than those indications 
for which such products have been approved may not be effective, which could harm our reputation and lead to an 
increased risk of litigation. If we are deemed by a governmental or regulatory agency to have engaged in the promotion 
of any approved human or animal product for extra-label use, such agency could request that we modify our training or 
promotional materials and practices and we could be subject to significant fines and penalties, and the imposition of 
these sanctions could also affect our reputation and position within the gastrointestinal health industry. Any of these 
events could harm our reputation and our operating results. 

We may not maintain the benefits associated with MUMS designation, including market exclusivity. 

Although we have received MUMS designation for Canalevia for the treatment of CID in dogs, we may not 
maintain the benefits associated with MUMS designation. MUMS designation is a status similar to “orphan drug” status 
for human drugs. When we were granted MUMS designation for Canalevia for the indication of CID in dogs, we became 
eligible for incentives to support the approval or conditional approval of the designated use. This designation does not 
allow us to commercialize a product until such time as we obtain approval or conditional approval of the product. 

Because Canalevia has received MUMS designation for the identified particular intended use, we are eligible 
to  obtain  seven years  of  exclusive  marketing  rights  upon  approval  (or  conditional  approval)  of  Canalevia  for  that 
intended use and become eligible for grants to defray the cost of our clinical work. Each designation that is granted must 
be unique, i.e., only one designation can be granted for a particular API in a particular dosage form for a particular 
intended use. The intended use includes both the target species and the disease or condition to be treated. 

At some point, we could lose MUMS designation. The basis for a lost designation can include but is not limited 
to, our failure to engage with due diligence in moving forward with a non-conditional approval, or a competing product 
has  received  conditional  approval  or  approval  prior  to  our  product  candidate  for  the  same  indication  or  species.  In 
addition, MUMS designation may be withdrawn for a variety of reasons such as where the FDA determines that the 
request for designation was materially defective, or if the manufacturer is unable to assure sufficient quantity of the 
prescription drug product to meet the needs of animals with the rare disease or condition. If this designation is lost, it 
could have a negative impact on the product and us, which includes but is not limited to, market exclusivity related to 
MUMS designation, or eligibility for grants as a result of MUMS designation. 

The market for our human or animal products, and the gastrointestinal health market as a whole, is uncertain and 
may be smaller than we anticipate, which could lead to lower revenue and harm our operating results. 

It is very difficult to estimate the commercial potential of any of our human or animal products because the 
gastrointestinal health market continues to evolve and it is difficult to predict the market potential for our products. The 
market will depend on important factors such as safety and efficacy compared to other available treatments, changing 
standards of care, preferences of physicians and veterinarians, as applicable, the willingness of patients and companion 
and production animal owners, as applicable, to pay for such products, and the availability of competitive alternatives 
that may emerge either during the product development process or after commercial introduction. If the market potential 
for our human or animal products is less than we anticipate due to one or more of these factors, it could negatively 
impact our business, financial condition and results of operations. Further, the willingness of patients and companion 
and production animal owners to pay for our products may be less than we anticipate, and may be negatively affected 
by overall economic conditions. Moreover, with respect to our animal health products, the current penetration of animal 
insurance in the United States is low, animal owners are likely to have to pay out-of-pocket, and such owners may not 
be willing or able to pay for our products. 

Insurance coverage for Mytesi for its current approved indication could decrease or end, or Mytesi might not receive 
insurance  coverage  for  any  approved  follow-on  indications,  which  could  lead  to  lower  revenue  and  harm  our 
operating results. 

For  its  current  approved  indication,  Mytesi  is  currently  covered  by  all  of  the  top  10  commercial  insurance 
plans, representing more than 245 million U.S. lives. In 50% of these plans it is currently on Tier 3 with no restrictions, 

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and in 50% it is currently on Tier 3 with a prior authorization required. In the top 10 Managed Medicare plans, which 
represent  24 million  covered  lives,  Mytesi  is  currently  covered  on  10%  of  plans.  Mytesi  is  currently  covered  on 
Medicaid in all 50 states. However, the nature or extent of coverage for Mytesi by any of these plans or programs could 
change or be terminated, or Mytesi might not receive insurance coverage for any approved follow-on indications. Either 
outcome could lead to significantly lower revenue and significantly harm our operating results. 

We may engage in future acquisitions that increase our capital requirements, dilute our stockholders, cause us to 
incur debt or assume contingent liabilities and subject us to other risks. 

We  may  evaluate  various  strategic  transactions,  including  licensing  or  acquiring  complementary  products, 
technologies  or  businesses.  Any  potential  acquisitions  may  entail  numerous  risks,  including  increased  operating 
expenses and cash requirements, assimilation of operations and products, retention of key employees, diversion of our 
management’s attention and uncertainties in our ability to maintain key business relationships of the acquired entities. 
In addition, if we undertake acquisitions, we may issue dilutive securities, assume or incur debt obligations, incur large 
one-time expenses and acquire intangible assets that could result in significant future amortization expense. Moreover, 
we may not be able to locate suitable acquisition opportunities and this inability could impair our ability to grow or 
obtain access to technology or products that may be important to the development of our business. 

Certain of the countries in which we plan to commercialize our products in the future are developing countries, some 
of which have potentially unstable political and economic climates. 

We may commercialize our products in jurisdictions that are developing and emerging countries. This may 
expose us to the impact of political or economic upheaval, and we could be subject to unforeseen administrative or fiscal 
burdens. At present, we are not insured against the political and economic risks of operating in these countries. Any 
significant changes to the political or economic climate in any of the developing countries in which we operate or plan 
to sell products either now or in the future may have a substantial adverse effect on our business, financial condition, 
trading performance and prospects. 

Fluctuations in the exchange rate of foreign currencies could result in currency transactions losses. 

As we expand our operations, we expect to be exposed to risks associated with foreign currency exchange 
rates. We anticipate that we may commercialize Canalevia and its line extensions in jurisdictions outside the United 
States. As a result, we may also be further affected by fluctuations in exchange rates in the future to the extent that sales 
are denominated in currencies other than U.S. dollars. We do not currently employ any hedging or other strategies to 
minimize this risk, although we may seek to do so in the future. 

There  are  other  gastrointestinal-focused  human  pharmaceutical  companies,  and  we  face  competition  in  the 
marketplaces in which we operate or plan to operate. 

Our  commercial  success  in  the  human  drug  arena  remains  dependent  on  maintaining  or  establishing  a 
competitive position in the market for the current, approved specialty indication of Mytesi as well as for planned Mytesi 
follow-on  indications.  In  the  IBS-D  market  in  particular,  several  competitors  have  commercially  available  products 
approved for our planned IBS-D indication. The availability of our competitors’ products could limit the demand, and 
the  price  we  are  able  to  charge,  for  any  drug  candidate  we  develop.  The  inability  to  compete  with  existing  or 
subsequently introduced drug candidates would have a material adverse impact on our business, financial condition and 
prospects. 

Our obligations to CVP are secured by a security interest in substantially all of our veterinary related assets, so if we 
default on those obligations, CVP could foreclose on our assets. 

Our  obligations  under  the  secured  promissory  notes  (the  “CVP  Notes”)  issued  to  Chicago  Venture 
Partners, L.P. (“CVP”) are secuired by a security interest in substantially all of our veterinary related assets, including 
intellectual property, as provided in the Security Agreement, dated June 29, 2017, between us and CVP, the Security 

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Agreement, dated December 8, 2017, between us and CVP, the Security Agreement dated February 26, 2018 between 
the Company and CVP, and the Security Agreement dated March 21, 2018 between the Company and CVP. As a result, 
if we default on our obligations under these agreements, CVP could foreclose on its security interests and liquidate some 
or all of these assets, which would harm our veterinary related business, financial condition and results of operations 
and could require us to reduce or cease operations. 

Napo’s obligations to the holders of the Kingdon Notes are secured by a security interest in substantially all of Napo’s 
assets, so if we default on those obligations, the convertible note holders could foreclose on Napo’s assets. 

Napo’s  obligations  under  the  convertible  promissory  notes  (the  “Kingdon  Notes”)  issued  pursuant  to  the 
Amended  and  Restated  Note Purchase  Agreement,  dated  March 31,  2017,  in  the  aggregate  principal  amount  of 
approximately  $10  million,  by  and  among  Kingdon  Associates,  M.  Kingdon  Offshore  Master  Fund L.P.,  Kingdon 
Family Partnership, L.P. and Kingdon Credit Master Fund L.P. (collectively, the “Kingdon Purchasers”) and Napo and 
the related transaction documents are secured by a security interest in substantially all of Napo’s assets, including Napo 
intellectual  property.  As  a  result,  if  we  default  under  our  obligations  under  the  Kingdon  Notes or  the  transaction 
documents, the holders of such Kingdon Notes, acting through their appointed agent, could foreclose on their security 
interests and liquidate some or all of these assets, which would harm our business, financial condition and results of 
operations and could require us to reduce or cease operations. 

Failure in our information technology systems, including by cyber attacks or other data security incidents, could 
significantly disrupt our operations. 

Our  operations  depend,  in part,  on  the  continued  performance  of our  information  technology  systems.  Our 
information  technology  systems  are  potentially  vulnerable  to  physical  or  electronic  break-ins,  computer  viruses, 
phishing attacks and other types of disruptions. We have and continue to experience cyber attacks of varying degrees. 
Our security measures may also be breached due to employee error, malfeasance, system errors or other vulnerabilities. 
Such breach or unauthorized access or attempts by outside parties to fraudulently induce employees or users to disclose 
sensitive information in order to gain access to our data could result in significant legal and financial exposure, and 
damage to our reputation that could potentially have an adverse effect on our business. Because the techniques used to 
obtain  unauthorized  access,  or  sabotage  systems  change  frequently,  become  more  sophisticated,  and  often  are  not 
recognized until launched against a target, we may be unable to anticipate these techniques or to implement adequate 
preventative measures. Additionally, cyber attacks could also compromise trade secrets and other sensitive information 
and result in such information being disclosed to others and becoming less valuable, which could negatively affect our 
business. Although we have information technology security systems, a successful cybersecurity attack or other data 
security incident could result in the misappropriation and/or loss of confidential or personal information, create system 
interruptions,  deploy  malicious  software  that  attacks  our  systems,  or  result  in  financial  losses.  It  is  possible  that  a 
cybersecurity attack might not be noticed for some period of time. The occurrence of a cybersecurityattack or incident 
could result in business interruptions from the disruption of our information technology systems, or negative publicity 
resulting in reputational damage with our shareholders and other stakeholders and/or increased costs to prevent, respond 
to or mitigate cybersecurity events. In addition, the unauthorized dissemination of sensitive personal information or 
proprietary or confidential information could expose us or other third-parties to regulatory fines or penalties, litigation 
and potential liability, or otherwise harm our business. 

Risks Related to Intellectual Property 

We cannot be certain that our patent strategy will be effective to protect against competition 

Our commercial success depends in large part on obtaining and maintaining patent, trademark and trade secret 
protection  of  our  human  or  animal  products,  both  prescription  and  non-prescription,  our  current  human  or  animal 
product candidates and any future human or animal product candidates, and their respective components, formulations, 
methods used to manufacture them and methods of treatment, as well as successfully defending our patents and other 
intellectual property rights against third-party challenges. Our ability to stop unauthorized third parties from making, 
using, selling, offering to sell or importing our products or our product candidates is dependent upon the extent to which 
we have rights under valid and enforceable patents, trade secrets and other similar intellectual property that cover these 

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activities. The patent prosecution process is expensive and time-consuming, and we may not be able to prepare, file and 
prosecute all necessary or desirable patent applications at a reasonable cost or in a timely manner. It is also possible that 
we  will  fail  to  identify  patentable  aspects  of  inventions  made  in  the  course  of  development  and  commercialization 
activities in time to obtain patent protection on them. 

We have a portfolio of United States and foreign issued patents and pending applications related to our products 
and product candidates. We have five issued United States patents listed in the FDA’s Orange Book for Mytesi. We 
plan  to  rely  on  certain  of  these  issued  patents  as  protection  for  Canalevia.  The  strength  of  patents  in  the  field  of 
pharmaceuticals and animal health involves complex legal and scientific questions and can be uncertain. We cannot be 
certain that pending applications will issue as patents. For those patents that are already issued and even if other patents 
do successfully issue, third parties may challenge their validity, enforceability or scope, which may result in such patents 
being narrowed, invalidated or held unenforceable. Furthermore, even if they are unchallenged, our patents may not 
adequately protect our intellectual property or prevent others from designing around their claims. If the patents we have 
are not maintained or their scope is significantly narrowed or if we are not able to obtain issued patents from pending 
applications, our business and prospects would be harmed. 

Recent patent reform legislation could increase the uncertainties and costs surrounding the prosecution of any 
patent applications and the enforcement or defense of any patents that issue. On September 16, 2011, the Leahy-Smith 
America  Invents  Act,  or  the  Leahy-Smith  Act,  was  signed  into  law.  The  Leahy-Smith  Act  includes  a  number  of 
significant changes to U.S. patent law. These include provisions that affect the way patent applications are prosecuted, 
redefine prior art, may affect patent litigation, and switch the U.S. patent system from a “first-to-invent” system to a 
“first-to-file” system. Under a “first-to-file” system, assuming the other requirements for patentability are met, the first 
inventor to file a patent application generally will be entitled to the patent on an invention regardless of whether another 
inventor  had  made  the  invention  earlier.  The  USPTO  has  developed  new  regulations  and  procedures  to  govern 
administration  of  the  Leahy-Smith  Act,  and  many  of  the  substantive  changes  to  patent  law  associated  with  the 
Leahy-Smith Act, and in particular, the first-to-file provisions, became effective on March 16, 2013. Among some of 
the other changes to the patent laws are changes that limit where a patentee may file a patent infringement suit and that 
provide  opportunities  for  third  parties  to  challenge  any  issued  patent  in  the  USPTO.  The  Leahy-Smith  Act  and  its 
implementation could increase the uncertainties and costs surrounding the prosecution of our patent applications and 
the enforcement or defense of our patents and any other patents that issue, all of which could harm our business and 
financial condition. 

Obtaining  and  maintaining  our  patent  protection  depends  on  compliance  with  various  procedural,  document 
submission, fee payment and other requirements imposed by governmental patent agencies, and our patent protection 
could be reduced or eliminated for non-compliance with these requirements. 

Periodic maintenance and annuity fees on any issued patent and, in certain jurisdictions, pending applications, 
are due to be paid to the USPTO and foreign patent agencies in several stages over the lifetime of the patent. The USPTO 
and various foreign governmental patent agencies require compliance with a number of procedural, documentary, fee 
payment and other similar provisions during the patent application process. While an inadvertent lapse can in many 
cases be cured by payment of a late fee or by other means in accordance with the applicable rules, there are situations 
in which noncompliance can result in abandonment or lapse of the patent or patent application, resulting in partial or 
complete loss of patent rights in the relevant jurisdiction. Non-compliance events that could result in abandonment or 
lapse  of  a  patent  or  patent  application  include  failure  to  respond  to  official  actions  within  prescribed  time  limits, 
non-payment of fees and failure to properly legalize and submit formal documents. If we fail to maintain the patents 
and  patent  applications  covering  our  prescription  drug  products,  prescription  drug  product  candidates  and 
non-prescription products, our competitors might be able to enter the market, which would harm our business. 

Third parties may initiate legal proceedings alleging that we are infringing their intellectual property rights, which 
would  be  costly,  time-consuming  and,  if  successfully  asserted  against  us,  delay  or  prevent  the  development  and 
commercialization of our current or future products and product candidates. 

Our research, development and commercialization activities may infringe or otherwise violate or be claimed 
to infringe or otherwise violate patents owned or controlled by other parties. There may be patents already issued of 

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which we are unaware that might be infringed by a product or one of our current or future prescription drug product 
candidates or non-prescription products. Moreover, it is also possible that patents may exist that we are aware of, but 
that we do not believe are relevant to our current or future prescription drug product candidates or non-prescription 
products, which could nevertheless be found to block our freedom to market these products. Because patent applications 
can take many years to issue and may be confidential for 18 months or more after filing, there may be applications now 
pending of which we are unaware and which may later result in issued patents that may be infringed by our current or 
future prescription drug product candidates or non-prescription products. We cannot be certain that our products, current 
or future prescription drug product candidates or non-prescription products will not infringe these or other existing or 
future third-party patents. In addition, third parties may obtain patents in the future and claim that use of our technologies 
infringes upon these patents. 

To the extent we become subject to future third-party claims against us or our collaborators, we could incur 
substantial expenses and, if any such claims are successful, we could be liable to pay substantial damages, including 
treble damages and attorney’s fees if we or our collaborators are found to be willfully infringing a third party’s patents. 
If a patent infringement suit were brought against us or our collaborators, we or they could be forced to stop or delay 
research, development, manufacturing or sales of the human or animal prescription drug or non-prescription product 
that is the subject of the suit. Even if we are successful in defending such claims, infringement and other intellectual 
property claims can be expensive and time-consuming to litigate and divert management’s attention from our business 
and operations. As a result of or in order to avoid potential patent infringement claims, we or our collaborators may be 
compelled to seek a license from a third party for which we would be required to pay license fees or royalties, or both. 
Moreover, these licenses may not be available on acceptable terms, or at all. Even if we or our collaborators were able 
to  obtain  such  a  license,  the  rights  may  be  nonexclusive,  which  could  allow  our  competitors  access  to  the  same 
intellectual property. Any of these events could harm our business and prospects. 

Our proprietary position depends upon patents that are formulation or method-of-use patents, which do not prevent 
a competitor from using the same human or animal drug for another use. 

Composition-of-matter  patents  on  the  API  in  prescription  drug  products  are  generally  considered  to  be  the 
strongest  form  of  intellectual  property  protection  because  such  patents  provide  protection  without  regard  to  any 
particular  method  of  use  or  manufacture  or  formulation  of  the  API  used.  The  composition-of-matter  patents  for 
crofelemer,  the  API  in  Mytesi  and  Canalevia,  have  expired,  and  the  issued  patents  and  applications  relevant  to  our 
products  and  product  candidates  cover  formulations  and  methods  of  use  for  crofelemer  and  the  botanical  extract  in 
Neonorm and Equilevia. 

Method-of-use  patents protect  the use of  a product for  the  specified  method  and formulation  patents  cover 
formulations of the API or botanical extract. These types of patents do not prevent a competitor from developing or 
marketing an identical product for an indication that is outside the scope of the patented method or from developing a 
different formulation that is outside the scope of the patented formulation. Moreover, with respect to method-of-use 
patents, even if competitors do not actively promote their product for our targeted indications or uses for which we may 
obtain patents, physicians may recommend that patients use our products extra-label, and veterinarians may recommend 
that animal owners use these products extra-label, or animal owners may do so themselves. Although extra-label use 
may infringe or contribute to the infringement of method-of-use patents, the practice is common and such infringement 
is difficult to prevent or prosecute. 

We may be involved in lawsuits to protect or enforce our patents, which could be expensive, time-consuming and 
unsuccessful, and third parties may challenge the validity or enforceability of our patents and they may be successful. 

We intend to rely upon a combination of regulatory exclusivity periods, patents, trade secret protection, and 
confidentiality agreements to protect the intellectual property related to Mytesi, our current prescription drug product 
candidates, non-prescription products and our development programs. 

If the breadth or strength of protection provided by any patents, patent applications or future patents we may 
own, license, or pursue with respect to any of our current or future product candidates or products is threatened, it could 
threaten our  ability  to  commercialize  any  of  our  current  or  future  human  or  animal  product  candidates  or  products. 

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Further, if we encounter delays in our development efforts, the period of time during which we could market any of our 
current or future product candidates or products under any patent protection we obtain would be reduced. 

Given  the  amount  of  time  required  for  the  development,  testing  and  regulatory  review  of  new  product 
candidates or products, patents protecting such candidates might expire before or shortly after such product candidates 
or products are commercialized. The United States Patent and Trademark Office has issued a patent term extension 
certificate extending the term of US 7,341,744 by 1075 days under 35 USC 156. With respect to requests for patent term 
extensions, the applicable authorities, including the USPTO and the FDA, and any equivalent regulatory authority in 
other countries, may not agree with our assessment of whether such extensions are available, and may refuse to grant 
extensions to patents, or may grant more limited extensions than requested. If this occurs, our competitors may take 
advantage of our investment in development and trials by referencing our clinical and preclinical data and launch their 
product earlier than might otherwise be the case. 

Even where laws provide protection or we are able to obtain patents, costly and time-consuming litigation may 
be necessary to enforce and determine the scope of our proprietary rights, and the outcome of such litigation would be 
uncertain.  Moreover,  any  actions  we  may  bring  to  enforce  our  intellectual  property  against  our  competitors  could 
provoke them to bring counterclaims against us, and some of our competitors have substantially greater intellectual 
property portfolios than we have. To counter infringement or unauthorized use of any patents we may obtain, we may 
be required to file infringement claims, which can be expensive and time-consuming to litigate. In addition, if we or one 
of our future collaborators were to initiate legal proceedings against a third party to enforce a patent covering one of our 
products, current product candidates, or one of our future products, the defendant could counterclaim that the patent is 
invalid  or  unenforceable.  In  patent  litigation  in  the  United  States,  defendant  counterclaims  alleging  invalidity  or 
unenforceability are commonplace and challenges to validity of patents in certain foreign jurisdictions is common as 
well. Grounds for a validity challenge could be an alleged failure to meet any of several statutory requirements, including 
lack  of  novelty,  obviousness,  non-enablement  or  lack  of  statutory  subject  matter.  Grounds  for  an  unenforceability 
assertion  could  be  an  allegation  that  someone  connected  with  prosecution  of  the  patent  withheld  relevant  material 
information from the USPTO, or made a materially misleading statement, during prosecution. In particular, Mytesi had 
regulatory exclusivity as a new chemical entity until December 31, 2017. Under the Hatch-Waxman Act, a competitor 
seeking to market a generic form of Mytesi before the expiration of any of the patents listed in the FDA’s Orange Book 
for Mytesi could file (and could have filed after December 31, 2016) an ANDA with a certification under 21 U.S.C. 
§ 3559j)(2)(A)(iv) that each of these patents (except for those which the ANDA filer states it will market only after its 
expiration)  is either  invalid, unenforceable or not  infringed. We  may  assert  the  patents  in  Hatch-Waxman  litigation 
against the party filing the ANDA to keep the competing product off of the market until the patents expire but there is 
a risk that we will not succeed. The party filing the ANDA may also counterclaim in the litigation that our patents are 
not valid or unenforceable, and the court may find one or more claims of our patents invalid or unenforceable. If this 
occurs, a competing generic product could be marketed prior to expiration of our patents listed in the Orange Book, 
which would harm our business. 

Third parties may also raise similar validity claims before the USPTO in post-grant proceedings such as ex 
parte reexaminations, inter partes review, or post-grant review, or oppositions or similar proceedings outside the United 
States, in parallel with litigation or even outside the context of litigation. The outcome following legal assertions of 
invalidity  and  unenforceability  is  unpredictable.  If  a  defendant  were  to  prevail  on  a  legal  assertion  of  invalidity  or 
unenforceability, we would lose at least part, and perhaps all, of any future patent protection on one or more of our 
products or our  current  or  future product  candidates.  Such  a  loss  of  patent  protection could  harm  our  business. We 
cannot  be  certain  that  there  is  no  invalidating  prior  art,  of  which  we  and  the  patent  examiner  were  unaware  during 
prosecution or other basis for a finding of invalidity. Litigation proceedings may fail and, even if successful, may result 
in substantial costs and distract our management and other employees. Furthermore, because of the substantial amount 
of discovery required in connection with intellectual property litigation, there is a risk that some of our confidential 
information  could  be  compromised  by  disclosure  during  this  type  of  litigation.  In  addition,  there  could  be  public 
announcements of the results of hearings, motions or other interim proceedings or developments. If securities analysts 
or investors perceive these results to be unsuccessful, it could have an adverse effect on the price of our common stock. 
Finally, we may not be able to prevent, misappropriation of our trade secrets or confidential information, particularly in 
countries where the laws may not protect those rights as fully as in the United States. 

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If we are unable to prevent disclosure of our trade secrets or other confidential information to third parties, our 
competitive position may be impaired. 

We also rely on trade secret protection and confidentiality agreements to protect proprietary know-how that is 
not patentable or for which we have not filed patent applications, processes for which patents are difficult to enforce 
and other elements of our product development processes that involve proprietary know-how, information or technology 
that is not covered by patents. Although we require all of our employees to assign their inventions to us, and endeavor 
to execute confidentiality agreements with all of our employees, consultants, advisors and any third parties who have 
access  to  our  proprietary  know-how,  information  or  technology,  we  cannot  be  certain  that  we  have  executed  such 
agreements with all parties who may have helped to develop our intellectual property or had access to our proprietary 
information,  or  that  our  agreements  will  not  be  breached.  We  cannot  guarantee  that  our  trade  secrets  and  other 
confidential proprietary information will not be disclosed or that competitors will not otherwise gain access to our trade 
secrets  or  independently  develop  substantially  equivalent  information  and  techniques.  If  we  are  unable  to  prevent 
disclosure of our intellectual property to third parties, we may not be able to maintain a competitive advantage in our 
market, which would harm our business. 

Any disclosure to or misappropriation by third parties of our confidential proprietary information could enable 
competitors to quickly duplicate or surpass our technological achievements, and erode our competitive position in our 
market. 

Changes in U.S. patent law could diminish the value of patents in general, thereby impairing our ability to protect 
our products. 

As is the case with other human or animal pharmaceutical product companies, our success is heavily dependent 
on intellectual property, particularly patents. Obtaining and enforcing patents in the human and animal health industries 
involves both technological and legal complexity. Therefore, obtaining and enforcing patents is costly, time-consuming 
and  inherently  uncertain.  In  addition,  the  United  States  has  recently  enacted  and  implemented  wide-ranging  patent 
reform legislation. The U.S. Supreme Court has ruled on several patent cases in recent years, either narrowing the scope 
of patent protection available in certain circumstances or weakening the rights of patent owners in certain situations. In 
addition to increasing uncertainty with regard to our ability to obtain patents in the future, this combination of events 
has created uncertainty with respect to the value of patents, once obtained. Depending on decisions by the U.S. Congress, 
the federal courts, and the USPTO, the laws and regulations governing patents could change in unpredictable ways that 
would weaken our ability to obtain new patents or to enforce patents that we have licensed or that we might obtain in 
the future. 

We may not be able to protect our intellectual property rights throughout the world, which could impair our business. 

Filing,  prosecuting  and  defending  patents  on  human  and  animal  drug  products,  product  candidates  and 
non-prescription  products  throughout  the  world  would  be  prohibitively  expensive.  Competitors  may  use  our 
technologies in jurisdictions where we have not obtained patent protection to develop their own products and, further, 
may  export  otherwise  infringing  products  to  territories  where  we  may  obtain  patent  protection,  but  where  patent 
enforcement is not as strong as that in the United States. These products may compete with our products in jurisdictions 
where we do not have any issued or licensed patents and any future patent claims or other intellectual property rights 
may not be effective or sufficient to prevent them from so competing. 

Many  companies  have  encountered  significant  problems  in  protecting  and  defending  intellectual  property 
rights in foreign jurisdictions. The legal systems of certain countries, particularly certain developing countries, do not 
favor the enforcement of patents and other intellectual property protection, particularly those relating to animal health 
products, which could make it difficult for us to stop the infringement of our future patents, if any, or patents we have 
in licensed, or marketing of competing products in violation of our proprietary rights generally. Further, the laws of 
some foreign countries do not protect proprietary rights to the same extent or in the same manner as the laws of the 
United States. As a result, we may encounter significant problems in protecting and defending our intellectual property 
both in the United States and abroad. Proceedings to enforce our future patent rights, if any, in foreign jurisdictions 
could result in substantial cost and divert our efforts and attention from other aspects of our business. 

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Our business could be harmed if we fail to obtain certain registered trademarks in the United States or in other 
countries. 

Our  registered  and  pending  U.S.  trademarks  include  NEONORM®,  MYTESI®,  NAPO®,  Napo  Logo®, 
CANALEVIA, EQUILEVIA, JAGUAR ANIMAL HEALTH, the Jaguar Animal Health logo and MY HIV THANK 
YOU. We also own pending applications for the CANALEVIA mark in a number of foreign countries. We have not yet 
filed applications for our company name or our logo in the U.S. During trademark registration proceedings, we may 
receive rejections of our trademark applications. If so, we will have an opportunity to respond, but we may be unable to 
overcome such rejections. In addition, the USPTO and comparable agencies in many foreign jurisdictions may permit 
third parties to oppose pending trademark applications and to seek to cancel registered trademarks. If opposition or 
cancellation  proceedings  are  filed  against  any  of  our  trademark  applications  or  any  registered  trademarks,  our 
trademarks may not survive such proceedings. Moreover, any name we propose to use with our prescription drug product 
candidates in the United States, including CANALEVIA, must be approved by the FDA, regardless of whether we have 
registered or applied to register as a trademark. The FDA typically conducts a review of proposed prescription drug 
product names, including an evaluation of potential for confusion with other product names. If the FDA objects to any 
of our proposed proprietary product names, we may be required to expend significant additional resources in an effort 
to identify a suitable substitute name that would qualify under applicable trademark laws, not infringe the existing rights 
of third parties and be acceptable to the FDA. 

We may be subject to claims that our employees, consultants or independent contractors have wrongfully used or 
disclosed confidential information of third parties. 

We  have  received  confidential  and  proprietary  information  from  third  parties.  In  addition,  we  employ 
individuals who were previously employed at other biotechnology, pharmaceutical or animal health companies. We 
may  be  subject  to  claims  that  we  or  our  employees,  consultants  or  independent  contractors  have  inadvertently  or 
otherwise  improperly  used  or  disclosed  confidential  information  of  these  third  parties  or  our  employees’  former 
employers. Litigation may be necessary to defend against any such claims. Even if we were successful in defending 
against any such claims, such litigation could result in substantial cost and be a distraction to our management and 
employees. 

Risks Related to Government Regulation 

Even  if  we  receive  any  of  the  required  regulatory  approvals  for  our  current  or  future  prescription  drug  product 
candidates and non-prescription products, we will be subject to ongoing obligations and continued regulatory review, 
which may result in significant additional expense. 

If  the  FDA  or  any  other  regulatory  body  approves  any  of  our  current  or  future  prescription  drug  product 
candidates, or if necessary, our non-prescription products, the manufacturing processes, clinical development, labeling, 
packaging, distribution, adverse event reporting, storage, advertising, promotion and recordkeeping for the product may 
be subject to extensive and ongoing regulatory requirements. These requirements could include, but are not limited to, 
submissions of efficacy and safety and other post-marketing information and reports, establishment registration, and 
product listing, compliance with new rules promulgated under the FSMA, as well as continued compliance with cGMP, 
GLP and GCP for any studies that we conduct post-approval. Later discovery of previously unknown problems with a 
product,  including  adverse  events  of  unanticipated  severity  or  frequency,  or  with  our  contract  manufacturers  or 
manufacturing processes, or failure to comply with regulatory requirements, are reportable events to the FDA and may 
result in, among other things: 

• 

• 

restrictions on the marketing or manufacturing of the product, withdrawal of the product from the market, 
revised labeling, or voluntary or involuntary product recalls; 

additional clinical studies, fines, warning letters or holds on target animal studies; 

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• 

• 

• 

refusal  by  the  FDA,  or  other  regulators  to  approve  pending  applications  or  supplements  to  approved 
applications filed by us or our strategic collaborators related to the unknown problems, or suspension or 
revocation of the problematic product’s license approvals; 

product seizure or detention, or refusal to permit the import or export of products; and 

injunctions and/or the imposition of civil or criminal penalties. 

The FDA or other regulatory agency’s policies may change and additional government regulations may be 
enacted that could prevent, limit or delay regulatory approval of our product candidates or require certain changes to 
the labeling or additional clinical work concerning safety and efficacy of the product candidates. We cannot predict the 
likelihood, nature or extent of government regulation that may arise from future legislation or administrative action, 
either in the United States or abroad. If we are slow or unable to adapt to changes in existing requirements or the adoption 
of new requirements or policies, or if we are not able to maintain regulatory compliance, we may lose any marketing 
approval that we may have obtained and we may not achieve or sustain profitability, which would harm our business. 
In addition, failure to comply with these regulatory requirements could result in significant penalties. 

In  addition,  from  time  to  time,  we  may  enter  into  consulting  and  other  financial  arrangements  with 
veterinarians, who prescribe or recommend our products, once approved. As a result, we may be subject to state, federal 
and foreign healthcare and/or veterinary medicine laws. If our financial relationships with veterinarians are found to be 
in violation of such laws that apply to us, we may be subject to penalties. 

The issuance by the FDA of protocol concurrences for our pivotal studies does not guarantee ultimate approval of 
our NADA. 

We intend to seek protocol concurrences from the FDA for the pivotal trial of Canalevia that we have initiated 
for acute diarrhea in dogs and for future pivotal trials in other indications. A pivotal study protocol is submitted to the 
FDA by a drug sponsor for purposes of obtaining FDA review of the protocol. Prior FDA review of the protocol for a 
pivotal study makes it more likely that the study design will generate information the sponsor needs to demonstrate to 
the satisfaction of the FDA whether the drug is safe and effective for its intended use. It creates an expectation by the 
sponsor  that  the  FDA  should  not  later  alter  its  perspectives  on  these  issues unless public  or  animal  health  concerns 
appear that were not recognized at the time of protocol assessment. Even if the FDA issues a protocol concurrence, 
ultimate approval of an NADA by the FDA is not guaranteed because a final determination that the agreed-upon protocol 
satisfies a specific objective, such as the demonstration of efficacy, or supports an approval decision, will be based on 
a  complete  review  of  all  the  data  submitted  to  the  FDA  including  the  outcome  of  the  study  for  which  protocol 
concurrence was received. Even if we were to obtain protocol concurrence such concurrence does not guarantee that 
the results of the study will support a particular finding or approval of the new drug. 

Any  of  our  current  or  future  prescription  drug  product  candidates  or  non-prescription  products  may  cause  or 
contribute to adverse medical events that we would be required to report to regulatory authorities and, if we fail to 
do so, we could be subject to sanctions that would harm our business. 

If we are successful in commercializing any of our current or future prescription drug product candidates or 
non-prescription products, certain regulatory authorities will require that we report certain information about adverse 
medical events if those products may have caused or contributed to those adverse events. The timing of our obligation 
to report would be triggered by the date we become aware of the adverse event as well as the nature of the event. We 
may fail to report adverse events we become aware of within the prescribed timeframe. We may also fail to appreciate 
that we have become aware of a reportable adverse event, especially if such event is not reported to us as an adverse 
event or if it is an adverse event that is unexpected or removed in time from the use of our products. If we fail to comply 
with  our  reporting  obligations,  the  regulatory  authorities  could  take  action  including,  but  not  limited  to,  criminal 
prosecution, seizure of our products, facility inspections, removal of our products from the market, recalls of certain 
lots or batches, or cause a delay in approval or clearance of future products. 

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Legislative or regulatory reforms with respect to animal health may make it more difficult and costly for us to obtain 
regulatory clearance or approval of any of our current or future product candidates and to produce, market, and 
distribute our products after clearance or approval is obtained. 

From time to time, legislation is drafted and introduced in the U.S. Congress or other jurisdictions in which we 
intend to operate that could significantly change the statutory provisions governing the testing, regulatory clearance or 
approval, manufacture, and marketing of regulated products. In addition, the FDA’s regulations and guidance are often 
revised or reinterpreted by the FDA and such other regulators in ways that may significantly affect our business and our 
products  and  product  candidates.  Similar  changes  in  laws  or  regulations  can  occur  in  other  countries.  Any  new 
regulations or revisions or reinterpretations of existing regulations in the United States or in other countries may impose 
additional costs or lengthen review times of any of our current or future products and product candidates. We cannot 
determine what effect changes in regulations, statutes, legal interpretation or policies, when and if promulgated, enacted 
or adopted may have on our business in the future. Such changes could, among other things, require: 

• 

• 

• 

• 

• 

changes to manufacturing methods; 

additional clinical trials or testing; 

new requirements related to approval to enter the market; 

recall, replacement, or discontinuance of certain products; and 

additional record keeping or the development of certain regulatory required hazard identification plans. 

Each of these would likely entail substantial time and cost and could harm our financial results. In addition, 
delays in receipt of or failure to receive regulatory clearances or approvals for any future products would harm our 
business, financial condition, and results of operations. 

We believe that our non-prescription products are not subject to regulation by regulatory agencies in the United 
States, but there is a risk that regulatory bodies may disagree with our interpretation, or may redefine the scope of 
their  regulatory  reach  in  the  future,  which  would  result  in  additional  expense  and  could  delay  or  prevent  the 
commercialization of these products. 

The  FDA  retains  jurisdiction  over  all  animal  prescription  drug  products  however,  in  many  instances,  the 
Federal Trade Commission will exercise primary or concurrent jurisdiction with FDA on non-prescription products as 
to post marketing claims made regarding the product. On April 22, 1996, the FDA published a statement in the Federal 
Register, 61 FR 17706, that it believes that the Dietary Supplement and Health Education Act (“DSHEA”), does not 
apply to animal health supplement products, such as our non-prescription products. Accordingly, the FDA’s Center for 
Veterinary Medicine only regulates those animal supplements that fall within the FDA’s definition of an animal drug, 
animal food or animal feed additive. The Federal Food Drug and Cosmetic Act defines food as “articles used for food 
or drink for man or other animals and articles used as components of any such article.” Animal foods are not subject to 
pre-market approval and are designed to provide a nutritive purpose to the animals that receive them. Feed additives are 
defined  as  those  articles  that  are  added  to  an  animal’s  feed  or  water  as  illustrated  by  the  guidance  documents.  Our 
non-prescription products are not added to food, are not ingredients in food nor are they added to any animal’s drinking 
water. Therefore, our non-prescription products do not fall within the definition of a food or feed additive. In light of 
the pronouncement by the FDA that the DSHEA was not intended to apply to animals, the FDA seeks to regulate such 
supplements as food or food additives depending on the intended use of the product. The intended use is demonstrated 
by how the article is included in a food, or added to the animals’ intake (i.e., through its drinking water). If the intended 
use of the product does not fall within the proscribed use making the product a food, it cannot be regulated as a food. 
There is no intent to make our non-prescription products a component of an animal food, either directly or indirectly. A 
feed additive is a product that is added to a feed for any reason including the top dressing of an already prepared feed. 
Some additives, such as certain forage, are deemed to be Generally Recognized as Safe, or GRAS, and therefore, not 
subject to a feed Additive Petition approval prior to use. However, the substances deemed GRAS are generally those 

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that are recognized as providing nutrients as a food does. We do not believe that our non-prescription products fit within 
this framework either. Finally, a new animal drug refers to drugs intended for use in the diagnosis, cure, mitigation, 
treatment, or prevention of disease in animals. Our non-prescription Neonorm Foal and Neonorm Calf products are not 
intended to diagnose, cure, mitigate, treat or prevent disease and therefore, do not fit within the definition of an animal 
drug. Additionally, because a previously marketed human formulation of the botanical extract in our non-prescription 
products was regulated as a human dietary supplement subject to the DSHEA (and not regulated as a drug by the FDA), 
we  do  not  believe  that  the  FDA  would  regulate  the  animal  formulation  used  in  our  non-prescription  products  in  a 
different manner. We do not believe that our non-prescription products fit the definition of an animal drug, food or food 
additive and therefore are not regulated by the FDA at this time. 

However, despite many such unregulated animal supplements currently on the market, the FDA may choose 
in the future to exercise jurisdiction over animal supplement products in which case, we may be subject to unknown 
regulations thereby inhibiting our ability to launch or to continue marketing our non-prescription products. In the past, 
the FDA has redefined or attempted to redefine some non-prescription non-feed products as falling within the definition 
of drug, feed or feed additive and therefore subjected those products to the relevant regulations. We have not discussed 
with the FDA its belief that the FDA currently does not exercise jurisdiction over our non-prescription products. Should 
the FDA assert regulatory authority over our non-prescription products, we would take commercially reasonable steps 
to  address  the  FDA’s  concerns,  potentially  including  but  not  limited  to,  seeking  registration  for  such  products, 
reformulating such products to further distance such products from regulatory control, or ceasing sale of such products. 
Further, the Animal and Plant Health Inspection Service, an agency of the USDA, may at some point choose to exercise 
jurisdiction over certain non-prescription products that are not intended for production animals. We do not believe we 
are currently subject to such regulation, but could be in the future. If the FDA or other regulatory agencies, such as the 
USDA,  try  to  regulate  our  non-prescription  products,  we  could  be  required  to  seek  regulatory  approval  for  our 
non-prescription products, which would result in additional expense and could delay or prevent the commercialization 
of these products. 

Even  if  Napo  receives  the  required  regulatory  approvals  for  Napo’s  current  or  future  prescription  drug  product 
candidates  and  non-prescription  products,  Napo  will  be  subject  to  ongoing  obligations  and  continued  regulatory 
review, which may result in significant additional expense. 

If the FDA or any other regulatory body approves any of Napo’s current or future prescription drug product 
candidates,  or  if  necessary,  Napo’s  non-prescription  products,  the  manufacturing  processes,  clinical  development, 
labeling, packaging, distribution, adverse event reporting, storage, advertising, promotion and recordkeeping for the 
product  is  subject  to  extensive  and ongoing  regulatory requirements.  These  requirements  could  include,  but  are not 
limited  to,  submissions  of  efficacy  and  safety  and  other  post-marketing  information  and  reports,  establishment 
registration,  and  product  listing,  compliance  with  new  rules promulgated  under  the  FSMA,  as  well  as  continued 
compliance with cGMP, GLP and GCP for any studies that Napo conducts post-approval. Later discovery of previously 
unknown problems with a product, including adverse events of unanticipated severity or frequency, or with Napo’s 
contract manufacturers or manufacturing processes, or failure to comply with regulatory requirements, are reportable 
events to the FDA and may result in, among other things: 

• 

• 

• 

• 

• 

restrictions on the marketing or manufacturing of the product, withdrawal of the product from the market, 
revised labeling, or voluntary or involuntary product recalls; 

additional clinical studies fines, warning letters or holds on studies; 

refusal  by  the  FDA,  or  other  regulators  to  approve  pending  applications  or  supplements  to  approved 
applications  filed  by  Napo  or  Napo’s  strategic  collaborators  related  to  the  unknown  problems,  or 
suspension or revocation of the problematic product’s license approvals; 

product seizure or detention, or refusal to permit the import or export of products; and 

injunctions or the imposition of civil or criminal penalties. 

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The FDA or other regulatory agency’s policies may change and additional government regulations may be 
enacted that could prevent, limit or delay regulatory approval of Napo’s product candidates or require certain changes 
to the labeling or require additional clinical work concerning safety and efficacy of the product candidates. Napo cannot 
predict the likelihood, nature or extent of government regulation that may arise from future legislation or administrative 
action, either in the United States or abroad. If Napo is slow or unable to adapt to changes in existing requirements or 
the adoption of new requirements or policies, or if Napo is not able to maintain regulatory compliance, Napo may lose 
any marketing approval that Napo may have obtained and Napo may not achieve or sustain profitability, which would 
harm  Napo’s  business.  In  addition,  failure  to  comply  with  these  regulatory  requirements  could  result  in  significant 
penalties. 

In  addition,  from  time  to  time,  Napo  may  enter  into  consulting  and  other  financial  arrangements  with 
physicians, who prescribe or recommend Napo’s products, once approved. As a result, Napo may be subject to state, 
federal and foreign healthcare laws, including but not limited to anti-kickback laws. If Napo’s financial relationships 
with physicians are found to be in violation of such laws that apply to Napo, Napo may be subject to penalties. 

The issuance by the FDA of protocol concurrences for Napo’s pivotal studies does not guarantee ultimate approval 
of Napo’s NDA. 

Napo intends to seek protocol concurrences from the FDA for future pivotal trials that Napo initiates. A pivotal 
study protocol is submitted to the FDA by a drug sponsor for purposes of obtaining FDA review of the protocol. Prior 
FDA review of the protocol for a pivotal study makes it more likely that the study will generate information the sponsor 
needs to demonstrate whether the drug is safe and effective for its intended use. It creates an expectation by the sponsor 
that the FDA should not later alter its perspectives on these issues unless public concerns appear that were not recognized 
at the time of protocol assessment. Even if the FDA issues a protocol concurrence, ultimate approval of an NDA by the 
FDA is not guaranteed because a final determination that the agreed-upon protocol satisfies a specific objective, such 
as the demonstration of efficacy, or supports an approval decision, will be based on a complete review of all the data 
submitted to the FDA. Even if Napo were to obtain protocol concurrence such concurrence does not guarantee that the 
results of the study will support a particular finding or approval of the new drug. 

Any of Napo’s current or future prescription drug product candidates or non-prescription products may cause or 
contribute to adverse medical events that Napo would be required to report to regulatory authorities and, if Napo 
fails to do so, Napo could be subject to sanctions that would harm Napo’s business. 

If Napo is successful in commercializing any of Napo’s current or future prescription drug product candidates 
or  non-prescription  products,  certain  regulatory  authorities  will  require  that  Napo  report  certain  information  about 
adverse medical events if those products may have caused or contributed to those adverse events. The timing of Napo’s 
obligation to report would be triggered by the date Napo becomes aware of the adverse event as well as the nature of 
the event. Napo may fail to report adverse events Napo becomes aware of within the prescribed timeframe. Napo may 
also fail to appreciate that Napo has become aware of a reportable adverse event, especially if it is not reported to Napo 
as an adverse event or if it is an adverse event that is unexpected or removed in time from the use of Napo’s products. 
If Napo fails to comply with Napo’s reporting obligations, the regulatory authorities could take action including, but 
not limited to, criminal prosecution, seizure of Napo’s products, facility inspections, removal of Napo’s products from 
the market, recalls of certain lots or batches, or cause a delay in approval or clearance of future products. 

Legislative  or  regulatory  reforms  make  it  more  difficult  and  costly  for  Napo  to  obtain  regulatory  clearance  or 
approval  of  any  of  Napo’s  current  or  future  product  candidates  and  to  produce,  market,  and  distribute  Napo’s 
products after clearance or approval is obtained. 

From time to time, legislation is drafted and introduced in the U.S. Congress or other jurisdictions in which 
Napo  intends  to  operate  that  could  significantly  change  the  statutory  provisions  governing  the  testing,  regulatory 
clearance  or  approval,  manufacture,  and  marketing  of  regulated  products.  In  addition,  the  FDA’s  regulations  and 
guidance are often revised or reinterpreted by the FDA and such other regulators in ways that may significantly affect 
Napo’s business and Napo’s products and product candidates. Similar changes in laws or regulations can occur in other 
countries. Any new regulations or revisions or reinterpretations of existing regulations in the United States or in other 

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countries may impose additional costs or lengthen review times of any of Napo’s current or future products and product 
candidates. Napo cannot determine what effect changes in regulations, statutes, legal interpretation or policies, when 
and if promulgated, enacted or adopted may have on Napo’s business in the future. Such changes could, among other 
things, require: 

• 

• 

• 

• 

• 

changes to manufacturing methods; 

additional clinical trials or testing; 

new requirements related to approval to enter the market; 

recall, replacement, or discontinuance of certain products; and 

additional record keeping or the development of certain regulatory required hazard identification plans. 

Each of these would likely entail substantial time and cost and could harm Napo’s financial results. In addition, 
delays in receipt of or failure to receive regulatory clearances or approvals for any future products would harm Napo’s 
business, financial condition, and results of operations. 

Risks Related to Our Common Stock 

Our failure to meet the continued listing requirements of The NASDAQ Capital Market could result in a delisting of 
our common stock.  

 Our  common  stock  is  listed  on  The  Nasdaq  Capital  Market,  which  imposes,  among  other  requirements  a 
minimum bid requirement. The closing bid price for our common stock must remain at or above $1.00 per share to 
comply with Nasdaq’s minimum bid requirement for continued listing. If the closing bid price for our common stock is 
less than $1.00 per share for 30 consecutive business days, Nasdaq may send us a notice stating that we will be provided 
a period of 180 days to regain compliance with the minimum bid requirement or else Nasdaq may make a determination 
to delist  our  common  stock. Our  common stock  traded  for  less  than  $1.00 for 30  consecutive  trading days,  and we 
received notice of this from the Listing Qualifications Staff of The Nasdaq Stock Market LLC on November 9, 2018. 
Under Nasdaq Listing Rule 5810(c)(3)(A), the Company has been granted a 180 calendar day grace period, or until 
May 8, 2019, to regain compliance with the minimum bid price requirement. The minimum bid price requirement will 
be met if our common stock has a minimum closing bid price of at least $1.00 per share for a minimum of 10 consecutive 
business days during the 180 calendar day grace period. We are diligently working to evidence compliance with the 
minimum bid requirement for continued listing on Nasdaq; however, there can be no assurance that we will be able to 
regain compliance or that Nasdaq will grant us a further extension of time to regain compliance, if necessary. 

The  Company  may  be  eligible  for  additional  time  to  comply  if  it  does  not  achieve  compliance  with  the 
Minimum Bid Price Requirement by May 8, 2019. In order to be eligible for such additional time, the Company will be 
required to meet the continued listing requirement for market value of publicly held shares and all other initial listing 
standards for The  NASDAQ  Capital  Market, with  the  exception of  the Minimum  Bid  Price  Requirement,  and  must 
notify NASDAQ in writing of its intention to cure the deficiency during the second compliance period. 

The delisting of our common stock from Nasdaq may make it more difficult for us to raise capital on favorable 
terms in the future. Such a delisting would likely have a negative effect on the price of our common stock and would 
impair your ability to sell or purchase our common stock when you wish to do so. Further, if we were to be delisted 
from The Nasdaq Capital Market, our common stock would cease to be recognized as covered securities and we would 
be subject to regulation in each state in which it offers its securities. Moreover, there is no assurance that any actions 
that we take to restore our compliance with the Nasdaq minimum bid requirement would stabilize the market price or 
improve the liquidity of our common stock, prevent our common stock from falling below the Nasdaq minimum bid 
price required for continued listing again or prevent future non-compliance with Nasdaq’s listing requirements. 

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We  have  a  material  weakness  in  our  internal  control  over  financial  reporting  related  to  staff  turnover  in  our 
accounting  department.  We  did  not  maintain  a  sufficient  complement  of  internal  personnel  with  appropriate 
knowledge,  experience  and/or  training  commensurate  with  our  financial  reporting  requirements.    If  we  fail  to 
remediate the material weakness, or experience any additional material weaknesses in the future or otherwise fail to 
maintain an effective system of internal controls in the future, we may not be able to accurately report our financial 
condition or results of operations which may adversely affect investor confidence in us and, as a result, the value of 
our common stock.  

Our management is responsible for establishing and maintaining adequate internal control over our financial 
reporting, as defined in Rule 13a-15(f) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”). 

Preparing  our  consolidated  financial  statements  involves  a  number  of  complex  manual  and  automated 
processes, which are dependent upon individual data input or review and require significant management judgment. 
One or more of these elements may result in errors that may not be detected and could result in a material misstatement 
of  our  consolidated  financial  statements.  If  we  fail  to  maintain  the  adequacy  of  our  internal  controls  over  financial 
reporting, our business and operating results may be harmed and we may fail to meet our financial reporting obligations. 
If material weaknesses in our internal control are discovered or occur, our consolidated financial statements may contain 
material misstatements and we could be required to restate our financial results. 

In connection with our preparation of our annual financial statements for the year ended December 31, 2018, 
we  identified  a  material  weakness  in  our  internal  control  over  financial  reporting  related  to  staff  turnover  in  our 
accounting department. We did not maintain a sufficient complement of internal personnel with appropriate knowledge, 
experience and/or training commensurate with our financial reporting requirements. We relied on outside consulting 
technical  experts  and  did  not  maintain  adequate  internal  qualified  personnel  to  properly  supervise  and  review  the 
information provided by the outside consulting technical experts to ensure certain significant complex transactions and 
technical matters were properly accounted for, specifically with respect to accurately reflecting all potential accrued 
services on the balance sheet at December 31, 2018.  In addition, we identified inadequate internal technical staffing 
levels  and  expertise  to  properly  supervise  and  review  the  information  of  the  outside  consulting  technical  experts  to 
properly apply ASC 815-40 for liability classification of certain warrants and ASC 470-50 and ASC 470-60 to properly 
reflect the accounting impact to multiple modifications of the Company’s debt instruments. We have concluded that we 
must implement new or improved controls in our financial statement close process and policies in reviewing information 
received from our outside consulting technical experts.  

We  have  enhanced  our  internal  controls,  processes  and  related  documentation  necessary  to  remediate  our 
material weakness. We may not be able to complete our remediation, evaluation and testing in a timely fashion. If we 
are unable to remediate this material weakness, or if we identify one or more other material weaknesses in our internal 
control over financial reporting, we will continue to be unable to conclude that our internal controls are effective. If we 
are unable to confirm that our internal control over financial reporting is effective we could lose investor confidence in 
the accuracy and completeness of our financial reports, which could cause the price of our common stock to decline. 

If our shares become subject to the penny stock rules, it would become more difficult to trade our shares. 

The  SEC  has  adopted  rules that  regulate  broker-dealer  practices  in  connection  with  transactions  in  penny 
stocks. Penny stocks are generally equity securities with a price of less than $5.00, other than securities registered on 
certain national securities exchanges or authorized for quotation on certain automated quotation systems, provided that 
current price and volume information with respect to transactions in such securities is provided by the exchange or 
system. If we do not retain a listing on The NASDAQ Capital Market and if the price of our common stock is less than 
$5.00,  our  common  stock  will  be  deemed  a  penny  stock.  The  penny  stock  rules require  a  broker-dealer,  before  a 
transaction in a penny stock not otherwise exempt from those rules, to deliver a standardized risk disclosure document 
containing specified information. In addition, the penny stock rules require that before effecting any transaction in a 
penny stock not otherwise exempt from those rules, a broker-dealer must make a special written determination that the 
penny stock is a suitable investment for the purchaser and receive (i) the purchaser’s written acknowledgment of the 
receipt of a risk disclosure statement; (ii) a written agreement to transactions involving penny stocks and (iii) a signed 
and dated copy of a written suitability statement. These disclosure requirements may have the effect of reducing the 

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trading activity in the secondary market for our common stock, and therefore stockholders may have difficulty selling 
their shares. 

The price of our common stock could be subject to volatility related or unrelated to our operations, and purchasers 
of our common stock could incur substantial losses. 

The trading price of our common stock could be subject to wide fluctuations in response to various factors, 
some of which are beyond our control. These factors include those discussed previously in this “Risk Factors” section 
of this report and others, such as: 

• 

• 

• 

delays in the commercialization of Mytesi, Neonorm, Canalevia, Equilevia or our other current or future 
prescription drug product candidates and non-prescription products; 

any delays in, or suspension or failure of, our current and future studies; 

announcements of regulatory approval or disapproval of any of our current or future product candidates 
or of regulatory actions affecting our company or our industry; 

•  manufacturing  and  supply  issues  that  affect  product  candidate  or  product  supply  for  our  studies  or 

commercialization efforts; 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

quarterly variations in our results of operations or those of our competitors; 

changes in our earnings estimates or recommendations by securities analysts; 

the payment of licensing fees or royalties in shares of our common stock; 

announcements  by  us  or  our  competitors  of  new  prescription  drug  products  or  product  candidates  or 
non-prescription  products,  significant  contracts,  commercial  relationships,  acquisitions  or  capital 
commitments; 

announcements  relating  to  future  development  or  license  agreements  including  termination  of  such 
agreements; 

adverse  developments  with  respect  to  our  intellectual  property  rights  or  those  of  our  principal 
collaborators; 

commencement of litigation involving us or our competitors; 

any major changes in our board of directors or management; 

new  legislation  in  the  United  States  relating  to  the  prescription,  sale,  distribution  or  pricing  of 
gastrointestinal health products; 

product liability claims, other litigation or public concern about the safety of our prescription drug product 
or product candidates and non-prescription products or any such future products; 

•  market conditions in the human or animal industry, in general, or in the gastrointestinal health sector, in 

particular, including performance of our competitors; and 

• 

general economic conditions in the United States and abroad. 

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In addition, the stock market, in general, or the market for stocks in our industry, in particular, may experience 
broad market fluctuations, which may adversely affect the market price or liquidity of our common stock. Any sudden 
decline in the market price of our common stock could trigger securities class-action lawsuits against us. If any of our 
stockholders were to bring such a lawsuit against us, we could incur substantial costs defending the lawsuit and the time 
and attention of our  management would  be diverted  from  our business and operations. We  also could be subject to 
damages claims if we were found to be at fault in connection with a decline in our stock price. 

No active market for our common stock exists or may develop, and you may not be able to resell our common stock 
when you wish to sell them or at a price that you consider attractive or satisfactory. 

Prior to our initial public offering in May 2015, there was no public market for shares of our common stock. 
The listing of our common stock on The NASDAQ Capital Market does not assure that a meaningful, consistent and 
liquid trading market exists. Although our common stock is listed on The NASDAQ Capital Market, trading volume in 
our common stock has been limited and an active trading market for our shares may never develop or be sustained. If 
an active market for our common stock does not develop, you may be unable to sell your shares when you wish to sell 
them or at a price that you consider attractive or satisfactory. The lack of an active market may also adversely affect our 
ability  to  raise  capital  by  selling  securities  in  the  future,  or  impair  our  ability  to  license  or  acquire  other  product 
candidates, businesses or technologies using our shares as consideration. 

The sale of our common stock to Oasis Capital may cause substantial dilution to our existing stockholders and the 
sale of the shares of common stock acquired by OasisCapital could cause the price of our common stock to decline. 

On  April  1,  2019,  we  entered  into  a  common  stock  purchase  agreement  with  Oasis  Capital,  LLC  (“Oasis 
Capital”) relating to an offering of an aggregate of up to 20,000,000 shares of our common stock which are being offered 
in a primary offering consisting of an equity line of credit (the “Oasis CSPA”). We have the option to increase the equity 
line of credit by an additional 20,000,000 shares of Common Stock by notifying Oasis Capital at any time after the 
effective date of the Oasis CSPA. 

We may ultimately sell all, some or none of the common stock under the Oasis CSPA, and Oasis Capital may 
sell all, some or none of our shares that it holds or comes to hold under the Oasis CSPA. Sales by Oasis Capital of shares 
acquired pursuant to the Oasis CSPA may result in dilution to the interests of other holders of our common stock. The 
sale of a substantial number of shares of our common stock by Oasis Capital, or anticipation of such sales, could make 
it more difficult for us to sell equity or equity-related securities in the future at a time and at a price that we might 
otherwise wish to effect sales. However, we have the right to control the timing and amount of sales of our shares to 
Oasis Capital, and the Oasis CSPA may be terminated by us at any time at our discretion without any penalty or cost to 
us. 

If securities or industry analysts do not publish research or reports about our company, or if they issue adverse or 
misleading opinions regarding us or our stock, our stock price and trading volume could decline. 

The trading market for our common stock depends in part on the research and reports that industry or financial 
analysts publish about us or our business. We do not influence or control the reporting of these analysts. If one or more 
of the analysts who do cover us downgrade or provide a negative outlook on our company or our industry, or the stock 
of any of our competitors, the price of our common stock could decline. If one or more of these analysts ceases coverage 
of our company, we could lose visibility in the market, which in turn could cause the price of our common stock to 
decline. 

You  may  be  diluted  by  conversions  of  outstanding  non-voting  common  stock,  Series  A  Preferred  Stock    and 
convertible notes and exercises of outstanding options and warrants. 

As of December 31, 2018, we had (i) outstanding options to purchase an aggregate of 2,944,148 shares of our 
common  stock  at  a  weighted  average  exercise  price  of  $5.81  per  share,  (ii) warrants  to  purchase  an  aggregate  of 
2,427,653 shares of our common stock at a weighted-average exercise price of $2.51 per share and (iii) outstanding 

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convertible promissory notes in an aggregate principal amount of $10,553,888, which are convertible for up to 759,396 
shares  of  our  common  stock.  As  of  March  31,  2019,  we  had  33,149,556  shares  of  common  stock  issuable  upon 
conversion of outstanding shares of Series A convertible participating preferred stock (“Series A Preferred Stock”), with 
a conversion price of $0.2775 per share. 

The  exercise of  such options  and  warrants or  conversion of  the  convertible promissory  notes  and  Series  A 
Preferred Stock will result in further dilution of your investment. In addition, you may experience additional dilution if 
we issue common stock in the future. As a result of this dilution, you may receive significantly less in net tangible book 
value than the full purchase price you paid for the shares in the event of liquidation. 

If shares of our non-voting common stock are converted into shares of our voting common stock, your voting power 
will be diluted. 

As  of  December 31,  2018,  we  had  24,603,104  shares  of  voting  common  stock  and  40,301,237  shares  of 
non-voting common stock outstanding. Generally, holders of our non-voting common stock have no voting power (other 
than  in  connection  with  a  change  of  control  of  our  company)  and  have  no  right  to  participate  in  any  meeting  of 
stockholders or to have notice thereof. However, shares of our non-voting common stock that are converted into voting 
common stock will have all the voting rights of the voting common stock. Shares of our non-voting common stock are 
convertible into shares of our voting common stock on a fifteen-for-one basis (i) at the option of the respective holders 
thereof,  at  any  time  and  from  time  to  time  on  or  after  April 1,  2018  or  (ii) automatically,  without  any  payment  of 
additional consideration by the holder thereof, (x) upon a transfer of such shares to any person or entity that is neither 
an affiliate of Nantucket nor an investment fund, investment vehicle or other account, that is, directly or indirectly, 
managed or advised by Nantucket or any of its affiliates pursuant to a sale of such stock to a third-party for cash in 
accordance with the terms and condition set forth in the Investor Rights Agreement, or (y) upon the subsequent release 
or transfer of such shares to the registered pre-Merger legacy stockholders of Napo’s outstanding shares of common 
stock as of July 31, 2017 (the “Napo Legacy Stockholders”). Upon conversion of any non-voting common stock, your 
voting power will be diluted in proportion to the decrease in your ownership of the total outstanding voting common 
stock. 

Provisions in our charter documents and under Delaware law could discourage a takeover that stockholders may 
consider favorable and may lead to entrenchment of management. 

Our  third  amended  and  restated  certificate  of  incorporation  and  amended  and  restated  bylaws  contain 
provisions that could delay or prevent changes in control or changes in our management without the consent of our 
board of directors. These provisions to include the following: 

• 

• 

• 

• 

• 

a classified board of directors with three-year staggered terms, which may delay the ability of stockholders 
to change the membership of a majority of our board of directors; 

no cumulative voting in the election of directors, which limits the ability of minority stockholders to elect 
director candidates; 

the exclusive right of our board of directors to elect a director to fill a vacancy created by the expansion 
of the board of directors or the resignation, death or removal of a director, which prevents stockholders 
from being able to fill vacancies on our board of directors; 

the ability of our board of directors to authorize the issuance of shares of preferred stock and to determine 
the terms of those shares, including preferences and voting rights, without stockholder approval, which 
could adversely affect the rights of our common stockholders or be used to deter a possible acquisition of 
our company; 

the ability of our board of directors to alter our bylaws without obtaining stockholder approval; 

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• 

• 

• 

• 

the required approval of the holders of at least 75% of the shares entitled to vote at an election of directors 
to adopt, amend or repeal our bylaws or repeal the provisions of our third amended and restated certificate 
of incorporation regarding the election and removal of directors; 

a prohibition on stockholder action by written consent, which forces stockholder action to be taken at an 
annual or special meeting of our stockholders; 

the requirement that a special meeting of stockholders may be called only by the chairman of the board of 
directors, the chief executive officer, the president or the board of directors, which may delay the ability 
of  our  stockholders  to  force  consideration  of  a  proposal  or  to  take  action,  including  the  removal  of 
directors; and 

advance  notice  procedures  that  stockholders  must  comply  with  in  order  to  nominate  candidates  to  our 
board of directors or to propose matters to be acted upon at a stockholders’ meeting, which may discourage 
or deter a potential acquirer from conducting a solicitation of proxies to elect the acquirer’s own slate of 
directors or otherwise attempting to obtain control of us. 

These provisions could inhibit or prevent possible transactions that some stockholders may consider attractive. 

We  are  also  subject  to  the  anti-takeover  provisions  contained  in  Section 203  of  the  Delaware  General 
Corporation Law. Under Section 203, a corporation generally may not engage in a business combination with any holder 
of 15% or more of its capital stock unless the holder has held the stock for three years or, among other exceptions, the 
board of directors has approved the transaction. 

Our amended and restated bylaws designate the Court of Chancery of the State of Delaware as the sole and exclusive 
forum  for  certain  actions  and  proceedings  that  may  be  initiated  by  our  stockholders,  which  could  limit  our 
stockholders’  ability  to  obtain  a  favorable  judicial  forum  for  disputes  with  us  or  our  directors,  officers  or  other 
employees. 

Our amended and restated bylaws provide that, unless we consent in writing to an alternative forum, the Court 
of Chancery of the State of Delaware will be the sole and exclusive forum for (i) any derivative action or proceeding 
brought on our behalf, (ii) any action asserting a claim of breach of a fiduciary duty owed by any director, officer or 
other  employee  to  us or  our stockholders,  (iii) any  action asserting  a  claim  arising  pursuant  to  any provision  of  the 
Delaware General Corporation Law, (iv) any action asserting a claim that is governed by the internal affairs doctrine or 
(v) any action to interpret, apply, enforce or determine the validity of our certificate of incorporation or bylaws. Any 
person purchasing or otherwise acquiring any interest in any shares of our capital stock shall be deemed to have notice 
of and to have consented to this provision of our amended and restated bylaws. This choice-of-forum provision may 
limit our stockholders’ ability to bring a claim in a judicial forum that they find favorable for disputes with us or our 
directors, officers or other employees, which may discourage such lawsuits. Alternatively, if a court were to find this 
provision of our amended and restated bylaws inapplicable or unenforceable with respect to one or more of the specified 
types  of  actions  or  proceedings,  we  may  incur  additional  costs  associated  with  resolving  such  matters  in  other 
jurisdictions, which could harm our business and financial condition. 

We do not intend to pay dividends on our common stock, and your ability to achieve a return on your investment will 
depend on appreciation in the market price of our common stock. 

We currently intend to invest our future earnings, if any, to fund our growth and not to pay any cash dividends 
on our common stock. Moreover, so long as either (i) Nantucket or any of its affiliates owns any shares of our non-voting 
common stock or (ii) Sagard Capital Partners, L.P. (“Sagard”) or any of its affiliates owns 35% or more of the shares of 
our Series A Preferred Stock, we cannot pay dividends on our common stock or non-voting common stock without 
obtaining the prior written consent of Nantucket or Sagard, respectively. Because we do not intend to pay dividends and 
may be required to obtain written consent if we were to do so, your ability to receive a return on your investment will 

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depend on any future appreciation in the market price of our common stock. We cannot be certain that our common 
stock will appreciate in price. 

Our  principal  stockholders  own  a  significant percentage  of  our  voting  stock  and  will  be  able  to  exert  significant 
control over matters subject to stockholder approval. 

As of December 31, 2018, our executive officers, directors, holders of 5% or more of our capital stock and 
their respective affiliates beneficially owned in the aggregate approximately 44% of the outstanding shares of our voting 
common  stock.  As  a  result  of  their  stock  ownership,  these  stockholders  may  have  the  ability  to  influence  our 
management and policies, and will be able to significantly affect the outcome of matters requiring stockholder approval 
such as elections of directors, amendments of our organizational documents or approvals of any merger, sale of assets 
or other major corporate transaction. This may prevent or discourage unsolicited acquisition proposals or offers for our 
common stock that you may feel are in your best interest as one of our stockholders. 

The requirements of being a public company, including compliance with the reporting requirements of the Exchange 
Act  and  the  requirements  of  the  Sarbanes-Oxley  Act,  may  strain  our  resources,  increase  our  costs  and  distract 
management, and we may be unable to comply with these requirements in a timely or cost-effective manner. 

Our initial public offering had a significant, transformative effect on us. Prior to our initial public offering, our 
business operated as a privately-held company, and we were not required to comply with public reporting, corporate 
governance and financial accounting practices and policies required of a publicly-traded company. As a publicly-traded 
company, we incur significant additional legal, accounting and other expenses compared to historical levels. In addition, 
new and changing laws, regulations and standards relating to corporate governance and public disclosure, including the 
Dodd-Frank Wall Street Reform and Consumer Protection Act and the rules and regulations thereunder, as well as under 
the Sarbanes-Oxley Act, the JOBS Act and the rules and regulations of the SEC and The NASDAQ Capital Market, 
may result in an increase in our costs and the time that our board of directors and management must devote to our 
compliance  with  these  rules and  regulations.  These  rules and  regulations  have  substantially  increased  our  legal  and 
financial  compliance  costs  and  diverted  management  time  and  attention  from  our  product  development  and  other 
business activities. 

The Sarbanes-Oxley Act requires, among other things, that we assess the effectiveness of its internal control 
over financial reporting annually and the effectiveness of our disclosure controls and procedures quarterly. In particular, 
Section 404 of the Sarbanes-Oxley Act, or Section 404, requires us to perform system and process evaluation and testing 
of our internal control over financial reporting to allow management to report on, and our independent registered public 
accounting firm potentially to attest to, the effectiveness of our internal control over financial reporting. We have needed 
to expend time and resources on documenting our internal control over financial reporting so that we are in a position 
to  perform  such  evaluation when  required. As  an  “emerging  growth  company,”  we  expect  to  avail ourselves of  the 
exemption from the requirement that our independent registered public accounting firm attest to the effectiveness of our 
internal control over financial reporting under Section 404. However, we may no longer avail itself of this exemption 
when  we  cease  to  be  an  “emerging  growth  company.”  When  our  independent  registered  public  accounting  firm  is 
required to undertake an assessment of our internal control over financial reporting, the cost of our compliance with 
Section 404 will correspondingly increase. Our compliance with applicable provisions of Section 404 requires that we 
incur  substantial  accounting  expense  and  expend  significant  management  time  on  compliance-related  issues  as  we 
implement additional corporate governance practices and comply with reporting requirements. Moreover, if we are not 
able to comply with the requirements of Section 404 applicable to us in a timely manner, or if we or our independent 
registered public accounting firm identifies deficiencies in our internal control over financial reporting that are deemed 
to  be  material  weaknesses,  the  market  price  of  our  stock  could  decline  and  we  could  be  subject  to  sanctions  or 
investigations by the SEC or other regulatory authorities, which would require additional financial and management 
resources. 

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We are an “emerging growth company” and we cannot be certain if the reduced disclosure requirements applicable 
to “emerging growth companies” will make our common stock less attractive to investors. 

We are an “emerging growth company,” as defined in the Jumpstart Our Business Startups Act of 2012, or the 
JOBS Act, and we may take advantage of certain exemptions and relief from various reporting requirements that are 
applicable  to  other  public  companies  that  are  not  “emerging  growth  companies.”  In  particular,  while  we  are  an 
“emerging  growth  company”  (i) we  will  not  be  required  to  comply  with  the  auditor  attestation  requirements  of 
Section 404(b) of the Sarbanes-Oxley Act, (ii) we will be subject to reduced disclosure obligations regarding executive 
compensation in our periodic reports and proxy statements and (iii) we will not be required to hold nonbinding advisory 
votes on executive compensation or stockholder approval of any golden parachute payments not previously approved. 
In addition, the JOBS Act provides that an emerging growth company can delay its adoption of any new or revised 
accounting standards, but we have irrevocably elected not to avail ourselves of this exemption and, therefore, we will 
be subject to the same new or revised accounting standards as other public companies that are not emerging growth 
companies. In addition, investors may find our common stock less attractive if we rely on the exemptions and relief 
granted by the JOBS Act. If some investors find our common stock less attractive as a result, there may be a less active 
trading market for our common stock and our stock price may decline and/or become more volatile. 

We  may  remain  an  “emerging  growth  company”  until  as  late  as  December 31,  2020  (the  fiscal year-end 
following the fifth anniversary of the closing of our initial public offering, which occurred on May 18, 2015), although 
we may cease to be an “emerging growth company” earlier under certain circumstances, including (i) if the market value 
of our common stock that is held by non-affiliates exceeds $700.0 million as of any June 30, in which case we would 
cease  to  be  an  “emerging  growth  company”  as  of  December 31  of  such year,  (ii) if  our  gross  revenue  exceeds 
$1.0 billion in any fiscal year or (iii) if we issue more than $1.0 billion of non-convertible debt over a three-year period. 

ITEM 1B.     UNRESOLVED STAFF COMMENTS 

None. 

ITEM 2.       PROPERTIES 

Our  corporate  headquarters  are  located  in  San  Francisco,  California,  where  we  lease  approximately  6,311 
square feet of office space under an operating lease. Our lease agreement expires on September 30, 2020. We believe 
that our existing facilities are adequate for our near-term needs. 

ITEM 3.       LEGAL PROCEEDINGS 

March 2018 Demand Letter relating to 2018 Special Meeting of Stockholders 

While not a legal proceeding, on March 27, 2018, we received a demand letter from a law firm representing a 
purported stockholder, relating to certain approvals obtained at a special meeting of stockholders on March 12, 2018 
(the “2018 Special Meeting”). The demand letter alleges that we miscalculated the votes with respect to (i) the proposal 
to amend our Third Amended and Restated Certificate of Incorporation as filed with Secretary of State of the State of 
Delaware on March 15, 2018 (the “COI”), which increased the authorized shares of Common Stock from 250,000,000 
to 500,000,000 (the “Share Increase Proposal”) and (ii) the proposal to amend the COI to effect a reverse stock split at 
a ratio of not less than 1-for-1.2 and not greater than 1-for-10 (the “Former Reverse Stock Split Proposal”).We did not 
implement the Former Reverse Stock Split Proposal. In addition, at the 2018 annual meeting of stockholders held on 
May 18, 2018, stockholders approved amendments to the COI to (i) effect a reverse stock split at a ratio of not less than 
1-for-11  and  not  greater  than  1-for-15  and  (ii) decrease  the  number  of  authorized  shares  of  Common  Stock  to 
150,000,000. 

On  September 5,  2018,  we  responded  to  the  law  firm,  indicating  that  the  Board  unanimously  rejected  the 
demands set forth in the demand letter (the “Demand Letter Claims”). While no proceedings with respect to the demand 
letter were ever initiated and we believe that the allegations set forth in the demand letter were without merit and would 

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have vigorously defended against any such proceeding, the Demand Letter Claims were settled with a release of all such 
claims in March 2019 without any material financial settlement costs incurred by us. 

July 2017 Complaint Relating to the Merger 

On  July 20, 2017,  a putative class  action  complaint  was filed  in  the United States District  Court,  Northern 
District of California, Civil Action No. 3:17-cv-04102, by Tony Plant (the “Plaintiff”) on behalf of shareholders of the 
Company who held shares on September 30, 2017 and were entitled to vote at the 2017 Special Shareholders Meeting, 
against  the  Company  and  certain  individuals  who  were  directors  as  of  the  date  of  the  vote  (collectively,  the 
“Defendants”),  in  a  matter  captioned  Tony  Plant  v.  Jaguar  Animal  Health, Inc.,  et  al.,  making  claims  arising  under 
Section 14(a) and Section 20(a) of the Exchange Act and Rule 14a-9, 17 C.F.R. § 240.14a-9, promulgated thereunder 
by  the  SEC.  The  claims  alleged  false  and  misleading  information  provided  to  investors  in  the  Joint  Proxy 
Statement/Prospectus on Form S-4 (File No. 333-217364) declared effective by the SEC on July 6, 2017 related to the 
solicitation  of  votes  from  shareholders  to  approve  the  merger  and  certain  transactions  related  thereto.  We  accepted 
service  of  the  complaint  and  summons  on  behalf  of  itself  and  the  United  States-based  director  Defendants  on 
November 1, 2017. We have not accepted service on behalf of, and Plaintiff has not yet served, the non-U.S.-based 
director Defendants. 

On  October 3,  2017,  Plaintiff  filed  a  motion  seeking  appointment  as  lead  plaintiff  and  appointment  of 
Monteverde & Associates PC as lead counsel. That motion was granted. Plaintiff filed an amended complaint against 
the Company and the United States-based director Defendants on January 10, 2018. The Defendants filed a motion to 
dismiss on March 12, 2018, for which oral arguments were held on June 14, 2018. The court dismissed the complaint 
on September 20, 2018. Plaintiff was entitled to amend the complaint within 20 days from the date of dismissal. On 
October 10, 2018, Plaintiff amended the complaint to focus on our commercial strategy in support of Equilevia and the 
related disclosure statements in the Form S-4 described above. On November 6, 2018, the Defendants moved to dismiss 
the second amended complaint. The Defendants argue in their motion that the complaint fails to state a claim upon 
which relief can be granted because the omissions and misrepresentations alleged in the complaint are immaterial as a 
matter of law. The court has elected to rule on Defendants’ motion to dismiss without holding oral arguments.If the 
Plaintiff were able to prove its allegations in this matter and to establish the damages it asserts, then an adverse ruling 
could have a material impact on us. We believe that it is not probable that an asset has been impaired or a liability has 
been incurred as of the date of the financial statements and the amount of any potential loss is not reasonably estimable. 

Other  than  as  described  above,  there  are  currently  no  claims  or  actions  pending  against  us,  the  ultimate 
disposition of which could have a material adverse effect on our results of operations, financial condition or cash flows. 

ITEM 4.       MINE SAFETY DISCLOSURE 

Not applicable. 

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ITEM 5.       MARKET  FOR  REGISTRANT’S  COMMON  EQUITY,  RELATED  STOCKHOLDER 

MATTERS AND ISSUER PURCHASES OF EQUITY SECURITIES 

PART II 

Market Information 

Our common stock trades on The NASDAQ Capital Market under the symbol “JAGX.”  

Holders 

As of March 31, 2019, there were approximately 31 stockholders of record of our common stock. These figures 

do not reflect the beneficial ownership or shares held in nominee name, nor do they include holders of any RSUs. 

Dividend Policy 

We have never paid any cash dividends on our common stock to date. We currently anticipate that we will 
retain all future earnings, if any, to fund the development and growth of our business and do not anticipate paying any 
cash dividends for at least the next five years, if ever. 

Recent Sales of Unregistered Securities 

Other than as provided on our quarterly reports on Form 10-Q filed with the SEC on May 15, 2018, August 
13, 2018 and November 19, 2018 and our current reports on Form 8-K filed with the SEC on January 2, 2018, February 
16, 2018, March 2, 2018, March 27, 2018, and September 12, 2018, there were no unregistered sales of equity securities 
during the period. 

The offers, sales, and issuances of the securities described above were deemed to be exempt from registration 
under the Securities Act in reliance on Section 4(a)(2) of the Securities Act, Regulation D or Regulation S promulgated 
thereunder  as  transactions by  an  issuer not involving  a  public offering. The  recipients of  securities  in  each of  these 
transactions  acquired  the  securities  for  investment  only  and  not  with  a  view  to  or  for  sale  in  connection  with  any 
distribution  thereof  and  appropriate  legends  were  affixed  to  the  securities  issued  in  these  transactions.  Each  of  the 
recipients of securities in these transactions was an accredited or sophisticated person and had adequate access, through 
employment, business or other relationships, to information about us. 

ITEM 6.       SELECTED FINANCIAL DATA 

Not Applicable. 

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

RESULTS OF OPERATIONS 

The following discussion and analysis should be read together with our financial statements and the related 

notes appearing elsewhere in this report. 

Overview 

We  are  a  commercial  stage  pharmaceuticals  company  focused  on  developing  novel,  sustainably  derived 
gastrointestinal products on a global basis. Our wholly-owned subsidiary, Napo Pharmaceuticals, Inc. (“Napo”), focuses 
on developing and commercializing proprietary human gastrointestinal pharmaceuticals for the global marketplace from 
plants used traditionally in rainforest areas. Our Mytesi (crofelemer) product is approved by the U.S. Food and Drug 
Administration (“FDA”) for the symptomatic relief of noninfectious diarrhea in adults with HIV/AIDS on antiretroviral 
therapy. In the field of animal health, we are focused on developing and commercializing first-in-class gastrointestinal 
products for companion and production animals, foals, and high value horses. 

Jaguar was founded in San Francisco, California as a Delaware corporation on June 6, 2013. Napo formed 
Jaguar to develop and commercialize animal health products. Effective as of December 31, 2013, Jaguar was a wholly-
owned subsidiary of Napo, and Jaguar was a majority-owned subsidiary of Napo until the close of the Company's initial 
public  offering  on  May 18,  2015.  On  July 31,  2017,  the  merger  of  Jaguar  Animal  Health, Inc.  and  Napo  became 
effective, at which point Jaguar Animal Health's name changed to Jaguar Health, Inc. and Napo began operating as a 
wholly-owned subsidiary of Jaguar focused on human health and the ongoing commercialization of, and development 
of follow-on indications for, Mytesi. 

We  believe  Jaguar  is  poised  to  realize  a  number  of  synergistic,  value  adding  benefits—and  an  expanded 
pipeline of potential blockbuster human follow-on indications, a second-generation anti-secretory agent, as well as a 
pipeline of important animal indications for crofelemer, upon which to build global partnerships. Jaguar, through Napo, 
now holds extensive global rights for Mytesi, and crofelemer manufacturing is being conducted at a multimillion-dollar 
commercial manufacturing facility that has been FDA-inspected and approved. Additionally, several of the drug product 
candidates in Jaguar's Mytesi pipeline are backed by strong Phase 2 evidence from completed Phase 2 trials. 

Mytesi is a novel, first-in-class anti-secretory agent which has a basic normalizing effect locally on the gut, 
and  this  mechanism  of  action  has  the  potential  to  benefit  multiple  disorders.  Mytesi  is  in  development  for  multiple 
possible follow-on indications, including diarrhea related to targeted cancer therapy; orphan-drug indications for infants 
and children with congenital diarrheal disorders and short bowel syndrome (SBS); supportive care for inflammatory 
bowel  disease  (IBD);  irritable  bowel  syndrome  (IBS);  and  for  idiopathic/functional  diarrhea.  In  addition,  a 
second-generation  proprietary  anti-secretory  agent  is  in  development  for  cholera.  Mytesi  has  received  orphan-drug 
designation for SBS. 

Financial Operations Overview 

On a consolidated basis, we have not yet generated enough revenue to date to achieve break even or positive 
cash flow, and we expect to continue to incur significant research and development and other expenses. Our net loss 
was $32.1 million and $22.0 million for the years ended December 31, 2018 and 2017, respectively. As of December 31, 
2018, we had total stockholders' equity of $5.4 million, an accumulated deficit of $94.6 million, and cash of $2.6 million. 
We expect to continue to incur losses and experience increased expenditures for the foreseeable future as we expand 
our  product  development  activities,  seek  necessary  approvals  for  our  product  candidates,  conduct  species-specific 
formulation studies for our non-prescription products, establish API manufacturing capabilities and begin additional 
commercialization activities. 

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Revenue  

Our product and collaboration revenue consists of the following: 

•  Revenues from the sale of our human drug Mytesi, which is sold through distributors and wholesalers. 

•  Revenues from the sale of our animal products branded as Neonorm Calf and Neonorm Foal. Our Neonorm 
and Botanical extract products are primarily sold to distributors, who then sell the products to the end 
customers. 

•  Revenues from our collaborative agreement with Elanco to license, develop and commercialize Canalevia. 

This agreement was terminated in January 2018. 

See “Results of Operations” below for more detailed discussion on revenues 

Cost of Revenue 

Cost of revenue consists of direct drug substance and drug product materials expense, direct labor, distribution 

fees, royalties and other related expenses associated with the sale of our products. 

Research and Development Expense 

Research  and  development  expenses  consist  primarily  of  clinical  and  contract  manufacturing  expense, 
personnel and related benefit expense, stock-based compensation expense, employee travel expense and reforestation 
expenses.  Clinical  and  contract  manufacturing  expense  consists  primarily  of  costs  to  conduct  stability,  safety  and 
efficacy studies, and manufacturing startup expenses at an outsourced API provider in Italy. 

We typically use our employee and infrastructure resources across multiple development programs. We track 
outsourced development costs by prescription drug product candidate and non-prescription product but do not allocate 
personnel or other internal costs related to development to specific programs or development compounds. 

The timing and amount of our research and development expenses will depend largely upon the outcomes of 
current and future trials for our prescription drug product candidates as well as the related regulatory requirements, the 
outcomes of current and future species-specific formulation studies for our non-prescription products, manufacturing 
costs and any costs associated with the advancement of our line extension programs. We cannot determine with certainty 
the duration and completion costs of the current or future development activities. 

The  duration, costs  and  timing of  trials,  formulation studies  and development  of  our prescription drug  and 

non-prescription products will depend on a variety of factors, including: 

• 

• 

• 

• 

the scope, rate of progress, and expense of our ongoing, as well as any additional clinical trials, formulation 
studies and other research and development activities; 

future clinical trial and formulation study results; 

potential changes in government regulations; and 

the timing and receipt of any regulatory approvals. 

A  change  in  the  outcome  of  any  of  these  variables  with  respect  to  the  development  of  a  prescription  drug 
product candidate or non-prescription product could mean a significant change in the costs and timing associated with 
our development activities. 

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We  expect  research  and  development  expense  to  increase  significantly  as  we  add  personnel,  commence 
additional clinical studies and other activities to develop our prescription drug product candidates and non-prescription 
products. 

Sales and Marketing Expense 

Sales  and  marketing  expenses  consist  of  personnel  and  related  benefit  expense,  stock-based  compensation 
expense,  direct  sales  and  marketing  expense,  employee  travel  expense,  and  management  consulting  expense.  We 
currently incur sales and marketing expenses to promote Mytesi and Neonorm calf and foal sales. 

We  expect  sales  and  marketing  expenses  to  increase  significantly  as  we  develop  and  commercialize  new 
products and grow our existing Neonorm market. We will need to add sales and marketing headcount to promote the 
sales of existing and new products. 

General and Administrative Expense 

General  and  administrative  expenses  consist  of  personnel  and  related  benefit  expense,  stock-based 
compensation expense, employee travel expense, legal and accounting fees, rent and facilities expense, and management 
consulting expense. 

We expect general and administrative expense to increase in order to enable us to effectively manage the overall 
growth of the business. This will include adding headcount, enhancing information systems and potentially expanding 
corporate facilities. 

Interest Expense 

Interest expense consists primarily of non-cash and cash interest costs related to our borrowings. 

Critical Accounting Policies and Significant Judgments and Estimates 

The preparation of financial statements in conformity with U.S. generally accepted accounting principles, or 
U.S. GAAP, requires the use of estimates and assumptions that affect the reported amounts of assets and liabilities, 
revenues  and  expenses,  and  related  disclosures  in  the  financial  statements.  Critical  accounting  policies  are  those 
accounting policies that may be material due to the levels of subjectivity and judgment necessary to account for highly 
uncertain matters or the susceptibility of such matters to change, and that have a material impact on financial condition 
or operating performance. While we base our estimates and judgments on our experience and on various other factors 
that we believe to be reasonable under the circumstances, actual results may differ from these estimates under different 
assumptions or conditions. We believe the following critical accounting policies used in the preparation of our financial 
statements require significant judgments and estimates. For additional information relating to these and other accounting 
policies, see Note 2 to our audited financial statements, appearing elsewhere in this report. 

Revenue Recognition 

The Company recognizes revenue in accordance with ASC Topic 606, Revenue from Contracts with Customers 
(“ASC 606”), which was adopted on January 1, 2018, using the modified retrospective method, which was elected to 
apply to all active contracts as of the adoption date. Application of the modified retrospective method did not impact 
amounts previously reported by the Company, nor did it require a cumulative effect adjustment upon adoption, as the 
Company's method of recognizing revenue under ASC 606 yielded similar results to the method utilized immediately 
prior to adoption. Accordingly, there was no effect to each financial statement line item as a result of applying the new 
revenue standard. 

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Practical Expedients, Elections, and Exemptions 

We recognize revenue in accordance with the core principal of ASC 606 or when there is a transfer of control 
of promised goods or services to customers in an amount that reflects the consideration that we expect to be entitled to 
in exchange for those goods or services. 

We used a practical expedient available under ASC 606-10-65-1(f)4 that permits us to consider the aggregate 
effect of all contract modifications that occurred before the beginning of the earliest period presented when identifying 
satisfied and unsatisfied performance obligations, transaction price, and allocating the transaction price to the satisfied 
and unsatisfied performance obligations. 

We also used a practical expedient available under ASC 606-10-32-18 that permits us not to adjust the amount 
of  consideration  for  the  effects  of  a  significant  financing  component  if,  at  contract  inception,  the  expected  period 
between the transfer of promised goods or services and customer payment is one year or less. 

We have elected to treat shipping and handling activities as fulfillment costs. 

Additionally, we have elected to record revenue net of sales and other similar taxes. 

Contracts 

Napo entered into a Marketing and Distribution Agreement (“M&D Agreement”) with BexR Logistix, LLC 
(“BexR” or “Mission Pharmacal” or “Mission”), in April 2016 to appoint BexR as its distributor with the right to market 
and sell, and the exclusive right to distribute Mytesi (formerly Fulyzaq) in the US. Napo sells Mytesi through Mission, 
who  then  sells  Mytesi  to  its  distributors  and  wholesalers  —  McKesson,  Cardinal  Health,  AmerisourceBergen  Drug 
Corporation  (“ABC”),  HD  Smith,  Smith  Drug  and  Publix  (together  “Distributors”).  Mission  sells  Mytesi  to  their 
Distributors, on behalf of Napo, under agreements executed by Mission with these Distributors and Napo abides by the 
terms  and  conditions  of sales  agreed  to between  Mission and  their Distributors. Health  care  providers  order  Mytesi 
through pharmacies who obtain Mytesi through Mission's Distributors. Napo considers Mission as the sales agent and 
the Distributors of Mission as its customers. Napo retains control of Mytesi held at Mission. 

Mission's  Distributors  are  our  customers  with  respect  to  purchase  of  Mytesi.  The  M&D  Agreement  with 
Mission,  Mission's  agreement  with  the  Distributors  and  the  related  purchase  order  will  together  meet  the  contract 
existence criteria under ASC 606-10-25-1. This M&D Agreement with Mission was amended on August 15, 2018, with 
a termination date of January 31, 2019. Mission agreed to continue to serve as the exclusive distributor for Mytesi on a 
transition basis until this date. Effective January 31, 2019, the Company entered into a Distribution Agreement with 
Cardinal Health to replace Mission as the sales agent. 

Our Neonorm and Botanical extract products are primarily sold to distributors, who then sell the products to 
the end customers. Since 2014, we entered into several distribution agreements with established distributors such as 
Animart, Vedco, VPI, RJ Matthews, Henry Schein, and Stockmen Supply to distribute the Company's products in the 
United States, Japan, and China. The distribution agreements and the related purchase order together meet the contract 
existence criteria under ASC 606-10-25-1. Jaguar sells directly to its customers without the use of an agent. 

Performance obligations 

For the products sold by each of Napo and Jaguar, the single performance obligation identified above is our 
promise  to  transfer  our  Mytesi  product  to  Distributors  based  on  specified  payment  and  shipping  terms  in  the 
arrangement. Product warranties are assurance type warranties that do not represent a performance obligation. 

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Transaction price 

For both Jaguar and our Napo subsidiary, the transaction price is the amount of consideration to which we 
expect to collect in exchange for transferring promised goods or services to a customer. The transaction price of Mytesi 
and Neonorm is the Wholesaler Acquisition Cost (“WAC”), net of estimated discounts, returns, and price adjustments.  

Allocate transaction price 

For both Jaguar and our Napo subsidiary, the entire transaction price is allocated to the single performance 

obligation contained in each contract. 

Point in time recognition 

For both Jaguar and our Napo subsidiary, a single performance obligation is satisfied at a point in time, upon 

the FOB terms of each contract when control, including title and all risks, has transferred to the customer. 

Goodwill and Indefinite-lived Intangible Assets  

Goodwill 

Goodwill is tested for impairment on an annual basis and in-between annual tests if events or circumstances 
indicate that an impairment loss may have occurred. The test is based on a comparison of the reporting unit's book value 
to its estimated fair market value. We perform the annual impairment test during the fourth quarter of each fiscal year 
using the opening consolidated balance sheet as of the first day of the fourth quarter, with any resulting impairment 
recorded in the fourth quarter of the fiscal year. If the carrying value of a reporting unit's net assets exceeds its fair value, 
the goodwill would be considered impaired and would be reduced to its fair value. In the June 2017 Napo Merger, 
goodwill was allocated entirely to the human health reporting unit.  

The goodwill impairment analysis performed in the fourth quarter of fiscal year 2018. The decline in market 
capitalization  during  fiscal  year  2018  was  determined  to  be  a  triggering  event  for  potential  goodwill  impairment. 
Accordingly,  the  Company  performed  the  goodwill  impairment  analysis  and  determined  that  the  Company’s  entire 
goodwill balance was impaired, and consequently the Company wrote-off the entire balance. The Company recorded 
impairment charges of $5.2 million and $16.8 million during the years ended December 31, 2018 and 2017, respectively. 
The conditions that gave rise to the fiscal year 2018 impairment charge were due to the total of the fair value of total 
invested capital and non-interest bearing liabilities being less than the book value of total assets.   

Indefinite-lived Intangible Assets 

Acquired in-process research and development (IPR&D) are intangible assets initially recognized at fair value 
and classified as indefinite-lived assets until the successful completion or abandonment of the associated research and 
development efforts. During the development period, these assets will not be amortized as charges to earnings; instead 
these assets will be tested for impairment on an annual basis or more frequently if impairment indicators are identified. 
Based  on  the  results  of  our  impairment  test,  the  Company  recorded  an  impairment  charge of zero  and  $2.3  million 
during  the years  ended  December 31,  2018  and  2017,  respectively.  In  connection  with  each  annual  impairment 
assessment and any interim impairment assessment in which indicators of impairment have been identified, we compare 
the fair value of the asset as of the date of the assessment with the carrying value of the asset on the consolidated balance 
sheet. If impairment is indicated by this test, the intangible asset is written down by the amount by which the discounted 
cash flows expected from the intangible asset exceeds its carrying value. 

Accrued Research and Development Expenses 

As part of the process of preparing our financial statements, we are required to estimate accrued research and 
development expenses. Estimated accrued expenses include fees paid to vendors and clinical sites in connection with 

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our clinical trials and studies. We review new and open contracts and communicate with applicable internal and vendor 
personnel to identify services that have been performed on our behalf and estimate the level of service performed and 
the associated costs incurred for the service when we have not yet been invoiced or otherwise notified of the actual cost 
for accrued expenses. The majority of our service providers invoice us monthly in arrears for services performed or as 
milestones are achieved in relation to our contract manufacturers. We make estimates of our accrued expenses as of 
each reporting date. 

We base our accrued expenses related to clinical trials and studies on our estimates of the services received 
and efforts expended pursuant to contracts with vendors, our internal resources, and payments to clinical sites based on 
enrollment projections. The financial terms of the vendor agreements are subject to negotiation, vary from contract to 
contract and may result in uneven payment flows. Payments under some of these contracts depend on factors such as 
the successful enrollment of animals and the completion of development milestones. We estimate the time period over 
which  services  will  be  performed  and  the  level  of  effort  to  be  expended  in  each  period.  If  the  actual  timing  of  the 
performance of services or the level of effort varies from our estimate, we adjust the related expense accrual accordingly 
on a prospective basis. If we do not identify costs that have been incurred or if we underestimate or overestimate the 
level of services performed or the costs of these services, our actual expenses could differ from our estimates. To date, 
we have not made any material adjustments to our estimates of accrued research and development expenses or the level 
of services performed in any reporting period presented. 

The Company expenses the total cost of a certain long-term manufacturing development contract ratably over 

the estimated life of the contract, or the total amount paid if greater. 

Results of Operations 

Comparison of the Years Ended December 31, 2018 and 2017 

The following table summarizes the Company’s results of operations with respect to the items set forth in such table for 
the years ended December 31, 2018 and 2017 together with the change in such items in dollars and as a percentage: 

Year Ended December 31,  
2018 

2017 

Variance 

    Variance %   
185 %
 (94)%
126% %

Product revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $  4,238,756   $  1,485,114   $  2,753,642   
    (2,698,683)   
Collaboration revenue . . . . . . . . . . . . . . . . . . . . . . . . . . .      
 54,959   
Total revenue  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      

 2,876,072  
 4,361,186  

 177,389  
 4,416,145  

Operating Expenses 

 2,765,746  
Cost of revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      
 5,154,748  
Research and development expense . . . . . . . . . . . . .      
Sales and marketing expense . . . . . . . . . . . . . . . . . . .      
 9,831,576  
General and administrative expense . . . . . . . . . . . . .        12,277,222  
Impairment of goodwill . . . . . . . . . . . . . . . . . . . . . . .      
 5,210,821  
Impairment of long-lived intangible assets  . . . . . . .      
 —  
Total operating expenses  . . . . . . . . . . . . . . . . . . . . . . . .        35,240,113  
Loss from operations . . . . . . . . . . . . . . . . . . . . . . . . . . . .       (30,823,968)  
Interest expense, net . . . . . . . . . . . . . . . . . . . . . . . . . . . .        (2,628,685)  
Other income, net  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      
 315,691  
Change in fair value of warrant liability, derivative 

 880,405  
 4,269,455  
 3,083,739  
    11,247,647  
    16,827,000  
 2,300,000  
    38,608,246  
   (34,247,060)  
    (1,209,632)  
 88,549  

 1,885,341   
 885,293   
 6,747,837   
 1,029,575   
   (11,616,179)   
    (2,300,000)   
    (3,368,133)   
 3,423,092   
    (1,419,053)   
 227,142   

liability and conversion option liability  . . . . . . . . . . .  
 (364,325)   
 331,016  
Gain on Valeant settlement . . . . . . . . . . . . . . . . . . . . . . .     
 1,204,333  
 1,204,333  
Loss on extinguishment of debt . . . . . . . . . . . . . . . . . . .      
 (67,390)   
 (544,444)  
 3,003,799   
Net loss before tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .       (32,146,057)  
Income tax benefit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      
   (13,181,242)   
 —  
Net loss  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $ (32,146,057)   $ (21,968,614)   $ (10,177,443)   

 695,341  
 —  
 (477,054)  
   (35,149,856)  
    13,181,242  

214 %
21 %
219 %
9.2 %
 (69)%
 (100)%
 (9)%
 (10)%
 117 %
 257 %

 (52)%
 100 %
 14 %
 (9)%
 (100)%
 46 %

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Revenue  

Product revenue 

The increase in product revenue of $2.8 million for the year ended December 31, 2018 compared to 2017 was 
due to increased sales of Mytesi due to 2017 only including five months of Mytesi sales post the Napo merger completion 
effective July 31, 2017 while 2018 had twelve months of Mytesi sales. The increase in Mytesi sales were offset by a 
decline in Neonorm revenues. 

Due  to  the  Company’s  arrangements,  including  elements  of  variable  consideration,  gross  product  sales  are 
reduced in order to reflect the expected consideration to arrive at net product sales. Deductions to reduce gross product 
sales to net product sales for the years ended December 31, 2018 and 2017 are as follows: 

Year Ended  
December 31,  

2018 

2017 

     Variance 

     Variance % 

Gross product sales 
     Mytesi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $  5,730,283  $  1,237,204   $  4,493,079   
     Neonorm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
    (305,351)   
     Botanical Extract    . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
 (78,000)   
Total gross product sales  . . . . . . . . . . . . . . . . . . . . . . . . . . .   
   4,109,728   
    (158,974)   
     Medicare rebates  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
     Sales discounts - Mytesi  . . . . . . . . . . . . . . . . . . . . . . . . .   
   (774,130)   
     Sales returns - Mytesi  . . . . . . . . . . . . . . . . . . . . . . . . . . .   
 (139,543) 
     Wholesaler fee - Mytesi . . . . . . . . . . . . . . . . . . . . . . . . . .   
 (283,439) 
Net product sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $  4,238,756  $  1,485,114   $  2,753,642   

 422,194  
 78,000  
   1,737,398  
 (25,365) 
 (144,592) 
 (28,365) 
 (53,962) 

 116,843 
 — 
   5,847,126 
 (184,339)
 (918,722)
 (167,908)
 (337,401)

363 %
(72)%
 — %
237 %
627 %
535 %
492 %
525 %
185 %

Collaboration revenue 

The decrease in collaboration revenue of $2.7 million for the year ended December 31, 2018 compared to the 
same period in 2017 was due to termination of the commercialization agreement with Elanco US Inc. in January 2018. 
Under this arrangement, signed in January 2017, we recognized collaboration revenue of $0.2 million and $2.9 million 
for the years ended December 31, 2018 and 2017, respectively, for the licensing, development and commercialization 
of Canalevia.   

Cost of Product Revenue 

Year Ended  
December 31,  

2018 

2017 

     Variance 

    Variance %    

Cost of Product Revenue  
Material cost  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     $  1,329,432    $  570,420    $ 
Direct labor  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Distribution fees  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Royalties  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Other  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   

 759,011   
 430,937   
 344,699   
 99,805   
 250,890   
Total  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     $  2,765,746    $  880,404    $  1,885,342   

   148,475  
   115,852  
    38,689  
 6,968  

 579,412  
 460,551  
 138,494  
 257,858  

133 %
290 %
298  
 258 %
3601 %
214 %

The increase in cost of product revenue  of  $1.9 million  for the year ended December 31, 2018 compared to 
2017 was primarily due to increased sales of Mytesi due to 2017 only including five months of cost of product revenue 
post the Napo merger completion effective July 31, 2017, while 2018 had twelve months of costs of product revenue. 

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Research and Development Expense 

The following table presents the components of research and development (R&D) expense for the years ended 

December 31, 2018 and 2017: 

Year Ended  
December 31,  

2018 

2017 

     Variance 

    Variance %   

R&D: 
Personnel and related benefits . . . . . . . . . . . . . . . . . . . . . . . .     $  2,207,199   $  2,162,251   $  44,948   
 (52,218)  
Materials expense and tree planting . . . . . . . . . . . . . . . . . . . .    
 (69,288)  
Travel, other expenses  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Clinical and contract manufacturing . . . . . . . . . . . . . . . . . . .    
 706,523   
 362,709   
Stock-based compensation . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
   (107,381)  
Total  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     $  5,154,748   $  4,269,455   $  885,293   

 248,010  
 189,622  
 439,071  
 216,932  
    1,013,569  

 195,792  
 120,334  
    1,145,594  
 579,641  
 906,188  

 2.1 % 
 (21.1)% 
 (36.5)% 
 160.9 % 
 167.2 % 
 (10.6)% 
 20.7 % 

The  increase  in  research  and  development  expense  of  $885,293  for  the  year  ended  December  31,  2018 
compared  to  the  same  period  in  2017  was  due  primarily  to:  an  increase  in  contract  manufacturing  costs  due  to  the 
completion of SP-303 API manufacturing readiness work, for costs associated with the implementation and maintenance 
of serialization, and for costs for in-process Mytesi drug product readiness work in 2018. Clinical trial work decreased 
due  to  the  temporary  termination  of  Canalevia  studies.  In  addition,  stock-based  compensation  increased  $362,709 
primarily due to an increase in the number of option grants. 

Sales and Marketing Expense 

The  following  table  presents  the  components  of  sales  and  marketing  (S&M)  expense  for  the years  ended 

December 31, 2018 and 2017 together with the change in such components in dollars and as a percentage: 

Year Ended  
December 31,  

2018 

2017 

     Variance 

    Variance %  

S&M: 
Personnel and related benefits . . . . . . . . . . . . . . . . . . . . . . . .    $  4,237,472   $ 
Stock-based compensation . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Direct Marketing Fees. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   

 753,944   $  3,483,528   
 64,405   
 32,325  
   2,399,417   
   1,491,869  
 800,487   
 805,601  
Total  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $  9,831,576   $  3,083,739   $  6,747,837   

 96,730  
   3,891,286  
   1,606,088  

 462.0 %
 199.2 %
 160.8 %
 99.4 %
 218.8 %

The increase sales and marketing expense of $6,747,837 for the year ended December 31, 2018 compared to 
the same period in 2017 was due primarily to (i) an increase in personnel and related benefit costs associated with the 
expansion of our sales and marketing headcount from zero to 19 in support of Mytesi; (ii) an increase in direct marketing 
and sales expense due to the increase in marketing programs to promote the Napo Mytesi product; and (iii) an increase 
in other miscellaneous costs. 

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General and Administrative Expense 

The following table presents the components of general and administrative (G&A) expense for the years ended 

December 31, 2018 and 2017: 

Year Ended  
December 31,  

2018 

2017 

Variance 

    Variance %  

G&A: 
Personnel and related benefits . . . . . . . . . . . . . . . . . . . . .     $  1,744,733   $  1,810,132   $ 
Accounting fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Third-party consulting fees and Napo service fees . . . . .    
Legal fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Travel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Stock-based compensation . . . . . . . . . . . . . . . . . . . . . . . .    
Rent and lease expense . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Public company expenses . . . . . . . . . . . . . . . . . . . . . . . . .    
Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    

 (65,399)  
 (150,247)  
 633,143   
   (1,210,566)  
 (21,333)  
 782,147   
 193,788   
 (112,896)  
 980,938   
Total  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     $ 12,277,222   $ 11,247,647   $   1,029,575   

 740,959  
    1,470,737  
    3,462,769  
 303,601  
 565,356  
 336,435  
 777,629  
    1,780,029  

 590,712  
    2,103,880  
    2,252,203  
 282,268  
    1,347,503  
 530,223  
 664,733  
    2,760,967  

 (3.6)%
 (20.3)%
 43.0 %
 (35.0)%
 (7.0)%
 138.3 %
 57.6 %
 (14.5)%
 55.1 %
 9.2 %

The  increase  in  general  and  administrative  expenses of  $1,029,575  for  the  year  ended  December  31,  2018 
compared to the same period in 2017 was due primarily to (i) an increase in other general and administrative costs of 
$980,938 driven by an increase in intangible asset amortization of intangible assets acquired as part of the July 2017 
merger with Napo; (ii) an increase in stock based compensation due to a significant increase in the volume of option 
grants to new and existing employees; and (iii) an increase in consulting fees. These increases were partially offset by 
a reduction in merger-related legal fees period over period. Public company expenses primarily consist of legal, printing, 
transfer agent, investor relations, SEC fees and other expense incurred once public compliance was necessary. 

Interest Expense, net 

The increase in interest expense of $1,419,053 million for the year ended December 31, 2018 compared to the 
same  period  in  2017  was  due  to  debt  extinguishments  in  fiscal  year  2018  and  slightly  increased  debt  discount 
amortization on a net basis.  

Other income, net 

The increase in Other income, net of $227,142 for the year ended December 31, 2018 compared to the same 
period in 2017 was due to miscellaneous non-operating activities in fiscal year 2018, such as the extinguishment of the 
conversion option liability of $286,274, an unrealized foreign currency gain of $14,392 and an insurance reimbursement 
of $15,227.    

Change in fair value of warrant liability, derivative liability and conversion option liability 

The gain of $331,016 is due to the change in the fair value of the warrant liability, derivative liability and 
conversion option liability for the year ending December 31, 2018 represents a gain of $494,770 from the remeasurement 
of the the November 2016 Series A warrants and the October 2018 Underwriter warrants, a gain of $11,000 from the 
write-off of the derivative liability, offset by a loss of $174,754 on the write-off of the conversion option liability.  

Gain on Valeant settlement 

In September 2018, the Company received a $1.2 million payment from Valeant, in a settlement agreement 
with  Glenmark  Pharmaceuticals,  Valeant  Pharmaceuticals  Ireland,  Limited,  and  Salix  Pharmaceuticals,  related  to 
inventory that was in negotiations of title on July 31, 2017, the date of the merger with Napo. Accordingly, this was the 

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settlement of a contingency acquired in the July 2017 Napo merger. The Company recorded the one-time settlement 
outside of operations as it was related to the July 2017 Napo merger.  

Loss on extinguishment of debt 

The loss on extinguishment of debt of $544,444 relates to modifications of outstanding debt whose terms were 

modified resulting in extinguishment accounting. 

Liquidity and Capital Resources 

Sources of Liquidity 

We have incurred net losses since our inception. For the years ended December 31, 2018 and 2017, we had net 
losses of $32.1 million and $22.0 million, respectively, and we expect to incur additional losses in the near-term future  
At  December  31,  2018,  we  had  an  accumulated  deficit  of  $94.6 million.  To  date,  we  have  generated  only  limited 
revenue, and we may never achieve revenue sufficient to offset our expenses. 

We had cash of $2.6 million as of December 31, 2018. We do not believe our existing cash and cash equivalents 
will be sufficient to meet our anticipated cash requirements for the next 12 months. Our independent registered public 
accounting firm has included an explanatory paragraph in its audit report included in our Form 10-K for the years ended 
December 31, 2018 and 2017 regarding our assessment of substantial doubt about our ability to continue as a going 
concern. Our financial statements do not include any adjustments that may result from the outcome of this uncertainty. 

We have funded our operations primarily through the issuance of equity and debt financing, in addition to sales 

of our commercial products. Our primary funding sources in fiscal year 2018 are as follows: 

• 

• 

• 

• 

• 

• 

• 

• 

In  the  first  quarter  of  2018,  the  Company  issued  820,953  shares  of  its  common  stock  in  exchange  for 
redemption of certain convertible debt. 

In February 2018, the Company issued a promissory note for cash proceeds of $1,560,000,  representing 
a principal amount of $2,240,909 less a discount of $680,909.  

In March  2018, the Company issued a promissory note for cash proceeds of $750,000, representing a 
principal amount of $1,090,341 less a discount of $315,341.  

In  March   2018,  the  Company  issued  285,694  shares  of  its  common  stock  in  lieu  of  cash  payment  of 
interest expense on its long-term convertible debt. 

In March 2018, the Company issued  5,524,926 shares of its Series A convertible preferred stock for net 
cash proceeds of $9,199,001.  

In March 2018, concurrent with the March 2018 preferred stock financing, the Company issued 1,960,794 
shares of its common stock to certain institutional investors in exchange for $5.0 million in cash. 

In September 2018, the Company issued a convertible promissory note for cash proceeds of $400,000, 
representing a principal amount of $455,000 less a discount of $55,0000.  In October 2018, the Company 
paid off the entire Note.     

In September 2018, the Company issued a convertible promissory note for cash proceeds of $100,000, 
representing a principal amount of $111,250 less a discount of $11,250.  In October 2018, the Company 
paid off the entire Note.     

82 

• 

In October 2018, the Company had a public offering of common shares and pre-funded warrants, with 
gross proceeds of $9,000,000, or $7,081,451 net of issuance costs.   

We expect our expenditures will continue to increase as we continue our efforts to develop our products and 
continue development of our pipeline in the near term. We do not believe our current capital is sufficient to fund our 
operating plan through December 2019. We will need to seek additional funds through public or private equity or debt 
financings  or  other  sources,  such  as  strategic  collaborations.  Such  financing  may  result  in  dilution  to  stockholders, 
imposition of debt covenants and repayment obligations or other restrictions that may affect our business. In addition, 
we may seek additional capital due to favorable market conditions or strategic considerations even if we believe we 
have  sufficient  funds  for  our  current  or  future  operating  plans.  We  may  also  not  be  successful  in  entering  into 
partnerships that include payment of upfront licensing fees for our products and product candidates for markets outside 
the United States, where appropriate. If we do not generate upfront fees from any anticipated arrangements, it would 
have a negative effect on our operating plan. We plan to finance our operations and capital funding needs through equity 
and/or debt financing as well as revenue from future product sales. However, there can be no assurance that additional 
funding will be available to us on acceptable terms on a timely basis, if at all, or that we will generate sufficient cash 
from operations to adequately fund operating needs or ultimately achieve profitability. If we are unable to obtain an 
adequate level of financing needed for the long-term development and commercialization of our products, we will need 
to curtail planned activities and reduce costs. Doing so will likely have an adverse effect on our ability to execute on 
our business plan. These matters raise substantial doubt about the ability of the Company to continue in existence as a 
going concern within one year after issuance date of the financial statements. 

Cash Flows for Year Ended December 31, 2018 Compared to the Year Ended December 31, 2017 

The following table shows a summary of cash flows for the years ended December 31, 2018 and 2017: 

Total cash used in operations . . . . . . . . . . . . . . . . . . . . . . . . . . .     $ (22,730,832)   $  (9,824,940)
    (1,285,215)
Total cash used in investing activities . . . . . . . . . . . . . . . . . . . .    
Total cash provided by financing activities . . . . . . . . . . . . . . . .    
   10,679,874 
  $  1,808,324   $  (430,281)

 (6,527)  
    24,545,683  

Year Ended December 31,  

2018 

2017 

Cash Used in Operating Activities 

During the year ended December 31, 2018, cash used in operating activities of $22.7 million resulted from our 
net  loss  of  $32.1 million,  adjusted  by  non-cash  depreciation  and  amortization  expense  of  $1.3  million,  goodwill 
impairment  of  $5.2  million,  stock-based  compensation  of  $2.0  million,  a  debt  extinguishment  loss  of  $0.5  million, 
accretion of interest expense from debt discount and issuance costs of $1.2 million, offset by net of changes in operating 
assets and liabilities of $0.9 million. 

During the year ended December 31, 2017, cash used in operating activities of $9.8 million resulted from our 
net loss of $22.0 million, adjusted by noncash accretion of end of term payment, debt discounts and debt issuance costs 
of $600,000, stock-based compensation of $815,000, change in fair value of modified warrants of $23,000, reduction in 
the fair value of warrant liability of $695,000, loss on extinguishment of debt of $477,000, stock issued in the merger 
in exchange for services $151,000, common stock issued in exchange for services rendered of $44,000, depreciation 
and amortization expenses of $584,000, interest paid on the conversion of debt to equity of $79,000, impairment of 
goodwill of $16.8 million, impairment of long-lived intangible assets of $2,300,000 deferred income benefit of $13.2 
million, and gain on revaluation of derivative liability of $9,000, net of changes in operating assets and liabilities of 
$4.1 million. 

Cash Used In Investing Activities 

During the year ended December 31, 2018, cash used in investing activities of $6,527 consisted of cash used 

to purchase property. 

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During the year ended December 31, 2017, cash used in investing activities of $1.3 million consisted of cash 
used in acquisition, net of cash acquired of $1.6 million offset by $272,000 of release of restricted cash that resulted 
from principal payments of our long-term debt. 

Cash Provided by Financing Activities 

During the year ended December 31, 2018, net cash provided by financing activities of $24.6 million primarily 
consisted of $1.3 million and $750,000 received in separate PIPE financings, $14.6 million in net proceeds from the 
Sagard financing, including $5.0 million in net proceeds received from the issuance of common stock and $9.0 million 
in net proceeds received from the issuance of convertible preferred stock, and $2.6 million received in the issuance of 
debt, offset by $2.3 million in principal payments of our long-term and convertible debt. 

During  the year  ended  December 31,  2017,  cash  used  in  financing  activities  of  $10,679,874  consisted  of 
$3.5 million of net proceeds received in a follow-on registration statement, $555,000 and $401,000 received in separate 
PIPE  financings,  $2.3 million  in  net  proceeds  received  in  the  CSPA,  $94,000  in  net  proceeds  received  in  a  PIPE 
financing,  $1.7 million  received  in  the  issuance  of  convertible  debt,  $1.1 million  received  in  the  issuance  of 
non-convertible debt, $3.0 million received from the sale of common stock in the merger, and $363,000 received in the 
exercise of certain warrants, offset by $2.4 million in principal payments of our long-term debt. 

Off-Balance Sheet Arrangements 

Since inception, we have not engaged in the use of any off-balance sheet arrangements, such as structured 

finance entities, special purpose entities or variable interest entities. 

JOBS Act 

In April 2012, the JOBS Act was enacted. Section 107 of the JOBS Act provides that an emerging growth 
company can take advantage of an extended transition period for complying with new or revised accounting standards. 
Thus, an emerging growth company can delay the adoption of certain accounting standards until those standards would 
otherwise apply to private companies. We have irrevocably elected not to avail ourselves of this extended transition 
period, and, as a result, we will adopt new or revised accounting standards on the relevant dates on which adoption of 
such standards is required for other public companies. 

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

Not applicable. 

84 

 
 
ITEM 8.       FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA 

Jaguar Health, Inc. 
Index to Financial Statements 

Audited Financial Statements 
Report of Independent Registered Public Accounting Firm  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Consolidated Balance Sheets as of December 31, 2018 and 2017  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Consolidated Statements of Operations for the years ended December 31, 2018 and 2017 . . . . . . . . . . . . . . . . . .  
Consolidated Statements of Stockholders’ Equity (Deficit) for the period from December 31, 2016 through 

December 31, 2018 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Consolidated Statements of Cash Flows for the years ended December 31, 2018 and 2017. . . . . . . . . . . . . . . . . .  
Notes to Audited Conolidated Financial Statements  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  

Page 

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Report of Independent Registered Public Accounting Firm 

Board of Directors and Stockholders 
Jaguar Health, Inc. 
San Francisco, California 

Opinion on the Consolidated Financial Statements 

We have audited the accompanying consolidated balance sheets of Jaguar Health, Inc. (formerly Jaguar Animal 
Health, Inc.)(the “Company”) as of December 31, 2018 and 2017, the related consolidated statements of operations, 
stockholders’ equity (deficit), and cash flows for each of the two years in the period ended December 31, 2018. In our 
opinion,  the  consolidated  financial  statements  present  fairly,  in  all  material  respects,  the  financial  position  of  the 
Company  at  December 31,  2018  and  2017,  and  the  results  of  their  operations  and  their  cash  flows  for  each  of  the 
two years in the period ended December 31, 2018, in conformity with accounting principles generally accepted in the 
United States of America. 

Going Concern Uncertainty 

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

Change in Accounting Principle 

 As  discussed in  Note  2  to  the  consolidated  financial  statements,  the  Company  has  changed  its  accounting 
method  for  recognizing  revenue  from  contracts  with  customers  in  fiscal  year  2018  due  to  the  adoption  of 
Topic 606: Revenue from Contracts with Customers. 

Basis for Opinion 

These  consolidated  financial  statements  are  the  responsibility  of  the  Company’s  management.  Our 
responsibility is to express an opinion on the Company’s consolidated financial statements based on our audits. We are 
a public accounting firm registered with the Public Company Accounting Oversight Board (United States) (“PCAOB”) 
and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and 
the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB. 

We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan 
and perform the audit to obtain reasonable assurance about whether the consolidated financial statements are free of 
material misstatement, whether due to error or fraud. The Company is not required to have, nor were we engaged to 
perform,  an  audit  of  its  internal  control  over  financial  reporting.  As  part  of our  audits  we  are required  to obtain  an 
understanding  of  internal  control  over  financial  reporting  but  not  for  the  purpose  of  expressing  an  opinion  on  the 
effectiveness of the Company’s internal control over financial reporting. Accordingly, we express no such opinion. 

Our audits included performing procedures to assess the risks of material misstatement of the consolidated 
financial  statements,  whether  due  to  error  or  fraud,  and  performing  procedures  that  respond  to  those  risks.  Such 
procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the consolidated 
financial statements. Our audits also included evaluating the accounting principles used and significant estimates made 
by management, as well as evaluating the overall presentation of the consolidated financial statements. We believe that 
our audits provide a reasonable basis for our opinion. 

We have served as the Company’s auditor since 2013. 

/s/ BDO USA, LLP 

San Francisco, California 
April 10, 2019 

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JAGUAR HEALTH  
CONSOLIDATED BALANCE SHEETS 

December 31,  
2018 

December 31,  
2017 

Assets 
Current assets: 

   Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   $ 
   Restricted cash  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
   Accounts receivable  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
   Other receivable  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
   Inventory  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
   Prepaid expenses and other current assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Total current assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Property and equipment, net  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Goodwill  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Intangible assets, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Other assets  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  

Total assets  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   $ 

Liabilities, convertible preferred stock and stockholders' equity (deficit) 
Current liabilities: 

   Accounts payable  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   $ 
   Deferred collaboration revenue  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
   Accrued liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
   Warrant liability  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
   Derivative liability  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
   Conversion option liability  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
   Convertible debt - current, net of discount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
   Notes payable, net of discount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
   Current portion of long-term debt  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Total current liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Convertible debt - non-current, net of discount  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  

Total liabilities   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   $ 

 2,568,191   
 —   
 995,683   
 6,118   
 3,342,177   
 1,237,772   
 8,149,941   
 760,617   
 —   
 31,710,556   
 420,831   
 41,041,945   

 5,414,260   
 —   
 4,939,441   
 220,376   
 —   
 —   
 11,239,170   
 4,845,575   
 —   
 26,658,822   
 —   
 26,658,822   

$ 

$ 

$ 

$ 

 520,698 
 239,169 
 467,658 
 1,380 
 2,072,817 
 497,373 
 3,799,095 
 1,222,068 
 5,210,821 
 33,397,222 
 — 
 43,629,206 

 7,354,932 
 177,389 
 2,204,133 
 103,860 
 11,000 
 111,841 
 2,672,215 
 1,141,153 
 1,609,244 
 15,385,767 
 10,982,437 
 26,368,204 

Commitments and contingencies (See Note 7) 

Series A convertible preferred stock: $0.0001 par value, 10,000,000 shares authorized at 

December 31, 2018 and 2017; 5,524,926 and 0 shares issued and outstanding at December 31, 
2018 and 2017, repectively; (liquidation preference of $9,199,002 at December 31, 2018) . . . . . . . . .  

 9,000,002   

 — 

Stockholders' equity (deficit):  
Common stock: $0.0001 par value, 150,000,000 and 250,000,000 shares authorized at December 31, 

2018 and 2017, respectively; 24,603,104 and 4,180,484 shares issued and outstanding at 
December 31, 2018 and 2017, respectively. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  

Common stock - non-voting: $0.0001 par value, 50,000,000 shares authorized at December 31, 2018 
and 2017; 40,301,237 and 42,617,893 shares issued and outstanding at December 31, 2018 and 
2017, respectively. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
      Additional paid-in capital  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
      Accumulated deficit  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Total stockholders' equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Total liabilities, convertible preferred stock and stockholders' equity (deficit) . . . . . . . . . . . . . . . .   $ 

 2,460   

 418 

 4,030   
 99,927,410   
 (94,550,779)  
 5,383,121   
 41,041,945   

$ 

 4,262 
 79,661,044 
 (62,404,722) 
 17,261,002 
 43,629,206 

The accompanying notes are an integral part of these consolidated financial statements. 

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JAGUAR HEALTH 
CONSOLIDATED STATEMENTS OF OPERATIONS  

Product revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $  4,238,756  $ 
Collaboration revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     
Total revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     
Operating expenses 

 177,389 
 4,416,145 

2018 

2017 

 1,485,114 
 2,876,072 
 4,361,186 

Year Ended  
December 31,  

 2,765,746    
 5,154,748     
 9,831,576    
 12,277,222    
 5,210,821    
 —    

  Cost of product revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     
  Research and development  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      
  Sales and marketing  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     
  General and administrative  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     
  Impairment of goodwill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     
  Impairment of indefinite-lived assets  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     

 880,405 
 4,269,455 
 3,083,739 
 11,247,647 
 16,827,000 
 2,300,000 
Total operating expenses  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .        35,240,113       38,608,246 
Loss from operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .       (30,823,968)     (34,247,060)
 (1,209,632)
Interest expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .        (2,628,685)    
Other income, net  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     
 315,691    
 88,549 
Change in fair value of warrants, derivative liability and conversion option liability . .     
 695,341 
 331,016    
Gain on Valeant settlement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     
 1,204,333    
 — 
Loss on extinguishment of debt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     
 (477,054)
 (544,444)   
Net loss before income tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .       (32,146,057)     (35,149,856)
Income tax benefit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     
 13,181,242 
Net loss  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $ (32,146,057)  $  (21,968,614)
 (7.59)
 (2.19)  $ 
Net loss per share, basic and diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $
 2,895,729 
Weighted-average common shares outstanding, basic and diluted . . . . . . . . . . . . . . . . .        14,681,044     

 —    

The accompanying notes are an integral part of these consolidated financial statements. 

88 

 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
   
   
 
 
 
 
JAGUAR HEALTH 
CONSOLIDATED STATEMENTS OF  STOCKHOLDERS’ EQUITY (DEFICIT) 

Balances - December 31, 2016  . . . . . . . . . . . . . . .      
Issuance of common stock in association with a 

June 2016 private investment in public entities 
offering, net of offering costs of $72,710  . . . . . . .    

Issuance of common stock in a private investment 

in public entities offering, net of offering costs of 
$6,000 June 2017  . . . . . . . . . . . . . . . . . . . . . . .    

Issuance of common stock through a stock 

purchase agreement with a private investor, net of 
offering costs of $44,738 November 2017  . . . . . .    

Issuance of common stock in a private investment 

in public entities offering . . . . . . . . . . . . . . . . . .    
Issuance of common stock in the merger  . . . . . . . . .    
Issuance of common stock in a July 2017 CSPA . . . .    
Issuance of common stock in a follow-on offering 
registration statement October 2017, net of 
commissions and offering costs of $763,502 . . . . .    

Issuance of common stock - non-voting in 

Series A  
  Preferred Stock    
  Shares      Amount   

Common  
stock - voting 

Common  
stock - non-voting 
Shares 

Shares 
 933,809   $ 

    Amount     

 93  

 —   $

     Amount      paid-in capital     

Additional  

  Stockholders' 
     Equity (Deficit) 
 —   $  37,981,829   $  (40,436,108)  $  (2,454,185) 

  Accumulated 

deficit 

Total 

 —  

 —   

 264,819  

 26  

 —  

 —  

 2,314,347  

 —  

 2,314,374 

 —  

 —   

 13,333  

 1  

 —  

 —  

 93,999  

 —  

 94,000 

 —  

 —   

 340,000  

 34  

 —  
 —  
 —  

 —   
 —   
 —   

 267,333  
 152,163  
 216,216  

 27  
 15  
 22  

 —  

 —  
 —  
 —  

 —  

 —  
 —  
 —  

 555,228  

 400,973  
 1,278,154  
 2,999,978  

 —  

 —  
 —  
 —  

 555,262 

 401,000 
 1,278,169 
 3,000,000 

 —  

 —    1,445,833  

 145  

 —  

 —  

 3,573,853  

 —  

 3,573,998 

the merger  . . . . . . . . . . . . . . . . . . . . . . . . . . . .    

 —  

 —   

 —  

 —  

 43,173,288  

   4,317  

   24,172,725  

 —  

 24,177,042 

Conversion of non-voting common stock to 

common stock  . . . . . . . . . . . . . . . . . . . . . . . . .    
Issuance of warrants in the merger  . . . . . . . . . . . . .    
Issuance of stock options in the merger  . . . . . . . . . .    
Issuance of RSUs in the merger  . . . . . . . . . . . . . . .    
Issuance of common stock in exchange for warrants  .    
Stock-based compensation . . . . . . . . . . . . . . . . . . .    
Warrants, issued in conjunction with debt 

 —  
 —  
 —  
 —  
 —  
 —  

 —   
 —   
 —   
 —   
 —   
 —   

 37,026  
 —  
 —  
 —  
 60,556  
 —  

 4  
 —  
 —  
 —  
 6  
 —  

 (555,395) 

 (55) 

 —  
 —  
 —  
 —  

 —  
 —  
 —  
 —  

 51  
 630,859  
 5,691  
 3,300,555  
 386,328  
 814,613  

extinguishment  . . . . . . . . . . . . . . . . . . . . . . . . .    

 —  

 —   

 —  

 —  

 —  

 —  

 207,713  

Issuance of common stock in exchange for vested 

restricted stock units  . . . . . . . . . . . . . . . . . . . . .    

 —  

 —   

 914  

 —  

 —  

 —  

 —  

 —  
 —  
 —  
 —  
 —  
 —  

 —  

 —  

 — 
 630,859 
 5,691 
 3,300,555 
 386,334 
 814,613 

 207,713 

 — 

Issuance of common stock in exchange for 

redemption of convertible debt  . . . . . . . . . . . . . .    
Issuance of common stock in exchange for services . .    
Net loss   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Balances - December 31, 2017  . . . . . . . . . . . . . . .    

 —  
 —  
 —  
 —   $ 

 432,806  
 15,676  
 —  

 43  
 —   
 2  
 —   
 —   
 —  
 —    4,180,484   $   418  

 —  
 —  
 —  

 900,363 
 43,829 
   (21,968,614) 
 42,617,893   $ 4,262   $  79,661,044   $  (62,404,722)  $  17,261,002 

 —  
 —  
   (21,968,614) 

 900,320  
 43,827  
 -  

 —  
 —  
 —  

A
n
n
u
a

l

R
e
p
o
r
t

89 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
  
 
 
 
 
 
 
  
 
 
 
 
   
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
JAGUAR HEALTH 
CONSOLIDATED STATEMENTS OF  STOCKHOLDERS’ EQUITY (DEFICIT)  (continued) 

Series A  
Preferred Stock 

Common  
stock - voting 

Shares 

     Amount 

Shares 

     Amount     

 —     4,180,484  

 418  

Common  
stock - non-voting 
Shares 
 42,617,893  

Additional  

  Accumulated 

     Amount      paid-in capital     

   4,262  

   79,661,044  

deficit 
   (62,404,722)  

Total 

  Stockholders' 
     Equity (Deficit) 
 17,261,002 

Balances - December 31, 2017   . . . . . . .  
Issuance of preferred stock and common 
stock in a private investment in public 
entities March 2018  . . . . . . . . . . . . . .    5,524,926  

 —  

   9,000,002     1,960,794  

 196  

 —  

 —  

 4,999,804  

 —  

 5,000,000 

Beneficial conversion feature of the 

series A convertible  preferred stock 
March 2018  . . . . . . . . . . . . . . . . . . .  

Deemed dividend on the series A 
convertible preferred stock 
March 2018  . . . . . . . . . . . . . . . . . . .  

Issuance of common stock in a private 

investment in public entities with new 
investors March 2018 . . . . . . . . . . . . .  

Issuance of common stock in a private 
investment in public entities with 
existing investors March 2018 . . . . . . .  

Issuance of common stock in exchange 

for redemption of convertible debt   . . .  

Issuance of common stock in exchange 

for services  March 2018  . . . . . . . . . .  

Issuance of common stock in exchange 
for payment of interest  expense July 
2018  . . . . . . . . . . . . . . . . . . . . . . . .  

Conversion of non-voting common stock 

to voting  common  stock July 2018 . . .  

Issuance of common stock in lieu of 

interest July 2018. . . . . . . . . . . . . . . .  
Issuance of common stock July 2018 . . . .  
Issuance of common stock in debt 

financing September 2018 . . . . . . . . . .  

Issuance of warrants in debt financing 

September 2018 . . . . . . . . . . . . . . . . .  

Issuance of warrants in support of 

September 2018 office lease  . . . . . . . .  

Fractional common stock shares 

repurchased  . . . . . . . . . . . . . . . . . . .  

Shares issued in S-1 offering, net of 
issuance costs of $1.9 million, 
October 2018  . . . . . . . . . . . . . . . . . .  

Shares issued from prepaid equity 

 —  

 (995,000)  

 —  

 —  

 —  

 —  

 995,000  

 —  

 995,000 

 —  

 995,000   

 —  

 —  

 —  

 —  

 (995,000) 

 —  

 (995,000)

 —  

 —   

 716,425  

 72  

 —  

 —  

 1,305,702  

 —  

 1,305,774 

 —  

 —  

 —  

 —  

 —  

 —  
 —  

 —  

 —  

 —  

 —  

 —   

 478,853  

 48  

 —   

 956,553  

 96  

 —   

 3,333  

 —  

 —  

 —  

 —  

 —  

 750,052  

 —  

 750,100 

 —  

 1,607,325  

 —  

 1,607,421 

 —  

 6,425  

 —  

 6,425 

 —   

 285,694  

 29  

 —  

 —  

 704,696  

 —   

 154,443  

 15  

 (2,316,656) 

 (232) 

 217  

 —   
 —   

 320,743  
 470,781  

 32  
 47  

 —   

 75,000  

 7  

 —  

 —  

 —  

 —  

 —   

 —   

 —   

 —  
 —  

 —  

 —  

 —  

 —  
 —  

 —  

 —  

 —  

 479,776  
 624,850  

 47,993  

 118,149  

 493,688  

 —  

 —  

 —  

 —  

 (30) 

 —  

 —  

 —  
 —  

 —  

 —  

 —  

 —  

 704,725 

 — 

 479,808 
 624,897 

 48,000 

 118,149 

 493,688 

 (30)

 —  

 —    11,575,001  

   1,157  

 —  

 —  

 5,025,293  

 —  

 5,026,450 

forward contracts, October 2018  . . . . .  
 343  
Issuance of warrants for services . . . . . . .  
 —  
Stock-based compensation . . . . . . . . . . .  
 —  
 —  
Net loss  . . . . . . . . . . . . . . . . . . . . . . . .  
Balances - December 31, 2018 . . . . . . . .    5,524,926   $  9,000,002    24,603,104   $ 2,460  

 —     3,425,000  
 —  
 —   
 —  
 —   
 —  
 —   

 —  
 —  
 —  
 —  

 —  
 —  
 —  
 —  

 2,054,658  
 2,055,001 
 23,894  
 23,894 
 2,023,874  
 2,023,874 
   (32,146,057)
 —  
 40,301,237   $  4,030   $ 99,927,410   $ (94,550,779)   $  5,383,121 

 —  
 —  
 —  
   (32,146,057)  

 —  
 —  
 —  
 —  

The accompanying notes are an integral part of these consolidated financial statements. 

90 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
  
 
 
 
 
 
 
  
 
  
 
 
 
  
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
  
 
 
 
 
 
 
JAGUAR HEALTH, INC.  
CONSOLIDATED STATEMENTS OF CASH FLOWS 

Cash flows from operating activities 
Net loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $ 
Adjustments to reconcile net loss to net cash used in operating activities: 

   Depreciation and amortization expense  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
   Impairment of goodwill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
   Impairment of indefinite-lived assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
   Deferred income tax benefit  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
   Interest paid on the conversion of debt to equity  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
   Common stock issued in exchange for services rendered  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
   Common stock issued in Napo merger for services  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Warrants issued for services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
   Loss on extinguishment of debt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
   Charge in relation to modification of warrants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
   Stock-based compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
   Amortization of debt issuance costs and debt discount  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
   Change in fair value of warrants, conversion option and derivative liability . . . . . . . . . . . . . . . . . . . . . . . .   

Changes in assets and liabilities 

Accounts receivable  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Other receivable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Inventory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Prepaid expenses and other current assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Deferred offering costs  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Other non-current assets  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Due from former parent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Deferred revenue  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Deferred product revenue   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Deferred rent  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Accounts payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Accrued expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Total cash used in operations  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Cash flows from investing activities 

Purchase of equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Cash paid in Napo merger, net of cash acquired  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Total cash used in investing activities  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Cash flows from financing activities 

Proceeds from issuance of notes payable  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Proceeds from issuance of convertible debt  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Payments of long-term debt  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Payments of convertible debt  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Issuance of common stock in a private investment in public entities - June 2016 . . . . . . . . . . . . . . . . . . . .   
Issuance of common stock through a stock purchase agreement with a private investor  - November 2017  . .   
Issuance of common stock in a private investment in public entities offering - December 2017 . . . . . . . . . .   
Issuance of common stock in a follow-on offering registration statement, net - October 2017  . . . . . . . . . . .   
Proceeds from issuance of common stock in the Napo merger . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Issuance of common stock through the exercise of common stock warrants  . . . . . . . . . . . . . . . . . . . . . . .   
Proceeds from issuance of common stock  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Proceeds from issuance of convertible preferred stock  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Proceeds from issuance of common stock July 2018  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Issuance of common stock - public offering - October 2018  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Payment of underwriting discounts, commissions and other associated offering costs   . . . . . . . . . . . . . . . .   
Issuance of common stock - exercise of prepaid equity forward contracts - October 2018 . . . . . . . . . . . . . .   
Fractional common stock shares repurchased  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Total cash provided by financing activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Net increase (decrease) in cash and restricted cash  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Cash and restricted cash at beginning of period  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Cash and restricted cash at end of period . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $ 

Year Ended  
December 31,  

2018 

2017 

 (32,146,057) 

$ 

 (21,968,614)

 1,319,003  
 5,210,821  
 —  
 —  
 21,274  
 6,425  
 —  
 23,894  
 544,444  
 —  
 2,023,874  
 1,196,914  
 (6,325) 

 (528,025) 
 (4,738) 
 (1,269,360) 
 (111,616) 
 —  
 (262,659) 
 —  
 (177,389) 
 —  
 109,240  
 (1,940,671) 
 3,260,119  
 (22,730,832) 

 (6,527) 
 —  
 (6,527) 

 2,564,938  
 474,000  
 (1,689,200) 
 (566,249) 
 —  
 —  
 —  
 —  
 —  
 —  
 7,055,874  
 9,199,002  
 624,897  
 6,945,000  
 (2,117,550) 
 2,055,001  
 (30) 
 24,545,683  
 1,808,324  
 759,867  
 2,568,191  

$ 

 584,339 
 16,827,000 
 2,300,000 
 (13,181,242)
 79,401 
 43,829 
 151,351 
 — 
 477,054 
 23,000 
 814,613 
 600,360 
 (704,341)

 (166,057)
 (1,380)
 128,000 
 (143,926)
 72,710 
 122,163 
 (164,647)
 177,389 
 (224,454)
 (2,372)
 4,188,890 
 141,994 
 (9,824,940)

 — 
 (1,557,340)
 (1,557,340)

 1,100,000 
 1,700,000 
 (2,422,094)

 2,314,374 
 555,262 
 495,000 
 3,573,998 
 3,000,000 
 363,334 
 — 
 — 
 — 
 — 
 — 
 — 
 — 
 10,679,874 
 (702,406)
 1,462,273 
 759,867 

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JAGUAR HEALTH, INC.  
STATEMENTS OF CASH FLOWS (continued) 

Supplemental schedule of non-cash financing and investing activities 
Interest paid on long-term debt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      $ 
Common stock issued as redemption of Jaguar notes payable and related interest  . . . . . . . . . . . . . . . . . . . . .     $ 
Common stock issued as redemption of Napo notes payable and related interest  . . . . . . . . . . . . . . . . . . . . . .     $ 
Issuance of common stock in debt financing September 2018   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     $ 
Issuance of warrants in debt financing September 2018  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     $ 
Deemed dividend attributable to Series A convertible preferred stock  . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     $ 
Warrants issued with October 2018 offering . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     $ 
Fair value of common stock issued in Napo merger . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     $ 
Fair value of replacement of common stock warrants issued in Napo merger . . . . . . . . . . . . . . . . . . . . . . . . .     $ 
Fair value of replacement restricted stock units issued in Napo merger . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     $ 
Fair value of replacement stock options issued in Napo merger . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     $ 
Fair value of common stock issued as redemption of Jaguar notes payable . . . . . . . . . . . . . . . . . . . . . . . . . .     $ 
Fair value of common stock issued as redemption of Napo notes payable . . . . . . . . . . . . . . . . . . . . . . . . . . .     $ 
Fair value of common stock issued in lieu of repayment of Napo debt  . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     $ 

Year Ended  
December 31,  

2018 

2017 

 19,344  
 1,153,408  
 1,638,546  
 48,000  
 118,149  
 995,000  
 611,286  
 —  
 —  
 —  
 —  
 —  
 —  
 —  

$ 
$ 
$ 
$ 
$ 
$ 
$ 
$ 
$ 
$ 
$ 
$ 
$ 
$ 

 234,550 
 — 
 — 
 — 
 — 
 — 
 — 
 25,303,859 
 630,859 
 3,300,555 
 5,691 
 601,312 
 299,050 
 2,000,000 

Cash and Restricted Cash: 
Cash  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Restricted cash   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Total cash and restricted cash   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      $ 

  $ 

December 31,  
2018 

December 31, 
2017 

 2,568,191 
—  
 2,568,191   

  $ 

$ 

 520,698 
 239,169 
 759,867 

The accompanying notes are an integral part of these consolidated financial statements.  

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1. Organization and Business  

Jaguar Health, Inc. 
Notes to Financial Statements 

Jaguar Health, Inc. (“Jaguar”, “we” or the “Company”), formerly known as Jaguar Animal Health, Inc., was 
incorporated  on  June 6,  2013  (inception)  in  Delaware.  The  Company  was  a  majority-owned  subsidiary  of  Napo 
Pharmaceuticals, Inc.  (“Napo”  or  the  “Former  Parent”)  until  the  close  of  the  Company's  initial  public  offering  on 
May 18,  2015.  The  Company  was  formed  to  develop  and  commercialize  first-in-class  gastrointestinal  products  for 
companion and production animals and horses. The Company's first commercial product, Neonorm Calf, was launched 
in 2014 and Neonorm Foal was launched in the first quarter of 2016. The Company's activities are subject to significant 
risks and uncertainties, including failing to secure additional funding in order to timely compete the development and 
commercialization of products. 

On July 31, 2017, Jaguar completed a merger with Napo pursuant to the Agreement and Plan of Merger dated 
March 31, 2017 by and among Jaguar, Napo, Napo Acquisition Corporation (“Merger Sub”), and Napo's representative 
(the “Merger Agreement”). In accordance with the terms of the Merger Agreement, upon the completion of the merger, 
Merger Sub merged with and into Napo, with Napo surviving as our wholly-owned subsidiary (the “Merger” or “Napo 
Merger”). Immediately following the Merger, Jaguar changed its name from “Jaguar Animal Health, Inc.” to “Jaguar 
Health, Inc.” Napo now operates as a wholly-owned subsidiary of Jaguar focused on human health and the ongoing 
commercialization  of  Mytesi,  a  Napo  drug  product  approved  by  the  U.S.  FDA  for  the  symptomatic  relief  of 
noninfectious diarrhea in adults with HIV/AIDS on antiretroviral therapy. 

The  Company  manages  its  operations  through  two  segments—human  health  and  animal  health  and  is 

headquartered in San Francisco, California. 

Reverse stock-split 

On May 18, 2018, the stockholders of Jaguar approved at the 2018 Annual Meeting of Stockholders of the 
Company  and  the  Board  approved,  in  accordance  with  the  authority  granted  by  the  Company's  stockholders  at  the 
Annual  Meeting,  a  1-for-15  reverse  stock  split  of  the  Company's  issued  and  outstanding  shares  of  Common  Stock, 
effective June 1, 2018. The reverse split has been reflected in all voting common stock, warrants, and common stock 
option shares disclosed in these financial statements. The non-voting common stock and the convertible preferred stock 
were excluded from the reverse split. 

Liquidity and Going Concern 

The accompanying consolidated financial statements have been prepared assuming the Company will continue 
as a going concern. The Company has incurred recurring operating losses since inception and has an accumulated deficit 
of $94.6 million as of December 31, 2018. The Company expects to incur substantial losses in future periods. Further, 
the  Company’s  future  operations  are  dependent  on  the  success  of  the  Company’s  ongoing  development  and 
commercialization  efforts,  as  well  as  the  securing  of  additional  financing.  There  is  no  assurance  that  profitable 
operations, if ever achieved, could be sustained on a continuing basis. 

The Company plans to finance its operations and capital funding needs through equity and/or debt financing, 
collaboration arrangements with other entities, as well as revenue from future product sales of Mytesi and Neonorm. 
However, there can be no assurance that additional funding will be available to the Company on acceptable terms on a 
timely basis, if at all, or that the Company will generate sufficient cash from operations, including sales of Mytesi, to 
adequately fund operating needs or ultimately achieve profitability. If the Company is unable to obtain an adequate level 
of financing needed for the long-term development and commercialization of its products, the Company will need to 
curtail planned  activities  and reduce  costs. Doing  so  will likely  have an  adverse  effect  on  the  Company’s  ability  to 
execute  on  its  business  plan.  These  matters  raise  substantial  doubt  about  the  ability  of  the  Company  to  continue  in 

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existence as a going concern within one year after issuance date of the financial statements. The accompanying financial 
statements do not include any adjustments that might result from the outcome of these uncertainties. 

2. Summary of Significant Accounting Policies  

Basis of Presentation  

The financial statements have been prepared in accordance with accounting principles generally accepted in 

the United States of America ("U.S. GAAP"). 

Principles of Consolidation 

The consolidated financial statements have been prepared in accordance with US GAAP and applicable rules 
and regulations of the Securities and Exchange Commission (“SEC”) and include the accounts of the Company and its 
wholly owned subsidiaries.  All inter-company transactions and balances have been eliminated in consolidation. 

Use of Estimates  

The preparation of financial statements in conformity with U.S. GAAP requires the Company’s management 
to  make  judgments,  assumptions  and  estimates  that  affect  the  amounts  reported  in  its  financial  statements  and  the 
accompanying notes. The accounting policies that reflect the Company’s more significant estimates and judgments and 
that the Company believes are the most critical to aid in fully understanding and evaluating its reported financial results 
are valuation of stock options; valuation of warrant liabilities; valuation of derivative liability, impairment testing of 
goodwill, acquired in-process research and development (“IPR&D"), and long lived assets; useful lives for depreciation 
and amortization; valuation adjustments for excess and obsolete inventory; allowance for doubtful accounts; deferred 
taxes and valuation allowances on deferred tax assets; evaluation and measurement of contingencies; and recognition 
of revenue, including estimates for product returns. Those estimates could change, and as a result, actual results could 
differ materially from those estimates. 

Deferred Offering Costs 

Deferred offering costs are costs incurred in filings of registration statements with the Securities and Exchange 
Commission. These deferred offering costs are offset against proceeds received upon the closing of the offerings. Upon 
the closing of its October 2018 offering, in which common stock and pre-funded warrants were issued as registered on 
Form S-1, the Company had deferred costs of $1.9 million, representing legal, accounting, printer and filing fees. These 
deferred offering costs were charged to stockholders’ equity when the offering closed on October 4, 2018. 

Concentrations 

Cash is the financial instrument that potentially subjects the Company to a concentration of credit risk as cash 
is deposited with a bank and cash balances are generally in excess of Federal Deposit Insurance Corporation (“FDIC”) 
insurance limits. The carrying value of cash approximates fair value at December 31, 2018 and 2017. 

For the year ended December 31, 2018, substantially all of the Company’s revenue has been derived from the 
sale of Mytesi.  The Company earned Mytesi revenue primarily from three major pharmaceutical distributors in the 

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United States, each of whom amounted to a percentage of total net revenue of at least 10%.  Revenue earned from each 
as a percentage of total net revenue follows: 

Consolidated (percentage of total net sales) 

For the Year Ended 
December 31,  

      2018 

2017 

Customer 1  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Customer 2  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Customer 3  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    

 32 %   
 31 %   
 26 %   
 89 %   

 11 %   
 9 %   
 12 %   
 32 %   

The Company is subject to credit risk from its accounts receivable related to its sales. The Company generally 
does not perform evaluations of customers' financial condition and generally does not require collateral. The Company's 
significant pharmaceutical distributors and their related accounts receivable balance as a percentage of total accounts 
receivable were as follows: 

Customer 1  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Customer 2  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Customer 3  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    

 34 %   
 31 %   
 21 %   
 86 %   

 34 %   
 26 %   
 37 %   
 97 %   

For the Year Ended 
December 31,  

      2018 

2017 

No other customer represented more than 10% of the Company's accounts receivable balances as of those dates. 

The Company is subject to credit risk from its inventory suppliers. The Company sources drug substance from 

a single supplier and drug product from a single supplier. 

Fair Values 

The  Company’s  financial  instruments  include,  cash  and  cash  equivalents,  accounts  receivable,  accounts 
payable, accrued expenses, warrant liabilities, derivative liability, debt conversion option liability, and debt. Cash is 
reported at fair value. The recorded carrying amount of accounts receivable, accounts payable and accrued expenses 
reflect their fair value due to their short-term nature. The carrying value of the interest-bearing debt approximates fair 
value  based  upon  the  borrowing  rates  currently  available  to  the  Company  for  bank  loans  with  similar  terms  and 
maturities. See Note 4 for the fair value measurements. 

Inventories 

Inventories are stated at the lower of cost or market. The Company calculates inventory valuation adjustments 
when conditions indicate that market is less than cost due to physical deterioration, usage, obsolescence, reductions in 
estimated future demand or reduction in selling price. Inventory write-downs are measured as the difference between 
the cost of inventory and market. The Company reserved  $85,000 for Neonorm Foal inventory obsolescence in the year 
ended December 31, 2018. 

Property and Equipment 

Equipment  is  stated  at  cost,  less  accumulated  depreciation.  Equipment  begins  to  be  depreciated  when  it  is 
placed into service. Depreciation is calculated using the straight-line method over the estimated useful lives of 3 to 10 
years. 

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Expenditures for repairs and maintenance of assets are charged to expense as incurred. Costs of major additions 
and betterments are capitalized and depreciated on a straight-line basis over their estimated useful lives. Upon retirement 
or sale, the cost and related accumulated depreciation of assets disposed of are removed from the accounts and any 
resulting gain or loss is included in the statements of operations and comprehensive loss. 

Long-Lived Assets 

The Company regularly reviews the carrying value and estimated lives of all of its long-lived assets, including 
property and equipment to determine whether indicators of impairment may exist that warrant adjustments to carrying 
values or estimated useful lives. The determinants used for this evaluation include management’s estimate of the asset’s 
ability to generate positive income from operations and positive cash flow in future periods as well as the strategic 
significance of the assets to the Company’s business objectives. 

Definite-lived intangible assets are amortized on a straight-line basis over the estimated periods benefited, and 

are reviewed when appropriate for possible impairment. 

Goodwill and Indefinite-lived Intangible Assets  

Goodwill is tested for impairment on an annual basis and in between annual tests if events or circumstances 
indicate that an impairment loss may have occurred. The test is based on a comparison of the reporting unit's book value 
to its estimated fair market value. The Company performs the annual impairment test during the fourth quarter of each 
fiscal year  using  the  opening  consolidated  balance  sheet  as  of  the  first  day  of  the fourth  quarter, with  any  resulting 
impairment recorded in the fourth quarter of the fiscal year. The Company first recorded goodwill upon the June 2017 
Napo Merger, with the goodwill being entirely allocated to the human health reporting unit.  

The Company recorded an impairment of goodwill of $16.8 million in the fiscal year ending December 31, 
2017. The decline in market capitalization during the three months ended September 30, 2017 was determined to be a 
triggering  event  for  potential  goodwill  impairment.  Accordingly,  the  Company  performed  the  goodwill  impairment 
analysis. The Company utilized the market capitalization plus a reasonable control premium in the performance of its 
impairment test. The market capitalization was based on the outstanding shares and the average market share price for 
the 30 days prior to September 30, 2017.  

The  Company  recorded  an  impairment  of goodwill of $5.2  million  in  the fiscal  year ending December 31, 
2018. The decline in market capitalization during fiscal year 2018 was determined to be a triggering event for potential 
goodwill impairment. Accordingly, the Company performed the goodwill impairment analysis. The Company utilized 
the  market  capitalization  plus  a  reasonable  control  premium  in  the  performance  of  its  impairment  test.  The  market 
capitalization was based on the outstanding shares and the average market share price for the 30 days prior to September 
30, 2018. The conditions that gave rise to the fiscal year 2018 impairment charge were due to the total of the fair value 
of total invested capital and non-interest bearing liabilities being less than the book value of total assets.   

Fair  value  determinations  require  considerable  judgment  and  are  sensitive  to  changes  in  underlying 
assumptions, estimates and market factors. Estimating the fair value of individual reporting units and indefinite-lived 
intangible assets requires the Company to make assumptions and estimates regarding our future plans, as well as industry 
and  economic  conditions.  These  assumptions  and  estimates  include  projected  revenues  and  income  growth  rates, 
terminal growth rates, competitive and consumer trends, market-based discount rates, and other market factors.  

Acquired in-process research and development (IPR&D) are intangible assets initially recognized at fair value 
and classified as indefinite-lived assets until the successful completion or abandonment of the associated research and 
development efforts. During the development period, these assets will not be amortized as charges to earnings; instead 
these assets will be tested for impairment on an annual basis or more frequently if impairment indicators are identified. 
The Company recorded an impairment of $2.3 million in the year ended December 31, 2017. The impairment loss was 
measured based on the excess of the carrying amount over the asset's fair value. The loss resulted from the Company's 

96 

termination of the clostridium dificil infection program. The annual test for impairment determined that there was no 
impairement loss for the year ended December 31, 2018. 

Research and Development Expense 

Research  and  development  expense  consists  of  expenses  incurred  in  performing  research  and  development 
activities including related salaries, clinical trial and related drug and non-drug product costs, contract services and other 
outside service expenses. Research and development expense is charged to operating expense in the period incurred. 

Revenue Recognition 

The Company recognizes revenue in accordance with ASC Topic 606, Revenue from Contracts with Customers 
(“ASC 606”), which was adopted on January 1, 2018, using the modified retrospective method, which was elected to 
apply to all active contracts as of the adoption date. Application of the modified retrospective method did not impact 
amounts previously reported by the Company, nor did it require a cumulative effect adjustment upon adoption, as the 
Company's method of recognizing revenue under ASC 606 yielded similar results to the method utilized immediately 
prior to adoption. Accordingly, there was no effect to each financial statement line item as a result of applying the new 
revenue standard. 

Practical Expedients, Elections, and Exemptions 

The Company recognizes revenue in accordance with the core principle of ASC 606 or when there is a transfer 
of control of promised goods or services to customers in an amount that reflects the consideration that the Company 
expects to be entitled to in exchange for those goods or services. 

The Company used a practical expedient available under ASC 606-10-65-1(f)4 that permits it to consider the 
aggregate effect of all contract modifications that occurred before the beginning of the earliest period presented when 
identifying satisfied and unsatisfied performance obligations, transaction price, and allocating the transaction price to 
the satisfied and unsatisfied performance obligations. 

The Company also used a practical expedient available under ASC 606-10-32-18 that permits it to not adjust 
the amount of consideration for the effects of a significant financing component if, at contract inception, the expected 
period between the transfer of promised goods or services and customer payment is one year or less. 

The Company has elected to treat shipping and handling activities as fulfillment costs. 

Additionally, the Company elected to record revenue net of sales and other similar taxes. 

Contracts 

Napo entered into a Marketing and Distribution Agreement (“M&D Agreement”) with BexR Logistix, LLC 
(“BexR” or “Mission Pharmacal” or “Mission”), in April 2016 to appoint BexR as its distributor with the right to market 
and sell, and the exclusive right to distribute Mytesi (formerly Fulyzaq) in the US. Napo sells Mytesi through Mission, 
who  then  sells  Mytesi  to  its  distributors  and  wholesalers —  McKesson,  Cardinal  Health,  AmerisourceBergen  Drug 
Corporation  (“ABC”),  HD  Smith,  Smith  Drug  and  Publix  (together  “Distributors”).  Mission  sells  Mytesi  to  its 
Distributors, on behalf of Napo, under agreements executed by Mission with these Distributors and Napo abides by the 
terms  and  conditions  of sales  agreed  to between  Mission and  their Distributors. Health  care  providers  order  Mytesi 
through pharmacies who obtain  Mytesi through Mission's Distributors. Napo considers Mission as the sales agent and 
the Distributors of Mission as its customers.  Napo retains control of Mytesi held at Mission.  

Mission's  Distributors  are  our  customers  with  respect  to  purchase  of  Mytesi.  The  M&D  Agreement  with 
Mission,  Mission's  agreement  with  the  Distributors  and  the  related  purchase  order  will  together  meet  the  contract 
existence criteria under ASC 606-10-25-1. This M&D Agreement with Mission was amended on August 15, 2018, with 

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a termination date of January 31, 2019.  Effective January 31, 2019, the Company entered into a Distribution Agreement 
with Cardinal Health to replace Mission as the sales agent. 

Jaguar's Neonorm and Botanical extract products are primarily sold to distributors, who then sell the products 
to  the  end  customers.  Since  2014,  the  Company  has  entered  into  several  distribution  agreements  with  established 
distributors  such  as  Animart,  Vedco,  VPI,  RJ  Matthews,  Henry  Schein,  and  Stockmen  Supply  to  distribute  the 
Company's products in the United States, Japan, and China. The distribution agreements and the related purchase order 
together meet the contract existence criteria under ASC 606-10-25-1. Jaguar sells directly to its customers without the 
use of an agent. 

Performance obligations 

For the products sold by each of Napo and Jaguar, the single performance obligation identified above is the 
Company's promise to transfer the Company's product Mytesi to Distributors based on specified payment and shipping 
terms  in  the  arrangement.  Product  warranties  are  assurance  type  warranties  that  does  not  represent  a  performance 
obligation. 

Transaction price 

For both Jaguar and Napo, the transaction price is the amount of consideration to which the Company expects 
to collect in exchange for transferring promised goods or services to a customer. The transaction price of Mytesi and 
Neonorm is the Wholesaler Acquisition Cost (“WAC”), net of estimated discounts, returns, and price adjustments.  

Allocate transaction price 

For  both  Napo  and  Jaguar,  the  entire  transaction  price  is  allocated  to  the  single  performance  obligation 

contained in each contract. 

Point in time recognition 

For both Napo and Jaguar, a single performance obligation is satisfied at a point in time, upon the free on board 

(“FOB”) terms of each contract when control, including title and all risks, has transferred to the customer. 

Disaggregation of Product Revenue  

Human 

Sales of Mytesi are recognized as revenue when the products are delivered to the wholesalers. Net revenues 
from the sale of  Mytesi were $4,121,913 and $1,062,919 for the years ended December 31, 2018 and 2017, respectively. 
The Company did not recognize revenue for Mytesi sales prior to the July 2017 merger with Napo. 

Animal 

The Company recognized Neonorm revenues of $116,843 and $344,194 for the years ended December 31, 
2018 and 2017, respectively. Botanical Extract revenues were zero and $78,000 for the years ended December 31, 2018 
and 2017, respectively. Revenues are recognized upon shipment which is when title and control is transferred to the 
buyer. Sales of Neonorm Calf and Foal to distributors are made under agreements that may provide distributor price 
adjustments and rights of return under certain circumstances. 

Collaboration Revenue 

licensing,  development,  co-promotion  and 
commercialization agreement with Elanco US Inc. (“Elanco”) to license, develop and commercialize Canalevia, the 

On  January  27,  2017, 

the  Company  entered 

into  a 

98 

Company's drug product candidate under investigation for treatment of acute and chemotherapy-induced diarrhea in 
dogs,  and  other  drug  product  formulations  of  crofelemer  for  treatment  of  gastrointestinal  diseases,  conditions  and 
symptoms in cats and other companion animals. Under the terms of the agreement, the Company received an initial 
non-refundable upfront payment of $2,548,689, inclusive of reimbursement of past product and development expenses 
of $1,048,689, which was recognized as revenue ratably over the estimated development period of one year resulting in 
revenue of $177,389 and $2,876,071 for the years ended December 31, 2018 and 2017, respectively. 

On November 1, 2017, the Company received a letter from Elanco serving as formal notice of their decision 
to terminate the agreement by giving the Company 90 days written notice. According to the agreement, termination 
became effective on January 30, 2018. 

On September 24, 2018, the Company entered into a Distribution, License and Supply Agreement ("License 
Agreement") with Knight Therapeutics, Inc. ("Knight"). The License Agreement has a term of 15 years (with automatic 
renewals) and provides Knight with an exclusive right to commercialize current and future Jaguar human health products 
(including Crofelemer, Lechlemer, and any product containing a proanthocyanidin or with an anti-secretory mechanism) 
in Canada and Israel. In addition, Knight was granted a right of first negotiation for expansion to Latin America. Under 
the  License  Agreement,  Knight  is  responsible  for  applying  for  and  obtaining  necessary  regulatory  approvals  in  the 
territory of Canada and Israel, as well as marketing, sales and distribution of the licensed products. Knight will pay a 
transfer price for all licensed products, and upon achievement of certain regulatory and sales milestones, Jaguar may 
receive payments from Knight in an aggregate amount of up to approximately $18 million payable throughout the initial 
15-year term of the agreement. There was no revenue related to these regulatory and sales milestones for the year ended 
2018. 

Stock-Based Compensation 

The Company's 2013 Equity Incentive Plan and 2014 Stock Incentive Plan (see Note 9) provide for the grant 

of stock options, restricted stock and restricted stock unit awards. 

The Company measures stock awards granted to employees and directors at fair value on the date of grant and 
recognizes the corresponding compensation expense of the awards, net of estimated forfeitures, over the requisite service 
periods, which correspond to the vesting periods of the awards. The Company issues stock awards with only service-
based vesting conditions, and records compensation expense for these awards using the straight-line method. 

The Company uses the grant date fair market value of its common stock to value both employee and non-
employee  options  when  granted.  The  Company  revalues  non-employee  options  each  reporting  period  using  the  fair 
market value of the Company's common stock as of the last day of each reporting period. 

Income Taxes 

The Company uses the asset and liability method of accounting for income taxes. Under this method, deferred 
tax assets and liabilities are determined based on the differences between the financial reporting and the tax bases of 
assets and liabilities and are measured using the enacted tax rates and laws that will be in effect when the differences 
are expected to reverse. A valuation allowance is provided when it is more likely than not that some portion or all of a 
deferred tax asset will not be realized. 

Comprehensive Loss 

Comprehensive  loss  is  defined  as  changes  in  stockholders’  equity  (deficit)  exclusive  of  transactions  with 
owners (such as capital contributions and distributions). For all periods presented, the comprehensive income (loss) was 
equal to the net income (loss); therefore, a separate statement of comprehensive income (loss) is not included in the 
accompanying consolidated financial statements. 

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Basic and Diluted Net Loss Per Common Share 

Basic net loss per common share is computed by dividing net loss attributable to common stockholders for the 
period by the weighted-average number of common shares outstanding during the period. Diluted net loss per share is 
computed by dividing the net loss attributable to common stockholders for the period by the weighted-average number 
of common shares, including potential dilutive shares of common stock assuming the dilutive effect of potential dilutive 
securities. For periods in which the Company reports a net loss, diluted net loss per common share is the same as basic 
net loss per common share, because their impact would be anti-dilutive to the calculation of net loss per common share. 
Diluted net loss per common share is the same as basic net loss per common share for the years ended December 31, 
2018 and 2017. 

Recent Accounting Pronouncements 

In November 2018, the Financial Accounting Standards Board (FASB) issued Accounting Standards Update 
2018-18:  Clarifying  the  Interaction  between  Topic  808  and  Topic  606  (ASU  2018-18).  The  guidance  clarifies  that 
certain transactions between collaborative arrangement participants should be accounted for as revenue under ASC 606 
when the collaborative arrangement participant is a customer for a promised good or service that is distinct within the 
collaborative arrangement. The guidance also precludes entities from presenting amounts related to transactions with a 
collaborative arrangement participant that is not a customer as revenue, unless those transactions are directly related to 
third-party sales. ASU 2018-18 is effective in the first quarter of 2020 and should be applied retrospectively to January 
1, 2018, when we adopted ASC 606. Early adoption is permitted. The Company is evaluating the effect of adoption, but 
we do not expect a material effect on our revenue 

In  February  2016,  the  FASB  isssued  ASU  2016-02,  Leases  (Topic  842).  ASU  2016-02  requires  lessees  to 
recognize  right-of-use  assets  and  lease  liabilities  for  most  leases  on  the  balance  sheet  and  to  provide  expanded 
disclosures about leasing arrangemcnts. ASU 2016-02 is effective for fiscal years beginning after December 15, 2018 
with  early  adoption  pcrmitted.  The  Company  will  adopt  this  guidance  cffective  January  1,  2019  using  the  optional 
transition method and will not restate comparative periods. The Company's is still evaluating the impact of the adoption 
of this standard. 

In  June  2018,  the  FASB  issued  ASU  2018-07,  Compensation  -  Stock  Compensation  (Topic  718), 
Improvements  to  Non  employee  Share-Based  Payment  Accounting,  which  aligned  certain  aspects  of  share-based 
payments accounting between employees and nonemployees. Specifically, nonemployee share-based payment awards 
within the scope of Topic 718 are measured at grant-date fair value of the equity instruments that an entity is obligated 
to issue when the good has been delivered or the service has been rendered and any other conditions necessary to earn 
the  right  to  benefit  from  the  instruments  have  been  satisfied  and  an  entity  considers  the  probability  of  satisfying 
performance  conditions  when  nonemployee  share-based  payment  awards  contain  such  conditions.  ASU  2018-07  is 
effective for the Company beginning in the first quarter of 2019. The new standard will not have a significant impact 
on the Company's financial statement or disclosures.(cid:3)

3. Business Combination  

The  Company  completed  a  merger  with  Napo  on  July  31,  2017.  Napo  now  operates  as  a  wholly-owned 
subsidiary  of  Jaguar  focused  on  human  health  and  the  ongoing  commercialization  of  Mytesi,  a  Napo  drug  product 
approved  by  the  U.S.  FDA  for  the  symptomatic  relief  of  noninfectious  diarrhea  in  adults  with  HIV/AIDS  on 
antiretroviral therapy. 

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The  merger  was  accounted  for  under  the  acquisition  method  of  accounting  for  business  combinations  and 
Jaguar was considered to be the acquiring company. Under the acquisition method of accounting, total consideration 
exchanged was: 

Fair value of Jaguar common stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $ 25,303,859 
Fair value of Jaguar common stock warrants  . . . . . . . . . . . . . . . . . . . . . . . . . . . .      
 630,859 
Fair value of replacement restricted stock units . . . . . . . . . . . . . . . . . . . . . . . . . .        3,300,555 
Fair value of replacement stock options  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      
 5,691 
Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .        2,000,000 
Effective settlement of receivable from Napo . . . . . . . . . . . . . . . . . . . . . . . . . . . .      
 464,295 
Total consideration exchanged . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $ 31,705,259 

The purchase price allocation to assets and liabilities assumed in the transaction was: 

Current assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .       $ 
Non-current assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Identifiable intangible assets  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Current liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Convertible notes payable. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Deferred tax liability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Net assets acquired . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Goodwill on acquisition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Total consideration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   

 2,578,114 
 396,247 
 36,400,000 
 (4,052,180)
    (12,473,501)
    (13,181,242)
 9,667,438 
 22,037,821 
$   31,705,259 

Under  the  acquisition  method  of  accounting,  certain  identifiable  assets  and  liabilities  of  Napo  including 
identifiable intangible assets, inventory, debt and deferred revenue were recorded based on their estimated fair values 
as of the effective time of the Napo Merger. Tangible and other assets and liabilities were valued at their respective 
carrying amounts, which management believes approximate their fair values. 

Acquired intangible assets included Developed Technology (“DT”) related to the development and commercial 
processing  of  Mytesi™  (crofelemer  125mg  delayed-release  tablets),  which  is  an  antidiarrheal  indicated  for  the 
symptomatic relief of noninfectious diarrhea in adult patients with HIV/AIDS on antiretroviral therapy. The DT is a 
definite lived asset and is being amortized over a 15-year estimated useful life. 

The acquired trademarks include Mytesi product trademark, domain names, and other brand related intellectual 

property. Trademark is a definite lived asset and is being amortized over a 15-year estimated useful life. 

The  acquired  IPR&D  projects  relate  to  developing  the  proprietary  technology  into  a  commercially  viable 
product for the several follow-on indications related to formulations of crofelemer.   Crofelemer is in development for 
rare disease indications for infants and children with congenital diarrheal disorders (CDD) and short bowel syndrome 
(SBS), and for irritable bowel syndrome (IBS).  These indications have completed some studies of clinical testing for 
safety  and/or  proof  of  concept  efficacy  at  the  time  of  the  merger  and  the  projects  were  determined  to  have 
substance.  IPR&D is not amortized during the development period and is tested for impairment at least annually, or 
more frequently if indicators of impairment are identified.  The Company terminated development of the indication for 
C. difficile infection (CDI) in the quarter ended December 31, 2017.  This indication was included as part of IPR&D at 
the time of the merger, and an impairment loss of $2,300,000 was recorded in fiscal year 2017 as a result of the decision 
to abandon the project in favor of the prioritization of the following: Mytesi is in development for follow-on indications 
in cancer therapy-related diarrhea (CTD), an important supportive care indication for patients undergoing primary or 
adjuvant therapy for cancer treatment; as supportive care for post-surgical inflammatory bowel disease patients (IBD); 
and as a second-generation anti-secretory agent for use in cholera patients.  These indications did not have substance at 
the time of the merger and were not recognized as an asset apart from Goodwill. 

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The fair value of IPR&D, trademark, and DT was determined using the income approach, which was based on 

forecasts prepared by management. 

The Napo Merger resulted in $22,037,821 of goodwill relating principally to synergies expected to be achieved 
from the combined operations and planned growth in new markets. Goodwill has been allocated to the human health 
segment. 

As none of the goodwill, IPR&D, and developed technology acquired are expected to be deductible for income 
tax purposes, it was determined that a deferred income tax liability of $14,498,120 was required to reflect the book to 
tax differences of the merger. A deferred tax asset of $1,316,878 was accounted as an element of consideration for the 
replacement share-based payment awards as the replacement awards are expected to result in a future tax deduction. 

The Company valued convertible debt assumed in the Napo Merger based on the value of the debt and the 
conversion option at $12,473,501 (see note 8). The Company incurred acquisition related costs of $3,554,250 during 
the year ended December 31, 2017. The acquisition related costs for the year ended December 31, 2017 includes the 
fair value of $151,351 for 270,270 shares of Company’s common stock issued to a former creditor of Napo towards 
reimbursement  of  acquisition  related  costs.  Acquisition  related  costs  are  expensed  as  incurred  to  general  and 
administrative expenses in the condensed consolidated statements of operations and comprehensive loss. 

In September 2018, the Company received a $1.2 million payment from Valeant, in a settlement agreement 
with  Glenmark  Pharmaceuticals,  Valeant  Pharmaceuticals  Ireland,  Limited,  and  Salix  Pharmaceuticals,  related  to 
inventory that was in negotiations of title on July 31, 2017, the date of the merger with Napo. Accordingly, this was the 
settlement of a contingency acquired in the July 2017 Napo merger. The Company recorded the one-time settlement 
outside of operations as it was related to the July 2017 Napo merger. The $1.2 million gain on the Valeant settlement in 
fiscal year 2018 is recorded in the consolidated statements of operations. 

Unaudited Proforma Information 

The following table provides unaudited proforma results, prepared in accordance with ASC 805, for the year 

ended December 31, 2017, as if Napo had been acquired on January 1, 2016. 

Net sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $ 
 5,436,263 
Net loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $   (23,113,148)
 (0.53)
Net income (loss) per share, basic and diluted  . . . . . . . . . . . . . . . . . . . . . . . . .    $ 

  For the year ended 

December 31,  
2017 

The unaudited proforma results include adjustments to eliminate the interest on Napo’s historical convertible 
debt not assumed by Jaguar and debt exchanged for Jaguar common stock, record interest on convertible debt assumed 
by Jaguar, eliminate Napo impairment of investment in related party, and eliminate Napo’s loss from investment in 
related  party.  The  Company  made  proforma  adjustments  to  exclude  the  acquisition  related  costs  for  the  year  ended 
December 31, 2017 and to exclude the acquisition related costs in the results for the year ended December 31, 2016, 
because such costs are nonrecurring and are directly related to the Napo Merger. 

The  unaudited  pro  forma  condensed  results  do  not  give  effect  to  the  potential  impact  of  current  financial 
conditions, regulatory matters, operating efficiencies or other savings or expenses that may be associated with the Napo 
Merger. The Company made proforma adjustments to exclude the acquisition related costs for the years ended December 
31, 2017 and 2016.   

Unaudited pro forma amounts are not necessarily indicative of future results. 

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4. Fair Value Measurements  

ASC 820 "Fair Value Measurements," defines fair value, establishes a framework for measuring fair value 
under generally accepted accounting principles and enhances disclosures about fair value measurements. Fair value is 
defined under ASC 820 as the exchange price that would be received for an asset or paid to transfer a liability (an exit 
price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market 
participants on the measurement date. Valuation techniques used to measure fair value under ASC 820 must maximize 
the use of observable inputs and minimize the use of unobservable inputs. The standard describes a fair value hierarchy 
based on three levels of inputs, of which the first two are considered observable and the last unobservable, that may be 
used to measure fair value which are the following:  

•  Level 1—Observable inputs such as quoted prices (unadjusted) for identical instruments in active markets. 

•  Level 2—Observable inputs such as quoted prices for similar instruments in active markets, quoted prices 
for  identical  or  similar  instruments  in  markets  that  are  not  active,  or  model-derived  valuations  whose 
significant inputs are observable. 

•  Level 3—Unobservable inputs that reflect the reporting entity’s own assumptions. 

The following tables set forth the fair value of the Company’s consolidated financial instruments that were 

measured at fair value on a recurring basis as of December 31, 2018 and 2017: 

Warrant liability  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     $ 
Derivative liability  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Conversion option liability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    

Total fair value . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     $ 

 —   $ 
 —  
 —  
 —   $ 

 —   $  220,376   $  220,376 
 —  
 — 
 —  
 — 
 —  
 —  
 —   $  220,376   $  220,376 

     Level 1        Level 2       Level 3 

Total 

December 31, 2018 

Warrant liability  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     $ 
Derivative liability  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Conversion option liability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    

Total fair value . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     $ 

 —   $ 
 —  
 —  
 —   $ 

 —   $  103,860   $  103,860 
    11,000 
 —  
 —  
   111,841 
 —   $  226,701   $  226,701 

    11,000  
   111,841  

     Level 1        Level 2       Level 3 

Total 

December 31, 2017 

The change in the estimated fair value of Level 3 liabilities is summarized below: 

For the year ended  
December 31, 2018 

  Warrant 
     Liability 

  Derivative    Conversion Option 
     Liability 

Liability 

Beginning value of Level 3 liability . . . . . . . . . . . .     $   103,860    $  11,000    $ 
Additions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Extinguishment . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Change in fair value  . . . . . . . . . . . . . . . . . . . . . . . .        (494,770)      (11,000)     
Ending fair value of Level 3 liability . . . . . . . . . . .     $   220,376    $
 —    $ 

 611,286  
 —  

 —  
 —  

 111,841 
 — 
 (286,595)
 174,754 
 — 

Warrant Liability 

The warrants associated with the Level 3 warrant liability were the November 2016 Series A Warrants and the 
October 2018 Underwriter Warrants, which at December 31, 2018 were valued at $7,388 and $212,988, respectively in 
the Company’s consolidated balance sheet.  

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The Series A warrant  valuation of $103,860 at December 31, 2017 was computed using the Black-Scholes-
Merton pricing model using a stock price of $0.14, a strike price of $11.25 per share, an expected term of 4.41 years, 
volatility of 96.36% and a risk-free discount rate of 2.14%. The Series A warrant  valuation of $7,388 at December 31, 
2018 was computed using the Black-Scholes-Merton pricing model using a stock price of $0.23, a strike price of $11.25 
per share, an expected term of 3.41 years, volatility of 135.63% and a risk-free discount rate of 2.46%. The net change 
in the fair value of the warrants of $96,472 for the year-ended December 31, 2018 is recorded in the change in fair value 
of warrants, derivative liability and conversion option liability in the consolidated statements of operations 

The October 2018 Underwriter Warrants valuation of $611,286 issued in October 2018 was computed using 
the Black-Scholes-Merton pricing model using a stock price of $0.59, a strike price of $0.75 per share, an expected term 
of 5.0 years, volatility of 137.87% and a risk-free discount rate of 2.51%. The October 2018 Underwriter Warrants 
valuation of $212,988  at December 31,  2018 was  computed using  the Black-Scholes-Merton pricing  model  using a 
stock price of $0.23, a strike price of $0.75 per share, an expected term of 4.76 years, volatility of 135.63% and a risk-
free discount rate of 2.51%. The net change in the fair value of the warrants of $398,298 for the year-ended December 
31, 2018 is recorded in the change in fair value of warrants, derivative liability and conversion option liability in the 
consolidated statements of operations 

Derivative Liability 

The derivative liability associated with the Level 3 liability was associated with the June 2017 issuance of a  
convertible note payable (see Note 8).  The Company computed fair values at the date of issuance of $15,000 and $5,000 
for the repayment and the interest rate increase feature, respectively, using the Binomial Lattice Model, which was based 
on the generalized binomial option pricing formula. The derivatives were revalued again at September 30, 2018 using 
the same Model resulting in a combined minimal fair value. The resulting $11,000 gain for the year-ended December 
31, 2018 is recorded in the change in fair value of warrants, derivative liability and conversion option liability in the 
consolidated statements of operations 

Conversion Option Liability 

In March 2017, Napo entered into an exchangeable note purchase agreement with two lenders for the funding 
of face amount of $1,312,500 in two $525,000 tranches of face amount $656,250. The Company assumed the notes at 
fair value of $1,312,500 as part of the Napo Merger. In December 2017, Napo amended the exchangeable note purchase 
agreement to extend the maturity of the first tranche and second tranche of notes to February 15, 2018 and April 1, 2018, 
respectively, increase the principal amount by 12%, and reduce the conversion price from $0.56 per share to $0.20 per 
share. The Company also issued 166,139 shares of common stock to the lenders in connection with this amendment to 
partially redeem $299,050 from the first tranche of the notes. The optional conversion option in the notes was bifurcated 
and  accounted  as  a  derivative  liability  at  its  fair  value  of  $111,841  using  the  Black-Scholes-Merton  model  and  the 
following criteria: stock price of $0.14 per share, conversion prices of $0.20 per share, expected life of 0.13 to 0.25 
years, volatility of 86.29% to 160.78%, risk free rate of 1.28% to 1.39% and dividend rate of 0%. The $111,841 was 
included in conversion option liability on the balance sheet and in loss on extinguishment of debt on the statements of 
operations. The fair value of the conversion option liability was again revalued at March 23, 2018 using the Black-
Scholes-Merton model using the following criteria: stock price of $0.21 per share, expected life of 0.11 years, volatility 
of 288.16%, risk free rate of 1.69% and dividend rate of 0%, resulting in an increase of $174,754 to the fair value of the 
conversion option liability. The underlying debt was paid off in March of 2018 and the $286,595 conversion option 
liability was written off to other income, net in the statements of operations.   

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5. Related Party Transactions 

Management Services Agreement 

In March 2018, concurrent with the issuance of the Company’s Series A convertible participating preferred 
stock to Sagard Capital Partners, the Company entered into a Management Services Agreement with Sagard Capital 
Partners.  Under  the  agreement,  Sagard  Partners  will  provide  consulting  and  management  advisory  service  to  the 
Company from March 2018 through March 2021. These services include assistance with strategic planning regarding 
the  Company’s  commercial  strategy,  research  and  due  diligence  regarding  human  resource  activities,  and  strategic 
advice in financial matters. In consideration for such services, the Company will pay Sagard Capital Partners an annual 
fee of $450,000, with total fees over the term of the agreement not to exceed $1,350,000. 

Letter of Credit 

To  satisfy  the  letter  of  credit  requirement  in  the  Company’s  new  office  lease  agreement,  Pacific  Capital 
Management, LLC, one of the Company’s existing shareholders, caused its financial institution to issue a letter of credit 
in the amount of $475,000 on behalf of the Company, dated August 28, 2018. In consideration of the letter of credit, in 
August 2018 the Company issued to Capital Management, LLC a warrant to purchase 670,586 shares of the Company’s 
voting common stock. The warrant is exercisable on or after March 28, 2019 at an exercise price of $0.70 per common 
share and has a five year term. The $493,688 fair value of the Warrant was classified in the statement of stockholders 
equity (see Note 7). 

Corporate Officers’ Family Members 

On September 11, 2018, the Company issued a Convertible Promissory Note to Dr. A. Conte, who is the brother 
of the CEO, Lisa Conte, for cash proceeds of $100,000, representing a principal amount of $111,250 less a discount of 
$11,250. These terms were substantially the same as those negotiated with a third party. In October 2018 the Company 
paid off the entire note. As an inducement to enter into the respective Note Purchase Agreement, Dr. Conte received a 
five- year Warrant to purchase 33,918 shares of Common Stock (Investor Warrant). The exercise price for the Investor 
Warrant is $1.23 per share. The transaction was filed in a Form 8-K with the SEC on September 12, 2018. 

6. Balance Sheet Components 

Land, Property and Equipment 

Land, property and equipment at December 31, 2018 and 2017 consisted of the following: 

  December 31,    December 31, 

2017 
 396,247 
Land . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     $  396,247    $ 
 811,087 
Lab equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Clinical equipment  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
 64,870 
 62,637 
Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Total property and equipment at cost . . . . . . . . . . . . . . . . . . . . . . . .    
   1,334,841 
Accumulated depreciation  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
    (112,773)
Property and equipment, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     $  760,617  $  1,222,068 

 410,522 
 64,870 
 62,637 
    934,276 
   (173,659)

2018 

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During fiscal year 2018, certain lab equipment in the amount of $407,092 was reclassified to other assets to 
more properly reflect the asset purpose. Depreciation and amortization expense was $60,886 and $60,124 in the years 
ended December 31, 2018 and 2017, respectively.  

Goodwill 

The change in the carrying amount of goodwill for the year ended December 31, 2018 and 2017 was as follows: 

  December 31,   
2018 

December 31,  
2017 

Beginning balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      $   5,210,821     $ 
Goodwill acquired in conjunction with the Napo merger . . . .   
Impairment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Ending balance  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $ 

 —  
   (5,210,821) 

 — 
    22,037,821 
   (16,827,000)
 5,210,821 

 —   $ 

Goodwill represents the excess of the purchase price over the fair value of the net tangible and intangible assets 
acquired. Concurrent with the Napo Merger in July 2017, the Company recorded goodwill of $22.0 million, which was 
allocated to the Human Health segment. The Company believes this goodwill consists principally of expected synergies 
to  be  realized  by  combining  capabilities,  technology,  and  data.  In  accordance  with  ASC  350,  goodwill  will  not  be 
amortized  but  will  be  tested  for  impairment  at  least  annually.  Goodwill  created  as  a  result  of  the  acquisition  is  not 
deductible for tax purposes. At December 31, 2017, the Company determined that goodwill was impaired and recorded 
an impairment loss of $16.8 million in the consolidated statement of operations. At December 31, 2018 the Company 
determined that the entire remaining balance of goodwill was impaired and recorded an impairment loss of $5.2 million 
in the consolidated statement of operations.  

Intangible assets, net 

Intangible assets, net of amortization at December 31, 2018 and 2017 consist of the following: 

December 31,    
2018 

December 31,  
2017 

Developed technology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $  25,000,000   $  25,000,000 
 (694,445)
Accumulated developed technology amortization  . . . . . . . . .   
Developed technology, net . . . . . . . . . . . . . . . . . . . . . . . . . . .   
    24,305,555 
   11,100,000 
In process research and development . . . . . . . . . . . . . . . . . . . .   
 (2,300,000)
Impairment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
In process research and development, net . . . . . . . . . . . . . . .   
 8,800,000 
 300,000 
Trademarks  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Accumulated trademark amortization  . . . . . . . . . . . . . . . . . . .   
 (8,333)
Trademarks, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
 291,667 
Total intangible assets, net . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $  31,710,556   $  33,397,222 

    (2,361,111) 
    22,638,889  
 8,800,000  
 —  
 8,800,000  
 300,000  
 (28,333) 
 271,667  

At December 31, 2017, the Company determined that In process research and development was impaired and 
recorded an impairment loss of $2.3 million in the consolidated statement of operations. At December 31, 2018, the 
Company determined that none of its intangible assets were impaired.  

Amortizable  intangible  assets  include  Developed  technology  and  Trademarks.  Intangible  assets  subject  to 
amortization are amortized using the straight-line method over their estimated useful lives of fifteen years. Amortization 

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expense of finite-lived intangibles was $1,686,657 and $702,778 for the years ended December 31, 2018 and 2017, 
respectively.  

The  following  table  summarizes  the  Company’s  estimated  future  amortization  expense  of  intangible  assets 

with finite lives as of December 31, 2018: 

2019 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $
2020 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $
2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $
2022 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $
2023 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $
Thereafter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   

Amounts 
 1,686,667 
 1,686,667 
 1,686,667 
 1,686,667 
 1,686,667 
 14,477,222 
  $  22,910,557 

Accrued Liabilities  

Accrued liabilities at December 31, 2018 and 2017 consist of the following:  

     December 31,       December 31,  

Accrued vacation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   $ 
Accrued payroll . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Accrued payroll tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Accrued interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Accrued consulting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Accrued research and development costs  . . . . . . . . . . . . . . . . . . .  
Accrued legal costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Accrued audit and tax services . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Deferred rent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Accrued other  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  

2017 
 264,304 
 150 
 30,617 
 659,961 
 1,785 
 668,850 
 — 
 40,000 
 4,584 
 533,882 
Total  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   $  4,939,441  $  2,204,133 

2018 
 287,326  $ 
 300,040 
 57,306 
 917,482 
 660,370 
 106,607 
 439,682 
 96,150 
 — 
 2,074,478 

7. Commitments and Contingencies  

Beginning in July 2015, the Company leased its San Francisco, California headquarters under a non-cancellable 

sub-lease agreement that expired on August 31, 2018. 

On August 28, 2018, the Company entered into an office lease extension agreement for its office space in San 
Francisco, CA. The term of the Lease began on September 1, 2018 and will expire on September 30, 2020, unless earlier 
terminated in accordance therewith. The monthly base rent under the Lease is as follows: $38,392 for the first twelve 
months, $39,544 for the subsequent twelve months, and $40,730 for the final month. The Company will also pay an 
additional  monthly  amount  for  the  Company’s  proportionate  share  of  the  building’s  operating  charges.  An  existing 
shareholder  provided  a  standby  letter  of  credit  in  the  amount  of  $475,000  to  the  Lessor  as  collateral  for  the  full 
performance  by  the  Company  of  all  of  its  obligations  under  the  Lease.  In  consideration  of  the  Letter  of  Credit,  the 
Company  issued  the  existing  shareholder  a  five-year  warrant  to  purchase  670,586  shares  of  the  Company’s  voting 
common stock (see Note 8). The Warrant is exercisable on or after March 28, 2019 at an exercise price of $0.70 per 
share. The fair value of the warrant was determined to be $493,689 using the Black-Scholes-Merton model with the 
following criteria: stock price of $0.84 per share, expected life of 5 years, volatility of 132%, risk-free rate of 2.77% 
and dividend rate of 0%. The $493,688 fair value of the Warrant was classified in the statement of stockholders equity 
with an offset to deferred rent. Each month, $19,748 of this deferred rent will be recognized as non-cash rent expense. 

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Future minimum noncancelable lease payments under operating leases as of December 31, 2018 are as follows:  

       Facilities 
Years ending December 31,  
2019 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      
 465,310 
2020 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     $   357,079 
Total minimum lease payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     $   822,389 

The  Company  recognizes  rent  expense  on  a  straight-line  basis  over  the  noncancelable  lease  period.  Rent 
expense was $475,305 and $361,114 for the years ended December 31, 2018 and 2017, respectively. Rent expense is 
included in general and administrative expense in the consolidated statements of operations. 

Asset transfer and transition commitment 

On September 25, 2017, Napo entered into the Termination, Asset Transfer and Transition Agreement dated 
September 22, 2017 with Glenmark Pharmaceuticals Ltd. (“Glenmark”). As a result of the agreement, Napo now holds 
extensive global rights for Mytesi, and also holds commercial rights to the existing regulatory approvals for crofelemer 
in Brazil, Ecuador, Zimbabwe and Botswana.  In exchange, Napo is obligated to pay Glenmark 25% of any payment it 
receives from a third party to whom Napo grants a license or sublicense or with whom Napo partners in respect of, or 
sells or otherwise transfers any of the transferred assets, subject to certain exclusions, until Glenmark has received a 
total of $7 million. As of December 31, 2018, Napo has made no payments to Glenmark under the agreement. 

Revenue sharing commitment 

On December 14, 2017, the Company announced its entry into a collaboration agreement with Seed Mena 
Businessmen Services LLC (“SEED”) for Equilevia, the Company’s non-prescription, personalized, premium product 
for total gut health in equine athletes. According to the terms of the Agreement, the Company will pay SEED 15% of 
total  revenue  generated  from  any  clients  or  partners  introduced  to  the  Company  by  SEED  in  the  form  of  fees, 
commissions, payments or revenue received by the Company or its business associates or partners, and the agreed-upon 
revenue percentage increases to 20% after the first million dollars of revenue. In return, SEED will provide the Company 
access to its existing UAE network and contacts and assist the Company with any legal or financial requirements. The 
agreement  became  effective  on  December  13,  2017  and  will  continue  indefinitely  until  terminated  by  either  party 
pursuant to the terms of the Agreement. Upon termination for any reason, the Company remains obligated to make 
Revenue  Sharing  Payments  to  SEED  until  the  end  of  2018.  As  of  December  31,  2018,  the  Company  has  made  no 
payments to SEED under the agreement and the agreement is still in place. 

Purchase Commitment 

As  of  December  31,  2018,  the  Company  had  issued  non-cancellable  purchase  orders  to  a  vendor  for  $1.5 

million. 

Legal Proceedings 

March 2018 Demand Letter relating to 2018 Special Meeting of Stockholders 

While not a legal proceeding, on March 27, 2018, we received a demand letter from a law firm representing a 
purported stockholder, relating to certain approvals obtained at a special meeting of stockholders on March 12, 2018 
(the “2018 Special Meeting”). The demand letter alleges that we miscalculated the votes with respect to (i) the proposal 
to amend our Third Amended and Restated Certificate of Incorporation as filed with Secretary of State of the State of 
Delaware on March 15, 2018 (the “COI”), which increased the authorized shares of Common Stock from 250,000,000 
to 500,000,000 (the “Share Increase Proposal”) and (ii) the proposal to amend the COI to effect a reverse stock split at 
a ratio of not less than 1-for-1.2 and not greater than 1-for-10 (the “Former Reverse Stock Split Proposal”).We did not 
implement the Former Reverse Stock Split Proposal. In addition, at the 2018 annual meeting of stockholders held on 
May 18, 2018, stockholders approved amendments to the COI to (i) effect a reverse stock split at a ratio of not less than 

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1-for-11  and  not  greater  than  1-for-15  and  (ii) decrease  the  number  of  authorized  shares  of  Common  Stock  to 
150,000,000. 

On  September 5,  2018,  we  responded  to  the  law  firm,  indicating  that  the  Board  unanimously  rejected  the 
demands set forth in the demand letter (the “Demand Letter Claims”). While no proceedings with respect to the demand 
letter were ever initiated, we believe that the allegations set forth in the demand letter were without merit and we would 
have vigorously defended against any such proceeding. The Demand Letter Claims were settled with a release of all 
such claims in March 2019 without any material financial settlement costs incurred by us. 

July 2017 Complaint Relating to the Merger 

On  July 20, 2017,  a putative class  action  complaint  was filed  in  the United States District  Court,  Northern 
District of California, Civil Action No. 3:17-cv-04102, by Tony Plant (the “Plaintiff”) on behalf of shareholders of the 
Company who held shares on September 30, 2017 and were entitled to vote at the 2017 Special Shareholders Meeting, 
against  the  Company  and  certain  individuals  who  were  directors  as  of  the  date  of  the  vote  (collectively,  the 
“Defendants”),  in  a  matter  captioned  Tony  Plant  v.  Jaguar  Animal  Health, Inc.,  et  al.,  making  claims  arising  under 
Section 14(a) and Section 20(a) of the Exchange Act and Rule 14a-9, 17 C.F.R. § 240.14a-9, promulgated thereunder 
by  the  SEC.  The  claims  alleged  false  and  misleading  information  provided  to  investors  in  the  Joint  Proxy 
Statement/Prospectus on Form S-4 (File No. 333-217364) declared effective by the SEC on July 6, 2017 related to the 
solicitation  of  votes  from  shareholders  to  approve  the  merger  and  certain  transactions  related  thereto.  We  accepted 
service  of  the  complaint  and  summons  on  behalf  of  itself  and  the  United  States-based  director  Defendants  on 
November 1, 2017. We have not accepted service on behalf of, and Plaintiff has not yet served, the non-U.S.-based 
director Defendants. 

On  October 3,  2017,  Plaintiff  filed  a  motion  seeking  appointment  as  lead  plaintiff  and  appointment  of 
Monteverde & Associates PC as lead counsel. That motion was granted. Plaintiff filed an amended complaint against 
the Company and the United States-based director Defendants on January 10, 2018. The Defendants filed a motion to 
dismiss on March 12, 2018, for which oral arguments were held on June 14, 2018. The court dismissed the complaint 
on September 20, 2018. Plaintiff was entitled to amend the complaint within 20 days from the date of dismissal. On 
October 10, 2018, Plaintiff amended the complaint to focus on our commercial strategy in support of Equilevia and the 
related disclosure statements in the Form S-4 described above. On November 6, 2018, the Defendants moved to dismiss 
the second amended complaint. The Defendants argue in their motion that the complaint fails to state a claim upon 
which relief can be granted because the omissions and misrepresentations alleged in the complaint are immaterial as a 
matter of law. The court has elected to rule on Defendants’ motion to dismiss without holding oral arguments. If the 
Plaintiff were able to prove its allegations in this matter and to establish the damages it asserts, then an adverse ruling 
could have a material impact on us. We believe that it is not probable that an asset has been impaired or a liability has 
been incurred as of the date of the financial statements and the amount of any potential loss is not reasonably estimable. 

Other  than  as  described  above,  there  are  currently  no  claims  or  actions  pending  against  us,  the  ultimate 
disposition of which could have a material adverse effect on our results of operations, financial condition or cash flows. 

Contingencies 

From time to time, the Company may be involved in legal proceedings (other than those noted above) arising 
in the ordinary course of business. The Company believes there is no litigation pending that could have, individually or 
in the aggregate, a material adverse effect on the financial position, results of operations or cash flows. 

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8. Debt and Warrants  

Convertible Debt and Warrants 

Convertible debt at December 31, 2018 and December 31, 2017 consist of the following: 

February 2015 convertible debt . . . . . . . . . . . . . . . . . . . . . .      
June 2017 convertible debt . . . . . . . . . . . . . . . . . . . . . . . . . .      
Napo convertible debt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      

 —     
 740,882     
 10,553,888     

  $   11,294,770   $ 

December 31,    
2018 

Less: unamortized debt discount and debt issuance costs  .   
Net convertible debt obligation  . . . . . . . . . . . . . . . . . . . . . .    $   11,239,170   $ 
Convertible debt - non-current, net of discount . . . . . . . . . .   
Convertible debt - current, net of discount  . . . . . . . . . . . . .    $   11,239,170   $ 

 (55,600) 

 —  

December 31,  
2017 
 150,000 
 1,613,089 
 12,153,389 
 13,916,478 
 (261,826)
 13,654,652 
 10,982,437 
 2,672,215 

Interest expense on the convertible debt was $934,214 and $634,276 for the years ended December 31, 2018 

and 2017. 

February 2015 Convertible Debt 

In February 2015, the Company issued a convertible promissory note to an accredited investor in the aggregate 
principle  amount  of  $150,000.  This  note  was  issued  pursuant  to  the  convertible  note  purchase  agreement  dated 
December 23, 2014. In March of 2018, the debtor agreed to accept 135,605 shares of the Company’s common stock as 
payment for all outstanding principal and interest in the amount of $203,408. 

June 2017 Convertible Debt 

On June 29, 2017, the Company issued a secured convertible promissory note to Chicago Venture Partners, 
L.P.(“CVP”)    in  the  aggregate  principal  amount  of  $2,155,000  less  an  original  issue  discount  of  $425,000  and  less 
$30,000 to cover the lender's legal fees for net cash proceeds of $1,700,000. Interest on the outstanding balance will be 
paid 8% per annum from the purchase price date until the balance is paid in full. 

The Note provides for two separate features that result in a derivative liability: 

1.  Repayment of mandatory default amount upon an event of default-upon the occurrence of any event of 
default, the lendor may accelerate the Note resulting in the outstanding balance becoming immediately 
due and payable in cash; and 

2.  Automatic increase in the interest rate on and during an event of default-during an event of default, the 
interest rate will increase to the lesser of 17% per annum or the maximum rate permitted under applicable 
law. 

The Company computed fair values at the date of issuance of $15,000 and $5,000 for the repayment and the 
interest  rate  increase  feature,  respectively,  using  the  Binomial  Lattice  Model,  which  was  based  on  the  generalized 
binomial option pricing formula. The $20,000 combined fair value was carved out and is included as a derivative liability 
on  the  Balance  Sheet.  The  derivatives  were  revalued  at  December  31,  2017  using  the  same  Model  resulting  in  a 
combined fair value of $11,000. The derivatives were revalued again at September 30, 2018 using the same Model 
resulting  in  a  de  minimus  fair  value.  The  resulting  $11,000  gain  is  included  in  other  income  and  expense  in  the 
Company's consolidated statements of operations. 

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On August 2, 2018, the Company and CVP agreed to an amendment extending the maturity date to August 26, 
2019, and limiting the aggregate amount that CVP is permitted to redeem on a monthly basis to $500,000, which is the 
maximum aggregate redemption amount for all notes outstanding with CVP. This amendment resulted in the Company 
accounting for the transaction as a troubled debt restructuring, under which the carrying amount of the note payable 
remained unchanged but interest expense is computed using a new effective rate that equates the present value of the 
future cash payments specified by the new terms with the carrying amount of the note. 

Between October 2018 and December 2018, the Company and CVP renegotiated the terms of the June 2017 
Note agreement such that CVP agreed not to make any redemptions of the Note until March 2019. In consideration of 
this  standstill  arrangement,  the  Company  paid  CVP  a  total  standstill  fee  of  $499,403  for  all  four  CVP  Notes.  The 
standstill fee allocated to the June 2017 Note was $63,296, of which $37,296 increased the principle balance and $26,000 
was paid in cash. These restructurings in whole represented four separate restructurings of the June 2017 Convertible 
Note agreement, resulting in two troubled debt restructurings accounted for under ASC 470-60 and two modifications 
accounted for under ASC 470-50. For the two modifications resulting in troubled debt restructurings, the changes were 
accounted for prospectively and a new effective interest rate was determined that equated the present value of the future 
cash payments specified by the new terms with the carrying amount of the Note. For the two modifications that resulted 
in modification accounting, a new effective rate was determined at the date of modification that equated the revised 
cash flows to the carrying amount of the Note. 

The balance of the June 2017 convertible debt as of December 31, 2018 of $685,282 consists of the $740,882 
face value of the note less note discounts of $55,600, and is included in convertible debt in the current liabilities section 
of the consolidated balance sheet.(cid:3)

September 2018 L2 Promissory Note and Warrants 

On September 11, 2018 the Company entered into a Note Purchase Agreement with L2 Capital, pursuant to 
which the Company issued to L2 Capital a contingently convertible promissory note in the aggregate principal amount 
of $455,000.  Net cash proceeds were $400,000, or $455,000 of principal net a discount of $55,000.  The Notes bear 
interest at the rate of 8% per annum and mature on March 11, 2019. On October 10, 2018, the Company paid off the 
entire  $455,000  principle  balance  of  the  Note,  including  the  guaranteed  interest  and  an  early-redemption  premium, 
resulting in an extinguishment loss of $190,441.  

Concurrent to entering into the Note Purchase Agreement, the Company issued to L2 Capital 75,000 shares of common 
stock and a 5-year warrant to purchase 185,417 shares of common stock. The 75,000 shares of common stock had a fair 
value of $48,000. The warrants had a fair value of $100,330 as estimated using the Black Scholes option pricing model. 
The assumptions used in the Black Scholes model included a common stock trading price of $0.64, an exercise price of 
$0.90 per share, a term of five years, a discount rate of 2.9% and volatility of 132%.  The warrants were recorded in 
additional paid-in-capital and treated as a discount to the note balance. 

September 2018 Conte Promissory Note and Warrants 

On September 11, 2018 the Company entered into a Note Purchase Agreement with an accredited investor 
pursuant  to  which  the  Company  issued  to  the  accredited    investor  a  convertible  promissory  note  in  the  aggregate 
principal amount of $111,250.  Net cash proceeds received were $100,000, or $111,250 of principal less a discount of 
$11,250. The Notes bear interest at the rate of 8% per annum and matures on March 11, 2019. On October 10, 2018, 
the Company paid off the entire $111,250 principle balance of the Note, including the guaranteed interest and an early 
- redemption premium, resulting in an extinguishment loss of $27,883.  

Concurrent to entering into the Note Purchase Agreement, the Company provided to the accredited investor a 
five-year warrant to purchase 33,918 shares of common stock, for a fair value of $17,819. The estimated  value of the 
warrants was determined  by using the Black Scholes option pricing model. The assumptions used included a common 
stock trading price of $0.64, an exercise  price of $1.23 per share, a term of five years, a discount rate of 2.9% and 
volatility of 132%. The warrants were recorded in additional paid-in-capital and treated as a discount to the note balance. 

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Napo convertible debt 

March 2017 Convertible Debt 

In March 2017, Napo entered into an exchangeable Note Purchase Agreement with two lenders for the funding 
of face amount of $1,312,500 in two $525,000 tranches of face amount $656,250. The notes bear interest at 3% and 
mature on December 1, 2017. The Company assumed the notes at fair value of $1,312,500 as part of the Napo Merger. 

First Amendment to Note Purchase Agreement and Notes 

In December 2017, Napo amended the exchangeable note purchase agreement to extend the maturity of the 
first tranche and second tranche of notes to February 15, 2018 and April 1, 2018, respectively, increase the principal 
amount by 12%, and reduce the conversion price from $0.56 per share to $0.20 per share. The Company also issued 
166,139 shares of common stock to the lenders in connection with this amendment to partially redeem $299,050 from 
the first tranche of the notes. The amended face value of the notes was $1,170,950. This amendment resulted in the 
Company treating the notes as having been extinguished and replaced with new notes for accounting purposes due to 
meeting the 10% cash flow test. The conversion option in the notes was bifurcated and accounted for as a conversion 
option liability at its fair value as further disclosed in Note 4. 

Second Amendment to Note Purchase Agreement and Notes 

On February 16, 2018, Napo amended the exchangeable note purchase agreement to extend the maturity date 
of the Second Tranche Notes from April 1, 2018 to May 1, 2018. In addition, the Company also issued 252,230 shares 
of Common Stock to the Purchasers as repayment of the remaining $435,950 aggregate principal amount and $18,063 
in accrued and unpaid interest thereon. On March 23, 2018, the Company paid off the remaining $735,000 of principal 
and $20,699 in interest due on the second tranche debt in cash with proceeds from the March 23, 2018 equity financing. 
The fair value of the conversion option liability was again revalued at March 23, 2018 using the Black-Scholes-Merton 
model using the following criteria: stock price of $0.21 per share, expected life of 0.11 years, volatility of 288.16%, risk 
free rate of 1.69% and dividend rate of 0%, resulting in an increase of $174,754 to the fair value of the conversion option 
liability  and  included  in  the  change  in  fair  value  of  warrants  and  conversion  option  liability  in  the  statements  of 
operations. The underlying debt was paid off in March of 2018 and the $286,595 conversion option liability was written 
off to other income in the statements of operations. 

December 2016 Convertible Debt 

In  December  2016,  Napo  entered  into  a  note  purchase  agreement  which  provided  for  the  sale  of  up  to 
$12,500,000 face amount of notes and issued convertible promissory notes (the Napo December 2016 Notes) in the 
aggregate face amount of  $2,500,000 to three lenders and received proceeds of $2,000,000 which resulted in $500,000 
of original issue discount. In July 2017, Napo issued convertible promissory notes (the Napo July 2017 Notes) in the 
aggregate face amount of $7,500,000 to four lenders and received proceeds of $6,000,000 which resulted in $1,500,000 
of original issue discount. The Napo December 2016 Notes and the Napo July 2017 Notes mature on December 30, 
2019 and bear interest at 10% with interest due each six-month period after December 30, 2016. On June 30, 2017, the 
accrued interest of $125,338 was added to principal of the Napo December Notes, and the new principal balance became 
$2,625,338. Interest may be paid in cash or in the stock of Jaguar per terms of the note purchase agreement. In each one 
year period beginning December 30, 2016, up to one-third of the principal and accrued interest on the notes may be 
converted into the common stock of the merged entity at a conversion price of $0.925 per share. The Company assumed 
these convertible notes at fair value of $11,161,000 as part of the Napo Merger. The $1,035,661 difference between the 
fair value of the notes and the principal balance is being amortized over the twenty-nine (29) month period from July 
31, 2017 to December 31, 2019 or $178,562 and is recorded as a contra interest expense in the consolidated statements 
of operations. Interest expense is paid every nine months through the issuance of common stock. On March 16, 2018, 
$534,775 of interest accrued through January 31, 2018 and $169,950 of certain legal expenses were paid through the 
issuance of 285,694 shares of the Company's common stock. In August 2018, the Company paid $479,808 of accrued 
interest through July 31, 2018 with the issuance of 320,743 shares of the Company’s common stock. At December 31, 

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2018  and  December  31,  2017,  the  unamortized  balance  of  the  convertible  note  payable  was  $10,553,888  and 
$10,982,438, respectively.    

Notes Payable 

Notes Payable at December 31, 2018 and December 31, 2017 consist of the following: 

  December 31,      December 31, 

2018 

2017 

December 2017 note payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     $  1,673,237    $  1,587,500 
 — 
February 2018 note payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
March 2018 note payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
 — 
  $  5,180,857    $  1,587,500 
    (335,282)       (446,347)
Less: unamortized net discount and debt issuance costs  . . . . . . .    
Net convertible notes payable obligation . . . . . . . . . . . . . . . . . . . .     $  4,845,575    $  1,141,153 

   2,359,750  
   1,147,870  

Interest expense on the Notes Payable was $1,531,451 and $49,287 for the years ended December 31, 2018 

and 2017. 

December 2017 Note 

On December 8, 2017, the Company entered into a securities purchase agreement (the “Securities Purchase 
Agreement”) with an existing creditor pursuant to which the Company issued a promissory note (the “Note”) in the 
aggregate principal amount of $1,587,500 for an aggregate purchase price of $1,100,000. The Note carries an original 
issue discount of $462,500, and the initial principal balance also includes $25,000 to cover CVP’s transaction expenses. 
The Company will use the proceeds for general corporate purposes. The Note bears interest at the rate of 8% per annum 
and matures on August 26, 2019. The balance of the note payable as of December 31, 2018 of $1,548,829 consists of 
the $1,673,237 face value of the note less note discounts of $124,408, and is included in notes payable in the current 
liabilities section of the consolidated balance sheet. 

On  August  2,  2018,  the  Company  and  CVP  amended  the  December  2017  Note  agreement,  extending  the 
maturity date from September 8, 2018 to August 26, 2019, and limiting the aggregate amount that CVP is permitted to 
redeem on a monthly basis to $500,000, which amount is the maximum aggregate amount for the Notes collectively.  
This amendment resulted in the Company accounting for the transaction as a troubled debt restructuring, under which 
the carrying amount of the note payable remained unchanged but interest expense is computed using a new effective 
rate that equates the present value of the future cash payments specified by the new terms with the carrying amount of 
the note. The principal balance of the note is included in notes payable in the current liabilities section of the balance 
sheet. 

Between October 2018 and December 2018, the Company and CVP renegotiated the terms of the December 
2017 Note agreement such that CVP agreed not to make any redemptions of the Note until March 2019. In consideration 
of this standstill arrangement, the Company paid CVP a total standstill fee of $499,403 for all four CVP Notes. The 
standstill fee allocated to the December 2017 Note was $141,737, of which $85,737 increased the principle balance and 
$56,000 was paid in cash. These modifications in whole represented four separate restructurings of the December 2017 
Note agreement, resulting in two troubled debt restructurings accounted for under ASC 470-60 and two modifications 
accounted for under ASC 470-50. For the two restructurings resulting in troubled debt restructurings, the changes were 
accounted for prospectively and a new effective interest rate was determined that equated the present value of the future 
cash payments specified by the new terms with the carrying amount of the Note. For the two modifications that resulted 
in modification accounting, a new effective rate was determined at the date of modification that equated the revised 
cash flows to the carrying amount of the Note. 

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February 2018 Note 

On February 26, 2018, the Company entered into a securities purchase agreement with CVP, pursuant to which 
the  Company  issued  to  CVP  a  promissory  note  in  the  aggregate  principal  amount  of  $2,240,909  for  an  aggregate 
purchase price of $1,560,000. The Note carries an original issue discount of $655,909, and the initial principal balance 
also includes $25,000 to cover CVP's transaction expenses. The Company will use the proceeds for general corporate 
purposes and working capital. The Note bears interest at the rate of 8% per annum and matures on August 26, 2019.  
The balance of the note payable as of December 31, 2018 of $2,290,865 consists of the $2,359,750 face value of the 
note less note discounts of $68,885, and is included in notes payable in the current liabilities section of the consolidated 
balance sheet. 

Between October 2018 and December 2018, the Company and CVP renegotiated the terms of the February 
2018 Note agreement such that CVP agreed not to make any redemptions of the Note until March 2019. In consideration 
of this standstill arrangement, the Company paid CVP a total standstill fee of $499,403 for all four CVP Notes. The 
standstill fee allocated to the February 2018 Note was $198,841, of which $118,841 increased the principle balance and 
$80,000 was paid in cash. These modifications in whole represented four separate restructurings of the February 2018 
Note agreement, resulting in a debt extinguishment accounted for under ASC 470-50, two troubled debt restructurings 
accounted for under ASC 470-60 and a debt modification accounted for under ASC 470-50. For the debt extinguishment, 
the Company recorded an extinguishment loss of $102,296. For the two troubled debt restructurings, the changes were 
accounted for prospectively and a new effective interest rate was determined that equated the present value of the future 
cash payments specified by the new terms with the carrying amount of the Note. For the modification that resulted in 
modification accounting, a new effective rate was determined at the date of modification that equated the revised cash 
flows to the carrying amount of the Note. 

March 2018 Note 

On March 21, 2018, the Company entered into a securities purchase agreement with CVP, pursuant to which 
the  Company  issued  to  CVP  a  promissory  note  in  the  aggregate  principal  amount  of  $1,090,341  for  an  aggregate 
purchase price of $750,000. The Note carries an original issue discount of $315,341, and the initial principal balance 
also includes $25,000 to cover CVP's transaction expenses. The Company will use the proceeds to fully repay certain 
prior secured and unsecured indebtedness. The Note bears interest at the rate of 8% per annum and matures on September 
21, 2019. The balance of the note payable as of December 31, 2018 of $1,005,800 consists of the $1,147,870 face value 
of the note less note discounts of $141,990, and is included in notes payable in the current liabilities section of the 
consolidated balance sheet. 

Between October 2018 and December 2018, the Company and CVP renegotiated the terms of the March 2018 
Note agreement such that CVP agreed not to make any redemptions of the Note until March 2019. In consideration of 
this  standstill  arrangement,  the  Company  paid  CVP  a  total  standstill  fee  of  $499,403  for  all  four  CVP  Notes.  The 
standstill fee allocated to the March 2018 Note was $95,529, of which $57,529 increased the principle balance and 
$38,000 was paid in cash. These modifications in whole represented four separate restructurings of the March 2018 
Note agreement, resulting in a debt extinguishment accounted for under ASC 470-50, two troubled debt restructurings 
accounted  for  under  ASC  470-60,  and  a  debt  modification  accounted  for  under  ASC  470-50.  For  the  debt 
extinguishment, the Company recorded an extinguishment loss of $223,824. For the two troubled debt restructurings, 
the changes were accounted for prospectively and a new effective interest rate was determined that equated the present 
value of the future cash payments specified by the new terms with the carrying amount of the Note. For the modification 
that resulted in modification accounting, a new effective rate was determined at the date of modification that equated 
the revised cash flows to the carrying amount of the Note. 

CVP Notes – Correction of an Error 

In September 30, 2018, it was discovered that an error was made in the accounting for the restructuring of 
notes payable with CVP that dated back to the three months ended March 31, 2018. The Company improperly did not 
account  for  the  transaction  as  a  debt  extinguishment.  This  error  led  to  the  understatement  of  other  expense  by 
approximately $798,000 for the three months ended March 31, 2018 and the understatement of short-term notes payable 

114 

by $798,000 as of March 31, 2018. This error also led to the overstatement of other expense by approximately $322,000 
for the three months ended June 30, 2018 and the understatement of short term notes payable by approximately $476,000 
as of June 30, 2018. The Company did not deem this error to be material to its consolidated financial statements for the 
first and second quarter of 2018 and corrected the error via an out of period adjustment recorded to other expense and 
short term notes payable in the three months ended September 30, 2018. 

Long-term Debt 

As of December 31, 2018 and 2017, the net long-term debt obligation was as follows: 

Debt and unpaid accrued end-of-term payment  . . . . . . . . . . . . . . .    $ 
Unamortized note discount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Unamortized debt issuance costs . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Net debt obligation  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $ 

 —    $  1,636,639 
 (6,615)
 —     
 —  
 (20,780)
 —    $  1,609,244 

  December 31,    December 31, 

2018 

2017 

Current portion of long-term debt  . . . . . . . . . . . . . . . . . . . . . . . . . .    $ 
Long-term debt, net of discount . . . . . . . . . . . . . . . . . . . . . . . . . . . .   

Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $ 

 —    $  1,609,244 
 —     
 — 
 —    $  1,609,244 

In August 2015, the Company entered into a loan and security agreement with a lender for up to $8.0 million, 
which provided for an initial loan commitment of $6.0 million. The agreement has a term of three years, with interest 
only payments through February 29, 2016. Thereafter, principal and interest payments will be made with an interest rate 
of  9.9%.  Additionally,  there  will  be  a  balloon  payment  of  $600,000  on  August  1,  2018  (as  modified  in  the  third 
amendment  to  the  Loan Agreement). This amount  is  being recognized over  the  term  of  the  loan  agreement  and  the 
effective interest rate, considering the balloon payment, is 15.0%. Proceeds to the Company were net of a $134,433 debt 
discount under the terms of the loan agreement. 

On April 21, 2016, the loan and security was amended upon which the Company repaid $1.5 million of the 
debt  out  of  restricted  cash.  The  amendment  modified  the  repayment  amortization  schedule  providing  a  four-month 
period of interest only payments for the period from May through August 2016. 

On  July  7,  2017,  the  Company  entered  into  the  third  amendment  to  the  Loan  Agreement  upon  which  the 
Company paid $1.0 million of the outstanding loan balance, and the Lender waived the prepayment charge associated 
with  such  prepayment.  The  Third  Amendment  modified  the  repayment  schedule  providing  a  three-month  period  of 
interest only payments for the period from August 2017 through October 2017. 

On March 23, 2018, the Company paid off the remaining $689,345 of principal, $4,471 of interest, and the 

end-of-term payment of $600,000 in cash with proceeds from the March 23, 2018 equity financing.   

Interest expense on the long-term debt was $99,300 and $526,069 for the years ended December 31, 2018 and 

2017. 

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Warrants  

A  summary  of  common  stock  warrants  outstanding,  including  associated  activity,  for  the  years  ended 

December 31, 2018 and 2017 is as follows:  

Warrants outstanding, beginning balance  . . . . . . . . . . . . . . . . . . . . . .    
Issuances  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Exercises  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Expirations and cancellations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Warrants outstanding, end of period  . . . . . . . . . . . . . . . . . . . . . . . . . .    

  Year ended December 31,  

2018 
 321,314  
 2,166,588  
 —  
 (60,249)  
 2,427,653  

2017 
 397,904 
 106,376 
 (60,553)
 (122,413)
 321,314 

November 2016 Series A Warrants 

In  November  2016,  the  Company  entered  into  a  Securities  Purchase  Agreement  with  certain  institutional 
investors pursuant to which the Company issued an aggregate of 111,111 shares of the Company’s common stock. The 
investors also received warrants to purchase up to an aggregate of 111,111 shares of the Company’s common stock, at 
an exercise price of $11.25 per share, or the Series A Warrants, and the Placement Agent received warrants to purchase 
8,889 shares of our common stock in lieu of cash for service fees with the same terms as the investors. The Series A 
warrants and placement agent warrants warrants were initially valued using the Black-Scholes-Merton warrant pricing 
model using the following assumptions: 111,111 warrant shares with a strike price of $11.25 per share and an expiration 
date of May 29, 2022; and 8,889 warrant shares to the placement agent with a strike price of $11.25 and an expiration 
date of May 29, 2022; the expected life is 5.5 years, the volatility was 71.92% and the risk free rate was 1.87%.  The 
issuance date fair value of these warrants was $756,001and they were classified as a warrant liability in the Company’s 
balance sheet.  As of December 31, 2018 and 2017, the warrant liability was valued at $7,388 and $103,860 respectively. 
The change of $96,472 was recorded as a gain in the Company’s statements of operations. 

November 2016  Series B and C Warrants 

In November 2016,as part of the same financing transaction in which the Series A warrants were issued, the 
Company also issued the Series B and Series C warrants to purchase 111,111 and 111,111 shares of the Company’s 
common stock, respectively. The series B and C warrants were classified as equity, and as such were not subject to 
subsequent  revaluation.  All  of  the  Series  B  warrants  expired  unexercised  in  November  2017,  while  all  unexercised 
Series C warrants expired in May 2018. 

July 2017 Napo Warrants 

In July 2017, the Company granted warrants to purchase 81,649 shares of common stock of the Company at 
an exercise price of $1.20 per share to replace Napo warrants upon the consummation of the July 2017 Merger. Of the 
81,649 warrants, 9,696 warrants expire on December 31, 2018 and 71,953 warrants expire on December 31, 2025. The 
warrants were valued at $630,859, using the Black-Scholes option pricing model as follows: exercise price of $0.08 per 
share, stock price of $0.56 per share, expected life ranging from 1.42 years to 8.42 years, volatility ranging from 75.07% 
to 110.03%, and risk-free rate ranging from 1.28% to 2.14%. The warrants were classified in equity. 

August 2018 Financing Warrants 

In  August  2018,  in  consideration  of  services  provided,  the  Company  issiued  a  warrant  to  purchase  30,000 
shares of common stock which were exercisable only in the event that the Company raised new financing of at leat $3 
million, and expired five years from the date of issuance. The warrants were valued at $17,582 using the Black-Scholes 
option pricing model as follows: exercise price of $1.06 per share, stock price of $1.06 per share, expected life of five 
years, volatility of 126%, and a risk-free rate of 3.83%. The warrants were classified in stockholders’ equity. In October 
2018,  in  a  public  offering,  the  Company  met  the  $3  million  new  financing  threshold  and  the  warrants  became 
exercisable.   

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August 2018 License Transaction Warrants 

In August 2018, in consideration of services provided, the Company issiued a warrant the exercise of which 
was contingent upon either (i) the Company consummating a Licensing Transaction within six months of August 2018, 
the occurrence of which would result in the warrant becoming immediately exercisable for 66,667 shares of common 
stock, or (ii) the Company consummating a Licensing Transaction after six months and within twelve months of August 
2018, the occurrence of which would result in the warrant becoming immediately exercisable for 33,333 shares common 
stock. The warrant was valued at $6,312 using the Black-Scholes option pricing model as follows: exercise price of 
$1.06 per share, stock price of $1.06 per share, expected life of five years, volatility of 126%, and a risk-free rate of 
3.83%. The warrants were classified in stockholders’ equity.  

October2018 Underwriter Warrants 

In  October  2018,  in  consideration  of  services  provided  leading  up  to  the  Company’s  October  2018  public 
offering, the Company issued warrants to various service providers to purchase an aggregate of 1,200,000 shares of  
common stock at an exercise price of $0.75 per common share. The warrants were valued at $611,286 using the Black-
Scholes option pricing model as follows: exercise price of $0.75 per share, stock price of $0.59 per share, expected life 
of five years, volatility of 138%, and a risk-free rate of 2.51%. The warrants were classified as liabilities pursuant to 
ASC  815-40  as  there  was  potential  cash  settlement.  As  of  December  31,  2018,  the  warrant  liability  was  valued  at 
$212,988. The change of $398,298 was recorded as a gain in the Company’s statements of operations. 

9. Convertible Preferred Stock 

In  March  2018,  the  Company  entered  into  a  stock  purchase  agreement  with  Sagard  Capital  Partners,  L.P. 
pursuant  to  which  the  Company,  in  a  private  placement,  agreed  to  issue  and  sell  to  Sagard  5,524,926  shares  of  the 
Company's series A convertible participating preferred stock, $0.0001 par value per share, for an aggregate purchase 
price of $9,000,002. Each share of preferred stock is initially convertible into nine shares of common stock at the option 
of the holder at an effective conversion price of $0.185 per share (based on an original price per Preferred Share of 
$1.665), provided that, at any time prior to the time the Company obtains stockholder approval, as required pursuant to 
Nasdaq  Rule  5635(b)  any  conversion  of  Preferred  Stock  by  a  holder  into  shares  of  the  Common  Stock  would  be 
prohibited if, as a result of such conversion, the holder, together with such holder's attribution parties, would beneficially 
own more than 19.99% of the total number of shares of the Common Stock issued and outstanding after giving effect 
to such conversion. Subject to certain limited exceptions, the shares of Preferred Stock cannot be offered, pledged or 
sold by Sagard for one year from the date of issuance. The conversion price is subject to certain adjustments in the event 
of any stock dividend, stock split, reverse stock split, combination or other similar recapitalization.  

Holders of the Series A shares are entitled to participate equally and ratably with the holders of common stock 
shares in all dividends paid and distributions made to the holders of the common stock as if, immediately prior to each 
record date of the common stock, the shares of Series A then outstanding were converted into shares of common stock. 

In the event of any voluntary or involuntary liquidation, dissolution or winding up of the Company or deemed 
liquidation event, the holders of Series A shares then outstanding shall be entitled to be paid in cash out of the assets of 
the Company before any payment shall be made to the holders of common stock or shares of any series or class of 
preferred or other capital stock then outstanding that by its terms is junior to the Series A in respect of the preferences 
as to distributions and payments upon such liquidation event by reason of their ownership, an amount per share of Series 
A equal to one times the Series A original issue price. 

The  redemption  and  liquidation  value  of  the  series  A  preferred  stock  is  $12,738,822  and  $9,199,002, 
respectively. If a Redemption Event occurs as of the Measurement Date (the later of April 30, 2021 and the date on 
which  the  Company  files  its  Form  10-Q  for  the  three  months  ending  March  31,  2021,  but  in  no  event  later  than 
September  30,  2021),  the  holders  of  at  least  a  majority  of  the  shares  of  Series  A  then  outstanding  may  require  the 
Company  to  redeem  all  Series  A  shares  at  a  per  share  purchase  price  equal  to  $2.3057;  any  one  of  the  following 
conditions can result in a Redemption Event that is not solely within the Company's control: Revenues attributable to 

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the Mytesi product for the six-month period ended March 31, 2021 are less than $22.0 million or the average VWAP 
for the Company's common stock for the 30 days prior to a Measurement Date is less than $1.00. 

The effective conversion price is $0.185 per share while the fair value of the Company's common stock at the 
commitment date was $0.205 per share based on the closing price of common stock on March 23, 2018. As a result, the 
Company determined that there is a Beneficial Conversion Feature (“BCF”) amounting to approximately $995,000, 
which is computed by taking the difference between the closing price of the stock on March 23, 2018 and the conversion 
price multiplied by the as if converted 49,724,334 shares (5,524,926 preferred shares multiplied by the conversion factor 
of  9).  The  Company's  Series  A  shares  do  not  have  a  stated  conversion  date  and  are  immediately  convertible  at  the 
issuance  date. Based  on  the guidance  above,  the  Company  recorded  a deemed  dividend  charge  of $995,000  for  the 
accretion of the discount on the Series A shares. The deemed dividend was a non-cash transaction and is reflected below 
net loss to arrive at net loss available to common stockholders on the Company's condensed consolidated statement of 
operations for the fiscal year ended December 31, 2018. 

The  preferred  stock  has  been  classified  outside  of  stockholders'  equity  in  accordance  with  authoritative 

guidance for the classification and measurement of redeemable securities.(cid:3)

10. Stockholders’ Equity  

Common Stock 

The holders of common stock are entitled to one vote for each share of common stock held. The common 
stockholders are also entitled to receive dividends whenever funds and assets are legally available and when declared 
by the Board of directors. 

The holders of non-voting common stock are not entitled to vote, except on an as converted basis with respect 
to any change of control of the Company that is submitted to the stockholders of the Company for approval. Shares of 
the Company's non-voting common stock have the same rights to dividends and other distributions and are convertible 
into shares of the Company's common stock on a one-for-one basis upon transfers to non-affiliates of Nantucket ("former 
creditor of Napo"), upon the release from escrow of certain non-voting shares held by the former creditors of Napo to 
the legacy stockholders of Napo under specified conditions and at any time on or after April 1, 2018 at the option of the 
respective holders thereof. 

In June 2018, the Company effected a 1-for-15 reverse stock split of the Company's issued and outstanding 
shares of Common Stock. The reverse split has been reflected in all voting common stock, warrants, and common stock 
option shares disclosed in these financial statements. The non-voting common stock and the convertible preferred stock 
were excluded from the reverse split. 

In June 2018, the Company decreased its total number of authorized shares of Common Stock such that the 
total number of the shares that the Company has authority to issue is 210,000,000 shares, of which 150,000,000 shares 
are Common Stock, 50,000,000 are non-voting common stock and 10,000,000 shares are “blank check” preferred stock. 

In October 2018, in a public offering the Company issued and sold 11,575,001 shares of its common stock at 
$0.60 per share and 3,425,000 pre-funded warrants to purchase shares of common stock at $0.59 per share for gross 
proceeds of of $9.0 million, The pre-funded warrants were all exercised in October 2018 at an exercise price of $0.01 
per share. The net proceeds to the Company from the offering, after deducting underwriters’ discounts and commissions 
and other offering costs and expenses, was approximately $7.2 million. The pre-funded warrants represented prepaid 
equity forward contracts that were equity classified, as they were not subject to ASC 480 and did not meet the definition 
of a derivative under ASC 815 due to their requiring a substantial upfront payment.  

118 

 
As of December 31, 2018 and 2017, the Company had reserved shares of common stock, on an as-if converted 

basis, for issuance as follows: 

    December 31,      December 31, 

2018 

2017 

Options issued and outstanding  . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      2,944,148     2,984,304 
 208,865  
Inducement options issued and outstanding  . . . . . . . . . . . . . . . . . . .   
— 
 513,385 
 162,892   
Options available for grant under stock option plans . . . . . . . . . . . .    
 392,923 
RSU awards issued and outstanding  . . . . . . . . . . . . . . . . . . . . . . . . .    
 392,904   
 443,756 
Warrants issued and outstanding . . . . . . . . . . . . . . . . . . . . . . . . . . . .      2,427,653   
Convertible notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
 1,036,717 
 759,396  
Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      6,895,858     5,371,085 

11. Stock Based Compensation 

2013 Equity Incentive Plan  

In November 2013, the Company's board of directors and sole stockholder adopted the Jaguar Health, Inc. 
2013 Equity Incentive Plan (the “2013 Plan”). The 2013 Plan allows the Company's board of directors to grant stock 
options, restricted stock awards and restricted stock unit awards to employees, officers, directors and consultants of the 
Company. Following the effective date of the IPO and after effectiveness of any grants under the 2013 Plan that were 
contingent on the IPO, no additional stock awards will be granted under the 2013 Plan. Outstanding grants continue to 
be exercisable, however any unissued shares under the plan and any forfeitures of outstanding options do not rollover 
to the 2014 Stock Incentive Plan. There were 33,769 option shares outstanding at December 31, 2018. 

2014 Stock Incentive Plan  

Effective May 12, 2015, the Company adopted the Jaguar Health, Inc. 2014 Stock Incentive Plan (“2014 Plan”). The 
2014 Plan provides for the grant of options, restricted stock and restricted stock units to eligible employees, directors 
and consultants to purchase the Company's common stock. The 2014 Plan that provides for automatic share increases 
on the first day of each fiscal year in the amount of 2% of the outstanding number of shares of the Company's common 
stock on  last  day  of  the preceding  calendar  year.  The 2014  Plan  replaced  the 2013  Plan  except  that  all  outstanding 
options under the 2013 Plan remain outstanding until exercised, cancelled or expired. 

Stock Options and Restricted Stock Units (“RSUs”)  

Activity under the 2013 Plan and the 2014 Plan is set forth below: 

Outstanding at December 31, 2017 . .  
Additional shares authorized . . . . .  
Options granted  . . . . . . . . . . . . . . .  
Options cancelled . . . . . . . . . . . . . .  
Outstanding at December 31, 2018 . .  
Exercisable at December 31, 2018 . . .  
Vested and expected to vest at 

December 31, 2018  . . . . . . . . . . . . .  

Shares 

  Available 
for Grant 

Stock  
 Options 

RSUs 
     Outstanding    Outstanding     Exercise Price   

 3,619 
 2,877,766 
 (2,868,673)
 150,180 
 162,892 

 229,575 
 — 
 2,868,673 
 (154,100) 
 2,944,148 
 616,309 

 392,904  $ 
 — 
 — 
 — 
 392,904  $ 
$ 

 28.05 
 — 
 1.60 
 4.57 
 5.81 
 10.86   

 Weighted Average    
Remaining 

  Weighted 
 Aggregate
  Average 
  Stock Option    Contractual Life    Intrinsic 
     Value* 
 — 

(Years) 

 8.31  $ 
 — 
 — 
 — 
 9.24  $ 
 8.90  $ 

 — 
 — 
 — 
 — 

   2,849,994 

$ 

 6.02   

 9.24  $ 

 — 

*    Fair market value of JAGX stock on December 31, 2018 was $0.23 per share. 

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The intrinsic value is calculated as the difference between the exercise price of the underlying options and the 

fair market value of the Company's common stock for options that were in-the-money. 

The weighted average grant date fair value of stock options granted was $1.60 and $1.95 per share during the 

years ended December 31, 2018 and 2017. 

The number of options that vested in the years ended December 31, 2018 and 2017 was 881,314 and 687,634, 
respectively. The grant date weighted average fair value of options that vested in the years ended December 31, 2018 
and 2017 was $ 2,055,576 and $712,718, respectively. 

No options were exercised in the years ended December 31, 2018 and 2017. 

The Company granted 209,531 inducement options in fiscal year 2018 to new employees. These options are 
all non-statutory and were issued outside of the Company’s 2014 Stock Plan. The weighted average grant-date fair value 
of the options was $1.34 per share. Stock-based compensation expense related to the inducement stock for the fiscal 
year 2018 was $52,577. 

The Company has granted RSUs under both the 2013 Plan and the 2014 Plan. The units granted have varying 
vesting terms, including RSU’s that vest upon the occurrence of both a liquidity event and satisfaction of the service-
based requirement. The stock-based compensation expense is based on the grant date fair market value of the Company’s 
common stock, and is amortized over the vesting period using the straight-line method, net of estimated forfeitures. 
There were 392,904 RSU’s outstanding at December 31, 2018 and 2017.  

Stock-Based Compensation  

The following table summarizes stock-based compensation expense related to stock options, inducement stock 
options and RSUs for the years ended December 31, 2018 and 2017, and are included in the consolidated statements of 
operations as follows: 

2018 
 579,641   $  216,932 
Research and development expense . . . . . . . . . . . . . . . . . . . . . . . . . .    $ 
    32,325 
 96,730  
Sales and marketing expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
General and administrative expense . . . . . . . . . . . . . . . . . . . . . . . . . .   
   565,356 
   1,347,503  
Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $  2,023,874   $  814,613 

2017 

Year Ended  
December 31,  

As of December 31, 2018, the Company had $2,860,071 of unrecognized stock-based compensation expense 

for options and RSU’s, which is expected to be recognized over a weighted-average period of 2.0 years. 

The estimated grant-date fair value of employee stock option grants was calculated using the Black-Scholes -

Merton option-pricing model using the following assumptions: 

Weighted-average volatility  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    87.4 - 105.9 % 
5.1 - 5.8     
Weighted-average expected term (years) . . . . . . . . . . . . . . . . . . . . .   
Risk-free interest rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
2.6 - 2.9 % 
Expected dividend yield . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   

 —  

2018 

2017 
 74.3 - 90.5 %
  5.1 - 5.8   
  2.0 - 2.3 %
 —   

Year Ended  
December 31,  

The estimated period-end fair value of non-employee stock options was calculated using the Black-Scholes -

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Merton option-pricing model using the following assumptions: 

Weighted-average volatility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    83.6 - 89.2 % 
9.1 - 9.7     
Weighted-average expected term (years)  . . . . . . . . . . . . . . . . . . . .   
Risk-free interest rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
2.6 - 3.0 % 
Expected dividend yield . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   

 —  

2018 

2017 
 85.4 - 85.7 %
  9.8 - 10.0   
  2.4 - 2.5 %
 —   

Year Ended  
December 31,  

401(k) Plan  

The Company sponsors a 401(k) defined contribution plan covering all employees. There were no employer 

contributions to the plan from plan inception through December 31, 2018. 

12. Net Loss Per Share Attributable to Common Stockholders  

The following table presents the calculation of basic and diluted net loss per common share for the years ended 

December 31, 2018 and 2017: 

Net loss attributable to common stockholders (basic) . . . . . . .         (32,146,057)    $ (21,968,614) 
Shares used to compute net loss per common share, basic 

and diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    

 14,681,044  

 2,895,729 

Net loss per share attributable to common stockholders, 

basic and diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     $

 (2.19)   $

 (7.59) 

Years Ended December 31, 

2018 

2017 

Basic net loss per share is calculated by dividing net loss by the weighted-average number of common shares 
outstanding during  the period.  Diluted  net  loss per share  is  computed by  dividing  net  loss by  the weighted-average 
number of common shares and common share equivalents outstanding for the period. Common stock equivalents are 
only included when their effect is dilutive. The Company's potentially dilutive securities which include stock options, 
convertible preferred stock and common stock warrants have been excluded from the computation of diluted net loss 
per share as they would be anti-dilutive. For all periods presented, there is no difference in the number of shares used 
to compute basic and diluted shares outstanding due to the Company's net loss position.  

The following outstanding common stock equivalents have been excluded from diluted net loss per common 

share for the years ended December 31, 2018 and 2017 because their inclusion would be anti-dilutive: 

Options issued and outstanding  . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Warrants to purchase common stock . . . . . . . . . . . . . . . . . . . . . . . .    
Restricted stock units  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Total   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    

  December 31,   December 31, 

2018 
 2,944,148  
 2,427,653  
 392,904  
 5,764,705  

2017 
 3,444,663 
 4,820,025 
 5,893,849 
 14,158,537 

13. Income Taxes  

The Company's loss before provision for income taxes during the years ended December 31, 2018 and 2017, 

was a domestic loss of $32,146,057 and $35,149,856, respectively. 

The effective tax rate for 2018 and 2017 was 0% and (38)%, respectively. As a result of the Company's history 
of net operating losses  and full valuation allowance  against its deferred tax assets, there was no current or deferred 

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income tax provision for the year ended December 31, 2018.  As a result of the acquisition of Napo Pharmaceuticals on 
July 31, 2017, the Company recorded a tax benefit of $13,181,242 for the year ended December 31, 2017. This tax 
benefit is a result of the partial release of its existing valuation allowance since the acquired deferred tax liabilities from 
Napo will provide a source of income for the Company to realize a portion of its deferred tax assets, for which a valuation 
allowance is no longer needed.     

The components of the provision for income taxes during the years ended December 31, 2018 and 2017 is as 

follows: 

  December 31,  

  December 31,  

2018 

2017 

Current: 

Federal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
State . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Foreign . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Total Current . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Deferred: 

Federal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
State . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Foreign . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Total Deferred . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Total Provision for Income Taxes . . . . . . . . . . . . . . . . . . .  

  $ 

  $ 

 — 
 — 
 — 
 — 

 — 
 — 
 — 
 — 
 — 

  $

 — 
 — 
 — 
 — 

 (12,165,311)
 (1,015,931)
 — 
 (13,181,242)
  $  (13,181,242)

The Company’s effective tax during the years ended December 31, 2018 and 2017, differed from the federal 

statutory rate as follows: 

  December 31,   December 31,   

Statutory Rate  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
State Taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Tax Credits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Goodwill and Indefinite-lived Intangible Asset Impairment . . .    
Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Effect of U.S. tax law change . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Valuation Allowance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
Effective Tax Rate  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    

2018 
 (21.0) %  
 (5.6) %  
 (0.2) %  
 3.4 %  
 1.0 %  
 — %  
 22.4 %  
 — %  

2017 
 (34.0)%  
 (2.2)%  
 (0.2)%  
 16.3 %  
 3.6 %  
 2.6 %  
 (23.6)%  
 (37.5)%  

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Net deferred tax assets as of December 31, 2018 and 2017 consist of the following: 

Non-current deferred tax assets: 

      December 31,  

      December 31,  

2018 

2017 

Net operating losses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     $   12,156,279 
 329,563 
Tax credits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      
 1,479,325 
Stock compensation  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      
Fixed assets and intangibles . . . . . . . . . . . . . . . . . . . . . . . .      
 — 
Other  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      
 573,441 
 14,538,608 
 (8,512,820)    
 6,025,788 

Valuation allowance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      
Net non-current deferred tax assets . . . . . . . . . . . . . . . . . .      

  $ 

 5,827,970 
 325,188 
 1,198,657 
 — 
 312,949 
 7,664,764 
 (1,625,782)
 6,038,982 

Non-current deferred tax liabilities: 

Fixed assets and intangibles . . . . . . . . . . . . . . . . . . . . . . . .      
Net non-current deferred tax liability  . . . . . . . . . . . . . . . .      
Net non-current deferred tax asset (liability) . . . . . . . . . . . .      

 (6,025,788)    
 (6,025,788)    

 — 

 (6,038,982)
 (6,038,982)
 — 

A  valuation  allowance  is  provided  when  it  is  more  likely  than  not  that  the  deferred  tax  assets  will  not  be 
realized. The Company has established a valuation allowance to offset net deferred tax assets as of December 31, 2018 
and 2017, due to the uncertainty of realizing future tax benefits from its net operating loss carryforwards and other 
deferred tax assets.  

The valuation allowance increased by $6,887,038 during the year ended December 31, 2018. 

On December 22, 2017, President Trump signed the Tax Cuts and Jobs Act of 2017 (the “Act”) into law.  The 
new legislation decreases the U.S. corporate federal income tax rate from 35% to 21% effective January 1, 2018.  The 
Act also includes a number of other provisions including the elimination of loss carrybacks and limitations on the use 
of  future  losses  and  repeal  of  the  Alternative  Minimum  Tax  regime.  As  of  December  31,  2017,  the  Company  had 
calculated its best estimate of the impact of the Tax Act in its year end income tax provision in accordance with its 
understanding of the Tax Act and guidance available as of the date of this filing. The provisional amount related to the 
re-measurement of certain deferred tax assets and liabilities based on the rates at which they are expected to reverse in 
the future was a net decrease related to deferred tax assets and deferred tax liabilities of $914,534 with a corresponding 
offsetting  change  in  valuation  allowance  of  $914,534  for  the  year  ended  December  31,  2017.    The  Company  has 
completed their analysis of the impact of the Act.  There was no change to the provisional amount as of December 31, 
2018.   

As  of  December  31,  2018,  the  Company  had  federal  and  California  net  operating  loss  carryovers  of 
approximately $43,770,861 and $40,830,415, respectively. The federal and California net operating losses will begin to 
expire in 2027. 

As of December 31, 2018, the Company had federal and California research credit carryovers of approximately 
$64,047 and $440,388, respectively. The federal research credits will begin to expire in 2038.  The California research 
credits carry forward indefinitely. 

Utilization of the domestic NOL and tax credit forwards may be subject to a substantial annual limitation due 
to ownership change limitations that may have occurred or that could occur in the future, as required by the Internal 
Revenue Code Section 382, as well as similar state provisions. In general, an "ownership change," as defined by the 
code, results from a transaction or series of transactions over a three-year period resulting in an ownership change of 
more than 50 percentage points of the outstanding stock of a company by certain stockholders or public groups. Any 
limitation may result in expiration of all or a portion of the NOL or tax credit carryforwards before utilization. As of 
December 31, 2018, the Company has reduced its federal and California gross net operating loss by $99,989,021 and 
$44,557,023  respectively.    The  Company  also  reduced  its  federal  and  California  R&D  credit  carryforwards  by 
$1,415,339 and $696,670, respectively.   

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Uncertain Tax Positions  

The  Company  has  adopted  the  provisions  of  ASC  740,  Income  Taxes  Related  to  Uncertain  Tax  Positions. 
Under these principals, tax position are evaluated in a two-step process.  The Company first determines whether it is 
more-likely-than-not that a tax positions will be sustained upon examination.  If a tax position meets the more-likely-
than-not recognition threshold it is then measured to determine the amount of benefit to be recognized in the financial 
statements.  The tax position is measured as the largest amount of benefit that has a greater than 50 percent likelihood 
of being realized upon ultimate settlement. 

The following is a reconciliation of the beginning and ending amount of our total gross unrecognized tax benefit 

liabilities: 

Gross Unrecognized Tax Benefit--Beginning Balance . . . . . . . .     $ 
Increases Related to Tax Positions from Prior Years . . . . . . . . .      
Increases Related to Tax Positions Taken During the Current 

  December 31, 
2017 

  December 31,  
2018 
 97,010    $   113,073 
 (55,960)
 (20,607)    

Year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      
Gross Unrecognized Tax Benefit--Ending Balance  . . . . . . . . . .     $ 

 24,486     
 100,889    $ 

 39,897 
 97,010 

14. Segment Data 

Prior to the merger with Napo, the Company managed its operation as a single segment for the purposes of 
assessing performance and making operating decisions. The Company reorganized their segments to reflect the change 
in the organizational structure resulting from the merger with Napo. Post-merger with Napo, the Company manages its 
operations through two segments. The Company has two reportable segments-human health and animal health. The 
animal health segment is focused on developing and commercializing prescription and non-prescription products for 
companion and production animals. The human health segment is focused on developing and commercializing of human 
products and the ongoing commercialization of Mytesi, which is approved by the U.S. FDA for the symptomatic relief 
of non-infectious diarrhea in adults with HIV/AIDS on antiretroviral therapy. 

The Company’s reportable segments net sales and net income consisted of: 

Year Ended  
December 31,  

2018 

2017 

Revenue from external customers 

Human Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $  4,121,913   $  1,062,920  
Animal Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
 3,298,266  
Consolidated Totals . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $  4,416,145   $  4,361,186  

 294,232  

Segment profit (loss) 

Human Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $ (12,337,529)   $ (14,860,754)  
    (7,107,860)  
Animal Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Consolidated Totals . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $ (32,146,057)   $ (21,968,614)  

   (19,808,528)  

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The Company’s reportable segments assets consisted of the following: 

Segment assets 

Human Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     $ 37,985,935   $ 41,754,603 
Animal Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    
   36,807,184 
Total  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     $ 92,879,528   $ 78,561,787 

   54,893,593  

  December 31,    December 31, 

2018 

2017 

The reconciliation of segments assets to the consolidated assets is as follows: 

Total assets for reportable segments  . . . . . . . . . . . . . . . . .    $   92,879,528   $ 
Less: Investment in subsidiary . . . . . . . . . . . . . . . . . . . . . .   
Less: Intercompany loan . . . . . . . . . . . . . . . . . . . . . . . . . . .   
Less: Intercompany receivable . . . . . . . . . . . . . . . . . . . . . .   

    (29,240,965)  
    (22,596,618)  
 —  

Consolidated Totals  . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $   41,041,945   $ 

2018 

2017 

 78,561,787 
 (29,240,965)
 (2,000,000)
 (3,691,616)
 43,629,206 

15. Subsequent Events  

The Company completed an evaluation of the impact of subsequent events through April 5, 2019, the date 

these financial statements were issued.  

Oasis Equity Lines 

On January 7, 2019, the Company entered into a common stock purchase agreement (the ‘‘January CSPA’’) 
with Oasis Capital, relating to an offering (the ‘‘Original Equity Line Offering’’) of an aggregate of up to 5,633,333 
shares (the ‘‘Original Shares’’) of Common Stock, of which 5,333,333 of such Original Shares are being offered in a 
primary offering consisting of an equity line of credit. Jaguar initially issued 300,000 shares of Common Stock (the 
‘‘Commitment Shares’’) to Oasis Capital as an inducement to enter into the January CSPA. Additionally, under the 
terms of the January CSPA, the Company has the right to ‘‘put,’’ or sell, up to 5,333,333 shares of Common Stock (the 
‘‘January Purchase Shares’’) to Oasis Capital for an amount equal to the product of (i) the number of January Purchase 
Shares set forth on the applicable put notice (minus the deposit and clearing fees associated with such purchase) and 
(ii) a  fixed  price  of  $0.75  per  share  or  such  other  price  agreed  upon  between  the  Company  and  Oasis  Capital.  The 
Company had the option to increase the equity line of credit by an additional 8,000,000 shares of Common Stock by 
notifying Oasis Capital at any time after the effective date of the January CSPA (the ‘‘January Upsize Option’’). On 
March 18, 2019, the Company delivered a notice to Oasis Capital of its decision to exercise the January Upsize Option. 
The Company has sold the Original Shares and all 8,000,000 shares of Common Stock under the January Upsize Option 
to Oasis Capital. 

On April 1, 2019, the Company entered into another common stock purchase agreement (the “April CSPA”) 
with Oasis Capital relating to an offering (the “April Equity Line Offering”) of an aggregate of up to 20,000,000 shares 
(the “April Purchase Shares”) of the Company’s common stock, all of which are being offered in a primary offering 
consisting of an equity line of credit. Under the terms of the April CSPA, the Company has the right to “put,” or sell, 
the April Purchase Shares to Oasis Capital for an amount equalt to the product of (i) the number of April Purchase 
Shares set forth in the applicable put notice (minus the deposit and clearing fees associated with such purchase) and 
(ii) a  fixed  price  of  $0.28  per  share  or  such  other  price  agreed  upon  between  the  Company  and  Oasis  Capital.  The 
Company had the option to increase the equity line of credit by an additional 20,000,000 shares of Common Stock by 
notifying Oasis Capital at any time after the effective date of the April CSPA.  

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Offering of Notes and Warrants 

On  March  18, 2019,  the  Company  began  entering  into  securities purchase  agreements  (each,  a ‘‘Securities 
Purchase  Agreement’’)  with  selected  accredited  investors  (each,  an  ‘‘Investor’’),  pursuant  to  which  the  Company 
intends to issue up to $5.5 million aggregate principal amount of promissory notes (collectively, the ‘‘Notes’’) to such 
Investors. As an inducement for entering into the Securities Purchase Agreement, each Investor also received warrants 
exercisable for shares of Common Stock (the ‘‘Investor Warrants’’). The initial offering closed on March 18, 2019, and 
as of April 4, 2019, $1.9 million aggregate principal amount of Notes were issued in offerings and the proceeds from 
such offerings were paid to the Company. 

CVP Note Exchanges 

In  January  through  March  2019,  the  Company  entered  into  exchange  agreements  with  Chicago  Venture 
Partners L.P. (‘‘CVP’’), pursuant to which the Company issued 18,764,637 shares of Common Stock in the aggregate 
to CVP in exchange for a reduction of approximately $4.4 million in the principal amount of the secured promissory 
notes (the “CVP Notes”) issued to CVP. The shares of Common Stock that were exchanged for portions of the CVP 
Notes were issued in reliance on the exemption from registration provided under Section 3(a)(9) of the Securities Act. 

Sagard - Material Modifications to Rights of Security Holders 

On March 14, 2019, the Company, with the written consent of the sole holder of the Company’s issued and 
outstanding Series A convertible participating preferred stock, filed a Certificate of Amendment to the Certificate of 
Designation of Series A Convertible Participating Preferred Stock of the Company with the Secretary of State of the 
State of Delaware to (a) adjust the conversion price of the shares of Series A Preferred Stock from $2.775 per share to 
$0.2775 per share, provided that with respect to the right to vote on an as-converted basis with holders of the Company’s 
common  stock,  holders  of  Series  A  Preferred  Stock  will  not  be  entitled  to  vote  on  any  matter  presented  to  the 
stockholders  of  the  Company  to  the  extent  that  such  vote  would  be  in  violation  of  Nasdaq  Listing  Rule  5640,  and 
(b) adjust  the  30-day  volume-weighted  average  price  (“VWAP”)  threshold  applicable  to  the  Company’s  optional 
redemption right and the preferred stockholders’ mandatory redemption right from $15.00 to $1.50. The Amendment 
became effective upon filing with the Secretary of the State of Delaware. 

Registered Direct Offering 

On March 24, 2019, the Company entered into a securities purchase agreement (the ‘‘Purchase Agreement’’) 
with  Oasis  Capital,  pursuant  to  which  the  Company  agreed  to  issue  and  sell,  in  a  registered  public  offering  by  the 
Company  directly  to  Oasis  Capital  (the  ‘‘RDO’’),  an  aggregate  of  1,331,332  shares  of  Common  Stock  (the  ‘‘RDO 
Shares’’) at an offering price of $0.20 per share for gross proceeds of approximately $266,266 before deducting the 
placement agent fee and related offering expenses.  

On  March  24,  2019,  the  Company  entered  into  a  Placement  Agency  Agreement  (the  ‘‘Placement  Agency 
Agreement’’) with Ladenburg Thalmann & Co. Inc. (‘‘Ladenburg’’ or the ‘‘Placement Agent’’), pursuant to which the 
Company engaged Ladenburg as the sole placement agent in connection with the RDO. The Placement Agent agreed to 
use its reasonable best efforts to arrange for the sale of the RDO Shares. In connection with the RDO, the Placement 
Agent received a placement agent fee in cash equal to 8% of the gross proceeds from the sale of the RDO Shares, a 
management fee in cash equal to 1% of the gross proceeds from the sale of the RDO Shares, a warrant to purchase 
53,253  shares  of  Common  Stock  at  an  exercise  price  of  $0.25  per  share  (the  ‘‘Placement  Agent  Warrant’’),  and 
reimbursement of up to $25,000 in expenses. 

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

FINANCIAL DISCLOSURE 

None. 

ITEM 9A.    CONTROLS AND PROCEDURES 

Disclosure Controls and Procedures  

Our  management,  Chief  Executive  Officer  and  Chief  Financial  Officer,  evaluated  the  effectiveness  of  our 
disclosure controls and procedures as of December 31, 2018. The term "disclosure controls and procedures," as defined 
in Rules 13a-15(e) and 15d-15(e) under the Exchange Act, means controls and other procedures of a company that are 
designed  to  ensure  that  information  required  to  be  disclosed  by  us  in  the  reports  that  we  file  or  submit  under  the 
Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC's rules and 
forms.  

Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that 
information required to be disclosed by us in the reports that we file or submit under the Exchange Act is accumulated 
and  communicated  to  our  management,  including  our  Chief  Executive  Officer  and  Chief  Financial  Officer,  as 
appropriate,  to  allow  timely  decisions  regarding  required  disclosure.  Based  on  this  evaluation,  our  Chief  Executive 
Officer and Chief Financial Officer concluded that our disclosure controls and procedures were not comprehensively 
effective at the reasonable assurance level as of December 31, 2018. This conclusion was based on the material weakness 
in our internal control over financial reporting further described below.  

Material Weakness  

A  material  weakness  is  a  deficiency,  or  a  combination  of  deficiencies,  in  internal  control  over  financial 
reporting, such that there is a reasonable possibility that a material misstatement of our annual or interim consolidated 
financial statements will not be prevented or detected and corrected on a timely basis. In connection with our preparation 
of our annual financial statements for the year ended December 31, 2018, we identified a material  weakness in our 
internal control over financial reporting related to staff turnover in our accounting department. We did not maintain a 
sufficient complement of internal personnel with appropriate knowledge, experience and/or training commensurate with 
our financial reporting requirements. We relied on outside consulting technical experts and did not maintain adequate 
internal  qualified  personnel  to  properly  supervise  and  review  the  information  provided  by  the  outside  consulting 
technical experts to ensure certain significant complex transactions and technical matters were properly accounted for, 
specifically with respect to accurately reflecting all potential accrued services on the balance sheet at December 31, 
2018.  In addition, we identified inadequate internal technical staffing levels and expertise to properly supervise and 
review  the  information  of  the  outside  consulting  technical  experts  to  properly  apply  ASC  815-40  for  liability 
classification of certain warrants and ASC 470-50 and ASC 470-60 to properly reflect the accounting impact to multiple 
modifications  of  the  Company’s  debt  instruments.  We  have  concluded  that  we  must  implement  new  or  improved 
controls  in  our  financial  statement  close  process  and  policies  in  reviewing  information  received  from  our  outside 
consulting technical experts.  

Remediation Efforts to Address Material Weakness 

We have prepared a preliminary remediation plan to address the underlying causes of the material weakness 

described above. The preliminary remediation plan includes: 

•  Reassessing the design and operation of internal controls over financial reporting, including interim 
and annual accruals cutoff procedures and review procedures related to information received from our 
outside consulting technical experts; 

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•  Hiring and training of permanent accounting personnel to further educate the staff on the accounting 

of significant complex transactions and technical accounting matters; 

• 

Increasing staffing levels and expertise to implement this remediation plan 

We cannot assure you that the measures we may take in response to this material weakness will be sufficient 

to remediate such material weakness or to avoid potential future material weaknesses.  

Material Weakness Previously Identified for the year ended December 31, 2017 

As previously reported in our annual report on Form 10-K for the year ended December 31, 2017, management 
concluded  that,  as of  such date,  our disclosure  controls and procedures were not  effective  due  to  the  existence of  a 
material weakness in the design and operating effectiveness of an internal control related to review of our tax provision. 
In connection with the audit of our financial statements as of and for the year ended December 31, 2017, we did not 
adequately and timely review the accounting for income taxes. While we utilized the assistance of an external income 
tax specialist to prepare our annual tax provision, management has concluded that there was a material weakness in the 
design of our income tax controls in that our policy that governs the data validation controls over data provided to and 
received from the external income tax specialist and the management review controls were not designed with appropriate 
levels of precision and were not undertaken in a timely manner, which resulted in an extension to file our Annual Report 
on Form 10-K.  

Remediation of Material Weakness for the year ended December 31, 2017 

Subsequent to the identification of the material weakness, we have enhanced existing controls and design and 
implemented  new  controls  applicable  to  our  tax  accounting  to  ensure  that  our  income  tax  balances  are  accurately 
calculated and appropriately reflected in our financial statements on a timely basis. We have devoted significant time 
and attention to remediate the above material weakness. These improvements to our internal control infrastructure were 
implemented over the course of the first three quarters of 2018, and were in place in connection with the preparation of 
our  financial  statements  for  the  year  ended  December  31,  2018.  As  such,  we  believe  that  the  remediation  initiative 
outlined above was sufficient to remediate the material weakness in internal control over financial reporting as discussed 
above. 

Internal Control Over Financial Reporting 

Our  management  is  responsible  for  establishing  and  maintaining  adequate  internal  control  over  financial 
reporting  as  defined  in  Rule  13a-15(f)  and  15d-15(c)  under  the  Exchange  Act.  Because  of  its  inherent  limitations, 
internal control over financial reporting may not prevent or detect misstatements. Projections of any evaluation of the 
effectiveness of internal control to future periods are subject to the risk that controls may become inadequate because 
of  changes  in  conditions,  or  that  the  degree  of  compliance  with  policies  or  procedures  may  deteriorate.    Under  the 
supervision and with the participation of our management, including our Chief Executive Officer and Chief Financial 
Officer, we conducted an evaluation of the effectiveness of our internal control over financial reporting as of December 
31, 2018 using the criteria established in Internal Control Integrated Framework (“2013 Framework”) issued by the 
Committee of Sponsoring Organization of the Treadway Commission (“COSO”). Based on our evaluation using those 
criteria, our management has concluded that, as of December 31, 2018, our internal control over financial reporting was 
not  effective  to  provide  reasonable  assurance  regarding  the  reliability  of  financial  reporting  and  the  preparation  of 
financial statements for external purposes in accordance with generally accepted accounting principles for the reasons 
discussed above. 

This Annual Report on Form 10-K does not include an attestation report of our registered public accounting 
firm on our internal control over financial reporting because we are a smaller reporting company and are not subject to 
auditor attestation requirements under applicable SEC rules.  

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Changes in Internal Control over Financial Reporting 

Other than the changes disclosed above regarding the remediation of the previous material weakness, there 
were no changes in our internal control over financial reporting that have materially affected, or are reasonably likely 
to materially affect, our internal control over financial reporting during the fourth quarter of 2018. 

ITEM 9B.     OTHER INFORMATION 

None. 

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PART III 

ITEM 10.     DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE 

The  information  required  by  this  item  is  incorporated  by  reference  from  the  Proxy  Statement  for  the  2019 
Annual Meeting of Stockholders to be filed with the SEC within 120 days of the fiscal year ended December 31, 2018. 

ITEM 11.     EXECUTIVE COMPENSATION 

The information required by this item is incorporated by reference from the information under the captions 
“Compensation of Directors and Executive Officers” contained in the Proxy Statement for the 2019 Annual Meeting of 
Stockholders to be filed with the SEC within 120 days of the fiscal year ended December 31, 2018. 

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

RELATED STOCKHOLDER MATTERS 

The information required by this item is incorporated by reference from the information under the captions 
“Security Ownership of Certain Beneficial Owners and Management” and “Compensation of Directors and Executive 
Officers—Equity Compensation “contained in the Proxy Statement for the 2019 Annual Meeting of Stockholders to be 
filed with the SEC within 120 days of the fiscal year ended December 31, 2018. 

ITEM 13.     CERTAIN  RELATIONSHIPS  AND  RELATED  TRANSACTIONS,  AND  DIRECTOR 

INDEPENDENCE 

The  information  required by  this  item  is  incorporated by reference from  the  information under  the  caption 
“Proposal  1—Election  of Directors—Director  Independence”  and  “Certain  Relationships  and  Related  Transactions” 
contained in the Proxy Statement for the 2019 Annual Meeting of Stockholders to be filed with the SEC within 120 days 
of the fiscal year ended December 31, 2018. 

ITEM 14.     PRINCIPAL ACCOUNTANT FEES AND SERVICES 

The  information  required by  this  item  is  incorporated by reference from  the  information under  the  caption 
“Proposal  2—Ratification  of  the  Appointment  of  Independent  Registered  Public  Accounting  Firm—Principal 
Accountant Fees and Services” contained in the Proxy Statement for the 2019 Annual Meeting of Stockholders to be 
filed with the SEC within 120 days of the fiscal year ended December 31, 2018. 

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ITEM 15.     EXHIBITS, FINANCIAL STATEMENT SCHEDULES 

Exhibit No.      

Description 

2.1  Agreement  and  Plan  of  Merger,  dated  as  of  March 31,  2017,  by  and  among  Jaguar  Health, Inc.  (f/k/a 
Jaguar  Animal  Health, Inc.),  Napo  Acquisition  Corporation,  Napo  Pharmaceuticals, Inc.  and  Gregory 
Stock (incorporated by reference to Exhibit 2.1 to the Current Report on Form 8-K of Jaguar Health, Inc. 
filed March 31, 2017, File No. 001-36714). 

3.1  Third Amended and Restated Certificate of Incorporation (incorporated by reference to Exhibit 3.1 to the 
Current  Report  on  Form 8-K  (No. 001-36714)  filed  with  the  Securities  and  Exchange  Commission  on 
August 1, 2017). 

3.2  Certificate of Amendment of the Third Amended and Restated Certificate of Incorporation (incorporated
by reference to Exhibit 3.2 to the Annual Report on Form 10-K filed with the Securities and Exchange 
Commission on April 9, 2018). 

3.3  Certificate  of  Second  Amendment  of  the  Third  Amended  and  Restated  Certificate  of  Incorporation
(incorporated by reference to Exhibit 3.1 to the Current Report on Form 8-K filed with the Securities and 
Exchange Commission on June 1, 2018). 

3.4  Certificate  of  Third  Amendment  of  the  Third  Amended  and  Restated  Certificate  of  Incorporation
(incorporated by reference to Exhibit 3.2 to the Current Report on Form 8-K filed with the Securities and 
Exchange Commission on June 1, 2018). 

3.6

3.5  Certificate  of  Designation  of  Series A  Convertible  Participating  Preferred  Stock  (incorporated  by
reference  to  Exhibit 3.1  to  the  Current  Report  on  Form 8-K  (filed  with  the  Securities  and  Exchange
Commission on March 27, 2018). 
Amended  and  Restated  Bylaws  (incorporated  by  reference  to  Exhibit 3.2  to  the  Current  Report  on
Form 8-K (No. 001-36714) filed with the Securities and Exchange Commission on May 18, 2015). 
4.1  Specimen Common Stock Certificate of Jaguar Health, Inc. (incorporated by reference to Exhibit 4.1 to 
the Current Report on Form 8-K filed with the Securities and Exchange Commission on June 1, 2018). 
4.2  Secured  Convertible  Promissory  Note,  dated  June 29,  2017,  by  and  between  Jaguar  Health, Inc.  and 
Chicago Venture Partners, L.P. (incorporated by reference to Ex. 4.1 to the Current Report on Form 8-K 
filed on July 3, 2017). 

4.3  Specimen  Non-Voting  Common  Stock  Certificate  of  Jaguar  Health, Inc.  (incorporated  by  reference  to

Exhibit 4.1 to the Form 8-K of Jaguar Health, Inc. filed August 1, 2017, File No. 001-36714). 

4.4  Secured  Promissory  Note,  dated  December 8,  2017,  by  and  between  Jaguar  Health, Inc.  and  Chicago 
Venture Partners, L.P. (incorporated by reference to Ex. 4.1 to the Current Report on Form 8-K filed on 
December 14, 2017). 

4.5  Secured  Promissory  Note,  dated  February  26,  2018,  by  and  between  Jaguar  Health, Inc.  and  Chicago 
Venture Partners, L.P. (incorporated by reference to Ex. 4.1 to the Current Report on Form 8-K filed on 
March 2, 2018). 

4.6  Secured Promissory Note, dated March 21, 2018, by and between Jaguar Health, Inc. and Chicago Venture 
Partners, L.P. (incorporated by reference to Ex. 4.1 to the Current Report on Form 8-K filed on March 27, 
2018). 

4.7  Common  Stock  Warrant,   dated  August 28,  2018,  by  and  between  Jaguar  Health, Inc.  and  the  holder 
named therein (incorporated by reference to Ex. 4.1 to the Current Report on Form 8-K filed on September 
4, 2018). 

4.8  Convertible  Promissory  Note,  dated  September  11,  2018,  by  and  between  Jaguar  Health,  Inc.  and  L2
Capital, LLC (incorporated by reference to Ex. 4.1 to the Current Report on Form 8-K filed on September 
12, 2018). 

4.9  Convertible Promissory Note, dated September 11, 2018, by and between Jaguar Health, Inc. and Charles 
Conte (incorporated by reference to Ex. 4.2 to the Current Report on Form 8-K filed on September 12, 
2018). 

4.10  Common Stock Warrant, dated September 11, 2018, by and between Jaguar Health, Inc. and L2 Capital, 
LLC (incorporated by reference to Ex. 4.3 to the Current Report on Form 8-K filed on September 12,
2018). 

4.11  Common  Stock  Warrant,  dated  September 11,  2018,  by  and  between  Jaguar  Health, Inc.  and  Charles 
Conte (incorporated by reference to Ex. 4.4 to the Current Report on Form 8-K filed on September 12, 
2018). 

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Exhibit No.      

Description 

4.12  Form of Pre-Funded Warrant (incorporated by reference to Exhibit 4.6 to the Registration Statement on

Form S-1 (No. 333-227292) filed with the Securities and Exchange Commission on October 1, 2018). 

10.1‡  Form of  Indemnification  Agreement  by  and  between  Jaguar  Health, Inc.  and  its  directors  and  officers
(incorporated by reference to Exhibit 10.1 to the Registration Statement on Form S-1 (No. 333-198383) 
filed with the Securities and Exchange Commission on August 27, 2014). 

10.2‡  Jaguar Health, Inc. 2014 Stock Incentive Plan (incorporated by reference to Exhibit 10.1 to the Current 

Report on Form 8-K filed with the Securities and Exchange Commission on June 20, 2016). 

10.3‡  Form of Notice of Grant of Stock Option and Stock Option Agreement under the 2014 Stock Incentive
Plan  (incorporated  by  reference  to  Exhibit 10.6  to  the  Registration  Statement  on  Form S-1 
(No. 333-198383) filed with the Securities and Exchange Commission on August 27, 2014). 

10.4‡  Form of  Notice  of  Grant  of  Restricted  Stock  and  Restricted  Stock  Agreement  under  the  2014  Stock
Incentive  Plan  (incorporated  by  reference  to  Exhibit 10.7  to  the  Registration  Statement  on  Form S-1 
(No. 333-198383) filed with the Securities and Exchange Commission on August 27, 2014). 

10.5‡  Form of Notice of Grant of Restricted Stock Units and Restricted Stock Unit Agreement under the 2014
Stock Incentive Plan (incorporated by reference to Exhibit 10.8 to the Registration Statement on Form S-1 
(No. 333-198383) filed with the Securities and Exchange Commission on August 27, 2014). 

10.6‡  Offer Letter by and between Jaguar Health, Inc. and Lisa A. Conte, dated March 1, 2014 (incorporated by 
reference  to  Exhibit 10.9  to  the  Registration  Statement  on  Form S-1  (No. 333-198383)  filed  with  the 
Securities and Exchange Commission on August 27, 2014). 

10.7‡  Offer  Letter  by  and  between  Jaguar  Health, Inc.  and  Steven  R.  King,  Ph.D.,  dated  February 28,  2014 
(incorporated by reference to Exhibit 10.11 to the Registration Statement on Form S-1 (No. 333-198383) 
filed with the Securities and Exchange Commission on August 27, 2014). 

10.8  Form of  Common  Stock  Warrant  that  expires  February 5,  2019  (incorporated  by  reference  to
Exhibit 10.16 to the Registration Statement on Form S-1 (No. 333-198383) filed with the Securities and
Exchange Commission on August 27, 2014). 

10.9  Form of  Common  Stock  Warrant  issued  to  Indena S.p.A.  that  expires  June 26,  2019  (incorporated  by 
reference  to  Exhibit 10.17  to  the  Registration  Statement  on  Form S-1  (No. 333-198383)  filed  with  the 
Securities and Exchange Commission on August 27, 2014). 

10.11  Non-Disturbance  Letter  Agreement  by  and  between  Napo  Pharmaceuticals, Inc.  and  Nantucket 
Investments Limited, as Administrative Agent and Collateral Agent, dated October 10, 2014 (incorporated 
by reference to Exhibit 10.23 to the Registration Statement on Form S-1/A (No. 333-198383) filed with 
the Securities and Exchange Commission on October 10, 2014). 

10.12  Form of  Warrant  to  Purchase  Common  Stock  issued  to GPB  Life  Science  Holdings LLC  and  31 
Group, LLC,  which  expires  October 30,  2019  (incorporated  by  reference  to  Exhibit 10.25  to  the 
Registration  Statement  on  Form S-1/A  (No. 333-198383)  filed  with  the  Securities  and  Exchange
Commission on October 31, 2014). 

10.13  Form of Exchange Warrant to Purchase Common Stock, issued to GPB Life Science Holdings LLC and 
31 Group, LLC, which expires June 3, 2020, as amended (incorporated by reference to Exhibit 10.27 to 
the  Registration  Statement  on  Form S-1/A  (No. 333-198383)  filed  with  the  Securities  and  Exchange
Commission on April 17, 2015). 

10.14  Amendment No. 1 to Amended and Restated License Agreement between Jaguar Health, Inc. and Napo 
Pharmaceuticals, Inc.,  dated  as  of  January 27,  2015  (incorporated  by  reference  to  Exhibit 10.28  to  the 
Registration  Statement  on  Form S-1/A  (No. 333-198383)  filed  with  the  Securities  and  Exchange 
Commission on March 20, 2015). 

10.16  Form of  Representative’s  Warrant  (incorporated  by  reference  to  Exhibit 10.33  to  the  Registration 
Statement  on  Form S-1/A  (No. 333-198383)  filed  with  the  Securities  and  Exchange  Commission  on
April 17, 2015). 

10.17  Form of  Warrant  and  Note Exercise  Amendment  pursuant  to  Convertible  Note and  Warrant  Purchase 
Agreement  dated  December 23,  2014  (incorporated  by  reference  to  Exhibit 10.35  to  the  Registration 
Statement  on  Form S-1/A  (No. 333-198383)  filed  with  the  Securities  and  Exchange  Commission  on
April 17, 2015). 

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Exhibit No.      

Description 

10.18  Convertible  Note and  Warrant  Purchase  Agreement  dated  March 20,  2015  by  and  between  Jaguar
Health, Inc.,  and  Dechra  Pharmaceuticals PLC  (incorporated  by  reference  to  Exhibit 10.37  to  the 
Registration  Statement  on  Form S-1/A  (No. 333-198383)  filed  with  the  Securities  and  Exchange
Commission on April 17, 2015). 

10.19  Common Stock Warrant issued pursuant to the Convertible Note and Warrant Purchase Agreement dated
March 20,  2015,  which  expires  December 31,  2017  (incorporated  by  reference  to  Exhibit 10.39  to  the 
Registration  Statement  on  Form S-1/A  (No. 333-198383)  filed  with  the  Securities  and  Exchange
Commission on April 17, 2015). 

10.20  Form of Warrant Exercise Amendment pursuant to Exchange Warrant to Purchase Common Stock dated
December 3,  2014  (incorporated  by  reference  to  Exhibit 10.40  to  the  Registration  Statement  on
Form S-1/A (No. 333-198383) filed with the Securities and Exchange Commission on April 17, 2015). 

10.21  Form of Amended and Restated Exchange Warrant to Purchase Common Stock (incorporated by reference 
to Exhibit 10.41 to the Registration Statement on Form S-1/A (No. 333-198383) filed with the Securities
and Exchange Commission on April 17, 2015). 

10.22  Sublease Agreement by and between SeeChange Health Management LLC and Jaguar Health, Inc., dated 
June 19,  2015  (incorporated  by  reference  to  Exhibit 10.1  to  the  Current  Report  on  Form 8-K 
(No. 001-36714) filed with the Securities and Exchange Commission on June 23, 2015). 

10.23  Consent  to  Sublease  by  and  among  CA-Mission  Street  Limited  Partnership,  SeeChange  Health
Management LLC and Jaguar Health, Inc., dated June 19, 2015 (incorporated by reference to Exhibit 10.2 
to the Current Report on Form 8-K (No. 001-36714) filed with the Securities and Exchange Commission
on June 23, 2015). 

10.25†  Manufacture  and  Supply  Agreement  between  Jaguar  Health, Inc.  and  Glenmark  Pharmaceuticals Ltd., 
dated September 22, 2015 (incorporated herein by reference to Exhibit 10.2 to the Quarterly Report on 
Form 10-Q (No. 001-36714) filed with the Securities and Exchange Commission on November 13, 2015).
10.26  Formulation  Development  and  Manufacturing  Agreement  between  Jaguar  Health, Inc.  and  Patheon 
Pharmaceuticals Inc.,  dated  October 8,  2015  (incorporated  by  reference  to  Exhibit 10.30  to  the 
Registration  Statement  on  Form S-1  (No. 333-208905)  filed  with  the  Securities  and  Exchange
Commission on January 7, 2016). 

10.27‡  Offer  Letter  by  and  between  Jaguar  Health, Inc.,  and  Karen  Wright,  dated  as  of  October 11,  2015 
(incorporated by reference to Exhibit 10.1 to the Current Report on Form 8-K filed with the Securities and 
Exchange Commission on December 18, 2015). 

10.28  Form of  Convertible  Promissory  Note issued  pursuant  to  the  Convertible  Note and  Warrant  Purchase 
Agreement dated as of December 23, 2014 (incorporated by reference to Exhibit 10.30 to the Registration 
Statement  on  Form S-1/A  (No. 333-198383)  filed  with  the  Securities  and  Exchange  Commission  on
March 20, 2015). 

10.30  Common Stock Purchase Agreement, dated June 8, 2016, by and between Jaguar Health, Inc. and Aspire 
Capital Fund, LLC (incorporated by reference to Exhibit 10.1 to the Current Report on Form 8-K filed on 
June 9, 2016). 

10.31  Letter of Intent, between Jaguar Health, Inc. and Napo Pharmaceuticals, Inc. (incorporated by reference

to Exhibit 10.1 to the Current Report on Form 8-K filed on October 6, 2016). 

10.32  Common  Stock  Warrant  issued  pursuant  to  the  Letter  Agreement,  dated  November 8,  2016,  between 
Jaguar  Health, Inc.  and  Serious  Change  II LP,  which  expires  July 28,  2022  (incorporated  herein  by 
reference to Exhibit 10.2 to the Quarterly Report on Form 10-Q (No. 001-36714) filed on November 14, 
2016). 

10.33  Form of Securities Purchase Agreement, by and among Jaguar Health, Inc. and the investors in the 2016
Private Placement (incorporated herein by reference to Exhibit 10.1 to the Current Report on Form 8-K 
filed on November 29, 2016). 

10.34  Form of Registration Rights Agreement, by and among Jaguar Health, Inc. and the investors in the 2016
Private Placement (incorporated herein by reference to Exhibit 10.2 to the Current Report on Form 8-K 
filed on November 29, 2016). 

10.35  Supply and Distribution Agreement, dated as of September 6, 2016, by and between Jaguar Health, Inc. 
and  Integrated  Animal  Nutrition  and  Health Inc.  (incorporated  by  reference  to  Exhibit 10.1  to  the 
Quarterly Report on Form 10-Q/A (No. 001-36714) filed on December 5, 2016). 

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Exhibit No.      

Description 

10.36†  Distribution  Agreement,  dated  December 9,  2016,  by  and  between  Jaguar  Health, Inc.  and  Henry 
Schein, Inc (incorporated herein by reference to Exhibit 10.41 to the Annual Report on Form 10-K filed 
on February 15, 2017). 

10.37†  License, Development, Co-Promotion and Commercialization Agreement, dated January 27, 2017, by and 
between Jaguar Health, Inc. and Elanco US, Inc (incorporated herein by reference to Exhibit 10.42 to the 
Annual Report on Form 10-K filed on February 15, 2017). 

10.38  Common Stock Warrant issued pursuant to the Letter Agreement, dated January 30, 2017, between Jaguar 
Health, Inc. and Serious Change II LP, which expires January 31, 2019 (incorporated herein by reference 
to Exhibit 10.43 to the Annual Report on Form 10-K filed on February 15, 2017). 

10.39  Binding  Agreement  of  Terms  for  Jaguar  Health, Inc.  Acquisition  of  Napo  Pharmaceuticals,  dated
February 8, 2017, between Jaguar Health, Inc. and Napo Pharmaceuticals, Inc. (incorporated herein by 
reference to Exhibit 10.1 to the Current Report on Form 8-K filed on February 9, 2017). 

10.40  Employee  Leasing  and  Overhead  Allocation  Agreement,  dated  July 1,  2016,  by  and  between  Napo
Pharmaceuticals, Inc.  and  Jaguar  Health, Inc.  (incorporated  herein  by  reference  to  Exhibit 10.1  to  the 
Quarterly Report on Form 10-Q (No. 001-36714) filed on May 15, 2017).  

10.41  Amendment No. 1 to Employee Leasing and Overhead Allocation Agreement, dated March 2, 2017, by 
and  between  Jaguar  Health, Inc.  and  Napo  Pharmaceuticals, Inc.  (incorporated  herein  by  reference  to 
Exhibit 10.2 to the Quarterly Report on Form 10-Q (No. 001-36714) filed on May 15, 2017). 

10.42  Binding Agreement of Terms for Jaguar Animal Health, Inc. Acquisition of Napo Pharmaceuticals, dated
February 8, 2017, between Jaguar Health, Inc. and Napo Pharmaceuticals, Inc. (incorporated herein by 
reference to Exhibit 10.1 to the Current Report on Form 8-K filed on February 9, 2017). 

10.43  Commitment  Letter,  dated  February 21,  2017,  signed  by  Invesco  Asset  Management  Limited
(incorporated herein by reference to Exhibit 10.4 to the Quarterly Report on Form 10-Q (No. 001-36714) 
filed on May 15, 2017). 

10.44  Note Purchase  Agreement,  dated  March 1,  2017,  by  and  among  Napo  Pharmaceuticals, Inc.  and  the 
purchasers named therein (incorporated herein by reference to Exhibit 10.45 to the Registration Statement
on Form S-4 filed April 18, 2017 (No. 333-217364)). 

10.45  Investor  Rights  Agreement,  dated  March 31,  2017,  by  and  between  Jaguar  Health, Inc.  and  Nantucket 
Investments Limited (incorporated by reference herein to Exhibit 10.1 to the Current Report on Form 8-K 
filed on March 31, 2017). 

10.46  Form of  Original  Issue  Discount  Exchange  Promissory  Note issued  pursuant  to  the  Note Purchase 
Agreement dated as of March 1, 2017, by and among Napo Pharmaceuticals, Inc. and the Purchasers as 
defined  therein  (incorporated  herein  by  reference  to  Exhibit 10.46  to  the  Registration  Statement  on
Form S-4 filed April 18, 2017 (No. 333-217364)).  

10.47  Amended  and  Restated  Note Purchase  Agreement,  dated  March 31,  2017,  by  and  among  Napo
Pharmaceuticals, Inc., Kingdon Associates, M. Kingdon Offshore Master Fund L.P., and Kingdon Family 
Partnership, L.P.  (incorporated  herein  by  reference  to  Exhibit 10.47  to  the  Registration  Statement  on
Form S-4 filed April 18, 2017 (No. 333-217364)).  

10.48  Form of  Kingdon  Convertible  Promissory  Note issued  pursuant  to  the  Amended  and  Restated
Note Purchase Agreement, dated March 31, 2017, by and among Napo Pharmaceuticals, Inc., Kingdon 
Associates, M. Kingdon Offshore Master Fund L.P., and Kingdon Family Partnership, L.P. (incorporated 
herein  by  reference  to  Exhibit 10.48  to  the  Registration  Statement  on  Form S-4  filed  April 18,  2017 
(No. 333-217364)). 

10.49  Limited Subordination Agreement, dated December 30, 2016, by and among Napo Pharmaceuticals, Inc., 
Kingdon Capital Management, L.L.C., Nantucket Investments Limited, the lenders under the Nantucket 
Financing Agreement party thereto, Dorsar Investment Company, Alco Investment Company and Two
Daughters LLC  (incorporated  herein  by  reference  to  Exhibit 10.49  to  the  Registration  Statement  on
Form S-4 filed April 18, 2017 (No. 333-217364)).  

10.50  Security  Agreement,  dated  December 30,  2016,  by  and  among  Napo  Pharmaceuticals, Inc.,  Kingdon 
Capital  Management,  L.L.C.,  and  the  purchasers  named  therein  (incorporated  herein  by  reference  to
Exhibit 10.50 to the Registration Statement on Form S-4 filed April 18, 2017 (No. 333-217364)).  
10.51  Settlement and Discounted Payoff Agreement, dated March 31, 2017, by and among the lenders named 
therein,  Nantucket  Investments  Limited,  and  Napo  Pharmaceuticals, Inc.  (incorporated  herein  by 
the  Registration  Statement  on  Form S-4  filed  April 18,  2017 
reference 
(No. 333-217364)). 

to  Exhibit 10.52 

to 

134 

 
 
 
Exhibit No.      

Description 

10.52  Debt  and  Warrant  Settlement  Agreement,  dated  March 31,  2017,  by  and  among  Dorsar  Investment
Company,  Alco  Investment  Company,  Two  Daughters LLC,  and  Napo  Pharmaceuticals, Inc. 
(incorporated  herein  by  reference  to  Exhibit 10.53  to  the  Registration  Statement  on  Form S-4  filed 
April 18, 2017 (No. 333-217364)). 

10.53  Debt Settlement Agreement, dated March 31, 2017, by and between Boies Schiller Flexner LLP and Napo 
Pharmaceuticals, Inc. (incorporated herein by reference to Exhibit 10.54 to the Registration Statement on
Form S-4 filed April 18, 2017 (No. 333-217364)).  

10.54  Debt  Settlement  Agreement,  dated  March 31,  2017,  by  and  between  Dan  Becka  and  Napo
Pharmaceuticals, Inc. (incorporated herein by reference to Exhibit 10.55 to the Registration Statement on
Form S-4 filed April 18, 2017 (No. 333-217364)).  

10.55‡  Form of Escrow Agreement, by and among Jaguar Animal Health, Inc., Nantucket Investments Limited
and Citibank, National Association (incorporated herein by reference to Exhibit 10.57 to the Registration 
Statement on Form S-4 filed April 18, 2017 (No. 333-217364)). 

10.56‡  Form of Restricted Stock Unit Indemnification and Forfeiture Agreement, by and among Jaguar Animal
Health, Inc., Napo Pharmaceuticals, Inc. and the holders of Napo RSUs (incorporated herein by reference
to Exhibit 10.58 to the Registration Statement on Form S-4 filed April 18, 2017 (No. 333-217364)). 

10.57†  Collaboration Agreement, dated July 2, 2005, by and between Glenmark Pharmaceuticals Ltd. and Napo 
Pharmaceuticals, Inc., as amended (incorporated herein by reference to Exhibit 10.59 to the Registration 
Statement on Form S-4/A filed May 26, 2017 (No. 333-217364)).  

10.58  Settlement Agreement, dated December 29, 2013, by and between Glenmark Pharmaceuticals Ltd. and 
Napo  Pharmaceuticals, Inc.  (incorporated  herein  by  reference  to  Exhibit 10.60  to  the  Registration 
Statement on Form S-4/A filed May 26, 2017 (No. 333-217364)).  

10.59†  Alliance Agreement, dated May 23, 2005, by and among AsiaPharm Investment Limited and its Affiliates,
including Shandong Luye Pharmaceuticals Co. Ltd., and Napo Pharmaceuticals, Inc. (incorporated herein 
by  reference  to  Exhibit 10.61  to  the  Registration  Statement  on  Form S-4/A  filed  May 26,  2017 
(No. 333-217364)). 

10.60†  Finder’s Agreement, dated April 9, 2010, by and among Luye Pharma Group Limited and its Affiliates,
including Shandong Luye Pharmaceuticals Co. Ltd., and Napo Pharmaceuticals, Inc. (incorporated herein 
by  reference  to  Exhibit 10.62  to  the  Registration  Statement  on  Form S-4/A  filed  May 26,  2017 
(No. 333-217364)). 

10.61†  Settlement, Termination, Asset Transfer and Transition Agreement, dated March 4, 2016, by and between 
Napo  Pharmaceuticals, Inc.  and  Salix  Pharmaceuticals, Inc.  (incorporated  herein  by  reference  to
Exhibit 10.63 to the Registration Statement on Form S-4/A filed June 28, 2017 (No. 333-217364)). 
10.62  First  Amendment  to  Settlement,  Termination,  Asset  Transfer  and  Transition  Agreement,  dated  as  of
May 10, 2016, by and between Napo Pharmaceuticals, Inc. and Salix Pharmaceuticals, Inc. (incorporated 
herein  by  reference  to  Exhibit 10.64  to  the  Registration  Statement  on  Form S-4/A  filed  May 26,  2017 
(No. 333-217364)). 

10.63  Investment Rights Agreement, dated April 20, 2006, as amended January 25, 2011, by and among IL&FS
Trust Company Limited, as trustee of the IL&FS Private Equity Trust, investing through its venture capital
scheme  Leverage  India  Fund,  acting  through  its  investment  manager  IL&FS  Investment  Managers
Limited, and Napo Pharmaceuticals, Inc., and Napo India Private Limited and the Management Team, as
defined  therein  (incorporated  herein  by  reference  to  Exhibit 10.69  to  the  Registration  Statement  on
Form S-4/A filed May 26, 2017 (No. 333-217364)). 

10.64  Investment Rights Agreement, dated October 1, 2007, by and among IL&FS Trust Company Limited, as
trustee of the IL&FS Private Equity Trust, investing through its venture capital scheme Leverage India
Fund, acting through its investment manager IL&FS Investment Managers Limited, and Sindu Private
Limited,  and  Napo  Pharmaceuticals, Inc.,  and  Indus  Pharmaceuticals Inc.  (incorporated  herein  by 
reference  to  Exhibit 10.70  to  the  Registration  Statement  on  Form S-4/A  filed  May 26,  2017 
(No. 333-217364)). 

10.65  Investment Rights Agreement, dated December 21, 2009, by and among IL&FS Trust Company Limited,
as trustee of the IL&FS Private Equity Trust, investing through its venture capital scheme Leverage India
Fund,  acting  through  its  investment  manager  IL&FS  Investment  Managers  Limited,  and  Napo
Pharmaceuticals, Inc., and Napo Pharmaceuticals India Private Limited (incorporated herein by reference
to Exhibit 10.71 to the Registration Statement on Form S-4/A filed May 26, 2017 (No. 333-217364)). 

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Exhibit No.      

Description 

10.66†  Marketing  and  Distribution  Agreement,  dated  as  of  April 14,  2016,  by  and  among  Napo
Pharmaceuticals, Inc.  and  BexR  Logistics, LLC,  as  amended  (incorporated  herein  by  reference  to
Exhibit 10.72 to the Registration Statement on Form S-4/A filed June 28, 2017 (No. 333-217364)). 

10.67†  Strategic  Marketing  Alliance  Agreement,  dated  as  of  April 14,  2016,  by  and  between  Napo
Pharmaceuticals, Inc. and SmartPharma, LLC (incorporated herein by reference to Exhibit 10.73 to the 
Registration Statement on Form S-4/A filed June 28, 2017 (No. 333-217364)). 

10.68  Quality  Agreement,  dated  May 21,  2013,  between  Salix  Pharmaceuticals, Inc.  and  Patheon 
Pharmaceuticals Inc., as assigned by Salix Pharmaceuticals Inc. to Napo Pharmaceuticals, Inc. pursuant 
to the Settlement, Termination, Asset Transfer and Transition Agreement, dated March 4, 2016, by and 
between Napo Pharmaceuticals, Inc. and Salix Pharmaceuticals, Inc. (incorporated herein by reference to
Exhibit 10.74 to the Registration Statement on Form S-4/A filed May 26, 2017 (No. 333-217364)). 
10.69†  Master Manufacturing Services Agreement, dated May 21, 2013, between Salix Pharmaceuticals, Inc. and 
Patheon Pharmaceuticals Inc., as assigned by Salix Pharmaceuticals Inc. to Napo Pharmaceuticals, Inc. 
pursuant to the Settlement, Termination, Asset Transfer and Transition Agreement, dated March 4, 2016, 
by  and  between  Napo  Pharmaceuticals, Inc.  and  Salix  Pharmaceuticals, Inc.  (incorporated  herein  by 
reference  to  Exhibit 10.75  to  the  Registration  Statement  on  Form S-4/A  filed  June 28,  2017 
(No. 333-217364)). 

10.70†  Crofelemer Product Agreement, dated May 21, 2013, between Salix Pharmaceuticals, Inc. and Patheon 
Pharmaceuticals Inc.,  as  assigned  by  Salix  Pharmaceuticals Inc.  to  Napo  pursuant  to  the  Settlement, 
Termination,  Asset  Transfer  and  Transition  Agreement,  dated  March 4,  2016,  by  and  between  Napo
Pharmaceuticals, Inc. and Salix Pharmaceuticals, Inc. (incorporated herein by reference to Exhibit 10.76 
to the Registration Statement on Form S-4/A filed May 26, 2017 (No. 333-217364)). 

10.71†  License  Agreement,  dated  February 28,  2007,  by  and  between  Insmed  Incorporated  and  Napo
Pharmaceuticals, Inc. (incorporated herein by reference to Exhibit 10.77 to the Registration Statement on
Form S-4/A filed May 26, 2017 (No. 333-217364)). 

10.72  Master Service Agreement, dated February 13, 2017, by and between Alamo Pharma Services, Inc. and 
Napo  Pharmaceuticals, Inc.  (incorporated  herein  by  reference  to  Exhibit 10.80  to  the  Registration 
Statement on Form S-4/A filed May 26, 2017 (No. 333-217364)).  

10.73†  Project  Agreement,  dated  February 13,  2017,  by  and  between  Alamo  Pharma  Services, Inc.,  Mission 
Pharmacal Company, and Napo Pharmaceuticals, Inc. (incorporated herein by reference to Exhibit 10.81 
to the Registration Statement on Form S-4/A filed May 26, 2017 (No. 333-217364)). 

10.74†  Project  Agreement,  dated  February 27,  2017,  by  and  between  Alamo  Pharma  Services, Inc.  and  Napo 
Pharmaceuticals, Inc. (incorporated herein by reference to Exhibit 10.82 to the Registration Statement on 
Form S-4/A filed May 26, 2017 (No. 333-217364)). 

10.75  Amendment,  Waiver &  Consent,  dated  June 27,  2017,  by  and  among  Jaguar  Health, Inc.,  Nantucket 
Investments  Limited,  and  Napo  Pharmaceuticals, Inc.  (incorporated  by  reference  to  Ex.  10.83  of  the
Company’s Registration Statement on Form S-4 (Registration No. 333-217364) filed on July 5, 2017). 

10.76  Securities Purchase Agreement, dated June 29, 2017, by and between Jaguar Health, Inc. and Chicago 
Venture Partners, L.P. (incorporated by reference to Ex. 10.1 to the Current Report on Form 8-K filed on 
July 3, 2017). 

10.77  Subordination  Agreement  and  Right  to  Purchase  Debt,  dated  June 29,  2017,  by  and  between  Chicago
Venture  Partners, L.P.,  Jaguar  Health, Inc.  and  Hercules  Capital, Inc.  (incorporated  by  reference  to
Ex. 10.2 to the Current Report on Form 8-K filed on July 3, 2017). 

10.78  Security  Agreement,  dated  June 29,  2017,  by  and  between  Jaguar  Health, Inc.  and  Chicago  Venture 
Partners, L.P. (incorporated by reference to Ex. 10.3 to the Current Report on Form 8-K filed on July 3, 
2017). 

10.79  Form of Warrant Exercise Agreement (incorporated by reference to Ex. 10.1 to the Current Report on

Form 8-K filed on July 31, 2017). 

10.80  Share Purchase Agreement, dated July 31, 2017, by and between Jaguar Health, Inc. and Invesco Asset 
Management  Limited  (incorporated  herein  by  reference  to  Exhibit 10.2  to  the  Quarterly  Report  on
Form 10-Q (No. 001-36714) filed on November 20, 2017). 

10.81  Letter Agreement, dated September 1, 2017, by and among Napo Pharmaceuticals, Inc., MEF I, L.P. and 
Riverside  Merchant  Partners  (incorporated  by  reference  to  Exhibit 10.33  to  the  Form 8-K/A  of  Jaguar 
Health, Inc. filed September 14, 2017, File No. 001-36714). 

136 

 
 
 
Exhibit No.      

Description 

10.82  Letter  Agreement,  dated  August 31,  2017,  by  and  among  Napo  Pharmaceuticals, Inc.,  M. Kingdon 
Offshore  Master  Fund L.P.,  Kingdon  Family  Partnership, L.P.  and  Kingdon  Credit  Master  Fund L.P. 
(incorporated by reference to Exhibit 10.34 to the Form 8-K/A of Jaguar Health, Inc. filed September 14, 
2017, File No. 001-36714). 

10.83  Letter Agreement, dated August 28, 2017, by and among Napo Pharmaceuticals, Inc., Dorsar Investment 
Company,  Alco  Investment  Company  and  Two  Daughters LLC  (incorporated  by  reference  to
Exhibit 10.35 to the Form 8-K/A of Jaguar Health, Inc. filed September 14, 2017, File No. 001-36714). 

10.84  Letter  Agreement,  dated  September 1,  2017,  by  and  between  Napo  Pharmaceuticals, Inc.  and  Boies 
Schiller Flexner LLP (incorporated by reference to Exhibit 10.36 to the Form 8-K/A of Jaguar Health, Inc. 
filed September 14, 2017, File No. 001-36714). 

10.85  Letter  Agreement,  dated  August 30,  2017,  by  and  between  Jaguar  Health, Inc.  and  Chicago  Venture 
Partners, L.P. (incorporated by reference to Exhibit 10.37 to the Form 8-K/A of Jaguar Health, Inc. filed 
September 14, 2017, File No. 001-36714). 

10.86  Termination, Asset Transfer and Transition Agreement, dated September 22, 2017, by and between Napo
Pharmaceuticals, Inc.  and  Glenmark  Pharmaceuticals, Ltd.  (incorporated  herein  by  reference  to
Exhibit 10.8 to the Quarterly Report on Form 10-Q (No. 001-36714) filed on November 20, 2017). 
10.87  Share  Purchase  Agreement,  dated  November 24,  2017,  by  and  between  Jaguar  Health, Inc.  and  L2 
Capital, LLC  (incorporated  by  reference  to  Exhibit 10.1  to  the  Form 8-K  of  Jaguar  Health, Inc.  filed 
November 24, 2017, File No. 001-36714). 

10.88  Common Stock Purchase Agreement, dated November 24, 2017, by and between Jaguar Health, Inc. and 
L2 Capital, LLC (incorporated by reference to Exhibit 10.1 to the Form 8-K of Jaguar Health, Inc. filed 
November 24, 2017, File No. 001-36714). 

10.89  Collaboration Agreement, dated December 13, 2017, by and between Jaguar Health, Inc. and Seed Mena 
Businessmen Services, LLC. (incorporated by reference to Ex. 10.89 to the Annual Report on Form 10-K 
filed on April 9, 2018) 

10.90  Securities Purchase Agreement, dated December 8, 2017, by and between Jaguar Health, Inc. and Chicago 
Venture Partners, L.P. (incorporated by reference to Ex. 10.1 to the Current Report on Form 8-K filed on 
December 14, 2017). 

10.91  Security Agreement, dated December 8, 2017, by and between Jaguar Health, Inc. and Chicago Venture 
Partners, L.P.  (incorporated  by  reference  to  Ex.  10.2  to  the  Current  Report  on  Form 8-K  filed  on 
December 14, 2017). 

10.92  Form of  First  Amended  Original  Issue  Discount  Exchangeable  Promissory  Note.  (incorporated  by

reference to Ex. 4.1 to the Current Report on Form 8-K filed on January 2, 2018). 

10.93  First Amendment to the Note Purchase Agreement and Notes, dated December 29, 2017, by and among 
Jaguar Health, Inc. and the purchasers named therein (incorporated by reference to Ex. 10.1 to the Current
Report on Form 8-K filed on January 2, 2018). 

10.94  Second Amendment to the Note Purchase Agreement and Notes and Payoff Agreement, dated February
16, 2018, by and among Jaguar Health, Inc. and the purchasers named therein (incorporated by reference
to Exhibit 10.1 to the Current Report on Form 8-K filed on February 16, 2018). 

10.95  Consent and Payoff Agreement, dated February 27, 2018, by and between Napo Pharmaceuticals, Inc. and
the  purchasers  named  therein  (incorporated  by  reference  to  Exhibit  10.1  to  the  Current  Report  on
Form 8-K filed on February 28, 2018). 

10.96  Securities Purchase Agreement, dated February 26, 2018, by and between Jaguar Health, Inc. and Chicago 
Venture Partners, L.P. (incorporated by reference to Ex. 10.1 to the Current Report on Form 8-K filed on 
March 2, 2018). 

10.97  Security Agreement, dated February 26, 2018, by and between Jaguar Health, Inc. and Chicago Venture 
Partners, L.P. (incorporated by reference to Ex. 10.2 to the Current Report on Form 8-K filed on March 2, 
2018). 

10.98  Series A Preferred Stock Purchase Agreement, dated March 23, 2018, by and between Jaguar Health, Inc. 
and  Sagard  Capital  Partners,  L.P.  (incorporated  by  reference  to  Ex.  10.1  to  the  Current  Report  on 
Form 8-K filed on March 27, 2018). 

10.99  Registration Rights Agreement, dated March 23, 2018, by and between Jaguar Health, Inc. and Sagard 
Capital Partners, L.P. (incorporated by reference to Ex. 10.2 to the Current Report on Form 8-K filed on 
March 27, 2018). 

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Exhibit No.      

Description 

10.100  Form of Common Stock Purchase Agreement, dated March 23, 2018, by and between Jaguar Health, Inc. 
and  the  purchasers  named  therein  (incorporated  by  reference  to  Ex.  10.3  to  the  Current  Report  on
Form 8-K filed on March 27, 2018). 

10.101  Management Services Agreement, dated March 23, 2018, by and between Jaguar Health, Inc. and Sagard 
Capital  Partners  Management  Corp.  (incorporated  by  reference  to  Ex.  10.3  to  the  Current  Report  on
Form 8-K filed on March 27, 2018). 

10.102  Securities Purchase Agreement, dated Marchh 21, 2018, by and between Jaguar Health, Inc. and Chicago 
Venture Partners, L.P. (incorporated by reference to Ex. 10.4 to the Current Report on Form 8-K filed on 
March 27, 2018). 

10.103  Security  Agreement,  dated  March  21,  2018,  by  and  between  Jaguar  Health, Inc.  and  Chicago  Venture 
Partners, L.P. (incorporated by reference to Ex. 10.5 to the Current Report on Form 8-K filed on March 27, 
2018). 

10.104‡  Offer Letter by and between Jaguar Health, Inc. and Robert J. Griffing, dated May 25, 2018 (incorporated

by reference to Exhibit 10.1 to the Current Report on Form 8-K/A filed on June 11, 2018). 

10.105  Co-Promotion Agreement, dated June 28, 2018, by and between Napo Pharmaceuticals, Inc. and RedHill 
Biopharma, Inc. (incorporated by reference to Exhibit 10.2 to the Quarterly Report on Form 10-Q filed 
on August 13, 2018). 

10.106  Amended and Restated Security Agreement, dated July 31, 2017, by and among Napo Pharmaceuticals,
Inc., Kingdon Capital Management, L.L.C., and the purchasers named therein (incorporated by reference 
to Exhibit 10.1 to the Current Report on Form 8-K/A filed on August 29, 2018). 

10.107  Office  Lease  Agreement,  dated  August 30,  2018,  between  Jaguar  Health, Inc.  and  CA-Mission  Street 
Limited Partnership (incorporated by reference to Ex. 10.1 to the Current Report on Form 8-K filed on 
September 4, 2018). 

10.108  Landlord Letter of Credit & Warrant Issuance Agreement, dated August 28, 2018, by and between Jaguar
Health, Inc. and the letter of credit facilitator named therein (incorporated by reference to Ex. 10.2 to the
Current Report on Form 8-K filed on September 4, 2018). 

10.109  Note Purchase Agreement, dated September 11, 2018, by and between Jaguar Health, Inc. and L2 Capital, 
LLC (incorporated by reference to Ex. 10.1 to the Current Report on Form 8-K filed on September 12, 
2018). 

10.110  Note Purchase Agreement, dated September 11, 2018, by and between Jaguar Health, Inc. and Charles 
Conte (incorporated by reference to Ex. 10.2 to the Current Report on Form 8-K filed on September 12, 
2018). 

10.111  Registration Rights Agreement, dated September 11, 2018, by and between Jaguar Health, Inc. and L2 
Capital,  LLC  (incorporated  by  reference  to  Ex.  10.3  to  the  Current  Report  on  Form 8-K  filed  on 
September 12, 2018). 

10.112  Registration  Rights  Agreement,  dated  September 11,  2018,  by  and  between  Jaguar  Health, Inc.  and 
Charles  Conte  (incorporated  by  reference  to  Ex.  10.4  to  the  Current  Report  on  Form 8-K  filed  on 
September 12, 2018). 

10.113  Standstill Agreement, dated October 1, 2018, by and between Jaguar Health, Inc. and Chicago Venture 
Partners, L.P. (incorporated by reference to Ex. 10.1 to the Current Report on Form 8-K filed on October 5, 
2018). 

10.114  Suspension,  Settlement  and  Termination  Agreement,  dated  December 4,  2018,  by  and  among  Napo
Pharmaceuticals, Inc., Jaguar Health, Inc. and SmartPharma, LLC (incorporated by reference to Ex. 10.1
to the Current Report on Form 8-K filed on December 10, 2018). 

23.1*  Consent of Independent Registered Public Accounting Firm. 
31.1*  Principal Executive Officer’s Certifications Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. 
31.2*  Principal Financial Officer’s Certifications Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. 
32.1**  Certification Pursuant to 18 U.S.C. § 1350 (Section 906 of Sarbanes-Oxley Act of 2002).  
32.2**  Certification Pursuant to 18 U.S.C. § 1350 (Section 906 of Sarbanes-Oxley Act of 2002). 

101.INS  XBRL Instance Document 
101.SCH  XBRL Taxonomy Extension Schema 
101.CAL  XBRL Taxonomy Extension Calculation Linkbase 
101.DEF  XBRL Taxonomy Extension Definition Linkbase 
101.LAB  XBRL Taxonomy Extension Label Linkbase 
101.PRE  XBRL Taxonomy Extension Presentation Linkbase 

138 

 
 
 
*     Filed herewith. 

**   In  accordance  with  Item 601(b)(32)(ii) of  Regulation S-K  and  SEC  Release  No. 34-47986,  the  certifications 
furnished in Exhibits 32.1 and 32.2 hereto are deemed to accompany this Form 10-K and will not be deemed “filed” 
for  purposes  of  Section 18  of  the  Securities  Exchange  Act  of  1934  (the  “Exchange  Act”)  or  deemed  to  be 
incorporated by reference into any filing under the Exchange Act or the Securities Act of 1933 except to the extent 
that the registrant specifically incorporates it by reference. 

†     Confidential treatment granted as to portions of the exhibit. Confidential materials omitted and filed separately with 

the Securities and Exchange Commission. 

‡     Management contract or compensatory plan or arrangement. 

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

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

SIGNATURES 

JAGUAR HEALTH, INC. 

By: 

/s/ LISA A. CONTE 
Lisa A. Conte 
Chief Executive Officer and President 

Date: April 10, 2019 

140 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Consent of Independent Registered Public Accounting Firm 

Exhibit 23.1 

Jaguar Health, Inc. 
San Francisco, California 

We hereby consent to the incorporation by reference in the Registration Statements on Form S-1 (Nos. 333-214956 and 
333-227292), Form S-3 (Nos. 333-220236 333-221041 and 333-224387) and Form S-8 (Nos. 333-204280, 333-215303, 
333-219939 and 333-225057) of Jaguar Health, Inc. of our report dated April 10, 2019, relating to the consolidated 
financial  statements  which  appear  in  this  Form  10-K.  Our  report  contains  an  explanatory  paragraph  regarding  the 
Company's ability to continue as a going concern. 

/s/ BDO USA, LLP 

San Francisco, California 

April 10, 2019 

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Exhibit 31.1 

PRINCIPAL EXECUTIVE OFFICER’S CERTIFICATION PURSUANT TO 
SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002 

I, Lisa A. Conte, certify that: 

1.            I have reviewed this annual report on Form 10-K of Jaguar Health, Inc.; 

2.            Based on my knowledge, this report does not contain any untrue statement of a material fact or omit 
to state a material fact necessary to make the statements made, in light of the circumstances under which such statements 
were made, not misleading with respect to the period covered by this report; 

3.            Based on my knowledge, the financial statements, and other financial information included in this 
report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant 
as of, and for, the periods presented in this report; 

4.            The  registrant’s  other  certifying  officer(s)  and  I  are  responsible  for  establishing  and  maintaining 
disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control 
over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have: 

a)            Designed such disclosure controls and procedures, or caused such disclosure controls and 
procedures to be designed under our supervision, to ensure that material information relating to the registrant, 
including its consolidated subsidiaries, is made known to us by others within those entities, particularly during 
the period in which this report is being prepared; 

b)           Designed such internal control over financial reporting, or caused such internal control over 
financial  reporting  to  be  designed  under  our  supervision,  to  provide  reasonable  assurance  regarding  the 
reliability of financial reporting and the preparation of financial statements for external purposes in accordance 
with generally accepted accounting principles; 

c)            Evaluated  the  effectiveness  of  the  registrant’s  disclosure  controls  and  procedures  and 
presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of 
the end of the period covered by this report based on such evaluation; and 

d)           Disclosed in this report any change in the registrant’s internal control over financial reporting 
that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case 
of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s 
internal control over financial reporting; and 

5.            The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation 
of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board 
of directors (or persons performing the equivalent functions): 

a)            All significant deficiencies and material weaknesses in the design or operation of internal 
control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, 
process, summarize and report financial information; and 

b)           Any fraud, whether or not material, that involves management or other employees who have 

a significant role in the registrant’s internal control over financial reporting. 

Date: April 10, 2019 

/s/ LISA A. CONTE  
Lisa A. Conte 
Chief Executive Officer and President 
(Principal Executive Officer) 

 
 
 
 
 
 
 
Exhibit 31.2 

PRINCIPAL FINANCIAL OFFICER’S CERTIFICATION PURSUANT TO 
SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002 

I, Karen S. Wright, certify that: 

1.            I have reviewed this annual report on Form 10-K of Jaguar Health, Inc.; 

2.            Based on my knowledge, this report does not contain any untrue statement of a material fact or omit 
to state a material fact necessary to make the statements made, in light of the circumstances under which such statements 
were made, not misleading with respect to the period covered by this report; 

3.            Based on my knowledge, the financial statements, and other financial information included in this 
report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant 
as of, and for, the periods presented in this report; 

4.            The  registrant’s  other  certifying  officer(s)  and  I  are  responsible  for  establishing  and  maintaining 
disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control 
over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have: 

a)            Designed such disclosure controls and procedures, or caused such disclosure controls and 
procedures to be designed under our supervision, to ensure that material information relating to the registrant, 
including its consolidated subsidiaries, is made known to us by others within those entities, particularly during 
the period in which this report is being prepared; 

b)           Designed such internal control over financial reporting, or caused such internal control over 
financial  reporting  to  be  designed  under  our  supervision,  to  provide  reasonable  assurance  regarding  the 
reliability of financial reporting and the preparation of financial statements for external purposes in accordance 
with generally accepted accounting principles; 

c)            Evaluated  the  effectiveness  of  the  registrant’s  disclosure  controls  and  procedures  and 
presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of 
the end of the period covered by this report based on such evaluation; and 

d)           Disclosed in this report any change in the registrant’s internal control over financial reporting 
that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case 
of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s 
internal control over financial reporting; and 

5.            The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation 
of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board 
of directors (or persons performing the equivalent functions): 

a)            All significant deficiencies and material weaknesses in the design or operation of internal 
control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, 
process, summarize and report financial information; and 

b)           Any fraud, whether or not material, that involves management or other employees who have 

a significant role in the registrant’s internal control over financial reporting. 

Date: April 10, 2019 

/s/ KAREN S. WRIGHT 
Karen S. Wright 
Chief Financial Officer 
(Principal Financial Officer) 

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CERTIFICATION PURSUANT TO 
18 U.S.C. SECTION 1350, 
AS ADOPTED PURSUANT TO 
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002 

Exhibit 32.1 

In connection with the annual report of Jaguar Health, Inc. (the “Company”) on Form 10-K for the year ended 
December 31,  2018,  as  filed  with  the  Securities  and  Exchange  Commission  on  the  date  hereof  (the  “Report”),  the 
undersigned officer of the Company certifies, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 
of the Sarbanes-Oxley Act of 2002, that, to such officer’s knowledge: 

(1)          The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities 

Exchange Act of 1934; and 

(2)          The information contained in the Report fairly presents, in all material respects, the financial 

condition and results of operations of the Company. 

Date: April 10, 2019 

/s/ LISA A. CONTE 
Lisa A. Conte 
Chief Executive Officer and President 
(Principal Executive Officer) 

 
 
 
 
 
 
CERTIFICATION PURSUANT TO 
18 U.S.C. SECTION 1350, 
AS ADOPTED PURSUANT TO 
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002 

Exhibit 32.2 

In connection with the annual report of Jaguar Health, Inc. (the “Company”) on Form 10-K for the year ended 
December 31,  2018,  as  filed  with  the  Securities  and  Exchange  Commission  on  the  date  hereof  (the  “Report”),  the 
undersigned officer of the Company certifies, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 
of the Sarbanes-Oxley Act of 2002, that, to such officer’s knowledge: 

(1)          The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities 

Exchange Act of 1934; and 

(2)          The information contained in the Report fairly presents, in all material respects, the financial 

condition and results of operations of the Company. 

Date: April 10, 2019 

/s/ KAREN S. WRIGHT 
Karen S. Wright 
Chief Financial Officer 
(Principal Financial Officer) 

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(This page has been left blank intentionally.)

Corporate Information

BOARD OF DIRECTORS

JAMES J. BOCHNOWSKI

LISA CONTE

JIAHAO QIU

JOHN MICEK III

JONATHAN B. SIEGEL

JEFFERY C. JOHNSON

GREG DIVIS

DAVID MACNAUGHTAN

EXECUTIVE MANAGEMENT TEAM

LISA CONTE
President & Chief Executive Officer

STEVEN KING, PH.D.
Executive Vice President of Sustainable Supply,  
Ethnobotanical Research & IP

KAREN WRIGHT
Chief Financial Officer & Treasurer 

PRAVIN CHATURVEDI, PH.D.
Chair of Scientific Advisory Board;  
acting Chief Scientific Officer

DAVID SESIN, PH.D.
Chief Manufacturing Officer 

ROBERT J. GRIFFING
Chief Commercialization Officer 

JONATHAN WOLIN, JD, MBA, CPA
Chief Compliance Officer & Corporate Council

DAVID UPCHURCH 
Vice President, Supply Chain Management &  
Quality Assurance

PETE RIOJAS 
National Sales Director 

CORPORATE ADDRESS

201 Mission Street, Suite 2375 
San Francisco, CA 94105

TICKER SYMBOL

NASDAQ: JAGX

TRANSFER AGENT

First Class/Registered/Certified Mail: 
COMPUTERSHARE INVESTOR SERVICES 
P.O. Box 505000 
Louisville, KY 40233-5000

Courier Services:
COMPUTERSHARE INVESTOR SERVICES
462 South 4th Street, Suite 1600 
Louisville, KY 40202

Shareholder Services Numbers: 800-962-4284 
Outside the US: 781-575-3120 
Investor Centre™ portal: 
www.computershare.com/investor

INVESTOR RELATIONS

PETER HODGE
Jaguar Health, Inc. 
phodge@jaguar.health

VISIT OUR WEBSITE 

www.jaguar.health

FOLLOW US ONLINE 

Twitter.com/Jaguar_Health 
LinkedIn/company/jaguar-health

“ It pretty much sucks waking up 
around 3 AM and running to the 
bathroom 2 or 3 times. I might lay 
back down, and then, ‘oh crap!’ I 
have to run to the bathroom again.”

     Male, age 39,  

HIV+ for 6 years 

Photo not of actual patient.  
Quote is from a person living with HIV.

Photo not of actual patient. 

“ It’s interrupting my daily routine…  
It seems like I’m changing my life  
because of my diarrhea.”

     Male, age 62,  

HIV+ for 3 years 

Photo not of actual patient.  
Quote is from a person living with HIV.

201 Mission Street, Suite 2375, San Francisco, CA 94105   /   +1 (415) 371-8300   /   www.jaguar.health

004CTN275A