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Verrica Pharmaceuticals Inc.

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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549

35

FORM 10-K

(Mark One)
☒ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the fiscal year ended December 31, 2021
OR

☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

Commission File Number: 001-38529

Verrica Pharmaceuticals Inc.

(Exact Name of Registrant as Specified in its Charter)

Delaware
(State or other jurisdiction of
incorporation or organization)
44 West Gay Street, Suite 400
West Chester, PA 
(Address of principal executive offices)

46-3137900
(I.R.S. Employer
Identification No.)

19380
(Zip Code)

Registrant’s telephone number, including area code: (484) 453-3300
Securities registered pursuant to Section 12(b) of the Act:

Title of Each Class
Common Stock, $0.0001 par value

Trading Symbol
VRCA

Name of Each Exchange on which Registered
The Nasdaq Stock Market, LLC

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

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes  ☐   No  ☒
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or 15(d) of the Act.   Yes  ☐   No  ☒
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such 

shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.     Yes  ☒    No  ☐

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) 

during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).    Yes  ☒    No  ☐

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, 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
Non-accelerated filer

   ☐
   ☒  

    Accelerated filer
    Small reporting company
  Emerging growth company

   ☐
   ☒
  ☒

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. ☒

Indicate by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the effectiveness of its internal control over financial reporting under Section 

404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered public accounting firm that prepared or issued its audit report. ☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes  ☐    No  ☒
The aggregate market value of Verrica Pharmaceuticals Inc.’s voting and non-voting common equity held by non-affiliates as of June 30, 2021 (the last business day of the registrant's most recently 

completed second fiscal quarter) based on the closing sale price of $11.30 as reported on the Nasdaq Global Market on that date was approximately $185.6 million.

As of February 24, 2022, the registrant had 27,519,053 shares of common stock, $0.0001 par value per share, outstanding.
DOCUMENTS INCORPORATED BY REFERENCE

Portions of the registrant’s definitive proxy statement, to be filed pursuant to Regulation 14A under the Securities Exchange Act of 1934, for its 2022 Annual Meeting of Stockholders are incorporated by 

reference in Part III of this Form 10-K.

Auditor Firm Id:

185

Auditor Name: 

KPMG LLP

Auditor Location:

Philadelphia, PA 

 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
SPECIAL NOTE REGARDING FORWARD-LOOKING STATEMENTS 

This Annual Report on Form 10-K (this “Annual Report”) contains forward-looking statements within the meaning of Section 27A of the Securities 

Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, or the Exchange Act, that involve substantial risks and 
uncertainties. The forward-looking statements are contained principally in Part I, Item 1. “Business,” Part I, Item 1A. “Risk Factors,” and Part II, Item 7. 
“Management’s Discussion and Analysis of Financial Condition and Results of Operations,” but are also contained elsewhere in this Annual Report. In 
some cases, you can identify forward-looking statements by the words “may,” “might,” “will,” “could,” “would,” “should,” “expect,” “intend,” “plan,” 
“objective,” “anticipate,” “believe,” “estimate,” “predict,” “project,” “potential,” “continue” and “ongoing,” or the negative of these terms, or other 
comparable terminology intended to identify statements about the future. These statements involve known and unknown risks, uncertainties and other 
factors that may cause our actual results, levels of activity, performance or achievements to be materially different from the information expressed or 
implied by these forward-looking statements. Although we believe that we have a reasonable basis for each forward-looking statement contained in this 
Annual Report, we caution you that these statements are based on a combination of facts and factors currently known by us and our expectations of the 
future, about which we cannot be certain. Forward-looking statements include statements about:

• 

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• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

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• 

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our plans to develop and commercialize our product candidates;

the timing of our planned clinical trials for VP-102 and our other product candidates;

the timing of and our ability to obtain and maintain regulatory approvals for VP-102 for the treatment of molluscum and our other product 

candidates;

the clinical utility of our product candidates;

our commercialization, marketing and manufacturing capabilities and strategy;

our expectations about the willingness of healthcare professionals to use VP-102;

our expectations about third-party payors to reimburse or patients to pay for VP-102;

our intellectual property position;

our plans to in-license, acquire, develop and commercialize additional product candidates for other dermatological conditions to build a fully 

integrated dermatology company;

our competitive position and the development of and projections relating to our competitors or our industry;

our ability to identify, recruit and retain key personnel;

the impact of laws and regulations;

our expectations regarding the time during which we will be an emerging growth company under the JOBS Act;

the impacts of the COVID-19 pandemic on our business;

our plans to identify additional product candidates with significant commercial potential that are consistent with our commercial objectives; 

and

our estimates regarding future revenue, expenses and needs for additional financing.

You should refer to Item 1A. “Risk Factors” in this Annual Report for a discussion of important factors that may cause our actual results to differ 

materially from those expressed or implied by our forward‑looking statements. As a result of these factors, we cannot assure you that the forward‑looking 
statements in this Annual Report will prove to be accurate. Furthermore, if our forward‑looking statements prove to be inaccurate, the inaccuracy may be 
material. In light of the significant uncertainties in these forward‑looking statements, you should not regard these statements as a representation or warranty 
by us or any other person that we will achieve our objectives and plans in any specified time frame, or at all. The forward-looking statements in this Annual 
Report represent our views as of the date of this Annual Report. We anticipate that subsequent events and developments may cause our views to 

1

 
change. However, while we may elect to update these forward-looking statements at some point in the future, we undertake no obligation to publicly update 
any forward‑looking statements, whether as a result of new information, future events or otherwise, except as required by law. You should, therefore, not 
rely on these forward-looking statements as representing our views as of any date subsequent to the date of this Annual Report. 

Unless otherwise indicated or the context otherwise requires, all references in this Annual Report to "the Company," "we," "our," "ours," "us" or 

similar terms refer to Verrica Pharmaceuticals Inc. "Verrica," the Verrica logo, YCANTH and other trademarks or service marks of Verrica Pharmaceuticals 
Inc. appearing in this Annual Report are the property of Verrica Pharmaceuticals Inc. This Annual Report contains additional trade names, trademarks and 
service marks of others, which are the property of their respective owners.

2

 
Table of Contents

PART I 

Item 1.
Item 1A.
Item 1B.
Item 2.
Item 3.
Item 4.

Business
Risk Factors
Unresolved Staff Comments
Properties
Legal Proceedings
Mine Safety Disclosures

PART II

Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities
Reserved
Management’s Discussion and Analysis of Financial Condition and Results of Operations

Item 5.
Item 6.
Item 7.
Item 7A.  Quantitative and Qualitative Disclosures About Market Risk
Financial Statements and Supplementary Data
Item 8.
Changes in and Disagreements with Accountants on Accounting and Financial Disclosure
Item 9.
Controls and Procedures
Item 9A.
Other Information
Item 9B.
Disclosure Regarding Foreign Jurisdictions that Prevent Inspections
Item 9C

Item 10.
Item 11.
Item 12.
Item 13.
Item 14.

Directors, Executive Officers and Corporate Governance
Executive Compensation
Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
Certain Relationships and Related Transactions, and Director Independence
Principal Accountant Fees and Services

PART III

Item 15.
Item 16.
Signatures

Exhibits and Financial Statement Schedules
Form 10-K Summary

PART IV

3

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89
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113
113
113

114
114
114
114
115

116
119
120

 
  
 
  
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ITEM 1. BUSINESS

Overview 

PART I

We are a dermatology therapeutics company committed to the development and commercialization of novel treatments that provide 
meaningful benefit for people living with skin diseases. Our lead product candidate, VP-102, is a proprietary drug-device combination of our novel 
topical solution of cantharidin, a widely recognized, naturally sourced agent to treat topical dermatological conditions, administered through our 
single-use precision applicator. We are initially developing VP-102 for the treatment of molluscum contagiosum, or molluscum, a highly contagious 
and primarily pediatric viral skin disease, external genital warts and common warts. There are currently no products approved by the U.S. Food and 
Drug Administration, or FDA, nor is there an established standard of care for either of these diseases, resulting in significant undertreated 
populations in two of the largest unmet needs in dermatology. VP-102 has the potential to be the first FDA-approved product for molluscum and for 
its active pharmaceutical ingredient, or API, to be characterized as a new chemical entity, or NCE, with the five years of non-patent regulatory 
exclusivity associated with that designation.  We also believe VP-102 has the potential to qualify for pediatric exclusivity in common warts, which 
would provide for an additional six months of non-patent exclusivity.  In addition, our granted patents and pending patent applications include 
claims drawn to our cantharidin formulations, applicator devices and related accessories, dosing regimens, methods of preparation including 
methods of synthesis, and methods of use.

VP-102 - Treatment of Molluscum

Molluscum is a highly contagious common skin disease caused by a pox virus that produces multiple raised flesh-colored papules, or skin 

lesions. Molluscum typically presents with 10 to 30 lesions and can present with over 100 lesions. If left untreated, molluscum lesions persist for an 
average of 13 months, with some cases remaining unresolved for more than two years. The symptoms of molluscum tend to cause considerable 
anxiety, and parents frequently seek treatment due to its highly contagious nature and physical appearance.

We estimate approximately 6 million people in the United States have molluscum. Of the 6 million people with molluscum, we estimate that 
approximately 1 million are diagnosed annually.  Molluscum has a 5% to 11% prevalence rate in children with the greatest incidence in individuals 
aged one to 14 years old. Accordingly, we estimate this represents a total addressable U.S. market of over $1 billion. We believe that the molluscum 
prevalence rate in the European Union is at least as high as in the United States.

Compounded cantharidin has been used for many years by dermatologists to treat molluscum, but it has many limitations. Those limitations 

include that it is not FDA-approved, could have highly variable purity, is not readily available and is often not produced in accordance with good 
manufacturing practices, or GMP. In addition, the formulation and administration of compounded cantharidin is not standardized and is poorly 
controlled. Other existing therapies, such as cryotherapy, curettage and laser surgery are also used, but are often painful and may lead to scarring. 
The potential for scarring and pain makes many of these treatments particularly unsuitable for children. As a result, a significant need exists for a 
clinically proven and FDA-approved treatment for molluscum.

We have designed VP-102 to address the significant limitations of current compounded cantharidin formulations for the treatment of 
molluscum, including with respect to safety, purity, efficacy, stability and ease of administration. VP-102 contains the first GMP-controlled 
formulation of cantharidin with a defined pharmaceutical batch process and an API that is greater than 99% pure. We believe VP-102 addresses the 
shortcomings associated with current therapies, including pain and discomfort, potential scarring and inconsistent outcomes, and has the potential to 
be the first FDA-approved product for the treatment of molluscum.

In January 2019, we reported positive top-line results from our Phase 3 CAMP-1 and CAMP-2 pivotal trials with VP-102 for the treatment of 

molluscum. Based on the results from these trials, we submitted a new drug application, or NDA, to the FDA for VP-102 for the treatment of 
molluscum in September 2019.  In 

4

 
November 2019, we received notice that the FDA accepted the NDA for filing, with a Prescription Drug User Fee Act, or PDUFA, goal date of July 
13, 2020. In July 2020, we received a Complete Response Letter, or CRL, from the FDA for our NDA. We resubmitted our NDA for VP-102 for the 
treatment of molluscum in December 2020.  In February 2021, we received notice that the FDA accepted the resubmitted NDA for filing, with a 
PDUFA goal date of June 23, 2021. On May 28, 2021, the FDA extended the PDUFA date to September 23, 2021 to allow the Agency additional 
time to review information submitted by Verrica in response to comments from the agency regarding the Company's human factors study.

On September 17, 2021, the FDA issued a CRL regarding our NDA for VP-102.  According to the CRL, the FDA identified deficiencies at a 

facility of a contract manufacturing organization, or CMO, which are not specifically related to the manufacturing of VP-102 but instead raise 
general quality issues at the facility. The FDA did not identify any clinical, safety or product specific CMC deficiencies related to VP-102.  
Following the CRL, on September 22, 2021, we received a General Advice Letter from the FDA with recommendations to improve VP-102’s user 
interface. On November 5, 2021, we were notified that the inspection of the CMO that had been classified as “voluntary action indicated”, or VAI, is 
now closed and that the VAI classification would not directly negatively impact FDA’s assessment of our NDA regarding this CMO. With the 
satisfactory resolution of the facility inspection, we resubmitted the NDA for the approval of VP-102 for the treatment of molluscum on November 
29, 2021.  The resubmission was limited to those sections and elements of the NDA that were identified as deficiencies in the CRL issued by the 
FDA in September 2021. The resubmission addressed the successful resolution of inspection deficiencies identified at the CMO in the CRL, as well 
as the recommendations included in the General Advice Letter received from the FDA that relate to VP-102’s user interface.  On December 15, 
2021 the FDA accepted our NDA resubmission for VP-102 and assigned a new PDUFA date of May 24, 2022.

VP-102 - Treatment of External Genital Warts

In addition, we are also developing VP-102 for the treatment of external genital warts, or EGW. EGW is a viral skin disease caused by the 
human papilloma virus, or HPV, which forms lesions on the surface of the skin.  An estimated 17% of the approximately 4.1 million patient visits 
for all types of warts are for the treatment of EGW.  We initiated a Phase 2 clinical trial evaluating the optimal dose regimen, efficacy, safety and 
tolerability of VP-102 in patients with EGW in June 2019.  In November 2020, we announced positive topline results from our Phase 2 clinical trial 
of VP-102 for the treatment of EGW.  An end of Phase 2 meeting was held with the FDA in May 2021.  We intend to initiate a Phase 3 trial of VP-
102 for the treatment of EGW in the second half of 2022 with first patient dose in the first half of 2023.

VP-102 - Treatment of Common Warts

We are also developing VP-102 for the treatment of common warts. Common warts typically result in two to five lesions. We estimate 
approximately 22 million people in the United States have common warts and the total addressable U.S. market to be over $1 billion with an 
estimated 2 million patient visits for common warts each year. In the United States, approximately 50% of the patients who seek treatment for 
common warts are children, and approximately 25% of common warts patients are treated by pediatricians. We believe that the common wart patient 
opportunity in the European Union is at least as large as that in the United States. There are currently no FDA-approved products indicated for the 
treatment of common warts. While common warts can be treated with slow acting, over-the-counter products, the warts tend to be highly refractory 
and a cause for multiple consultations. We believe that cantharidin’s role as a widely recognized and effective blistering agent for the treatment of 
skin lesions, coupled with VP-102’s safety and efficacy data in clinical trials for the treatment of molluscum and convenient ease of administration, 
will allow VP-102 to address many of the shortcomings associated with current therapies. In June 2019, we announced positive topline results from 
our COVE-1 Phase 2 open label clinical trial of VP-102 for the treatment of common warts. COVE-1 included two cohorts that evaluated the safety 
and efficacy of VP-102 in subjects with up to six warts. 

 Based on feedback from the FDA regarding our Phase 3 program in common warts, we are currently evaluating the benefits of conducting 
an additional Phase 2 clinical trial that would be designed to further evaluate the treatment indication, application time, or regimen and long-term 
sustainability. 

5

 
VP-103 - Treatment of Plantar Warts

We also intend to develop our second cantharidin-based product candidate, VP-103, for the treatment of plantar warts. An estimated one-third 

of the approximately 4.1 million annual patient visits for all types of warts are for the treatment of plantar warts, which are warts located on the 
bottom of the foot. 

We are conducting necessary drug development activities for VP-103 and are evaluating when to initiate a Phase 2 clinical trial for the 

treatment of plantar warts. 

We believe we have the opportunity to expand our proprietary cantharidin formulations for the treatment of additional dermatological 

conditions with high unmet needs.

Except as provided for in the Torii Agreement, described below, we retain exclusive royalty-free rights to VP-102 and VP-103 across all 

indications.

LTX - 315 - Treatment of Dermatological Oncology

We also intend to develop our third product candidate, LTX-315, for the treatment of dermatological oncology indications. We obtained an 
exclusive worldwide license to develop and commercialize LTX-315 for dermatologic oncology indications, including non-metastatic melanoma 
and non-metastatic Merkel cell carcinoma, and we intend to focus initially on basal cell and squamous cell carcinomas as the lead indications for 
development. Basal cell carcinoma is the most common form of cancer in the U.S., and incidence is rising worldwide. There are approximately 3-4 
million diagnoses of basal cell carcinomas in the U.S. each year, with a high unmet need for new treatment options.  

The FDA accepted our IND in November 2021.  We expect to initiate a Phase 2 trial of LTX-315 in Basal Cell Carcinoma, or BCC, in the 

first quarter of 2022. 

License Agreements

On March 17, 2021, we entered into a collaboration and license agreement, or the Torii Agreement, with Torii Pharmaceutical Co., Ltd., or 

Torii, pursuant to which we granted Torii an exclusive license to develop and commercialize our product candidates that contain VP-102 for the 
treatment of molluscum contagiosum and common warts in Japan.  Additionally, we granted Torii a right of first negotiation with respect to 
additional indications for the licensed products and certain additional products for use in the licensed field, in each case in Japan. Pursuant to the 
Torii Agreement, we received payments from Torii of $0.5 million in December 2020 and $11.5 million in April 2021.  Additionally, we are entitled 
to receive from Torii an additional $58.0 million in aggregate payments contingent on achievement of specified development, regulatory, and sales 
milestones, in addition to tiered transfer price payments for supply of product in the percentage range of the mid-30s to the mid-40s of net sales. 

In August 2020, we entered into an exclusive license agreement with Lytix Biopharma AS, or Lytix, pursuant to which we obtained an 

exclusive worldwide license for certain technology of Lytix to develop LTX-315 for use in all malignant and pre-malignant dermatological 
indications, other than metastatic melanoma and metastatic Merkel cell carcinoma.  

6

 
Our Pipeline

The following table summarizes our product candidates. Except as provided by the Torii Agreement, we retain exclusive, royalty-free rights for VP-

102 (YCANTH) and VP-103.

(a)

(b)
(c)

Originally designed Phase 2 program completed. Company evaluating potential for conducting an additional Phase 2 trial based on FDA 
feedback for Phase 3 trial protocol.
Timing for initiating clinical trials for Plantar Warts to be determined.
License excludes metastatic melanoma and metastatic Merkel cell carcinoma. Initially focused on basal cell and squamous cell carcinomas.

VP-102 for the Treatment of Molluscum

We are developing VP-102 as a proprietary drug-device combination of a novel 0.7% w/v topical solution of cantharidin administered through our 
single-use precision applicator. VP-102 has the potential to be the first FDA-approved treatment for molluscum and we believe it will address many of the 
shortcomings associated with current therapies, including pain and discomfort, scarring and lack of effectiveness.

We have designed VP-102 to address the significant limitations of current compounded cantharidin formulations for the treatment of molluscum, 

with respect to safety, purity, efficacy, stability and ease of administration. VP-102 contains the first GMP-controlled formulation of cantharidin with a 
defined pharmaceutical batch process and an API that is greater than 99% pure.

Our proprietary single-use applicator allows for precise application to each lesion. Our applicator contains a sealed glass ampule providing long-

term room temperature stability without the changes in concentration due to evaporation seen in compounded formulations.

Clinical Development for Molluscum

7

 
 
 
 
 
 
 
Below is a summary of our clinical development for the indication of molluscum.

Trial and Status

Formulation and
Application Method

Phase 3 Clinical Trials (CAMP-1 and 
CAMP-2) (n=266 and 262, 
respectively)

VP-102

Top-line results reported in January 
2019

Phase 2 Innovate Trial
(n=32)

Results reported in September 
2018

VP-102

Phase 2 Pilot Trial
(n=30)

Completed in September 2017

Our proprietary formulation of 
cantharidin used in VP‑102, 
applied with the wooden stick part 
of a cotton-tipped swab

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•

•

•

•

•

•

•

•

•

•

•

•

•

•

•

•

•

•

•

•

Trial Objectives

To evaluate the 
efficacy of dermal 
application of 
VP‑102 relative to 
placebo for 
complete clearance 
at Day 84

To assess the safety 
and tolerability of 
VP‑102

To determine any 
possible systemic 
exposure from a 
single 24-hour 
application of 
VP‑102

To confirm safety 
and efficacy with 
applicator

To assess impact on 
quality of life

To evaluate safety 
and efficacy and 
determine optimal 
treatment duration

To assess impact on 
quality of life

Trial Design

Randomized, 
double-blinded, 
multicenter, 
placebo‑controlled

Safety and efficacy 
evaluated every 21 
days for up to 4 
applications

Open-label, single- 
center

24-hour treatment

Blood draws in 
subjects with more 
than 21 lesions for 
evaluating PK

Safety and efficacy 
evaluated every 21 
days for up to four 
applications

Impact of quality of 
life assessed via the 
CDLQI

Duration: 12 weeks

Open-label, single- 
center

Six hour and 24- 
hour treatment 
cohorts

Safety and efficacy 
evaluated every 21 
days for up to four 
applications

Impact of quality of 
life assessed via the 
CDLQI

Duration: 12 weeks

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Phase 3 Clinical Trials—CAMP-1 and CAMP-2

In January 2019, we announced positive topline results from our Phase 3 CAMP-1 and CAMP-2 pivotal trials with VP-102 for the treatment of 

molluscum. The two trials, identical in design, were randomized, double-blind, multicenter, placebo-controlled trials of VP-102 for the treatment of 
molluscum. CAMP-1 was conducted under a SPA with the FDA. The primary objective of the trials was to evaluate the efficacy of dermal application of 
VP-102 relative to placebo in subjects 2 years of age and older with molluscum, when treated once every 21 days for up to four applications, by assessing 
the proportion of subjects achieving complete clearance of all treatable molluscum lesions at Day 84 (Week 12/End of Study visit). Secondary endpoints 
included the proportion of subjects with complete clearance at study visits on Days 21 (Week 3), 42 (Week 6) and 63 (Week 9).

CAMP-1 and CAMP-2 enrolled 528 subjects in total and were conducted at 31 centers in the United States. Results from CAMP-1 and CAMP-2 

showed 46% and 54% of subjects treated with VP-102, respectively, achieved complete clearance of all treatable molluscum lesions at Day 84 versus 18% 
and 13% of subjects in the placebo groups (p<0.0001).  By Day 84, VP-102 treated subjects had a 69% and 83% mean reduction in the number of 
molluscum lesions, a pre-specified endpoint, in CAMP-1 and CAMP-2, respectively, compared to a 20% increase and a 19% reduction for subjects on 
placebo.

Consistent with the results from the Phase 2 clinical trials, VP-102 was also well-tolerated in the Phase 3 trials, with side effects that were primarily 

mild to moderate. The most frequently reported adverse events were application site reactions that are well-known, reversible side effects related to the 
mechanism of action of cantharidin, a blistering agent, which is the active ingredient in VP-102. There were no treatment-related serious adverse events 
reported in CAMP-1 or CAMP-2.

Based on the results of these trials, we submitted an NDA to the FDA for VP-102 for the treatment of molluscum. In November 2019, we received 
notice that the FDA accepted the NDA for filing, with a PDUFA goal date of July 13, 2020. In July 2020, we received a CRL, from the FDA for our NDA. 
We resubmitted our NDA for VP-102 for the treatment of molluscum in December 2020.  In February 2021, we received notice that the FDA accepted the 
resubmitted NDA for filing, with a PDUFA goal date of June 23, 2021. On May 28, 2021 the FDA extended the PDUFA date to September 23, 2021 to 
allow the Agency additional time to review information submitted by Verrica in response to comments from the agency regarding the Company's human 
factors study.

On September 17, 2021, the FDA issued a CRL regarding our NDA for VP-102.  According to the CRL, the FDA identified deficiencies at a facility 

of a contract manufacturing organization, or CMO, which are not specifically related to the manufacturing of VP-102 but instead raise general quality 
issues at the facility. The FDA did not identify any clinical, safety or product specific CMC deficiencies related to VP-102.  Following the CRL, on 
September 22, 2021 we received a General Advice Letter from the FDA with recommendations to improve VP-102’s user interface. On November 5, 2021, 
we were notified that the inspection of the CMO that had been classified as “voluntary action indicated”, or VAI, is now closed and that the VAI 
classification would not directly negatively impact FDA’s assessment of our NDA regarding this CMO. With the satisfactory resolution of the facility 
inspection, we resubmitted the NDA for the approval of VP-102 for the treatment of molluscum on November 29, 2021.  The resubmission was limited to 
those sections and elements of the NDA that were identified as deficiencies in the CRL issued by the FDA in September 2021. The resubmission addressed 
the successful resolution of inspection deficiencies identified at the CMO in the CRL, as well as the recommendations included in the General Advice 
Letter received from the FDA that relate to VP-102’s user interface.  On December 15, 2021 the FDA accepted our NDA resubmission for VP-102 and 
assigned a new PDUFA date of May 24, 2022.

Phase 2 Clinical Trial—Innovate Trial

In September 2018, we announced results from an open-label Phase 2 clinical trial in subjects with molluscum contagiosum, which we refer to as 

the Innovate trial. The primary objective of the Innovate trial was to determine any potential systemic exposure from a single 24-hour dermal application of 
VP-102 when applied to molluscum lesions on pediatric subjects 2 years of age and older. The trial enrolled 33 subjects at a single center into either an 
exposure group (n=17) or a standard group (n=16) with 32 subjects completing the trial. Following an initial treatment of all subjects with VP-102 and a 
21-day evaluation period, treatment continued once every 21 days for three additional applications allowing further evaluation of safety, efficacy and 
impact on quality of life. 

9

 
Systemic exposure was negligible, as indicated by plasma drug levels that were below the limits of quantification in 65 of 66 samples which were 
taken either pre-dose or post-dose at timepoints of 2, 6 and 24 hours after treatment with VP-102.  One sample was above the limit of quantification at 2 
hours after VP-102 treatment, but systemic exposure was not detectable at the 6-hour and 24-hour timepoints in this subject. At the end of trial visit (Week 
12), there was a mean reduction in molluscum lesions of 90% compared to baseline across all subjects enrolled in the Innovate trial and 50% of subjects 
who completed the trial experienced complete clearance of their treatable molluscum lesions.  VP-102 was well-tolerated and no serious adverse events 
were reported.  

Phase 2 Clinical Trial—Pilot Trial

In 2016, we conducted an open-label, Phase 2 clinical trial, which we refer to as the Pilot Trial, to evaluate the safety and efficacy of our proprietary 

cantharidin formulation and to determine the optimal treatment regimen and estimate power for the pivotal trials. The trial enrolled 30 subjects at a single 
center and was completed in September 2017. The trial utilized a single-use screw-top vial of our proprietary 0.7% cantharidin formulation, with 
application via the wooden part of a cotton-tipped swab, which is the method of application historically used with compounded cantharidin. The subjects 
were divided into two cohorts, with the first cohort instructed to wash off the treatment after a six-hour exposure and the second cohort washing off the 
product after 24-hour exposure. Subjects were treated every three weeks for up to four treatments. Safety and efficacy measures were evaluated every three 
weeks. Primary efficacy measures were the percentage of subjects who achieved complete clearance by Day 42 (visit 3) and Day 84 (visit 5). Secondary 
efficacy measures included a quality of life assessment, as measured by the Children’s Dermatology Life Quality Index, or CDLQI, score, and the 
percentage of subjects who achieved clearance of at least 90% of their lesions with comparison to the efficacy data obtained with compounded cantharidin. 
The CDLQI scale is a validated tool for measuring the impact of skin disease on quality of life for subjects five to sixteen years of age and ranges from a 
score of 0 to 30. Lower CDLQI scores indicate lower impairment of a patient’s quality of life.

In the Pilot Trial, our proprietary cantharidin formulation was applied to over 1,700 molluscum lesions in 30 subjects, and was observed to be well 
tolerated, with no serious adverse events or unexpected treatment related adverse events recorded. The trial’s first cohort investigated a six-hour treatment 
duration. Fourteen subjects were enrolled in this cohort and 13 subjects completed the trial. Of these 13 subjects, six showed complete clearance on or 
before Day 84 (visit 5) (46% complete clearance rate). The second cohort investigated a 24-hour treatment duration. Sixteen subjects were enrolled in this 
cohort and 12 completed the trial. Of these 12 subjects, five showed complete clearance on or before Day 84 (visit 5) (42% complete clearance rate).

VP-102 for the Treatment of External Genital Warts

We are also developing VP-102 for the treatment of EGW. EGW is a viral skin disease caused by HPV which forms lesions on the surface of the 

skin. An estimated 17% of the approximately 4.1 million patient visits for all types of warts are for the treatment of EGW. We believe VP-102 may have the 
potential to offer a safe and effective treatment for EGW because of the shared characteristics with molluscum. We initiated a Phase 2 clinical trial 
evaluating the optimal dose regimen, efficacy, safety and tolerability of VP-102 in patients with EGW in June 2019, as summarized in the table below. In 
November 2020, we announced positive results from our Phase 2 clinical trial of VP-102 for the treatment of EGW. 

The Phase 2 trial was comprised of two parts. The primary objective for Part A was to evaluate three regimens of application of VP-102 (2-hour, 6-

hour, 24-hour duration of skin exposure) in subjects with EGW and identify the two best regimens by assessing safety and tolerability of VP-102 when 
administered topically after subjects completed a 48-hour assessment. The primary objective for Part B was to evaluate two regimens of application of VP-
102 in subjects with EGW and identify the regimen with the best risk benefit profile when administered topically once every 21 days for up to 4 
applications.

For the Part A and B intent-to-treat, or ITT, population, statistically significant complete clearance of EGW was observed for both VP-102 treatment 

groups versus their respective placebo treatment groups by treatment visit 4 and was maintained through Day 84 end of treatment, or EOT. Complete 
clearance of EGW was observed for subjects treated with VP-102 through the Follow-up Study Day 112 and the Day 147, end of study visit, or EOS, but 
the differences were not statistically significant versus subjects treated with placebo. For all primary and secondary efficacy endpoints analyzed, VP-102 
was effective in reducing the number and size of EGW in this subject 

10

 
population, demonstrating statistical significance versus placebo. Efficacy results were comparable between the VP-102 6-hour and VP-102 24-hour 
treatment groups at Day 84 EOT. However, results of secondary and exploratory efficacy analyses demonstrated trends suggesting earlier response and 
sustained response of the VP-102 24-hour treatment group. Both the VP-102 6-hour and VP-102 24-hour treatment groups presented comparable and 
favorable safety profiles, with most adverse events being local skin responses related to the mechanism of action of cantharidin. The adverse event profile 
and efficacy demonstrated in this trial support the conclusion that the 24-hour exposure regimen represents an acceptable risk benefit profile and the 
conduct of a larger placebo-controlled Phase 3 study is warranted. 

Trial and Status

Formulation

Trial Design

Trial Objectives

Phase 2 CARE-1 Trial
n=105, 
Total Part A; 18/Part B;87

Completed July 8, 2020

VP-102

•

To evaluate safety 
and efficacy over 
four treatments

•

•

•

•

Randomized, 
placebo-controlled, 
multi-center
Two-part (n=108 
total)
Dosing regimens of 
every 21 days 
evaluated for up to 4 
applications
Duration of skin 
exposure was 
evaluated for 2, 6 
and 24-hours 
treatment

Based on the results of the Phase 2 trial, an end of Phase 2 meeting was held with the FDA in May 2021.  We intend to begin start-up activities 

supporting  Phase 3 trials of VP-102 for the treatment of EGW in the second half of 2022. The Phase 3 program (CARE-2) will consist of two identical 
trials as well as a pharmacokinetics, or PK study, as required for registration. The trials are designed to be double-blind, randomized and vehicle-controlled 
to evaluate the efficacy and safety of VP-102 in subjects with EGW. The trials utilize a treatment interval of 21 days with a maximum of up to four 
treatments, which is consistent with the previous Phase 2 trial. We expect approximately 25 sites will be utilized for each of the two trials with first patient 
dose in first half of 2023. We expect approximately 410 subjects will be enrolled in each trial with the goal to have an aggregate of approximately 532 
subjects complete the trials.

We are designing the PK study to determine any potential systemic exposure to cantharidin from a single 24-hour topical application of VP-102 

using Gas Chromatography – Mass Spectrometry (GC-MS).

 VP-102 for the Treatment of Common Warts

We are also developing VP-102 for the treatment of common warts. Published studies and clinical use provide support for cantharidin as a safe and 

effective treatment for common warts. We believe that VP-102 has the potential to address many of the shortcomings associated with current therapies, 
including pain and discomfort, scarring, and lack of effectiveness. In addition, we believe VP-102’s convenient ease of administration will differentiate it 
from existing alternative unapproved therapies.

We conducted an open-label Phase 2 clinical trial (COVE-1) to evaluate the efficacy, safety and tolerability of VP-102 in subjects with up to six 

common warts. In this study, there were two cohorts. Cohort 1 was conducted at a single site with 21 subjects age 2 years and older receiving up to 4 
treatments with VP-102 at least 14 days between treatments with longer treatment intervals allowed at the discretion of the investigator depending on a 
specific subject’s clinical response.  Cohort 2 was conducted at four sites with 35 subjects age 12 years and older receiving up to 4 treatments with VP-102 
every 21 days.  Paring of warts, a technique commonly used by dermatologists to prepare the wart for treatment, was allowed in Cohort 2 to remove any 
adherent thick scale from a wart prior to application of VP-102. The primary objective of both cohorts was to evaluate the efficacy of up to 4 dermal 

11

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
applications of VP-102 when applied to common warts by assessing the proportion of subjects achieving complete clearance of all treatable warts at Day 
84. Complete clearance of warts at Day 84 for Cohort 1 was observed in 19.0% of subjects, and for Cohort 2 complete clearance was observed in 51.4% of 
subjects. By Day 84, there was a mean decrease from baseline in the number of warts of 31.2% for Cohort 1 subjects and 53.8% for Cohort 2 subjects. In 
both cohorts, the most frequently reported adverse events were anticipated application site skin reactions that were primarily mild or moderate in intensity, 
including vesicles, pain, erythema, pruritus, scabbing, dryness, edema, and post-inflammatory pigmentation changes. There were no deaths or serious 
adverse events reported, and there were no adverse events leading to trial drug discontinuation.

Trial and Status

Formulation

Trial Design

Trial Objectives

Phase 2 COVE-1 Trial
(Cohort 1 and Cohort 2:  n=21 and 
35, respectively)

VP-102

Results reported in June 2019

•

To evaluate safety 
and efficacy over 
four treatments

•

•
•

•
•

Open-label, multi- 
center
2 cohorts 
Dosing regimens of 
14 (Cohort 1) and 
21 (Cohort 2) days 
evaluated for up to 4 
applications
24-hour treatment
Wart paring 
allowed in the 
second cohort

Based on feedback from the FDA regarding a potential Phase 3 trial protocol, we are currently evaluating conducting an additional Phase 2 clinical 

trial of VP-102 for the treatment of common warts. 

VP-103 for the Treatment of Plantar Warts

We also intend to develop our second cantharidin-based product candidate, VP-103, for the treatment of plantar warts, which are warts located on 

the bottom of the foot. An estimated one-third of the approximately 4.1 million patient visits for all types of warts are for the treatment of plantar warts. To 
date, plantar warts have been difficult to treat, as they are refractory and available treatments often lead to both pain and scarring. We are conducting 
necessary drug development activities for VP-103 and are evaluating when to initiate a Phase 2 clinical trial for the treatment of plantar warts. 

LTX-315 for the Treatment of Dermatological Oncology Indications

We also intend to develop our third product candidate, LTX-315, for the treatment of dermatological oncology indications. The FDA accepted our 

IND in November 2021.  We expect to initiate a Phase 2 trial of LTX-315 in Basal Cell Carcinoma, or BCC, in the first quarter of 2022. The trial will be in 
three parts, and is designed to assess the safety, tolerability, maximum tolerated dose, and objective antitumor efficacy of ascending dose strengths of LTX-
315 when administered intratumorally to adults with biopsy proven BCC. Part three is designed to evaluate the efficacy of LTX-315 at two selected dose 
strengths. The study is expected to enroll approximately 66 adult subjects with a histological diagnosis of basal cell carcinoma in at least one eligible target 
lesion. Both clinical and histological clearance of treated lesion(s) at excision will be assessed. 

12

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Manufacturing

We do not have any manufacturing facilities. We have been relying on third parties for the manufacture of our product candidates for preclinical 

studies and clinical trials and will continue to rely on these third parties in the near term for the commercial manufacture of our drug products if they are 
approved during the initial commercial phase. Manufacturing of the API for our product candidates requires a raw material that is derived from a natural 
source.

To date, we have obtained naturally-sourced cantharidin directly or indirectly from suppliers based in the People’s Republic of China. On July 16, 

2018, we entered into a Supply Agreement, or the Supply Agreement, with Funing County Development Brucea Javanica Professional Cooperatives, or the 
Supplier, pursuant to which the Supplier has agreed to supply naturally-sourced cantharidin to us for a specified fixed price. Pursuant to the Supply 
Agreement, the Supplier has agreed that it will not supply cantharidin, any beetles or other raw material from which cantharidin is derived to any other 
customer in North America, subject to specified minimum annual purchase orders and forecasts. 

Pursuant to the Supply Agreement, we have provided the Supplier with purchase orders in 2018, 2019 and 2021 and may submit additional purchase 

orders from time to time, so long as the purchase orders are at least six months prior to the proposed delivery date. As of January 31, 2022, we held 
inventories of approximately 400,000 finished drug product applicators in various stages of completion and possessed total inventories in a combination of 
raw cantharidin and converted API adequate to produce over 14 million additional finished drug product applicators in the United States, with additional 
raw cantharidin already manufactured awaiting shipment. 

The term of the Supply Agreement is five years and thereafter will be renewed automatically for 12-month periods, unless terminated by either party 

at least 12 months prior to the end of the applicable term. In addition, either party has the right to terminate the Supply Agreement under certain 
circumstances, including (i) upon a material breach of the Supply Agreement if the breaching party has failed to remedy the breach within 45 days or if the 
breach is not capable of remedy within 45 days or (ii) the other party becomes insolvent or goes into liquidation. 

Our contract manufacturers and primary packaging vendor are FDA-registered establishments and have a history of supplying products to the 

pharmaceutical industry.

We have demonstrated capability to successfully manufacture the API the bulk drug intermediate, filled ampules and assembled applicators at our 

proposed commercial batch sizes. Validation activities for the commercial manufacturing and assembly processes were completed in 2020.  Given the 
nature of both the API as well as several of the excipients, special handling will be required to minimize risks to personnel during processing. Analytical 
testing methods for both the API as well as the finished drug product have been developed and qualified. It is expected that these existing methods will 
prove appropriate for release of commercial product.

Our proprietary individual applicator and its parts are fabricated using common methods and materials and we currently plan to have our applicators 

built using semi-custom equipment performing well established automated assembly techniques. This equipment has successfully undergone initial 
engineering feasibility evaluations. As part of the proposed resolution to FDA comments in the CRL regarding the human factors validation, we have 
designed and developed an accessory to facilitate the preparation of the applicator assembly by the healthcare professional.  The proposed commercial 
applicator assembly and this accessory have successfully undergone both engineering testing as well as evaluation in a simulated clinical setting.

Commercialization

We intend to commercialize VP-102, or any other product candidates that we may successfully develop, in the United States by building a 
specialized sales organization focused on pediatric dermatologists, dermatologists and select pediatricians. We believe a scientifically oriented, customer-
focused team of approximately 50 to 60 sales representatives would allow us to reach the approximately 400 pediatric dermatologists and 9,000 
dermatologists in the United States with the highest potential for using VP-102. In the future, we may develop and commercialize VP-102 for additional 
geographic regions, independently or with a strategic partner. For instance, on March 17, 2021, we entered into the Torii Agreement, pursuant to which we 
granted Torii an exclusive license to develop and commercialize our product candidates that contain a topical formulation of cantharidin for the treatment 
of molluscum contagiosum and common warts in Japan, including VP-102.  Additionally, we granted Torii a right of first negotiation with respect to 
additional indications for the licensed products and certain additional products for use in the licensed field, in each case in Japan.  

13

 
We intend to seek drug product reimbursement for VP-102. Based on a survey of 40 physicians that we commissioned, 87% of physicians reported 

they would use VP-102 if the cost of the drug were covered. Furthermore, in April 2018, we commissioned a market research study, which surveyed 15 
payor organizations representing over 105 million lives. The surveyed payors recognized that there is a significant unmet need for molluscum and a current 
lack of an effective treatment. Given the unmet need and the results of clinical trials of VP-102 to date, the surveyed payors anticipate the majority of 
patients would have access to VP-102, if approved, with minimal to no restrictions. We believe dermatologists tend to be particularly focused on the safety 
of pharmaceutical products because, while skin diseases can have profound effects on patients’ quality of life, few are life-threatening. As a result, we 
believe that dermatologists, as well as their patients, often prefer to use topical treatments when possible to limit the risk of systemic side effects. 
Dermatologists also tend to place a high level of emphasis on products that are easy to use because they often manage high volumes of patients. We believe 
this also contributes to a general preference for topical treatments. Finally, in our experience, dermatologists tend to engage with sales and medical affairs 
personnel from the pharmaceutical industry regarding the scientific evidence supporting dermatology products and the challenges experienced by 
physicians and patients in the use of these products. Dermatologists often rely on trusted relationships with scientifically oriented, customer-focused sales 
representatives who can provide them with the necessary information to support their use of appropriate treatments.

Competition

The pharmaceutical industry is subject to rapidly advancing technologies, intense competition and a strong emphasis on proprietary products. We 

face potential competition from many different sources, including major pharmaceutical, specialty pharmaceutical and biotechnology companies, 
compounding facilities, academic institutions, governmental agencies and public and private research institutions. Any product candidates that we 
successfully develop and commercialize will compete with existing treatments and new treatments that may become available in the future.

The key competitive factors affecting the success of VP-102, if approved, are likely to be its efficacy, safety, convenience, pricing and stability. With 

respect to VP-102 for the treatment of molluscum, we will be primarily competing with therapies such as other topical products, curettage, cryotherapy, 
laser surgery, natural oils, off-label drugs, natural remedies and compounded unstandardized cantharidin. Under Section 503A of the FDCA, if VP-102 is 
approved, compounded topical cantharidin products with the same, similar or an easily substitutable dosage strength would be considered essentially copies 
of VP-102 and may not be compounded regularly or in inordinate amounts, subject to certain limited individual exceptions. These exceptions include if 
there is a difference between the compounded product and VP-102 that is made for an individual patient, and a prescribing practitioner determines 
produces a significant difference for that patient. In addition, pursuant to Section 503B of the FDCA, once VP-102 is approved, compounding facilities 
registered as outsourcing facilities would not be able to compound cantharidin products, unless there is a difference from VP-102 that produces a clinical 
difference for an individual patient, as determined by a prescribing practitioner. With respect to VP-102 for EGW, we will be competing with cryosurgery, 
laser surgery, and topical destructive therapies such as trichloroacetic acid. There are also several FDA-approved prescription pharmaceutical therapies for 
EGW including imiquimod, podofilox, and sinecatechins. In addition, EGW are caused by HPV and may be prevented or treated by HPV vaccines that are 
FDA-approved. With respect to VP-102 for common warts and VP-103 for plantar warts, we will primarily be competing with over-the-counter products, 
cryotherapy, curettage, laser surgery, or other off-label therapies. There are currently no FDA-approved prescription pharmaceutical therapies for the 
treatment of molluscum, common warts, or plantar warts.

We are aware of several other product candidates in earlier stages of development as potential treatments for the indications we intend to target.  

Novan has initiated clinical trials with different programs in molluscum. There are a number of other companies developing products for common warts. In 
addition, other drugs have been used off label as treatments for molluscum and common warts.

Intellectual Property

In addition to our five year regulatory exclusivity, the extent of our commercial success depends in part on our ability to obtain and maintain 

proprietary protection for VP-102, including our proprietary cantharidin formulation and applicator and any of our future product candidates, medical 
devices, synthetic methodologies, novel discoveries, drug development technologies and know-how; to operate without infringing on or otherwise violating 
the proprietary rights of others; and to prevent others from infringing or otherwise violating our proprietary rights. 

14

 
Our policy is to seek to protect our proprietary position by, among other methods, filing U.S. and foreign patent applications related to our product 
candidate and other proprietary technologies, inventions, and improvements that are important to the development and implementation of our business. We 
also rely on trademarks, trade secrets, know-how, continuing technological innovation, and potential in-licensing opportunities to develop and maintain our 
proprietary position.

While we seek broad coverage under our pending patent applications, our granted patents and pending patent applications do not include any claims 

drawn to the active pharmaceutical agent cantharidin per se or for the broad use of our API alone for the treatment of warts or molluscum. However, our 
granted patents and pending patent applications do claim, for example, our cantharidin formulations, applicator devices and related accessories, dosing 
regimens, methods of preparation including methods of synthesis, and methods of use. Despite these patent filings, there is always a risk that modification 
of the specific formulation, manufacturing process, method of application, and/or specific method of use may allow a competitor to avoid infringement 
claims. In addition, patents, if granted, will expire, and we cannot provide any assurance that any additional patents will issue from our pending or any 
future patent applications.

We currently have two issued United States patents covering the cantharidin formulation of VP-102, applicator devices and systems comprising the 

formulation, and methods of using the same, e.g., for the treatment of molluscum contagiosum. Excluding any patent term extension, these two U.S. patents 
will expire on May 28, 2035 and August 22, 2038, respectively. Additionally, we have granted patents in Australia, Canada, and Israel, as well as an 
allowed patent application in South Korea, covering our proprietary cantharidin formulations, applicator devices and systems comprising the formulations, 
and methods of using the same. We also have a granted patent in Japan covering our proprietary cantharidin formulations.

We also currently have one issued United States design patent covering the design of our VP-102 applicator. This issued U.S. design patent will 
expire on October 27, 2035. Additionally, we have granted design patents in Australia, China, Europe, United Kingdom, and Hong Kong, as well as an 
allowed design patent application in Japan, covering the design of our proprietary ampule crush tool for use with our VP-102 applicator.

In addition, we currently have two United States patents covering methods of preparing and purifying cantharidin. We also have granted patents in 

China, India, Japan, and Mexico, as well as an allowed patent application in Israel, covering methods of preparing cantharidin. Additionally, we have a 
granted patent in Japan covering methods of purifying cantharidin.

As of February 17, 2022, we have nationalized five international patent applications for utility patents, four of which have been nationalized in the 

United States, Australia, Brazil, Canada, China, Europe, Israel, India, Japan, South Korea, and Mexico, and one of which has been nationalized in the 
United States, Europe, and Japan. Four of these European patent applications have been registered in Hong Kong. These patent applications relate to VP-
102, including our proprietary cantharidin formulation and applicator, and other inventions related to VP-102. Our patent applications related to VP-102 
include proposed claims relating to (i) methods for the synthesis of cantharidin, (ii) our specific formulations and preparations of VP-102, (iii) methods for 
purifying cantharidin, (iv) methods for detecting impurities in cantharidin, (v) the design of our proprietary applicator, including both the general design 
and specific design elements, (vi) claims related to safety features included in the VP-102 formulation, including colorants and bittering agents, and (vii) 
the method of administration of VP-102 for the treatment of skin lesions. In addition to the foregoing, we currently have one pending international PCT 
patent application covering our proprietary ampule crush tool for use with our VP-102 applicator. We have also filed design patent applications covering 
the design of the ampule crush tool in each of Australia, Brazil, Canada, China, Europe, United Kingdom, Hong Kong, Israel, India, Japan, South Korea, 
Mexico, and the United States. Excluding any patent term adjustment and patent term extension, any additional utility patents to issue from these patent 
applications are projected to expire between 2034 and 2041. Any additional design patents to issue from our pending design patent applications will each 
expire fifteen years from the date of issuance. We cannot provide any assurance as to whether any additional patents will issue from these patent 
applications or, if any patents do issue, the scope of the claims that will be allowed.

Individual patents extend for varying periods depending on the date of filing of the patent application or the date of patent issuance and the legal 

term of patents in the countries, in which they are obtained. Generally, utility 

15

 
patents issued from regularly filed applications in the United States are granted for a term of 20 years from the earliest effective non-provisional filing date. 
In addition, in certain instances, a patent’s term can be adjusted to recapture a portion of the United States Patent and Trademark Office, or the USPTO, 
delay in examining and issuing the patent, and extended to recapture a portion of the patent term effectively lost as a result of the FDA regulatory review 
period of the drug covered by the patent. However, as to the FDA component, the restoration period cannot be longer than five years, the total patent term 
including the restoration period must not exceed 14 years following FDA approval of the drug, and the extension may only apply to one patent that covers 
the approved drug (and to only those patent claims covering the approved drug or a method for using it). There can be no assurance that any such patent 
term adjustment or extension will be obtained. The duration of foreign patents varies in accordance with provisions of applicable local law, but typically is 
also 20 years from the earliest effective non-provisional filing date. However, the actual protection afforded by a patent varies on a product-by-product 
basis, from country to country and depends upon many factors, including the type of patent, the scope of its coverage, the availability of regulatory-related 
extensions, the availability of legal remedies in a particular country, and the validity and enforceability of the patent.

Furthermore, we rely upon trade secrets, know-how, and continuing technological innovation to develop and maintain our competitive position. We 

seek to protect our proprietary information, in part, using confidentiality agreements with our commercial partners, collaborators, employees, and 
consultants and invention assignment agreements with our employees. We also have confidentiality agreements and/or invention assignment agreements 
with our commercial partners and selected consultants. These agreements are designed to protect our proprietary information and, in the case of the 
invention assignment agreements, to grant us ownership of technologies that are developed through a relationship with a third party. These agreements may 
be breached, and we may not have adequate remedies for any such breach. In addition, our trade secrets may otherwise become known or be independently 
discovered by competitors. To the extent that our commercial partners, collaborators, employees, and consultants use intellectual property owned by others 
in their work for us, disputes may arise as to the rights in related or resulting know-how and inventions.

Lytix License Agreement

On August 7, 2020, we entered into the Lytix Agreement, pursuant to which we obtained a worldwide, exclusive, royalty-bearing license, with the 

right to sublicense, for certain technology of Lytix to research, develop, manufacture, have manufactured, use, sell, have sold, offer for sale, import and 
otherwise commercialize LTX-315 for use in all malignant and pre-malignant dermatological indications, other than metastatic melanoma and metastatic 
Merkel cell carcinoma. Our right to manufacture the active pharmaceutical ingredient is limited to certain instances, and Lytix is obligated to manufacture 
and supply our clinical and commercial needs for such active pharmaceutical ingredient. We are obligated to use commercially reasonable efforts to 
develop and to commercialize the product, which development and commercialization will be overseen by a joint steering committee. Lytix has agreed not 
to pursue any products in the field of dermatology other than LTX-315 for use in metastatic melanoma and metastatic Merkel cell carcinoma. Lytix has 
granted us an exclusive option to negotiate for an exclusive license for use of LTX-315 in additional dermatological indications.

In connection with entering the Lytix Agreement, we made initial payment of $250,000. We made an additional payment of $2.25 million upon the 

achievement by Lytix of a regulatory milestone.  Additionally, we are obligated to pay up to $111.0 million contingent on achievement of specified 
development, regulatory, and sales milestones, and tiered royalties based on worldwide annual net sales ranging in the low double digits to the mid-teens, 
subject to certain customary reductions. Our obligation to pay royalties expires on a country-by-country and product-by-product basis on the later of the 
expiration or abandonment of the last to expire licensed patent covering LTX-315 anywhere in the world and expiration of regulatory exclusivity for LTX-
315 in such country. Additionally, all upfront fees and milestone-based payments received by us from a sublicensee will be treated as net sales and will be 
subject to the royalty payment obligations under the Lytix Agreement, and all royalties received by us from a sublicensee shall be shared with Lytix at a 
rate that is initially 50% but decreases based on the stage of development of LTX-315 at the time such sublicense is granted.

The Lytix Agreement expires on a product-by-product and a country-by-country basis upon expiration of the royalty term for such product in such 

country. At any time after the first anniversary of the execution of the Lytix Agreement, we have the right to terminate the agreement, either on a region-by-
region basis or in its entirety, upon 

16

 
specified written notice to Lytix. Lytix may terminate the agreement, either on a region-by-region basis or in its entirety, if we develop or commercialize a 
competing product in the licensed field, or in its entirety if we challenge the validity, enforceability or scope of any licensed patent, subject in each case to 
certain cure rights. Either party may terminate the Lytix Agreement in the event of an uncured material breach or insolvency of the other party.

Torii Collaboration and License Agreement

In August 2020, we entered into an option agreement with Torii for the development and commercialization of our product candidates for the 

treatment of molluscum contagiosum and common warts in Japan, including VP-102, or the Option Agreement.  Torii paid us $0.5 million to secure the 
exclusive option.  The $0.5 million is included in deferred revenue as of December 31, 2020 in the balance sheet.  

On March 2, 2021, Torii exercised the exclusive option in the Option Agreement.  On March 17, 2021, we entered into the Torii Agreement with 
Torii, pursuant to which we granted Torii an exclusive license to develop and commercialize our product candidates that contain a topical formulation of 
cantharidin for the treatment of molluscum contagiosum and common warts in Japan, including VP-102.  Additionally, we granted Torii a right of first 
negotiation with respect to additional indications for the licensed products and certain additional products for use in the licensed field, in each case in 
Japan.

Under the Torii Agreement, Torii is responsible for all development activities and costs in support of obtaining regulatory approval of the licensed 

products in Japan, provided, that Torii’s activities will be overseen by a joint steering committee.  Torii is required to use commercially reasonable efforts to 
conduct all development necessary to obtain regulatory approval for licensed products in Japan, to obtain and maintain such approvals, and to 
commercialize licensed products upon receipt of such approvals.

Pursuant to the Torii Agreement, we received payments from Torii of $0.5 million in December 2020 and $11.5 million in April 2021. Additionally, 

we are entitled to receive from Torii an additional $58.0 million in aggregate payments contingent on achievement of specified development, regulatory, 
and sales milestones, in addition to tiered transfer price payments for supply of product in the percentage range of the mid-30s to the mid-40s of net sales.  
The transfer payments shall be payable, on a product-by-product basis, beginning on the first commercial sale of such product and ending on the latest of 
(a) expiration of the last-to-expire valid claim contained in certain licensed patents in Japan that cover such product, (b) expiration of regulatory exclusivity 
for the first indication for such product in Japan, and, (c) (i) with respect to the first product, ten years after first commercial sale of such product, and, (ii) 
with respect to any other product, the later of (x) ten years after first commercial sale of the first product and (y) five years after first commercial sale of 
such product.

The Torii Agreement expires on a product-by-product basis upon expiration of Torii’s obligation under the agreement to make transfer price 
payments for such product.  Torii has the right to terminate the agreement upon specified prior written notice to us.  Additionally, either party may 
terminate the agreement in the event of an uncured material breach of the agreement by, or insolvency of, the other party.  We may terminate the agreement 
in the event that Torii commences a legal action challenging the validity, enforceability or scope of any licensed patents.

Government Regulation and Product Approval

Government authorities in the United States, at the federal, state and local levels, and in other countries, extensively regulate, among other things, 
the research, development, testing, manufacture, packaging, storage, recordkeeping, labeling, advertising, promotion, distribution, marketing, import and 
export of pharmaceutical products, such as those we are developing. We, along with third-party contractors, will be required to navigate the various 
chemistry, manufacturing and controls, preclinical, clinical and commercial approval requirements of the governing regulatory agencies of the countries in 
which we wish to conduct studies or seek approval of our product candidates. The processes for obtaining regulatory approvals in the United States and in 
foreign countries, along with subsequent compliance with applicable statutes and regulations, require the expenditure of substantial time and financial 
resources.

17

 
United States Government Regulation

In the United States, the FDA regulates drugs under the FDCA and its implementing regulations. The process of obtaining regulatory approvals and 

the subsequent compliance with appropriate federal, state, local and foreign statutes and regulations requires the expenditure of substantial time and 
financial resources. Failure to comply with the applicable United States requirements at any time during the drug 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 new drug 
applications, or NDAs, withdrawal of an approval, imposition of a clinical hold, issuance of warning or untitled 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:

•

•

•

•

•

•

•

•

•

completion of preclinical laboratory tests, animal studies and formulation studies in compliance with the FDA’s good laboratory practice, or 
GLP, regulations;

submission to the FDA of an IND, which must become effective before human clinical trials may begin;

approval by an independent institutional review board, or IRB, at each clinical site before each clinical trial may be initiated;

performance of adequate and well-controlled clinical trials in accordance with good clinical practice, or GCP, requirements to establish the 
safety and efficacy of the proposed drug for each indication;

submission to the FDA of an NDA together with payment of the applicable user fee;

satisfactory completion of an FDA advisory committee review, if applicable;

satisfactory completion of chemistry, manufacturing and controls testing, an FDA inspection of the manufacturing facility or facilities at 
which the product is produced to assess compliance with cGMP requirements, and to assure that the facilities, methods and controls are 
adequate to preserve the drug’s identity, strength, quality and purity;

satisfactory completion of an FDA inspection of selected clinical sites to assure compliance with GCPs and the integrity of the clinical data; 
and

FDA review and approval of the NDA.

VP-102 is designed to be administered to patients via a proprietary applicator by a healthcare professional. In the United States, products composed 

of components that would normally be regulated by different centers at the FDA are known as combination products. Typically, the FDA’s Office of 
Combination Products assigns a combination product to a specific agency center as the lead reviewer. The FDA determines which center will lead a 
product’s review based upon the product’s primary mode of action. Depending on the type of combination product, its approval, clearance or licensure may 
usually be obtained through the submission of a single marketing application. We anticipate that VP-102 will be regulated as a drug, and that the FDA will 
permit a single regulatory submission seeking approval of VP-102 with the applicator in each indication for which we seek approval. Even when a single 
marketing application is required for a combination product, such as an NDA for a combination pharmaceutical and device product, both the FDA’s Center 
for Drug Evaluation and Research and the FDA’s Center for Devices and Radiological Health may participate in the review. An applicant will also need to 
discuss with the agency how to apply certain premarket requirements and post-marketing regulatory requirements, including conduct of clinical trials, 
adverse event reporting and good manufacturing practices, to their combination product.

Preclinical Studies

Preclinical studies include laboratory evaluation of product chemistry, toxicity and formulation, as well as animal studies to assess potential safety 
and efficacy. An IND sponsor must submit the results of the nonclinical 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 nonclinical testing may continue even after the IND is submitted. An 
IND automatically becomes effective and a clinical trial proposed in the IND may begin 30 days after receipt by 

18

 
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 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 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 as part of 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, and the IRB must continue to oversee the clinical trial while it is being conducted. Information about 
certain clinical trials must be submitted within specific timeframes to the National Institutes of Health, or NIH, for public dissemination on their 
ClinicalTrials.gov website.

Human clinical trials are typically conducted in three sequential phases, which may overlap or be combined. In Phase 1, the drug is initially 

introduced into healthy human subjects or patients with the target disease or condition and tested for safety, dosage tolerance, absorption, metabolism, 
distribution, excretion and, if possible, to gain an initial indication of its effectiveness. In Phase 2, the drug typically 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. In 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 safety and efficacy 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.

In some cases, the FDA may condition approval of an NDA for a product candidate on the sponsor’s agreement to conduct additional clinical trials 

after NDA approval. In other cases, a sponsor may voluntarily conduct additional clinical trials post approval to gain more information about the drug. 
Such post approval trials are typically referred to as Phase 4 clinical trials.

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.

Concurrent with clinical trials, companies usually complete additional animal studies and must also develop additional information about the 

chemistry and physical characteristics of the product and finalize a process for manufacturing the product in commercial quantities in accordance with 
cGMP requirements. The manufacturing process must be capable of consistently producing quality batches of the product candidate and, among other 
things, the manufacturer must develop methods for testing the identity, strength, quality and purity of the final product. Additionally, appropriate packaging 
must be selected and tested, and stability studies must be conducted to demonstrate that the product candidate does not undergo unacceptable deterioration 
over its shelf life.

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Marketing Approval

Assuming successful completion of the required clinical testing, the results of the preclinical studies and clinical trials, together with detailed 
information relating to the product’s chemistry, manufacture, controls data 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, or 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 the FDA because the FDA has sixty days from receipt to make a decision as to whether the application has been accepted for 
filing.

In addition, under the Pediatric Research Equity Act of 2003 as amended and reauthored, 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, and to support 
dosing and administration for each pediatric subpopulation for which the product is safe and effective. The FDA may, on its own initiative or at the request 
of the applicant, grant deferrals for submission of some or all pediatric data until after approval of the product for use in adults, or full or partial waivers 
from the pediatric data requirements.

The FDA also may require submission of a risk evaluation and mitigation strategy, or REMS, 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 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.

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 will typically inspect one or more 
clinical trial sites to assure compliance with GCP requirements.

The testing and approval process for an NDA requires substantial time, effort and financial resources, and each may take several years to complete. 
Data obtained from preclinical and clinical testing are not always conclusive and may be susceptible to varying interpretations, which could delay, limit or 
prevent regulatory approval. The FDA may not grant approval of an NDA on a timely basis, or at all.

After evaluating the NDA and all related information, including the advisory committee recommendation, if any, and inspection reports regarding 

the manufacturing facilities and clinical trial sites, the FDA may issue an approval letter, or, in some cases, a complete response letter. A complete response 
letter generally contains a statement of specific conditions that must be met in order to secure final approval of the NDA and may require additional 
chemistry, manufacturing and controls documentation, clinical or preclinical testing in order for the 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.

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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, including Phase 4 clinical trials, be conducted to further assess a drug’s 
safety after approval, require testing and surveillance programs to monitor the product after commercialization, or impose other conditions, including 
distribution 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.

Special Protocol Assessment

A sponsor may request a Special Protocol Assessment, or SPA, the purpose of which is to reach agreement with the FDA on the Phase 3 clinical trial 

protocol design and analysis that will form the primary basis of an efficacy claim. A SPA request must be made before the proposed trial begins, and all 
open issues must be resolved before the trial begins for a SPA to be approved. If a written agreement is reached, it will be documented in a SPA letter or the 
minutes of a meeting between the sponsor and the FDA and made part of the administrative record.

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, or 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 by the FDA review division, except under the circumstances 

described above, if the FDA and the sponsor agree in writing to modify the protocol and such modification is intended to improve the study. A SPA, 
however, does not guarantee that a trial will be successful.

Orange Book Listing

In seeking approval for a drug through an NDA, applicants are required to list with the FDA certain patents whose claims cover the applicant’s 

product. Upon approval of an NDA, each of the patents listed in the application for the drug is then published in the FDA’s Approved Drug Products with 
Therapeutic Equivalence Evaluations, known as the Orange Book. Any applicant who files an Abbreviated New Drug Application, or ANDA, seeking 
approval of a generic equivalent version of a drug listed in the Orange Book or a 505(b)(2) NDA referencing a drug listed in the Orange Book must certify, 
for each patent listed in the Orange Book for the referenced drug, to the FDA that (1) no patent information on the drug product that is the subject of the 
application has been submitted to the FDA, (2) such patent has expired, (3) the date on which such patent expires or (4) such patent is invalid or will not be 
infringed upon by the manufacture, use or sale of the drug product for which the application is submitted. The fourth certification described above is known 
as a paragraph IV certification. A notice of the paragraph IV certification must be provided to each owner of the patent that is the subject of the certification 
and to the holder of the approved NDA to which the ANDA refers. The applicant may also elect to submit a “section viii” statement certifying that its 
proposed label does not contain (or carves out) any language regarding the patented method-of-use rather than certify to a listed method-of-use patent. This 
section viii statement does not require notice to the patent holder or NDA owner. There might also be no relevant patent certification.

If the reference NDA holder and patent owners assert a patent challenge directed to one of the Orange Book listed patents within 45 days of the 

receipt of the paragraph IV certification notice, the FDA is prohibited from approving the application until the earlier of 30 months from the receipt of the 
paragraph IV certification expiration of the patent, settlement of the lawsuit, or a decision in the infringement case that is favorable to the applicant. Even if 
the 45 days expire, a patent infringement lawsuit can be brought and could delay market entry, but it would not extend the FDA-related 30-month stay of 
approval.

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The ANDA or 505(b)(2) application also will not be approved until any applicable non-patent exclusivity listed in the Orange Book for the branded 

reference drug has expired. Specifically, the holder of the NDA for the listed drug may be entitled to a period of non-patent exclusivity, during which the 
FDA cannot approve an ANDA or 505(b)(2) application that relies on the listed drug. For example, a pharmaceutical manufacturer may obtain five years of 
non-patent exclusivity upon NDA approval of a New Chemical Entity, or NCE, which is a drug that contains an active moiety that has not been approved 
by FDA in any other NDA. An “active moiety” is defined as the molecule or ion responsible for the drug substance’s physiological or pharmacologic 
action. During the five-year exclusivity period, the FDA cannot accept for filing any ANDA seeking approval of a generic version of that drug or any 
505(b)(2) NDA for the same active moiety and that relies on the FDA’s findings regarding that drug, except that FDA may accept an application for filing 
after four years if the follow-on applicant makes a paragraph IV certification. This exclusivity period may be extended by an additional six months if 
certain requirements are met to qualify the product for pediatric exclusivity, including the receipt of a written request from the FDA that we conduct certain 
pediatric studies, the submission of study reports from such studies to the FDA after receipt of the written request and satisfaction of the conditions 
specified in the written request.

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, manufacturing changes or 
other labeling claims, are subject to further testing requirements and prior FDA review and approval. There also are continuing annual program fee 
requirements for any marketed products.

Even if the FDA approves a product, it may limit the approved indications for use of the product, require that contraindications, warnings or 

precautions be included in the product labeling, including a boxed warning, require that post-approval studies, including Phase 4 clinical trials, be 
conducted to further assess a drug’s safety after approval, require testing and surveillance programs to monitor the product after commercialization, or 
impose other conditions, including distribution restrictions or other risk management mechanisms under a REMS, which can materially affect the potential 
market and profitability of the product. The FDA may prevent or limit further marketing of a product based on the results of post-marketing studies or 
surveillance programs.

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 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.

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 or if requested by the Sponsor. 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 FDA enforcement actions include, among other 
things:

•

•

•

•

•

restrictions on the marketing or manufacturing of the product, complete withdrawal of the product from the market or product recalls;

fines, warning letters or 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.

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The FDA strictly regulates marketing, labeling, advertising and promotion of products. Drugs may be promoted only for the approved indications 

and in accordance with the provisions of the approved label, although physicians, in the practice of medicine, may prescribe approved drugs for 
unapproved indications. Companies may also share truthful and not misleading information that is otherwise consistent with the labeling. 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. However, physicians may, in their independent medical judgement, prescribe legally 
available products for off-label uses.  The FDA does not regulate the behavior of physicians in their choice of treatments but the FDA does restrict 
manufacturer’s communications on the subject of off-label use of their products.

In addition, the distribution of prescription pharmaceutical products is subject to the Prescription Drug Marketing Act, or PDMA, which regulates 

the distribution of drugs and drug samples at the federal level and sets minimum standards for the registration and regulation of drug distributors by the 
states. Both the PDMA and state laws limit the distribution of prescription pharmaceutical product samples and impose requirements to ensure 
accountability in distribution.

Regulation of Compounding Pharmacies

Compounding is a practice in which a licensed pharmacist, a licensed physician, or in the case of an outsourcing facility, a person under the 
supervision of a licensed pharmacist, combines, mixes, or alters ingredients of a drug to create a medication tailored to the needs of an individual patient. 
Although we are not engaged in compounding, the active pharmaceutical ingredient in our product candidate VP-102 has historically been used in the 
compounding of topical pharmaceutical products, and we could be subject to competition by compounders upon approval of VP-102, subject to the 
requirements set forth in Sections 503A and 503B of the FDCA.

Section 503A of the FDCA exempts licensed pharmacists or licensed physicians who compound products for identified, individual patients, based 
on the receipt of a valid prescription order, from the FDCA’s new drug approval requirements, cGMP requirements, and the requirement to label products 
with adequate directions for use, provided certain conditions are met. These conditions include that the pharmacist or physician does not compound 
regularly or in inordinate amounts any drug product that is essentially a copy of a commercially available drug product, unless there is a difference between 
the compounded product and the commercially available product that is made for an individual patient, and which the prescribing practitioner determines 
produces a significant difference for that patient. The FDA has interpreted this prohibition to mean that the compounding of a product with the same active 
pharmaceutical ingredient as a commercially available drug, that has the same, similar, or an easily substitutable dosage strength as the commercially 
available drug, and that can be used by the same route of administration as the commercially available drug, cannot be conducted under Section 503A 
usually, very often, or at regular times or intervals, or more frequently or in larger quantities than needed to address unanticipated emergency circumstance, 
unless the limited exception described above applies.

In addition, compounding under Section 503A may only use bulk drug substances that appear on a list issued by FDA through regulations, and/or 

that comply with certain other conditions specified in the statute.

Unlike Section 503A, Section 503B of the FDCA allows certain entities to compound drugs that are not necessarily prepared in response to 
prescriptions for identified, individual patients. Such facilities must register with the FDA as outsourcing facilities, and once registered (including payment 
of a fee), the outsourcing facility must meet certain conditions in order to be exempt from the FDCA’s approval requirements and the requirement to label 
products with adequate directions for use. Under Section 503B, a drug must be compounded in compliance with cGMP, by or under the direct supervision 
of a licensed pharmacist in order to be so exempt. The outsourcing facility must also report specific information about the products that it compounds, 
including a list of all of the products it compounded during the previous six months, and information about the compounded products, such as the source of 
the active ingredients used to compound pursuant to Section 503B(b)(2). If the outsourcing facility compounds using bulk drug substances, the bulk drug 
substances must either appear on a list established by the FDA of bulk drug substances for which there is a clinical need or be used to compound drugs that 
appear on a list established by the FDA of drugs for which there is a shortage. Although the FDA has not yet established a list of bulk drug substances for 
which there is a clinical need, the FDA has announced an interim policy pursuant to which bulk drug substances may be nominated for inclusion on such 
list and, provided certain conditions are met, outsourcing 

23

 
facilities may compound with such bulk drug substances pending evaluation of the substances for inclusion on the FDA’s list of bulk drug substances for 
which there is a clinical need. Cantharidin is currently listed among those nominated substances for which bulk drug substance may be used in 
compounding by outsourcing facilities pending FDA’s evaluation. In March 2019, the FDA issued Guidance for Industry addressing the criteria by which 
the FDA intends to evaluate whether there exists a clinical need for compounding with a bulk drug substance, including, in the case of a bulk drug 
substance that is a component of an FDA-approved drug, an evaluation of whether there exists an attribute of the approved drug that makes it medically 
unsuitable to treat certain patients; whether the drug product proposed to be compounded is intended to address that attribute; and whether the drug product 
proposed to be compounded must be compounded from a bulk drug substance rather than from the finished, FDA-approved drug product. If FDA 
implements these criteria as in the Guidance for Industry, and if VP-102 is approved, an outsourcing facility would need to satisfy these criteria before 
being permitted to compound a cantharidin product using bulk cantharidin.

In addition, an outsourcing facility must meet other conditions described in Section 503B, including reporting adverse events and labeling 

compounded products with certain information. Registered outsourcing facilities are prohibited from selling compounded drugs through a wholesale 
distributor, or from compounding drugs that are essentially copies of FDA-approved drugs. A drug is “essentially a copy of an approved drug” if it is 
identical or nearly identical to an approved drug, which the FDA has interpreted to mean that it has the same active ingredient(s), route of administration, 
dosage form, dosage strength and excipients as the approved drug, or if it has the same active ingredient as an approved drug and there is not a change from 
the approved drug that produces a clinical difference for an individual patient, as determined by the prescribing practitioner. Registered outsourcing 
facilities are subject to FDA inspection, and FDA conducts inspections on a risk-based frequency under Section 503B(b)(4) of the FDCA.

Federal and State Fraud and Abuse, Data Privacy and Security, and Transparency Laws and Regulations

In addition to FDA restrictions on marketing of pharmaceutical products, federal and state healthcare laws and regulations restrict business practices 

in the biopharmaceutical industry. These laws may impact, among other things, our current and future business operations, including our clinical research 
activities, and proposed sales, marketing and education programs and constrain the business or financial arrangements and relationships with healthcare 
providers and other parties through which we market, sell and distribute our products for which we obtain marketing approval. These laws include anti-
kickback and false claims laws and regulations, data privacy and security, and transparency laws and regulations, including, without limitation, those laws 
described below.

The federal Anti-Kickback Statute prohibits, among other things, individuals or entities from knowingly and willfully offering, paying, soliciting or 
receiving remuneration, directly or indirectly, overtly or covertly, in cash or in kind to induce or in return for purchasing, leasing, ordering or arranging for 
or recommending the purchase, lease or order of any item or service reimbursable under Medicare, Medicaid or other federal healthcare programs. The 
term “remuneration” has been broadly interpreted to include anything of value. The federal Anti-Kickback Statute has been interpreted to apply to 
arrangements between pharmaceutical manufacturers on one hand and prescribers, purchasers, formulary managers, and other individuals and entities on 
the other hand. 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 and require strict compliance to offer protection. 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 qualify for an exception or safe harbor.

In addition, a person or entity does not need to have actual knowledge of this statute or specific intent to violate it in order to have committed a 

violation. Further, the government may assert that a claim including items or services resulting from a violation of the federal Anti-Kickback Statute 
constitutes a false or fraudulent claim for purposes of the False Claims Act and the civil monetary penalties statute.

The federal civil and criminal false claims laws, including the False Claims Act, which prohibit, among other things, any individual or entity from 
knowingly presenting, or causing to be presented, a false claim for payment to the federal government or knowingly making, using or causing to be made 
or used a false record or statement material to a false or fraudulent claim to the federal government. A claim includes “any request or demand” for money 
or property presented to the U.S. government. Several pharmaceutical and other healthcare companies have 

24

 
been prosecuted under these laws for 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, and thus non-reimbursable, uses.

The federal Health Insurance Portability and Accountability Act of 1996, or HIPAA, created additional federal criminal statutes that prohibit, among 

other things, knowingly and willfully executing a scheme to defraud any healthcare benefit program, including private third-party payors 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 federal Anti-Kickback Statute, 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.

HIPAA, as amended by the Health Information Technology for Economic and Clinical Health Act, or HITECH, and their respective implementing 

regulations, impose certain requirements relating to the privacy, security and transmission of individually identifiable health information without 
appropriate authorization on certain health plans, healthcare clearinghouses and certain healthcare providers, known as covered entities, and their respective 
business associates, independent contractors that perform certain services involving the use or disclosure of individually identifiable health information and 
their subcontractors that use, disclose, access, or otherwise process individually identifiable health information. HITECH also created new tiers of civil 
monetary penalties, amended HIPAA to make civil and criminal penalties directly applicable to business associates, and gave state attorneys general new 
authority to file civil actions for damages or injunctions in federal courts to enforce HIPAA and seek attorneys’ fees and costs associated with pursuing 
federal civil actions.

The federal Physician Payments Sunshine Act requires certain manufacturers of drugs, devices, biologics and medical supplies for which payment is 
available under Medicare, Medicaid or the Children’s Health Insurance Program, with specific exceptions, to report annually to the Centers for Medicare & 
Medicaid Services, or CMS, information related to payments or other transfers of value made to physicians (defined to include doctors, dentists, 
optometrists, podiatrists, and chiropractors), teaching hospitals, and other health care professionals (such as physician assistants and nurse practitioners), as 
well as information regarding ownership and investment interests held by physicians and their immediate family members.

We may also be subject to state and foreign law equivalents of each of the above federal laws; state laws that require manufacturers to report 
information related to payments and other transfers of value to physicians and other healthcare providers or marketing expenditures; state laws that require 
pharmaceutical companies to comply with the pharmaceutical industry’s voluntary compliance guidelines and the relevant compliance guidance 
promulgated by the federal government, or that otherwise restrict payments that may be made to healthcare providers; state laws that require reporting of 
information related to drug pricing; state and local laws that require the registration of pharmaceutical sales representatives; as well as state and foreign 
laws that govern the privacy and security of health information in some circumstances, many of which differ from each other in significant ways and often 
are not preempted by HIPAA, thus complicating compliance efforts.

Efforts to ensure that our business arrangements with third parties will comply with applicable healthcare laws and regulations will involve 
substantial costs. Because of the breadth of these laws and the narrowness of the statutory exceptions and regulatory safe harbors available, it is possible 
that some of our business activities could be subject to challenge under one or more of such laws. It is possible that governmental authorities will conclude 
that our business practices may not comply with current or future statutes, regulations or case law involving applicable fraud and abuse or other healthcare 
laws and regulations. If our operations are found to be in violation of any of these laws or any other governmental regulations that may apply to us, we may 
be subject to significant civil, criminal and administrative penalties, damages, fines, disgorgement, imprisonment, exclusion from participating in 
government funded healthcare programs, such as Medicare and Medicaid, additional reporting requirements and oversight if we become subject to a 
corporate integrity agreement or similar agreement to resolve allegations of non-compliance with these laws, contractual damages, reputational harm and 
the curtailment or restructuring of our operations. To the extent that any of our products are sold in a foreign country, we may be subject to similar foreign 
laws and regulations, which may include, for instance, applicable post-marketing requirements, including safety 

25

 
surveillance, anti-fraud and abuse laws and implementation of corporate compliance programs and reporting of payments or transfers of value to healthcare 
professionals.

Coverage and Reimbursement

Market acceptance and sales of any drug products depend in part on coverage and the extent to which adequate reimbursement for drug products 

will be available from third-party payors, including government health administration authorities, managed care organizations and other private health 
insurers. Coverage and reimbursement for our product also depends on coverage and adequate reimbursement for the procedures using VP-102 for the 
treatment of molluscum, external genital warts, and/or common warts. Obtaining coverage and adequate reimbursement for our products may be 
particularly difficult because of the higher prices often associated with drugs administered under the supervision of a physician. Separate reimbursement for 
the product itself or the treatment or procedure in which our product is used may not be available. Even if the procedure using our product is covered, third-
party payors may package the cost of the drug into the procedure payment and not separately reimburse the physician for the costs associated with our 
product. A decision by a third-party payor not to cover or separately reimburse for our products could reduce physician utilization of our products once 
approved. Additionally, in the United States, there is no uniform policy of coverage and reimbursement among third-party payors. Third-party payors often 
rely upon Medicare coverage policy and payment limitations in setting their own coverage and reimbursement policies. However, decisions regarding the 
extent of coverage and amount of reimbursement to be provided is made on a payor-by-payor basis. One payor’s determination to provide coverage for a 
drug product does not assure that other payors will also provide coverage, and adequate reimbursement.

Third-party payors determine which medical procedures they will cover and establish reimbursement levels. Even if a third-party payor covers a 

particular procedure, the resulting reimbursement payment rates may not be adequate. Patients who are treated in-office for a medical condition generally 
rely on third-party payors to reimburse all or part of the costs associated with the procedure and may be unwilling to undergo such procedures for the 
treatment of molluscum, external genital warts, and/or common warts in the absence of such coverage and adequate reimbursement.

Reimbursement by a third-party payor may depend upon a number of factors, including the third-party payor’s determination that a procedure is 

safe, effective, and medically necessary; appropriate for the specific patient; cost-effective; supported by peer-reviewed medical journals; included in 
clinical practice guidelines; and neither cosmetic, experimental, nor investigational.

Further, from time to time, typically on an annual basis, payment rates are updated and revised by third-party payors. Such updates could impact the 

demand for our product candidates, to the extent that customers who are prescribed our product candidates, if approved, are not separately reimbursed for 
the cost of the product candidates. An example of payment updates is the Medicare program updates to physician payments, which is done on an annual 
basis. In the past, when the application of the formula resulted in lower payment, Congress has passed interim legislation to prevent the reductions. The 
Medicare Access and CHIP Reauthorization Act of 2015, or MACRA, ended the use of the statutory formula also referred to as the Sustainable Growth 
Rate, for certain payment and established a quality payment incentive program, also referred to as the Quality Payment Program.  This program provides 
clinicians with two ways to participate, including through the Advanced Alternative Payment Models, or APMs, and the Merit-based Incentive Payment 
System, or MIPS.  In November 2019, CMS issued a final rule finalizing the changes to the Quality Payment Program. At this time, it is unclear how the 
introduction of the Quality Payment Program will impact overall physician reimbursement under the Medicare program. Any reduction in reimbursement 
from Medicare or other government programs may result in a similar reduction in payments from private payors.

Impact of Healthcare Reform on our Business

In the United States and some foreign jurisdictions, there have been, and continue to be, several legislative and regulatory changes and proposed 

changes regarding the healthcare system that could prevent or delay marketing approval of drug product candidates, restrict or regulate post-approval 
activities, and affect the profitable sale of drug product candidates. 

26

 
Among policy makers and payors in the United States and elsewhere, there is significant interest in promoting changes in healthcare systems with 

the stated goals of containing healthcare costs, improving quality and/or expanding access. In the United States, the pharmaceutical industry has been a 
particular focus of these efforts and has been significantly affected by major legislative initiatives. In March 2010, the Patient Protection and Affordable 
Care Act, as amended by the Health Care and Education Reconciliation Act, or collectively, the ACA, was passed, which substantially changed the way 
healthcare is financed by both the government and private insurers, and significantly impacts the U.S. pharmaceutical industry. The ACA, among other 
things: (i) increased the minimum Medicaid rebates owed by manufacturers under the Medicaid Drug Rebate Program and extends the rebate program to 
individuals enrolled in Medicaid managed care organizations; (ii) established an annual, nondeductible fee on any entity that manufactures or imports 
certain specified branded prescription drugs and biologic agents apportioned among these entities according to their market share in some government 
healthcare programs; (iii) expanded the availability of lower pricing under the 340B drug pricing program by adding new entities to the program; (iv) 
increased the statutory minimum rebates a manufacturer must pay under the Medicaid Drug Rebate Program, to 23.1% and 13% of the average 
manufacturer price for most branded and generic drugs, respectively and capped the total rebate amount for innovator drugs at 100% of the Average 
Manufacturer Price, or AMP; (v) expanded the eligibility criteria for Medicaid programs by, among other things, allowing states to offer Medicaid coverage 
to additional individuals, thereby potentially increasing manufacturers’ Medicaid rebate liability; (vi) 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; and (vii) 
established a Center for Medicare and Medicaid Innovation at CMS to test innovative payment and service delivery models to lower Medicare and 
Medicaid spending, potentially including prescription drug spending. 

There remain judicial and Congressional challenges to certain aspects of the ACA. While Congress has not passed comprehensive repeal legislation, 

bills affecting the implementation of certain taxes under the ACA have been signed into law. The Tax Cuts and Jobs Act of 2017, or Tax Act, includes a 
provision repealing, effective January 1, 2019, the tax-based shared responsibility payment imposed by the ACA on certain individuals who fail to maintain 
qualifying health coverage for all or part of a year that is commonly referred to as the “individual mandate”. In addition, the 2020 federal spending package 
permanently eliminates, effective January 1, 2020, the ACA-mandated “Cadillac” tax on high-cost employer-sponsored health coverage and medical device 
tax and, effective January 1, 2021, also eliminates the health insurer tax. Further, the Bipartisan Budget Act of 2018, or the BBA, among other things, 
amends the ACA, effective January 1, 2019, to close the coverage gap in most Medicare drug plans, commonly referred to as the “donut hole.” On June 17, 
2021, the U.S. Supreme Court dismissed a challenge on procedural grounds that argued the ACA is unconstitutional in its entirety because the “individual 
mandate” was repealed by Congress. Thus, the ACA will remain in effect in its current form. Further, prior to the U.S. Supreme Court ruling, on January 
28, 2021, President Biden issued an executive order to initiate a special enrollment period for purposes of obtaining health insurance coverage through the 
ACA marketplace. The executive order also instructs certain governmental agencies to review and reconsider their existing policies and rules that limit 
access to healthcare, including among others, reexamining Medicaid demonstration projects and waiver programs that include work requirements, and 
policies that create unnecessary barriers to obtaining access to health insurance coverage through Medicaid or the ACA. It is possible that the ACA will be 
subject to judicial or Congressional challenges in the future.  It is unclear how such challenges and the healthcare reform measures of the Biden 
administration will impact the ACA and our business.

Other legislative changes have been proposed and adopted since the ACA was enacted. These changes include aggregate reductions to Medicare 

payments to providers of 2% per fiscal year pursuant to the Budget Control Act of 2011, which began in 2013, and due to subsequent legislative 
amendments to the statute, including the BBA, will remain in effect through 2030 with the exception of a temporary suspension from May 1, 2020 through 
March 31, 2021 unless additional Congressional action is taken. Under current legislation, the actual reduction in Medicare payments will vary from 1% in 
2022 to up to 3% in the final fiscal year of this sequester. Additionally, on March 11, 2021, President Biden signed the American Rescue Plan Act of 2021 
into law, which eliminates the statutory Medicaid drug rebate cap, currently set at 100% of a drug’s average manufacturer price, for single source and 
innovator multiple source drugs, beginning January 1, 2024. The American Taxpayer Relief Act of 2012, among other things, further reduced Medicare 
payments to several providers, including hospitals and cancer treatment centers, and increased the statute of limitations period for the government to 
recover overpayments to providers from three to five years. These new laws may result in additional reductions in Medicare and other healthcare 

27

 
funding, which could have an adverse effect on customers for our product candidates, if approved, and, accordingly, our financial operations.

Additionally, there has been heightened governmental scrutiny in the United States of pharmaceutical pricing practices in light of the rising cost of 

prescription drugs and biologics. Such scrutiny has resulted in several recent congressional inquiries, presidential executive orders and proposed and 
enacted federal and state legislation 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 products. At the federal level, the Trump 
administration used several means to propose or implement drug pricing reform, including through federal budget proposals, executive orders and policy 
initiatives. Further, on July 24, 2020 and September 13, 2020, the Trump administration announced several executive orders related to prescription drug 
pricing that seek to implement several of the administration’s proposals. As a result, the FDA released a final rule and guidance in September 2020 
providing pathways for states to build and submit importation plans for drugs from Canada. Further, on November 20, 2020, HHS finalized a regulation 
removing safe harbor protection for price reductions from pharmaceutical manufacturers to plan sponsors under Part D, either directly or through pharmacy 
benefit managers, unless the price reduction is required by law. The implementation of the rule has been delayed by the Biden administration from January 
1, 2022 to January 1, 2023 in response to ongoing litigation. The rule also creates a new safe harbor for price reductions reflected at the point-of-sale, as 
well as a new safe harbor for certain fixed fee arrangements between pharmacy benefit managers and manufacturers, the implementation of which have 
also been delayed until January 1, 2023.  On November 20, 2020, CMS issued an interim final rule implementing the Trump administration’s Most Favored 
Nation executive order, which would tie Medicare Part B payments for certain physician-administered drugs to the lowest price paid in other economically 
advanced countries, effective January 1, 2021. As a result of litigation challenging the Most Favored National model, on December 27, 2021 CMS 
published a final rule that rescinded the Most Favored Nation model interim final rule. In July 2021, the Biden administration released an executive order, 
“Promoting Competition in the American Economy,” with multiple provisions aimed at prescription drugs. In response to Biden’s executive order, on 
September 9, 2021, HHS released a Comprehensive Plan for Addressing High Drug Prices that outlines principles for drug pricing reform and sets out a 
variety of potential legislative policies that Congress could pursue to advance these principles. No legislation or administrative actions have been finalized 
to implement these principles. In addition, Congress is considering drug pricing as part of other reform initiatives. At the state level, legislatures are 
increasingly passing legislation and implementing regulations designed to control pharmaceutical and biological product pricing, including price or patient 
reimbursement constraints, discounts, restrictions on certain product access and marketing cost disclosure and transparency measures, and, in some cases, 
designed to encourage importation from other countries and bulk purchasing. It is also possible that additional governmental action will be taken in 
response to the COVID-19 pandemic.

Employees and Human Capital Resources

As of December 31, 2021, we had 38 full-time employees. All of our employees are located in the United States. None of our employees is 

represented by a labor union or covered by a collective bargaining agreement. We consider our relationship with our employees to be good. 

Our human capital resources objectives include, as applicable, identifying, recruiting, retaining, incentivizing and integrating our existing and new 

employees, advisors and consultants. The principal purposes of our equity incentive plans are to attract, retain and reward personnel through the granting of 
stock-based compensation awards in order to increase stockholder value and the success of our company by motivating such individuals to perform to the 
best of their abilities and achieve our objectives.

Insurance

We currently maintain product liability insurance coverage for our products and clinical trials in amounts consistent with industry standards. 
However, insurance coverage is becoming increasingly expensive, and we may not be able to obtain or maintain insurance coverage at a reasonable cost or 
in sufficient amounts to protect us against losses due to liability.

Corporate Information

We were incorporated under the laws of the State of Delaware on July 3, 2013. Our principal executive offices are located at 44 West Gay Street, 

Suite 400, West Chester, PA 19380 and our telephone number is (484) 453-3300.

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Available Information

Our internet website address is www.verrica.com. In addition to the information about us and our subsidiaries contained in this Annual Report, 
information about us can be found on our website. Our website and information included in or linked to our website are not part of this Annual Report.

Our annual reports on Form 10-K, quarterly reports on Form 10-Q, current reports on Form 8-K and amendments to those reports filed or furnished 

pursuant to Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended, are available free of charge through our website as soon as 
reasonably practicable after they are electronically filed with or furnished to the Securities and Exchange Commission, or SEC. Additionally the SEC 
maintains an internet site that contains reports, proxy and information statements and other information. The address of the SEC's website is www.sec.gov.

29

 
ITEM 1A. RISK FACTORS

You should carefully consider the risks described below, as well as general economic and business risks and the other information in this Annual 

Report on Form 10-K. The occurrence of any of the events or circumstances described below or other adverse events could have a material adverse effect 
on our business, results of operations and financial condition and could cause the trading price of our common stock to decline. Additional risks or 
uncertainties not presently known to us or that we currently deem immaterial may also harm our business.

Risks Factors Summary

Our business is subject to a number of risks and uncertainties, including those risks discussed below. These risks include, among others, the following:

•

Risks Related to Our Financial Position and Capital Needs

o We have incurred significant losses since our inception. We expect to incur losses over the next several years and may never achieve or 

maintain profitability.

o We will need substantial additional funding to meet our financial obligations and to pursue our business objectives. If we are unable to 

raise capital when needed, we could be forced to curtail our planned operations and the pursuit of our growth strategy.

o We have a limited operating history and no history of commercializing products, which may make it difficult for you to evaluate the 

success of our business to date and to assess our future viability.

•

•

Risks Related to the Development of Our Product Candidates

o

Our lead product candidate, VP-102, is being developed for the treatment of molluscum, external genital warts and common warts, for 
which we are currently conducting clinical trials. If we are unable to successfully develop, receive regulatory approval for and 
commercialize VP-102 for the treatment of molluscum, external genital warts and common warts or any other indications, or 
successfully develop any other product candidates, or experience significant delays in doing so, our business will be harmed.

Risks Related to the Commercialization of Our Product Candidates

o We face substantial competition, including from compounded cantharidin products that may compete with VP-102 and any other 
product candidates, which may result in a smaller than expected commercial opportunity and/or others discovering, developing or 
commercializing products before or more successfully than we do.

o

o

The success of VP-102 for the treatment of molluscum, external genital warts and common warts will depend significantly on 
coverage and adequate reimbursement or the willingness of patients to pay for these procedures.

The market for VP-102 and any other product candidates may not be as large as we expect.

•

Risks Related to Our Dependence on Third Parties

o We currently rely on a third party to supply our raw material used in VP-102, and if we encounter any extended difficulties in 

procuring, or creating an alternative for, our raw material in VP-102 or any of our other product candidates we may develop, our 
business operations would be impaired.

o We have entered into, and may seek additional, collaborations with third parties for the development or commercialization of our 

product candidates. If those collaborations are not successful, we may not be able to capitalize on the market potential of these product 
candidates.

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•

•

•

•

Risks Related to Our Intellectual Property

o

If we are unable to obtain or protect intellectual property rights related to any of our product candidates, we may not be able to 
compete effectively in our market.

Risks Related to Legal and Regulatory Compliance Matters

o We expect to expand our development and regulatory capabilities and potentially implement sales, marketing and distribution 
capabilities, and as a result, we may encounter difficulties in managing our growth, which could disrupt our operations.

Risks Related to Employee Matters and Managing Our Growth

o We expect to expand our development and regulatory capabilities and potentially implement sales, marketing and distribution 
capabilities, and as a result, we may encounter difficulties in managing our growth, which could disrupt our operations.

Risks Related to Ownership of Our Common Stock and Our Status as a Public Company

o

The trading price of the shares of our common stock may be volatile, and purchasers of our common stock could incur substantial 
losses.

Risks Related to Our Financial Position and Capital Needs

We have incurred significant losses since our inception. We expect to incur losses over the next several years and may never achieve or maintain 
profitability.

We are a clinical-stage dermatology therapeutics company with limited operating history. Since inception, we have incurred significant net losses. 

We incurred net losses of $35.1 million and $42.7 million for the years ended December 31, 2021 and 2020, respectively. As of December 31, 2021, we had 
an accumulated deficit of $139.0 million. Since inception, we have financed our operations with $123.2 million in gross proceeds raised in our initial public 
offering and private placements of convertible debt and convertible preferred stock. We have no products approved for commercialization and have never 
generated any revenue.

We have devoted substantially all of our financial resources and efforts to the development of our novel topical solution of cantharidin and our lead 

product candidate, VP-102, for the treatment of molluscum, including preclinical studies and clinical trials. We have completed two pivotal Phase 3 clinical 
trials and submitted an NDA for VP-102 for the treatment of molluscum. In addition to developing VP-102 for the treatment of molluscum, we are also 
developing VP-102 as a treatment for external genital warts and common warts. We also intend to develop our second cantharidin-based product candidate, 
VP-103, for the treatment of plantar warts and our third product candidate, LTX-315, for the treatment of dermatological oncology indications.  

 Therefore, we expect to continue to incur significant expenses and operating losses over the next several years. Our net losses may fluctuate 

significantly from quarter to quarter and year to year. We anticipate that our expenses will increase substantially as we:

•

•

•

•

•

initiate clinical trials evaluating LTX-315 for the treatment of dermatological oncology indications, including basal cell carcinoma and 
squamous cell carcinoma;

continue our ongoing clinical programs evaluating VP-102 for the treatment of external genital warts and common warts, as well as initiate 
and complete additional clinical trials as needed;

initiate clinical trials evaluating VP-103 for the treatment of plantar warts;

pursue regulatory approvals for VP-102 for the treatment of molluscum, and eventually for the treatment of external genital warts and 
common warts or any other indications we may pursue for VP-102, as well as for VP-103 and LTX-315;

seek to discover and develop additional product candidates;

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•

•

•

•

•

•

•

establish a commercialization infrastructure and scale up external manufacturing and distribution capabilities to commercialize any product 
candidates for which we may obtain regulatory approval, including VP-102, VP-103 and LTX-315;

seek to in-license or acquire additional product candidates for other dermatological conditions;

adapt our regulatory compliance efforts to incorporate requirements applicable to marketed products;

maintain, expand and protect our intellectual property portfolio;

hire additional clinical, manufacturing and scientific personnel;

add operational, financial and management information systems and personnel, including personnel to support our product development and 
planned future commercialization efforts; and

incur additional legal, accounting and other expenses in operating as a public company.

To become and remain profitable, we must succeed in developing and eventually commercializing product candidates that generate significant 

revenue. This will require us to be successful in a range of challenging activities, including completing preclinical testing and clinical trials of our product 
candidates, obtaining regulatory approval, and manufacturing, marketing and selling any product candidates for which we may obtain regulatory approval, 
as well as discovering and developing additional product candidates. We are only in the preliminary stages of most of these activities. We may never 
succeed in these activities and, even if we do, may never generate revenue that is significant enough to achieve profitability.

In cases where we are successful in obtaining regulatory approval to market one or more of our product candidates, our revenue will be dependent, 

in part, upon the size of the markets in the territories for which we gain regulatory approval, the accepted price for the product, the ability to obtain 
coverage and reimbursement, and whether we own the commercial rights for that territory. If the number of our addressable patients is not as significant as 
we estimate, the indication approved by regulatory authorities is narrower than we expect, or the treatment population is narrowed by competition, 
physician choice or treatment guidelines, we may not generate significant revenue from sales of such products, even if approved.

Because of the numerous risks and uncertainties associated with product development, we are unable to accurately predict the timing or amount of 

expenses or when, or if, we will be able to achieve profitability. If we are required by regulatory authorities to perform studies in addition to those expected, 
or if there are any delays in the initiation and completion of our clinical trials or the development of any of our product candidates, our expenses could 
increase.

Even if we achieve profitability, we may not be able to sustain or increase profitability on a quarterly or annual basis. Our failure to become and 
remain profitable would depress the value of our company and could impair our ability to raise capital, expand our business, maintain our development 
efforts, obtain product approvals, diversify our offerings or continue our operations.

We will need substantial additional funding to meet our financial obligations and to pursue our business objectives. If we are unable to raise capital 
when needed, we could be forced to curtail our planned operations and the pursuit of our growth strategy.

Identifying potential product candidates and conducting preclinical testing and clinical trials is a time-consuming, expensive and uncertain process 
that takes years to complete, and we may never generate the necessary data or results required to obtain regulatory approval and achieve product sales. We 
expect to continue to incur significant expenses and operating losses over the next several years as we seek marketing approval for VP-102 for the 
treatment of molluscum, pursue clinical trials and marketing approval for VP-102 for the treatment of external genital warts, common warts, and other 
indications, pursue clinical trials and marketing approval for LTX-315 for the treatment of dermatological oncology indications, VP-103 for the treatment 
of plantar warts, and advance any of our other product candidates we may develop or otherwise acquire. In addition, our product candidates, if approved, 
may not achieve commercial success. Our revenue, if any, will be derived from sales of products that are not currently commercially available. If we obtain 
marketing approval for VP-102 for the treatment of molluscum, 

32

 
external genital warts or common warts or any other product candidates that we develop, we expect to incur significant commercialization expenses related 
to product sales, marketing, distribution and manufacturing. 

As of December 31, 2021, we had cash, cash equivalents and marketable securities of $70.4 million. On March 10, 2020, we entered into (i) a 

mezzanine loan and security agreement, or the Mezzanine Loan Agreement, with Silicon Valley Bank, as administrative agent and collateral agent, or the 
Agent, and Silicon Valley Bank and West River Innovation Lending Fund VIII, L.P., as lenders, or the Mezzanine Lenders, pursuant to which the 
Mezzanine Lenders have agreed to lend us up to $50.0 million in a series of term loans, and (ii) a loan and security agreement, or the Senior Loan 
Agreement, and together with the Mezzanine Loan Agreement, the Loan Agreements, with Silicon Valley Bank, as lender, or the Senior Lender, and 
together with the Mezzanine Lenders, the Lenders, pursuant to which the Senior Lender has agreed to provide us a revolving line of credit of up to $5.0 
million. Upon entering into the Loan Agreements, we borrowed $35.0 million in term loans from the Mezzanine Lenders.  We entered into amendments to 
the Loan Agreements in October 2020, under which we borrowed an additional $5.0 million in term loans on March 1, 2021. 

We believe that our existing cash, cash equivalents, and marketable securities as of December 31, 2021 will be sufficient to support our planned 

operations into the third quarter of 2022. This estimate is based on assumptions that may prove to be wrong, and we could use our available capital 
resources sooner than we expect. As a result, our financials have been prepared on a going concern basis. If we are unable to obtain sufficient funding, our 
business, prospects, financial condition and results of operations will be materially and adversely affected and we may be unable to continue as a going 
concern. If we are unable to continue as a going concern, we may have to liquidate our assets and may receive less than the value at which those assets are 
carried on our audited financial statements, and it is likely that investors will lose all or a part of their investment. In addition, if there remains substantial 
doubt about our ability to continue as a going concern, investors or other financing sources may be unwilling to provide additional funding to us on 
commercially reasonable terms or at all. 

Changes may occur beyond our control that would cause us to consume our available capital before that time, including changes in and progress of 
our development activities, acquisitions of additional product candidates, and changes in regulation. Our future capital requirements will depend on many 
factors, including:

•

•

•

•

•

•

•

•

the costs and timing of future commercialization activities, including product manufacturing, marketing, sales and distribution, for VP-102 
for the treatment of molluscum, if approved, and any of our product candidates for which we receive marketing approval;

the scope, progress, costs and results of our development programs evaluating VP-102 as a potential treatment for external genital warts and 
common warts, VP-103 and LTX-315;

the extent to which we develop, in-license or acquire other product candidates or technologies;

the number and development requirements of other product candidates that we may pursue;

the costs, timing and outcome of regulatory review of our product candidates;

the revenue, if any, received from commercial sales of our product candidates for which we receive marketing approval;

our ability to establish collaborations to commercialize VP-102 or any of our other product candidates outside the United States; and

the costs and timing of preparing, filing and prosecuting patent applications, maintaining and enforcing our intellectual property rights and 
defending any intellectual property-related claims.

We may require additional capital to commercialize VP-102 for the treatment of molluscum, external genital warts and/or common warts, VP-103 
for the treatment of plantar warts and/or LTX-315 for the treatment of dermatological oncology indications. If we receive regulatory approval for VP-102, 
VP-103 or LTX-315 for these indications, we expect to incur significant commercialization expenses related to product manufacturing, sales, marketing 
and distribution, depending on where we choose to commercialize. Additional funds may not be available on a timely basis, on favorable terms, or at all, 
and such funds, if raised, may not be sufficient to enable us to continue to implement our long-term business strategy. If we are unable to raise sufficient 
additional capital, we could be forced to curtail our planned operations and the pursuit of our growth strategy.

33

 
Raising additional capital may cause dilution to our stockholders, restrict our operations or require us to relinquish rights to our technologies or 
product candidates.

Until such time, if ever, as we can generate substantial revenue, we may finance our cash needs through a combination of equity offerings, debt 

financings and license and collaboration agreements. We do not currently have any committed external source of funds. To the extent that we raise 
additional capital through the sale of equity or convertible debt securities, your ownership interest will be diluted, and the terms of these securities may 
include liquidation or other preferences that adversely affect your rights as a common stockholder. Debt financing and preferred equity financing, if 
available, may involve agreements that include covenants limiting or restricting our ability to take specific actions, such as incurring additional debt, 
making capital expenditures or declaring dividends. For instance, under the Loan Agreements as described below, we are restricted from paying dividends 
or making other distributions or payments on our capital stock, subject to limited exceptions.

If we raise additional funds through collaborations, strategic alliances or marketing, distribution or licensing arrangements with third parties, we 

may be required to relinquish valuable rights to our technologies, future revenue streams or product candidates or grant licenses on terms that may not be 
favorable to us. If we are unable to raise additional funds through equity or debt financings when needed, we may be required to delay, limit, reduce or 
terminate our product development or future commercialization efforts or grant rights to develop and market product candidates that we would otherwise 
prefer to develop and market ourselves.

We have a limited operating history and no history of commercializing products, which may make it difficult for you to evaluate the success of our 
business to date and to assess our future viability.

We commenced operations in 2013, and our operations to date have been largely focused on raising capital and developing our novel topical 
solution of cantharidin and our lead product candidate, VP-102, for the treatment of molluscum, external genital warts and common warts, including 
undertaking preclinical studies and conducting clinical trials. VP-102 is our only product candidate for which we have conducted clinical trials. We have 
not yet demonstrated our ability to successfully obtain regulatory approvals, manufacture a product on a commercial scale, or arrange for a third party to do 
so on our behalf, or conduct sales and marketing activities necessary for successful commercialization. Consequently, any predictions you make about our 
future success or viability may not be as accurate as they could be if we had a longer operating history or a history of successfully developing and 
commercializing products.

We may encounter unforeseen expenses, difficulties, complications, delays and other known or unknown factors in achieving our business 
objectives. We will need to transition at some point from a company with a development focus to a company capable of supporting commercial activities. 
We may not be successful in such a transition.

We may not be able to generate sufficient cash to service our indebtedness.

We have entered into a Mezzanine Loan Agreement and a Senior Loan Agreement with our Lenders, pursuant to which we have borrowed an 
aggregate of $40.0 million. Our obligations under the Senior Loan Agreement and the Mezzanine Loan Agreement are secured by, respectively, a first 
priority perfected security interest and second priority perfected security interest in substantially all of our current and future assets, other than our 
intellectual property (except rights to payment from the sale, licensing or disposition of such intellectual property).  We have also agreed not to encumber 
our intellectual property assets, except as permitted by the Loan Agreements. 

We are subject to a number of affirmative and restrictive covenants pursuant to the Loan Agreements, including covenants regarding maintaining 
minimum cash balance, delivery of financial statements, maintenance of inventory, payment of taxes, maintenance of insurance, protection of intellectual 
property rights, dispositions of property, business combinations or acquisitions, incurrence of additional indebtedness or liens, investments and transactions 
with affiliates, among other customary covenants. Our obligations under the Loan Agreements are subject to acceleration upon the occurrence of specified 
events of default, including our failure to satisfy our payment obligations under the Loan Agreements, the breach of certain of our other covenants under 
the Loan Agreements, or the occurrence of a material adverse change, cross defaults to other indebtedness or material agreements, judgment defaults and 
defaults related to failure to maintain governmental approvals failure of which to 

34

 
maintain could result in a material adverse effect. We are currently in compliance with these covenants. If we are unable to raise additional capital through 
a combination of equity offerings, debt financings and license and collaboration agreement through the third quarter of 2022 we will no longer be in 
compliance with these covenants. We may also enter into other debt agreements in the future which may contain similar or more restrictive terms.

Our ability to make scheduled monthly payments or to refinance our debt obligations depends on numerous factors, including the amount of our 
cash reserves and our actual and projected financial and operating performance. These amounts and our performance are subject to certain financial and 
business factors, as well as prevailing economic and competitive conditions, some of which may be beyond our control. We cannot assure you that we will 
maintain a level of cash reserves or cash flows from operating activities sufficient to permit us to pay the principal, premium, if any, and interest on our 
existing or future indebtedness. If our cash flows and capital resources are insufficient to fund our debt service obligations, we may be forced to reduce or 
delay capital expenditures, sell assets or operations, seek additional capital or restructure or refinance our indebtedness. We cannot assure you that we 
would be able to take any of these actions, or that these actions would permit us to meet our scheduled debt service obligations. Failure to comply with the 
conditions of the Loan Agreements could result in an event of default, which could result in an acceleration of amounts due under the Loan Agreements. 
We may not have sufficient funds or may be unable to arrange for additional financing to repay our indebtedness or to make any accelerated payments, and 
the Lenders could seek to enforce security interests in the collateral securing such indebtedness, which would harm our business.

Risks Related to the Development of Our Product Candidates

Our lead product candidate, VP-102, is being developed for the treatment of molluscum, external genital warts and common warts for which we are 
currently conducting clinical trials. If we are unable to successfully develop, receive regulatory approval for and commercialize VP-102 for the 
treatment of molluscum, external genital warts, common warts, or any other indications, or successfully develop any other product candidates, or 
experience significant delays in doing so, our business will be harmed.

We currently have no products that are approved for commercial sale. We have only one product candidate, VP-102 for which we have conducted 

clinical trials. We have completed two pivotal Phase 3 clinical trials and submitted a New Drug Application, or NDA, for VP-102 for the treatment of 
molluscum in the U.S. Our NDA is presently under review by FDA and there can be no assurance that we will receive approval. In addition to developing 
VP-102 for the treatment of molluscum, we are also developing VP-102 as a treatment for external genital warts and common warts.  In addition, we plan 
to develop our second cantharidin-based product candidate, VP-103, for the treatment of plantar warts. We also plan to develop our third product candidate, 
LTX-315, for the treatment of dermatological oncology indications, including basal cell carcinoma and squamous cell carcinoma. We have not completed 
the development and regulatory approval process of any product candidates and we may never be able to develop marketable products. We have invested 
substantially all of our efforts and financial resources in the development of our cantharidin formula and VP-102 for the treatment of molluscum, external 
genital warts and common warts. Our ability to generate revenue from our product candidates, will depend heavily on their successful development, 
regulatory approval and eventual commercialization of these product candidates. The success of VP-102, VP-103, LTX-315 or any other product 
candidates that we develop or otherwise may acquire will depend on several factors, including:

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•

timely and successful completion of preclinical studies and our clinical trials;

successful development of, or making arrangements with third-party manufacturers for, our commercial manufacturing processes for any of 
our product candidates that receive regulatory approval;

receipt of timely marketing approvals from applicable regulatory authorities;

launching commercial sales of products, if approved;

acceptance of our products, if approved, by patients, the medical community and third-party payors, for their approved indications;

our success in educating physicians and patients about the benefits, administration and use of VP-102 or any other product candidates, if 
approved;

the prevalence and severity of adverse events experienced with VP-102 or our other product candidates;

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•

•

•

•

the availability, perceived advantages, cost, safety and efficacy of alternative treatments for molluscum, external genital warts and/or 
common warts or any other indications which we may pursue for VP-102 or any other product candidates;

our ability to produce VP-102 or any other product candidates on a commercial scale;

obtaining and maintaining patent, trademark and trade secret protection and regulatory exclusivity for our product candidates and otherwise 
protecting our rights in our intellectual property portfolio;

maintaining compliance with regulatory requirements, including current good manufacturing practices, or cGMPs;

competing effectively with other procedures; and

maintaining a continued acceptable safety, tolerability and efficacy profile of the products following approval.

Whether regulatory approval will be granted is unpredictable and depends upon numerous factors, including the substantial discretion of the 

regulatory authorities. Our product candidates’ success in clinical trials is not guaranteed, and even if clinical trials are successful, it will not guarantee 
regulatory approval. Following submission of an NDA, it may not be accepted for substantive review, or even if it is accepted for substantive review, the 
FDA or other comparable foreign regulatory authorities may require that we conduct additional studies or clinical trials, provide additional data, take 
additional manufacturing steps, or require other conditions before they will reconsider or approve our application. If the FDA or other comparable foreign 
regulatory authorities require additional studies, clinical trials or data, we would incur increased costs and delays in the marketing approval process, which 
may require us to expend more resources than we have available. In addition, the FDA or other comparable foreign regulatory authorities may not consider 
sufficient any additional required studies, clinical trials, data or information that we perform and complete or generate, or we may decide to abandon the 
program.

It is possible that VP-102, VP-103, LTX-315 or any of our other product candidates we may develop or otherwise acquire will never obtain 
regulatory approval, even if we expend substantial time and resources seeking such approval. If we do not achieve one or more of these factors in a timely 
manner or at all, we could experience significant delays or an inability to successfully commercialize our product candidates, which would harm our 
business.

Clinical product development involves a lengthy and expensive process, with an uncertain outcome. We may incur additional costs or experience delays 
in completing, or ultimately be unable to complete, the development and commercialization of our product candidates.

The risk of failure for product candidates is high. It is impossible to predict when or if any of our product candidates will prove effective or safe in 

humans or will receive regulatory approval. Before obtaining marketing approval from regulatory authorities for the sale of any product candidate, we must 
complete preclinical development and then conduct extensive clinical trials to demonstrate the safety and efficacy of our product candidates in humans. 
Clinical testing is expensive, difficult to design and implement, can take many years to complete and is inherently uncertain as to outcome. A failure of one 
or more clinical trials can occur at any stage of testing or at any time during the trial process. The outcome of preclinical testing and early clinical trials 
may not be predictive of the results of later clinical trials, and interim results of a clinical trial do not necessarily predict final results. Moreover, preclinical 
and clinical data are often susceptible to varying interpretations and analyses, and many companies that have believed their product candidates performed 
satisfactorily in preclinical studies and clinical trials have nonetheless failed to obtain marketing approval of their products.

We cannot assure you that any clinical trial that we have conducted, are currently conducting, or may conduct in the future, will demonstrate 

consistent or adequate efficacy and safety to obtain regulatory approval to market our product candidates.

We may experience delays in ongoing clinical trials for our product candidates, and we do not know whether future clinical trials, if any, will begin 

on time, need to be redesigned, enroll an adequate number of patients on time or be completed on schedule, if at all. For example, following the initiation of 
our Phase 2 trial of VP-102 for the 

36

 
treatment of common warts, we discovered the need to amend the treatment regimen of the protocol in order to introduce greater flexibility of the treatment 
interval. We amended the trial protocol in order to add a second cohort to the trial with the desired treatment frequency. We may experience numerous 
unforeseen events during or as a result of clinical trials that could delay or prevent our ability to receive marketing approval or commercialize our product 
candidates, including:

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•

regulators or institutional review boards may not authorize us or our investigators to commence a clinical trial or conduct a clinical trial at a 
prospective trial site;

we may experience delays in reaching, or failing to reach, agreement on acceptable clinical trial contracts or clinical trial protocols with 
prospective trial sites or prospective contract research organizations, or CROs, the terms of which can be subject to extensive negotiation and 
may vary significantly among different CROs and trial sites;

clinical trials of our product candidates may produce negative or inconclusive results, including failure to demonstrate statistical significance, 
and we may decide, or regulators may require us, to conduct additional clinical trials or abandon product development programs;

the number of patients required for clinical trials of our product candidates may be larger than we anticipate, enrollment in these clinical trials 
may be slower than we anticipate, or participants may drop out of these clinical trials or fail to return for post-treatment follow-up at a higher 
rate than we anticipate;

our product candidates may have undesirable side effects or other unexpected characteristics, causing us or our investigators, regulators or 
institutional review boards to suspend or terminate the trials;

our third-party contractors may fail to comply with regulatory requirements or meet their contractual obligations to us in a timely manner, or 
at all;

regulators or institutional review boards may require that we or our investigators suspend or terminate clinical development for various 
reasons, including noncompliance with regulatory requirements or a finding that the participants are being exposed to unacceptable health 
risks;

the cost of clinical trials of our product candidates may be greater than we anticipate; and

the supply or quality of our product candidates or other materials necessary to conduct clinical trials of our product candidates may be 
insufficient or inadequate.

We could also encounter delays if a clinical trial is suspended or terminated by us, by the institutional review boards of the institutions in which such 

trials are being conducted, by the data safety monitoring board for such trial or by the FDA or other regulatory authorities. Such authorities may impose 
such a suspension or termination due to a number of factors, including failure to conduct the clinical trial in accordance with regulatory requirements or our 
clinical protocols, inspection of the clinical trial operations or trial site by the FDA or other regulatory authorities resulting in the imposition of a clinical 
hold, unforeseen safety issues or adverse side effects, failure to demonstrate a benefit from using a product, changes in governmental regulations or 
administrative actions or lack of adequate funding to continue the clinical trial. If we experience delays in the completion of, or termination of, any clinical 
trial of our product candidates, the commercial prospects of our product candidates will be harmed, and our ability to generate product revenues from any 
of these product candidates will be delayed. In addition, any delays in completing our clinical trials will increase our costs, slow down our product 
candidate development and approval process and jeopardize our ability to commence product sales and generate revenues. Any of these occurrences may 
harm our business, financial condition and prospects significantly. In addition, many of the factors that cause, or lead to, a delay in the commencement or 
completion of clinical trials may also ultimately lead to the denial of regulatory approval of our product candidates. If we are required to conduct additional 
clinical trials or other testing of our product candidates beyond those that we currently contemplate, if we are unable to successfully complete clinical trials 
of our product candidates or other testing, if the results of these trials or tests are not favorable or if there are safety concerns, we may:

•

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•

be delayed in obtaining marketing approval for our product candidates;

not obtain marketing approval at all;

obtain approval for indications or patient populations that are not as broad as intended or desired;

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•

obtain approval with labeling that includes significant use or distribution restrictions or safety warnings;

be subject to additional post-marketing testing requirements; or

have the product removed from the market after obtaining marketing approval.

Our product development costs will also increase if we experience delays in testing or marketing approvals. We do not know whether any of our 
preclinical studies or clinical trials will begin as planned, will need to be restructured or will be completed on schedule, or at all. Significant preclinical 
study or clinical trial delays also could shorten any periods during which we may have the exclusive right to commercialize our product candidates or allow 
our competitors to bring products to market before we do and impair our ability to successfully commercialize, or receive approval for, our product 
candidates. For example, if a competitor obtained FDA approval for a product containing cantharidin before we are able to obtain approval for our product, 
this could result in the approval of our product being delayed until the expiration of any NCE exclusivity or other regulatory exclusivity received by such 
competitor.

If we experience delays or difficulties in the enrollment and/or maintenance of patients in clinical trials, our receipt of necessary regulatory approvals 
could be delayed or prevented.

Successful and timely completion of clinical trials will require that we enroll a sufficient number of patients. Patient enrollment, a significant factor 
in the timing of clinical trials, is affected by many factors including the size and nature of the patient population. Trials may be subject to delays as a result 
of patient enrollment taking longer than anticipated or patient withdrawal. We may not be able to initiate or continue clinical trials for our product 
candidates if we are unable to locate and enroll a sufficient number of eligible patients to participate in these trials as required by the FDA or similar 
regulatory authorities outside the United States. We cannot predict how successful we will be at enrolling subjects in future clinical trials. Subject 
enrollment is affected by other factors including:

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the eligibility criteria for the trial in question;

the perceived risks and benefits of the product candidate in the trial;

the availability of products and other treatments to treat the skin disease in the trial;

the willingness of patients to be enrolled in our clinical trials;

the efforts to facilitate timely enrollment in clinical trials;

the patient referral practices of physicians;

the ability to monitor patients adequately during and after treatment; and

the proximity and availability of clinical trial sites for prospective patients.

Our inability to enroll a sufficient number of patients for clinical trials would result in significant delays and could require us or them to abandon 
one or more clinical trials altogether. For example, parents may be reluctant to enroll their children in our clinical trials that have a relatively high risk of 
their child being assigned to placebo when in the alternative, they could decline participation, and receive compounded cantharidin outside of the clinical 
trial, if available, or pursue other alternative therapies. Enrollment delays in these clinical trials may result in increased development costs for our product 
candidates, which would cause the value of our company to decline and limit our ability to obtain additional financing. Furthermore, we rely on and expect 
to continue to rely on CROs and clinical trial sites to ensure the proper and timely conduct of our clinical trials and we will have limited influence over 
their performance.

Furthermore, even if we are able to enroll a sufficient number of patients for our clinical trials, we may have difficulty maintaining patients in our 

clinical trials.

Success in preclinical studies or earlier clinical trials may not be indicative of results in future clinical trials.

Success in preclinical testing and early clinical trials does not ensure that later clinical trials will generate the same results or otherwise provide 

adequate data to demonstrate the efficacy and safety of a product candidate. Preclinical tests and Phase 1 and Phase 2 clinical trials are primarily designed 
to test safety, to study 

38

 
pharmacokinetics and pharmacodynamics and to understand the side effects of product candidates at various doses and schedules. Success in preclinical or 
animal studies and early clinical trials does not ensure that later large-scale efficacy trials will be successful, nor does it predict final results. Our product 
candidates may fail to show the desired safety and efficacy in clinical development despite positive results in preclinical studies or having successfully 
advanced through initial clinical trials.

In addition, the design of a clinical trial can determine whether its results will support approval of a product and flaws in the design of a clinical trial 

may not become apparent until the clinical trial is well advanced. As an organization, we have limited experience designing clinical trials and may be 
unable to design and execute a clinical trial to support regulatory approval. Many companies in the pharmaceutical and biotechnology industries have 
suffered significant setbacks in late-stage clinical trials even after achieving promising results in preclinical testing and earlier-stage clinical trials. Data 
obtained from preclinical and clinical activities are subject to varying interpretations, which may delay, limit or prevent regulatory approval. In addition, we 
may experience regulatory delays or rejections as a result of many factors, including changes in regulatory policy during the period of our product 
candidate development. Any such delays could negatively impact our business, financial condition, results of operations and prospects.

Interim “top-line” and preliminary results from our clinical trials that we announce or publish from time to time may change as more patient data 
become available and are subject to audit and verification procedures that could result in material changes in the final data.

From time to time, we may publish interim top-line or preliminary results from our clinical trials. Interim results from clinical trials that we may 
complete are subject to the risk that one or more of the clinical outcomes may materially change as patient enrollment continues and more patient data 
become available. Preliminary or top-line results also remain subject to audit and verification procedures that may result in the final data being materially 
different from the preliminary data we previously published. As a result, interim and preliminary data should be viewed with caution until the final data are 
available. Differences between preliminary or interim data and final data could significantly harm our business prospects and may cause the trading price of 
our common stock to fluctuate significantly.

Our clinical trials may fail to demonstrate the safety and efficacy of our product candidates, or serious adverse or unacceptable side effects may be 
identified during the development of our product candidates, which could prevent or delay regulatory approval and commercialization, increase our 
costs or necessitate the abandonment or limitation of the development of some of our product candidates.

Before obtaining regulatory approvals for the commercial sale of our product candidates, we must demonstrate through lengthy, complex and 

expensive preclinical testing and clinical trials that our product candidates are both safe and effective for use in each target indication, and failures can 
occur at any stage of testing. Clinical trials often fail to demonstrate safety and efficacy of the product candidate studied for the target indication.

If our product candidates are associated with side effects in clinical trials or have characteristics that are unexpected, we may need to abandon their 
development or limit development to more narrow uses in which the side effects or other characteristics are less prevalent, less severe or more acceptable 
from a risk-benefit perspective. The FDA or an institutional review board may also require that we suspend, discontinue, or limit our clinical trials based on 
safety information, or that we conduct additional animal or human studies regarding the safety and efficacy of our product candidates which we have not 
planned or anticipated. Such findings could further result in regulatory authorities failing to provide marketing authorization for our product candidates or 
limiting the scope of the approved indication, if approved. Many product candidates that initially showed promise in early stage testing have later been 
found to cause side effects that prevented further development of the product candidate.

Additionally, if one or more of our product candidates receives marketing approval, and we or others identify undesirable side effects caused by 

such products, a number of potentially significant negative consequences could result, including:

•

•

regulatory authorities may withdraw approvals of such product;

regulatory authorities may require additional warnings on the labels;

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•

we may be required to create a medication guide outlining the risks of such side effects for distribution to patients;

we could be sued and held liable for harm caused to patients; and

our reputation and physician or patient acceptance of our products may suffer.

There can be no assurance that we will resolve any issues related to any product-related adverse events to the satisfaction of the FDA or any 

regulatory agency in a timely manner or at all. Moreover, any of these events could prevent us from achieving or maintaining market acceptance of the 
particular product candidate, if approved, and could significantly harm our business, results of operations and prospects.

VP-102 is a drug-device combination involving a proprietary applicator, which may result in additional regulatory and other risks.

VP-102 is a drug-device combination product for administration of our cantharidin formulation through our proprietary applicator. We may 
experience delays in obtaining regulatory approval of VP-102 given the increased complexity of the review process when approval of a drug and a delivery 
device is sought under a single marketing application. VP-102 will be regulated as a drug-device combination product, which requires coordination within 
the FDA and similar foreign regulatory agencies for review of the product candidate’s device and drug components. We have filed a single marketing 
application for the approval of a drug-device combination product, with guidance by the FDA. Although the FDA and similar foreign regulatory agencies 
have systems in place for the review and approval of combination products such as ours, we may experience delays in the development, approval, and 
commercialization of our product candidate due to regulatory timing constraints and uncertainties in the product development and approval process, the 
inherent complexities of combination products, as well as coordination between two different centers within FDA responsible for review of the different 
components of the combination product.

Failure to successfully develop or supply the device, delays in or failure of the studies conducted by us, our collaborators, or third-party providers, 

or failure of our company, our collaborators, or third-party providers to obtain or maintain regulatory approval or clearance of the device component of VP-
102 could result in increased development costs, delays in or failure to obtain regulatory approval, and associated delays in VP-102 reaching the market. 
Further, failure to successfully develop or supply the device, or to gain or maintain its approval, could adversely affect sales of VP-102.

Changes in methods of product candidate manufacturing or formulation may result in additional costs or delay.

As product candidates proceed through preclinical studies to late-stage clinical trials towards potential approval and commercialization, it is 
common that various aspects of the development program, such as manufacturing methods and formulation, are altered along the way in an effort to 
optimize processes and results. Such changes carry the risk that they will not achieve these intended objectives. Any of these changes could cause our 
product candidates to perform differently and affect the results of planned clinical trials or other future clinical trials conducted with the altered materials. 
Such changes may also require additional testing, FDA notification or FDA approval. This could delay completion of clinical trials, require the conduct of 
bridging clinical trials or the repetition of one or more clinical trials, increase clinical trial costs, delay approval of our product candidates and jeopardize 
our ability to commence sales and generate revenue.

We may not be successful in our efforts to increase our pipeline of product candidates, including by pursuing additional indications for our current 
product candidate or in-licensing or acquiring additional product candidates for other dermatological conditions.

A key element of our strategy is to build and expand our pipeline of product candidates, including by developing VP-102 for the treatment of 

external genital warts and common warts and potentially other dermatological conditions and VP-103 for the treatment of plantar warts. In addition, we 
intend to in-license or acquire additional product candidates for other dermatological conditions to build a fully integrated dermatology company. We may 
not be able to identify or develop product candidates that are safe, tolerable and effective. Even if we are successful in continuing to build our pipeline, the 
potential product candidates that we identify, in-license or acquire may not be suitable for clinical development, including as a result of being shown to 
have harmful side 

40

 
effects or other characteristics that indicate that they are unlikely to be products that will receive marketing approval and achieve market acceptance.

We may expend our limited resources to pursue a particular product candidate or indication and fail to capitalize on product candidates or indications 
that may be more profitable or for which there is a greater likelihood of success.

Because we have limited financial and management resources, we focus on development programs and product candidates that we identify for 
specific indications. As such, we are currently primarily focused on the development of VP-102 for the treatment of molluscum, external genital warts and 
common warts, as well as VP-103 for the treatment of plantar warts and LTX-315, for the treatment of dermatological oncology indications. As a result, we 
may forego or delay pursuit of opportunities with other product candidates or for other indications for VP-102, VP-103, and LTX-315 that later prove to 
have greater commercial potential. Our resource allocation decisions may cause us to fail to capitalize on viable commercial products or profitable market 
opportunities. Our spending on current and future development programs and product candidates for specific indications may not yield any commercially 
viable products. If we do not accurately evaluate the commercial potential or target market for a particular product candidate, we may relinquish valuable 
rights to that product candidate through collaboration, licensing or other royalty arrangements in cases in which it would have been more advantageous for 
us to retain sole development and commercialization rights to such product candidate.

The regulatory approval processes of the FDA and comparable foreign authorities are lengthy, time consuming and inherently unpredictable. If we are 
not able to obtain required regulatory approval for our product candidates, our business will be substantially harmed.

The time required to obtain approval or other marketing authorizations by the FDA and comparable foreign authorities is unpredictable but typically 

takes many years following the commencement of clinical trials and depends upon numerous factors, including the substantial discretion of the regulatory 
authorities. In addition, approval policies, regulations, or the type and amount of clinical data necessary to gain approval may change during the course of a 
product candidate’s clinical development and may vary among jurisdictions. We have not obtained regulatory approval for VP-102 or any product 
candidate and it is possible that neither VP-102 nor any product candidates we may seek to develop in the future will ever obtain regulatory approval. 
Neither we nor any future collaborator is permitted to market VP-102 or any future drug product candidates in the United States until we receive regulatory 
approval of an NDA from the FDA. To date, we have not met or discussed with the European Medicines Agency or any other comparable foreign authority 
regarding regulatory approval for VP-102 or any other product candidate outside of the United States.

Prior to obtaining approval to commercialize VP-102 and any other drug product candidate in the United States or abroad, we must demonstrate 

with substantial evidence from well-controlled clinical trials, and to the satisfaction of the FDA or foreign regulatory agencies, that such product candidates 
are safe and effective for their intended uses. Results from nonclinical studies and clinical trials can be interpreted in different ways. Even if we believe the 
nonclinical or clinical data for our product candidates are promising, such data may not be sufficient to support approval by the FDA and other regulatory 
authorities. The FDA may also require us to conduct additional nonclinical studies or clinical trials for our product candidates either prior to or after 
approval, or it may object to elements of our clinical development program.

Of the large number of products in development, only a small percentage successfully complete the FDA or foreign regulatory approval processes 

and are commercialized. The lengthy approval or marketing authorization process as well as the unpredictability of future clinical trial results may result in 
our failing to obtain regulatory approval or marketing authorization to market our product candidates, which would significantly harm our business, 
financial condition, results of operations and prospects.

We have invested a significant portion of our time and financial resources in the development of VP-102. Our business is dependent on our ability to 

successfully complete preclinical and clinical development of, obtain regulatory approval for, and, if approved, successfully commercialize VP-102 and 
any future product candidates in a timely manner.

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Even if we eventually complete clinical testing and receive approval of an NDA or foreign marketing application for VP-102 or any future product 

candidates, the FDA or the applicable foreign regulatory agency may grant approval or other marketing authorization contingent on the performance of 
costly additional clinical trials, including post-market clinical trials. The FDA or the applicable foreign regulatory agency also may approve or authorize for 
marketing a product candidate for a more limited indication or patient population that we originally request, and the FDA or applicable foreign regulatory 
agency may not approve or authorize the labeling that we believe is necessary or desirable for the successful commercialization of a product candidate. Any 
delay in obtaining, or inability to obtain, applicable regulatory approval or other marketing authorization would delay or prevent commercialization of that 
product candidate and would materially adversely impact our business and prospects.

In addition, the FDA and other regulatory authorities may change their policies, issue additional regulations or revise existing regulations, or take 
other actions, which may prevent or delay approval of our future products under development on a timely basis. Such policy or regulatory changes could 
impose additional requirements upon us that could delay our ability to obtain approvals, increase the costs of compliance or restrict our ability to maintain 
any marketing authorizations we may have obtained.

Furthermore, even if we obtain regulatory approval for VP-102 and any future product candidates, we will still need to develop a commercial 
organization, establish a commercially viable pricing structure and obtain approval for adequate reimbursement from third-party and government payors. If 
we are unable to successfully commercialize VP-102 and any future product candidates, we may not be able to generate sufficient revenue to continue our 
business.

Risks Related to the Commercialization of Our Product Candidates

Even if any of our product candidates receives marketing approval, it may fail to achieve the degree of market acceptance by physicians, patients, third-
party payors and others in the medical community necessary for commercial success.

If any of our product candidates receives marketing approval, it may nonetheless fail to gain sufficient market acceptance by physicians, patients, 
third-party payors and others in the medical community. If our product candidates do not achieve an adequate level of acceptance, we may not generate 
significant revenue and we may not become profitable. The degree of market acceptance of our product candidates, if approved for commercial sale, will 
depend on a number of factors, including:

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the efficacy, safety and potential advantages compared to alternative treatments, including for VP-102, compared to compounded cantharidin;

our ability to offer our products for sale at competitive prices;

the convenience and ease of administration compared to alternative treatments, including compounded cantharidin;

the willingness of the target patient population to try new treatments and of physicians to prescribe these treatments;

our ability to hire and retain a sales force in the United States;

the strength of marketing and distribution support;

the availability of third-party coverage and adequate reimbursement for VP-102 and any other potential product candidates;

the prevalence and severity of any side effects; and

any restrictions on the use of our products together with other medications.

In the case of VP-102, the failure of healthcare professionals or patients to perceive the benefits of using VP-102 instead of compounded cantharidin 

or other alternative therapies, such as curettage or cryotherapy, would adversely affect the commercial success of VP-102, if approved.

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If we are unable to establish sales, marketing and distribution capabilities for VP-102 or any other product candidate that may receive regulatory 
approval, we may not be successful in commercializing those product candidates if and when they are approved.

We do not have sales or marketing infrastructure. To achieve commercial success for VP-102 and any other product candidate for which we may 
obtain marketing approval, we will need to establish a sales and marketing organization. In the future, we expect to build a focused sales and marketing 
infrastructure to market or co-promote some of our product candidates in the United States, if and when they are approved. There are risks involved with 
establishing our own sales, marketing and distribution capabilities. For example, recruiting and training a sales force is expensive and time consuming and 
could delay any product launch. If the commercial launch of a product candidate for which we recruit a sales force and establish marketing capabilities is 
delayed or does not occur for any reason, we would have prematurely or unnecessarily incurred these commercialization expenses. This may be costly, and 
our investment would be lost if we cannot retain or reposition our sales and marketing personnel.

Factors that may inhibit our efforts to commercialize our products on our own include:

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

the inability of sales personnel to obtain access to physicians or educate adequate numbers of physicians  on the benefits of prescribing any 
future products;

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

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

If we are unable to establish our own sales, marketing and distribution capabilities and are forced to enter into arrangements with, and rely on, third 

parties to perform these services, our revenue and our profitability, if any, are likely to be lower than if we had developed such capabilities ourselves. In 
addition, we may not be successful in entering into arrangements with third parties to sell, market and distribute our product candidates or may be unable to 
do so on terms that are favorable to us. We likely will have little control over such third parties, and any of them may fail to devote the necessary resources 
and attention to sell and market our products effectively. If we do not establish sales, marketing and distribution capabilities successfully, either on our own 
or in collaboration with third parties, we will not be successful in commercializing our product candidates.

We face substantial competition, including from compounded cantharidin products that may compete with VP-102 and any other product candidates, 
which may result in a smaller than expected commercial opportunity and/or others discovering, developing or commercializing products before or more 
successfully than we do.

The development and commercialization of new products is highly competitive. We face competition with respect to our current product candidates 
and will face competition with respect to any product candidates that we may seek to develop or commercialize in the future, from many different sources, 
including major pharmaceutical and specialty pharmaceutical companies, compounding facilities, academic institutions and governmental agencies and 
public and private research institutions.

We are aware of several other product candidates in earlier stages of development as potential treatments for the indications we intend to target. 
Novan has completed clinical trials with different programs in molluscum and plans to submit NDA in second quarter of 2022. There are a number of other 
companies developing products for common warts. In addition, other drugs have been and may continue to be used off label as treatment for molluscum, 
external genital warts, common warts, and plantar warts, and there are other existing alternative therapies such as curettage or cryotherapy.

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Currently some of the market demand for cantharidin may be satisfied by compounding pharmacies and registered outsourcing facilities regulated 
under Sections 503A and 503B of the FDCA. If we receive approval for VP-102, any compounding by licensed pharmacists or licensed physicians under 
Section 503A would not be legally permitted to include, regularly or in inordinate amounts, the compounding of any drug that is essentially a copy of VP-
102. The FDA has announced that it intends to consider a compounded drug product to be essentially a copy of a commercially available drug under 
Section 503A if it has the same API, has the same, similar, or an easily substitutable dosage strength, and can be used by the same route of administration. 
However, a compounded product would not be considered essentially a copy of VP-102, and could be compounded under Section 503A, if there were a 
difference between the compounded product and VP-102 that was made for an individual patient, and which the prescribing practitioner determines 
produces a significant difference for that patient. Similarly, any compounding by outsourcing facilities under Section 503B would not be legally permitted 
to include the compounding of a drug that is essentially a copy of VP-102, if approved, where the compounded drug would be considered essentially a copy 
if it were identical or nearly identical to VP-102 (which the FDA has interpreted to mean that it has the same active ingredient(s), route of administration, 
dosage form, dosage strength and excipients as the approved drug), or if it contains the active ingredient in VP-102 (cantharidin), unless there is a change 
from the approved drug that produces a clinical difference for an individual patient as determined by the prescribing practitioner.

Compounding pharmacies and registered outsourcing facilities may therefore be permitted to compound cantharidin drug products, even if we 

receive approval for VP-102, if a prescribing practitioner determines that a compounded product prescribed for a specific patient features a change from 
VP-102 that produces a significant difference for the patient (under Section 503A), or if a prescribing practitioner determines that a compounded 
cantharidin product features a change from VP-102 that produces a clinical difference for the patient (under Section 503B). Physicians may determine that 
such differences exist for some or all of their patients and may choose to prescribe compounded cantharidin products for such patients. Moreover, under 
Section 503B, outsourcing facilities are not limited to compounding in response to prescriptions for identified, individual patients, and could compound 
using bulk cantharidin provided cantharidin appears on a list established by the FDA of bulk drug substances for which there is a clinical need or satisfies 
certain other limited conditions. Although the FDA has not yet established a list of bulk drug substances for which there is a clinical need, the FDA has 
announced an interim policy pursuant to which bulk drug substances may be nominated for inclusion on such list and, provided certain conditions are met, 
outsourcing facilities may compound with such bulk drug substances pending evaluation of the substances for inclusion on the FDA’s list of bulk drug 
substances for which there is a clinical need. Cantharidin is currently listed among those nominated substances for which bulk drug substance may be used 
in compounding by outsourcing facilities pending FDA’s evaluation.

In March 2019, the FDA issued Guidance for Industry addressing the criteria by which the FDA intends to evaluate whether there exists a clinical 

need for compounding with a bulk drug substance, including, in the case of a bulk drug substance that is a component of an FDA-approved drug, an 
evaluation of whether there exists an attribute of the approved drug that makes it medically unsuitable to treat certain patients; whether the drug product 
proposed to be compounded is intended to address that attribute; and whether the drug product proposed to be compounded must be compounded from a 
bulk drug substance rather than from the finished, FDA-approved drug product. If the FDA implements these criteria as in the Guidance for Industry, and if 
VP-102 is approved, an outsourcing facility may be permitted to compound a cantharidin product using bulk cantharidin notwithstanding our approval 
provided it satisfies these and other criteria set forth in the FDA’s guidance.

In addition, the FDA may, in its enforcement discretion, not prioritize enforcement of the restrictions under Sections 503A and 503B on 

compounding drugs that are essentially copies of VP-102, if approved, in which case compounded drug product that is essentially a copy of VP-102 could 
be made available to physicians and their patients. In the event compounders are authorized to continue to compound cantharidin products following 
approval of VP-102, if approved, we could be subject to significant competition.

44

 
In addition, our commercial opportunity could be reduced or eliminated if our competitors develop and commercialize products that are safer, more 

effective, have fewer or less severe side effects, are more convenient or are less expensive than VP-102 or any other product that we may develop. Our 
competitors also may obtain FDA or other regulatory approval for their products more rapidly than we may obtain approval for our product, which could 
result in our competitors establishing a strong market position before we are able to enter the market or, if a competitor obtained FDA approval for a 
product containing cantharidin before we are able to obtain approval for our product, could result in the approval of our product being delayed until the 
expiration of any NCE exclusivity or other regulatory exclusivity received by such competitor.

Many of the companies against which we are competing, or against which we may compete in the future, have significantly greater financial 

resources and expertise in research and development, manufacturing, preclinical testing, conducting clinical trials, obtaining regulatory approvals and 
marketing approved products than we do. Mergers and acquisitions in the pharmaceutical and biotechnology industries may result in even more resources 
being concentrated among a smaller number of our competitors. Smaller or early-stage companies may also prove to be significant competitors, particularly 
through collaborative arrangements with large and established companies. These competitors also compete with us in recruiting and retaining qualified 
scientific and management personnel and establishing clinical trial sites and patient registration for clinical trials, as well as in acquiring technologies 
complementary to, or that may be necessary for, our programs.

We intend to seek NCE exclusivity and/or pediatric exclusivity for VP-102 and future product candidates, and we may be unsuccessful.

As part of our business strategy, we intend to seek NCE exclusivity for VP-102 or future product candidates. In the United States, a pharmaceutical 

manufacturer may obtain five years of non-patent exclusivity upon NDA approval of an NCE which is a drug that contains an active moiety that has not 
been approved by the FDA in any other NDA. An “active moiety” is defined as the molecule or ion responsible for the drug substance’s physiological or 
pharmacologic action. During the five-year exclusivity period, the FDA cannot accept for filing any ANDA seeking approval of a generic version of that 
drug or any 505(b)(2) NDA for the same active moiety and that relies on the FDA’s findings regarding that drug, except that FDA may accept an 
application for filing after four years if the follow-on applicant makes a paragraph IV certification. This exclusivity period may be extended by an 
additional six months if certain requirements are met to qualify the product for pediatric exclusivity, including the receipt of a written request from the FDA 
that we conduct certain pediatric studies, the submission of study reports from such studies to the FDA after receipt of the written request and satisfaction 
of the conditions specified in the written request. We believe that cantharidin constitutes an NCE, such that VP-102 should, if approved, be eligible for 
NCE exclusivity and that our planned clinical trials will qualify VP-102 for pediatric exclusivity if a written request from the FDA is received. However, 
there can be no guarantee that we will successfully obtain such exclusivity, and if any of our competitors obtains FDA approval of an NDA for a 
cantharidin drug product before we do, they, and not us, may be eligible for NCE exclusivity. If we do not obtain NCE exclusivity for VP-102, or if a 
competitor obtains NCE exclusivity for a cantharidin product before we receive approval of an NDA for VP-102, our ability to commence sales and 
generate revenue would be adversely affected.

Moreover, even if we obtain NCE exclusivity and/or pediatric exclusivity for VP-102, such exclusivity would not block the sale of compounded 

cantharidin products in those situations where compounding would be permitted under Sections 503A or 503B of the FDCA.

The success of VP-102 for the treatment of molluscum, external genital warts and common warts will depend significantly on coverage and adequate 
reimbursement or the willingness of patients to pay for these procedures.

We believe our success depends on continued coverage and adequate reimbursement for procedures using VP-102 for the treatment of molluscum, 
external genital warts and/or common warts or, in the absence of coverage and adequate reimbursement, on the extent to which patients will be willing to 
pay out of pocket for such procedures. Obtaining coverage and adequate reimbursement for our products may be particularly difficult because of the higher 
prices often associated with drugs administered under the supervision of a physician. Separate reimbursement for the product itself or the treatment or 
procedure in which our product is used may not be available. Even if the procedure using our product is covered, third-party payors may package the cost 
of the drug into the procedure payment and not separately reimburse the physician for the costs associated with our product. A decision by a third-party 
payor 

45

 
not to cover or separately reimburse for our products could reduce physician utilization of our products once approved. Additionally, in the United States, 
there is no uniform policy of coverage and reimbursement among third-party payors. Third-party payors often rely upon Medicare coverage policy and 
payment limitations in setting their own coverage and reimbursement policies. However, decisions regarding the extent of coverage and amount of 
reimbursement to be provided is made on a payor-by-payor basis. One payor’s determination to provide coverage for a drug product does not assure that 
other payors will also provide coverage, and adequate reimbursement.

Third-party payors determine which medical procedures they will cover and establish reimbursement levels. Even if a third-party payor covers a 

particular procedure, the resulting reimbursement payment rates may not be adequate. Patients who are treated in-office for a medical condition generally 
rely on third-party payors to reimburse all or part of the costs associated with the procedure and may be unwilling to undergo such procedures for the 
treatment of molluscum, external genital warts and/or common warts in the absence of such coverage and adequate reimbursement. Physicians may be 
unlikely to offer procedures for such treatment if they are not covered by insurance and may be unlikely to purchase and use our product candidates, if 
approved, for molluscum, external genital warts and/or common warts unless coverage is provided, and reimbursement is adequate.

Reimbursement by a third-party payor may depend upon a number of factors, including the third-party payor’s determination that a procedure is 

safe, effective and medically necessary; appropriate for the specific patient; cost-effective; supported by peer-reviewed medical journals; included in 
clinical practice guidelines; and neither cosmetic, experimental, nor investigational.

Further, from time to time, typically on an annual basis, payment rates are updated and revised by third-party payors. Such updates could impact the 
demand for our product candidates, to the extent that patients who are prescribed our product candidates, if approved, are not separately reimbursed for the 
cost of the product candidates. An example of payment updates is the Medicare program updates to physician payments, which is done on an annual basis. 
In the past, when the application of the formula resulted in lower payment, Congress has passed interim legislation to prevent the reductions. The Medicare 
Access and CHIP Reauthorization Act of 2015, or MACRA, ended the use of the statutory formula and also referred to as the Sustainable Growth Rate, for 
certain payment and established a quality payment incentive program, also referred to as the Quality Payment Program. This program provides clinicians 
with two ways to participate, including through the Advanced Alternative Payment Models, or APMs and the Merit-based Incentive Payment System, or 
MIPS. In November 2019, CMS issued a final rule finalizing the changes to the Quality Payment Program. At this time, it is unclear how the introduction 
of the Quality Payment Program will impact overall physician reimbursement under the Medicare program. Any resulting decrease in payment under the 
merit-based reimbursement system may adversely affect our revenue and results of operations. In addition, the Medicare physician fee schedule has been 
adapted by some private payors into their plan-specific physician payment schedule. We cannot predict how pending and future healthcare legislation will 
impact our business, and any changes in coverage and reimbursement that further restricts coverage of our product candidates or lowers reimbursement for 
procedures using our products could harm our business.

Foreign governments also have their own healthcare reimbursement systems, which vary significantly by country and region, and we cannot be sure 

that coverage and adequate reimbursement will be made available with respect to the treatments in which our products are used under any foreign 
reimbursement system.

There can be no assurance that VP-102 for the treatment of molluscum, external genital warts and/or common warts, if approved for sale in the 
United States or in other countries, will be considered medically reasonable and necessary, that they will be considered cost-effective by third-party payors, 
that coverage or an adequate level of reimbursement will be available, or that reimbursement policies and practices in the United States and in foreign 
countries where our products are sold will not adversely affect our ability to sell our product candidates profitably, if they are approved for sale.

46

 
The market for VP-102 and any other product candidates may not be as large as we expect.

Our lead indications for VP-102 are for molluscum, external genital warts and common warts, each of which are skin diseases that are currently 
undertreated with no standard of care. If VP-102 is approved for any of these indications, individuals may continue to decline treatment for molluscum, 
external genital warts and/or common warts as, if left untreated, these skin diseases will eventually be resolved by the body’s immune system.

In addition, our estimates of the potential market opportunity for VP-102 and any other product candidates include several key assumptions based on 

our industry knowledge, industry publications, third-party research reports and surveys of dermatologists commissioned by us. These assumptions include 
the prevalence of molluscum, external genital warts, common warts and other skin diseases as well as the estimated reimbursement levels for VP-102, if 
approved. However, there can be no assurance that any of these assumptions are, or will remain, accurate. Furthermore, even if our estimates relating to the 
prevalence of molluscum, external genital warts, common warts and other skin diseases as well as the estimated reimbursement levels for VP-102, if 
approved, are accurate, the degree of market acceptance by the medical community and those infected by such skin diseases following regulatory approval, 
if any, could impact our assumptions and reduce the market size for VP-102 in molluscum, external genital warts, common warts or any other indication. 
For example, if VP-102 is approved for molluscum, external genital warts or common warts, there can be no assurance that the medical community will 
prescribe VP-102 for patients over current forms of available alternative therapies. Furthermore, the market research study we commissioned surveying 
payor organizations has no bearing on the payors, and any assumptions or interpretations based on the results of this study, may ultimately be inaccurate. If 
the actual market for VP-102 in molluscum, external genital warts, common warts or any other indication we may pursue for VP-102 or for any other 
product candidate we may develop is smaller than we expect, our revenues, if any, may be limited and it may be more difficult for us to achieve or maintain 
profitability.

Product liability lawsuits against us could cause us to incur substantial liabilities and to limit commercialization of any products that we may develop.

We face an inherent risk of product liability exposure related to the testing of our product candidates in human clinical trials and will face an even 

greater risk if we commercially sell any products that we may develop. If we cannot successfully defend ourselves against claims that our product 
candidates or drugs caused injuries, we will incur substantial liabilities. Regardless of merit or eventual outcome, liability claims may result in:

•

•

•

•

•

•

•

•

decreased demand for any product candidates or drugs that we may develop;

injury to our reputation and significant negative media attention;

withdrawal of clinical trial participants;

significant costs to defend the related litigation;

substantial monetary awards paid to trial participants or patients;

loss of revenue;

reduced resources of our management to pursue our business strategy; and

the inability to commercialize any products that we may develop.

We currently hold $10 million in product liability insurance coverage in the aggregate, with a per incident limit of $10 million, which may not be 

adequate to cover all liabilities that we may incur. We may need to increase our insurance coverage as we expand our clinical trials or if we commence 
commercialization of our product candidates. Insurance coverage is increasingly expensive. We may not be able to maintain insurance coverage at a 
reasonable cost or in an amount adequate to satisfy any liability that may arise.

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Our business activities involve the use of hazardous materials, which require compliance with environmental and occupational safety laws regulating 
the use of such materials. If we or our vendors violate these laws, we could be subject to significant fines, liabilities or other adverse consequences.

Our business activities involve the controlled use of hazardous materials, including corrosive, explosive and flammable chemicals and other 
hazardous compounds in addition to certain biological hazardous waste. Ultimately, the activities of our third-party product manufacturers when a product 
candidate reaches commercialization will also require the use of hazardous materials. Accordingly, we are subject to federal, state and local laws governing 
the use, handling and disposal of these materials. For example, cantharidin is classified as an extremely hazardous substance in the United States and is 
subject to strict reporting requirements. Furthermore, the excipients in our product candidate are combustible and flammable. If not handled properly, there 
is a risk of explosion which could carry liability risk and affect the availability or capacity of the affected vendor. Although we believe that our and our 
vendors’ safety procedures for handling and disposing of these materials comply in all material respects with the standards prescribed by local, state and 
federal regulations, we cannot completely eliminate the risk of accidental contamination or injury from these materials. In addition, our collaborators may 
not comply with these laws. In the event of an accident or failure to comply with environmental laws, we could be held liable for damages that result, and 
any such liability could exceed our assets and resources, or we could be subject to limitations or stoppages related to our use of these materials which may 
lead to an interruption of our business operations or those of our third-party contractors. While we believe that our existing insurance coverage is generally 
adequate for our normal handling of these hazardous materials, it may not be sufficient to cover pollution conditions or other extraordinary or unanticipated 
events. Furthermore, an accident could damage or force us to shut down our operations or one of our vendors. Changes in environmental laws may impose 
costly compliance requirements on us or otherwise subject us to future liabilities and additional laws relating to the management, handling, generation, 
manufacture, transportation, storage, use and disposal of materials used in or generated by the manufacture of our products or related to our clinical trials. 
In addition, we cannot predict the effect that these potential requirements may have on us, our suppliers and contractors or our customers.

Risks Related to Our Dependence on Third Parties

We will rely on third parties to conduct our future clinical trials for product candidates, and those third parties may not perform satisfactorily, 
including failing to meet deadlines for the completion of such trials.

We have engaged a CRO historically to conduct our clinical trials and expect to engage a CRO for future clinical trials for VP-102 or other product 

candidates that we may progress to clinical development. We expect to continue to rely on third parties, such as clinical data management organizations, 
medical institutions and clinical investigators, to conduct those clinical trials. If any of our relationships with these third parties terminate, we may not be 
able to timely enter into arrangements with alternative third parties or to do so on commercially reasonable terms, if at all. In addition, any third parties 
conducting our clinical trials will not be our employees, and except for remedies available to us under our agreements with such third parties, we cannot 
control whether or not they devote sufficient time and resources to our clinical programs. If these third parties do not successfully carry out their 
contractual duties or obligations or meet expected deadlines, if they need to be replaced or if the quality or accuracy of the clinical data they obtain is 
compromised due to the failure to adhere to our clinical protocols, regulatory requirements or for other reasons, our clinical trials may be extended, delayed 
or terminated and we may not be able to obtain regulatory approval for or successfully commercialize our product candidates. Consequently, our results of 
operations and the commercial prospects for our product candidates would be harmed, our costs could increase substantially and our ability to generate 
revenue could be delayed significantly.

Switching or adding CROs involves substantial cost and requires management time and focus. In addition, there is a natural transition period when a 
new CRO commences work. As a result, delays occur, which can materially impact our ability to meet our desired clinical development timelines. Though 
we intend to carefully manage our relationships with our CROs, there can be no assurance that we will not encounter challenges or delays in the future or 
that these delays or challenges will not have a material adverse impact on our business, financial condition and prospects.

We rely on these parties for execution of our preclinical studies and clinical trials, and generally do not control their activities. Our reliance on these 
third parties for research and development activities will reduce our control over these activities but will not relieve us of our responsibilities. For example, 
we will remain responsible for 

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ensuring that each of our clinical trials is conducted in accordance with the general investigational plan and protocols for the trial. Moreover, the FDA 
requires us to comply with standards, commonly referred to as good clinical practices, or GCPs, for conducting, recording and reporting the results of 
clinical trials to assure that data and reported results are credible and accurate and that the rights, integrity and confidentiality of trial participants are 
protected. We also are required to register ongoing clinical trials and post the results of completed clinical trials on a government-sponsored database, 
ClinicalTrials.gov, within specified timeframes. Failure to do so can result in fines, adverse publicity and civil and criminal sanctions. If we or any of our 
CROs or other third parties, including trial sites, fails to comply with applicable GCPs, the clinical data generated in our clinical trials may be deemed 
unreliable and the FDA, EMA or comparable foreign regulatory authorities may require us to perform additional clinical trials before approving our 
marketing applications. We cannot assure you that upon inspection by a given regulatory authority, such regulatory authority will determine that any of our 
clinical trials complies with GCP regulations. In addition, our clinical trials must be conducted with product produced under cGMP conditions. Our failure 
to comply with these regulations may require us to repeat clinical trials, which would delay the regulatory approval process.

In addition, principal investigators for our clinical trials may serve as scientific advisors or consultants to us from time to time and receive 
compensation in connection with such services. Under certain circumstances, we may be required to report some of these relationships to the FDA. The 
FDA may conclude that a financial relationship between us and a principal investigator has created a conflict of interest or otherwise affected interpretation 
of the trial. The FDA may therefore question the integrity of the data generated at the applicable clinical trial site and the utility of the clinical trial itself 
may be jeopardized. This could result in a delay in approval, or rejection, of our marketing applications by the FDA and may ultimately lead to the denial 
of marketing approval of VP-102 and any other product candidates.

We also expect to rely on other third parties to store and distribute product supplies for our clinical trials. Any performance failure on the part of our 

distributors could delay clinical development or marketing approval of our product candidates or commercialization of our products, producing additional 
losses and depriving us of potential revenue.

We currently rely on a third party to supply our raw material used in VP-102, and if we encounter any extended difficulties in procuring, or creating an 
alternative for, our raw material in VP-102 or any of our other product candidates we may develop, our business operations would be impaired.

To date, we have obtained naturally-sourced cantharidin, which is the raw material used to manufacture the API for VP-102 and is obtained from 
blister beetles, directly or indirectly from suppliers based in the People’s Republic of China, or the PRC. We are exposed to a number of environmental 
risks, including:

•

•

•

risk of contamination being introduced in the beetle population through environmental factors that we cannot control, which would result in 
unexpected anomalies or new impurities in the cantharidin;

loss of the beetle’s habitat and other similar environmental risks to the beetle population whether due to climate change, over-development, 
or otherwise; and

risk of disease in the beetles.

In addition, any business, public health or economic challenges our existing supplier faces, whether in the ordinary course or not, could impair its 

ability to meet our cantharidin supply needs. Accordingly, there is a risk that supplies of our product may be significantly delayed by or may become 
unavailable for an extended period of time as a result of any issues affecting our supplier’s supply and production of naturally-sourced cantharidin.

Furthermore, our supplier’s operations may be curtailed or delayed in the event the regulators in the PRC determine that our supplier is not acting in 

accordance with laws or under appropriate permits or licenses. We may also face additional supply chain risks due to the regulatory and political structure 
of the PRC, or as a result of the international relationship between the PRC and the United States or any of the other countries in which our products are 
marketed. For example, any deterioration in the trade relationship between the U.S. and China, which imposes any restrictions, tariffs or limitations on the 
export of cantharidin from China would impact our ability to meet our raw material needs. We are also exposed to foreign exchange risks, and fluctuations 
in exchange rates between the U.S. dollar and the Renminbi could negatively impact the commercial viability of importing cantharidin from the PRC.

49

 
While we have successfully developed a lab scale process for synthesizing the cantharidin molecule, there is risk that we will be unable to scale the 

process to produce a sufficient quantity of synthetically derived cantharidin to meet our needs and, even if we are ultimately able to scale the proposed 
process successfully, we cannot predict when we will be able to do so. Intermediate compounds in this proposed synthetic process have been successfully 
synthesized to a pilot scale.  If we are unable to scale the developed process for manufacturing cantharidin synthetically to a satisfactory commercial scale, 
we may be forced to continue to rely on naturally sourced cantharidin. 

Any extended difficulties we face in maintaining our supply of cantharidin, or limitations we face in increasing our supply to meet commercial 
needs for VP-102 or any of our other product candidates, whether such cantharidin is naturally sourced or synthetically derived, would impair our business 
operations.

COVID-19 has adversely impacted and could continue to adversely impact our business.

COVID-19 has spread worldwide, resulting in governments implementing numerous containment measures such as travel bans and restrictions, 

quarantines and shutdowns. These measures have impacted, and may further impact, our workforce and operations. The COVID-19 pandemic continues to 
evolve and it has increased the duration and impact of economic and demand uncertainty

As a direct result of COVID-19, we have decided to delay the initiation of our Phase 3 clinical trials to evaluate VP-102 in subjects with common 

warts as well as our planned Phase 2 clinical trial to evaluate VP-103 in subjects with plantar warts.  As COVID-19 continues to evolve, we may 
experience continued and additional disruptions or impairments that could severely impact our business, supply chain, clinical trials, or ability to obtain 
regulatory approval for, or commercialize, VP-102, including: 

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•

delays or inability to obtain raw material, ingredients, or components;

possible capacity constraints at key suppliers and service providers which could impact the ability to build launch stock;

further delays or difficulties in enrolling patients in our clinical trials;

further delays or difficulties in clinical site initiation, including difficulties in recruiting clinical site investigators and clinical site staff;

delays in review of regulatory filings by regulatory authorities, including but not limited to travel restrictions that may prevent the FDA from 
being able to conduct any necessary preapproval inspections of our vendors’ facilities, as well as our ability to generate responses to the FDA 
inquiries per the CRL regarding our filed NDA for VP-102;

delays or limitations in our ability to commercialize VP-102, regardless of regulatory approval, including challenges involving the healthcare 
providers who would prescribe and administer VP-102, delays in launch preparation activities, or delays in establishing, and subsequently 
deploying, a commercial field force;

limitations on travel or access to third-party facilities imposed or recommended by federal or state governments, employers, suppliers, and 
others; and

limitations of internal and third-party employee resources that would otherwise be focused on the above activities, including sickness of 
employees or their families, travel restrictions or social distancing, or the desire of employees to avoid contact with large groups of people.

We are closely monitoring the pandemic and do not yet know the extent to which COVID-19 may materially impact our business, supply chain, 
clinical trials and regulatory filings will depend on future developments, which are highly uncertain and cannot be predicted with confidence, such as the 
ultimate geographic spread of the disease, the duration of the outbreak, travel restrictions and social distancing in the United States and other countries, 
business closures or business disruptions and the effectiveness of actions taken in the United States and other countries to contain and treat the disease.

50

 
 
 
 
 
 
 
 
 
 
 
 
We contract with third parties for the manufacture of VP-102 for preclinical and clinical testing and expect to continue to do so for commercialization. 
This reliance on third parties increases the risk that we will not have sufficient quantities of VP-102 or such quantities at an acceptable cost, which 
could delay, prevent or impair our development or commercialization efforts.

We do not have any manufacturing facilities or personnel. We currently rely, and expect to continue to rely, on third parties for the manufacture of 

VP-102, or any other product candidates which we may pursue, for preclinical and clinical testing as well as for commercial manufacture if VP-102 or any 
other product candidate which we may pursue receives marketing approval. This reliance on third parties increases the risk that we will not have sufficient 
quantities of VP-102 or be able to obtain quantities at an acceptable cost or quality, which could delay, prevent or impair our ability to timely conduct our 
clinical trials or our other development or commercialization efforts.

We also expect to rely on third-party manufacturers or third-party collaborators for the manufacture of commercial supply of VP-102 or any other 

product candidates for which we obtain marketing approval. The facilities used by our contract manufacturers to manufacture our product candidates must 
be approved by the FDA or other regulatory authorities pursuant to inspections that will be conducted prior to approval of our NDA, if at all, and in the 
future of additional NDAs or comparable marketing application to the FDA or other regulatory authority. We do not have control over a supplier’s or 
manufacturer’s compliance with laws, regulations and applicable cGMP standards and other laws and regulations, such as those related to environmental 
health and safety matters. If our contract manufacturers cannot successfully manufacture material that conforms to our specifications and the strict 
regulatory requirements of the FDA or others, they will not be able to secure and maintain regulatory approval for their manufacturing facilities. In 
addition, we have no control over the ability of our contract manufacturers to maintain adequate quality control, quality assurance and qualified personnel. 
If the FDA or a comparable foreign regulatory authority does not approve these facilities for the manufacture of our product candidates or if it withdraws 
any such approval in the future, we may need to find alternative manufacturing facilities, which would significantly impact our ability to develop, obtain 
regulatory approval for or market our product candidates, if approved.

We may be unable to establish any agreements with future third-party manufacturers or to do so on acceptable terms. Even if we are able to establish 

agreements with third-party manufacturers, qualifying and validating such manufacturers may take a significant period of time and reliance on third-party 
manufacturers entails additional risks, including:

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•

reliance on the third party for regulatory compliance and quality assurance;

the possible breach of the manufacturing agreement by the third party;

the possible misappropriation of our proprietary information, including our trade secrets and know-how;

the possible increase in costs for the applicator components, raw materials or API in VP-102; and

the possible termination or nonrenewal of any agreement by any third party at a time that is costly or inconvenient for us.

Third-party manufacturers may not be able to comply with cGMP regulations or similar regulatory requirements outside the United States. Our 
failure, or the failure of our third-party manufacturers, to comply with applicable regulations could result in sanctions being imposed on us, including 
clinical holds, fines, injunctions, civil penalties, delays, suspension or withdrawal of approvals, license revocation, seizures or recalls of product candidates 
or drugs, operating restrictions and criminal prosecutions, any of which could significantly and adversely affect supplies of our products.

Our product candidates and any drugs that we may develop may compete with other product candidates and drugs for access to manufacturing 
facilities. There are no assurances we would be able to enter into similar commercial arrangements with other manufacturers that operate under cGMP 
regulations and that might be capable of manufacturing for us. Any performance failure on the part of our existing or future manufacturers could delay 
clinical development or marketing approval.

To date, all assembly of our single-use precision applicators has been done using manual processes. In order to meet anticipated volume 

requirements, we will need to successfully validate our proposed automated assembly 

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process as designed. If our current contract manufacturers cannot perform as agreed, we may be required to replace such manufacturers. We may incur 
added costs and delays in identifying and qualifying any such replacement. We expect to continue to depend on third-party contract manufacturers for the 
foreseeable future. Our current and anticipated future dependence upon others for the manufacture of our product candidates or drugs may adversely affect 
our future profit margins and our ability to commercialize any drugs that receive marketing approval on a timely and competitive basis. If there is any 
disruption in our supply chain, it could take a significant period of time to qualify and validate a replacement on terms acceptable to us, if we are able to at 
all.

We have entered into, and may seek additional, collaborations with third parties for the development or commercialization of our product candidates. If 
those collaborations are not successful, we may not be able to capitalize on the market potential of these product candidates.

On March 17, 2021, we entered into the Torii Agreement, pursuant to which we granted Torii an exclusive license to develop and commercialize our 

product candidates that contain a topical formulation of cantharidin for the treatment of molluscum contagiosum and common warts in Japan, including 
VP-102.  Additionally, we granted Torii a right of first negotiation with respect to additional indications for the licensed products and certain additional 
products for use in the licensed field, in each case in Japan.  We may seek additional third-party collaborators for the development and commercialization 
of our product candidates, including for the commercialization of any of our product candidates that are approved for marketing outside the United States. 
Our likely collaborators for any collaboration arrangements include large and mid-size pharmaceutical companies, regional and national pharmaceutical 
companies and biotechnology companies. Such agreements may provide us limited control over the amount and timing of resources that our collaborators 
dedicate to the development or commercialization of our product candidates. For instance, Torii is responsible for all development activities and costs in 
support of obtaining regulatory approval of the licensed products in Japan, provided that Torii’s activities will be overseen by a joint steering committee. 

Our ability to generate revenue from these arrangements will depend on our collaborators’ abilities to successfully perform the functions assigned to 

them in these arrangements.

Collaborations involving our product candidates would pose the following risks to us:

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collaborators have significant discretion in determining the efforts and resources that they will apply to these collaborations;

collaborators may not perform their obligations as expected;

collaborators may not pursue development and commercialization of any product candidates that achieve regulatory approval or may elect 
not to continue or renew development or commercialization programs based on clinical trial results, changes in the collaborators’ strategic 
focus or available funding, or external factors, such as an acquisition, that divert resources or create competing priorities;

collaborators may delay clinical trials, provide insufficient funding for a clinical trial program, stop a clinical trial or abandon a product 
candidate, repeat or conduct new clinical trials or require a new formulation of a product candidate for clinical testing;

collaborators could independently develop, or develop with third parties, products that compete directly or indirectly with our product 
candidates if the collaborators believe that competitive products are more likely to be successfully developed or can be commercialized under 
terms that are more economically attractive than ours;

product candidates discovered in collaboration with us may be viewed by our collaborators as competitive with their own product candidates 
or drugs, which may cause collaborators to cease to devote resources to the commercialization of our product candidates;

a collaborator with marketing and distribution rights to one or more of our product candidates that achieve regulatory approval may not 
commit sufficient resources to the marketing and distribution of such products;

disagreements with collaborators, including disagreements over proprietary rights, contract interpretation or the preferred course of 
development, might cause delays or termination of the research, 

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development or commercialization of product candidates, might lead to additional responsibilities for us with respect to product candidates, 
or might result in litigation or arbitration, any of which would be time-consuming and expensive;

collaborators may not properly maintain or defend our or their intellectual property rights or may use our or their proprietary information in 
such a way as to invite litigation that could jeopardize or invalidate such intellectual property or proprietary information or expose us to 
potential litigation;

collaborators may infringe the intellectual property rights of third parties, which may expose us to litigation and potential liability; and

collaborations may be terminated for the convenience of the collaborator and, if terminated, we could be required to raise additional capital to 
pursue further development or commercialization of the applicable product candidates.

•

•

•

Collaboration agreements may not lead to development or commercialization of product candidates in the most efficient manner or at all. If a 

present or future collaborator of ours were to be involved in a business combination, the continued pursuit and emphasis on our product development or 
commercialization program could be delayed, diminished or terminated. Further cannot guarantee these relationships, including our relationship with Torii, 
will continue or that we will be able to receive the milestone or transfer price payments pursuant to the Torii Agreement or any other future collaboration 
agreement.  

If we are not able to establish additional collaborations, we may have to alter our development and commercialization plans.

Our product development programs and the potential commercialization of our product candidates will require substantial additional capital. For 

some of our product candidates, we may decide to collaborate with pharmaceutical and biotechnology companies for the development and potential 
commercialization of those product candidates. For instance, we have entered into the Torii Agreement, pursuant to which we granted Torii an exclusive 
license to develop and commercialize our product candidates that contain a topical formulation of cantharidin for the treatment of molluscum contagiosum 
and common warts in Japan, including VP-102.

We face significant competition in seeking appropriate collaborators. Whether we reach a definitive agreement for a collaboration will depend, 
among other things, upon our assessment of the collaborator’s resources and expertise, the terms and conditions of the proposed collaboration and the 
proposed collaborator’s evaluation of a number of factors. Those factors may include the design or results of clinical trials, the likelihood of approval by 
the FDA or similar regulatory authorities outside the United States, the potential market for the subject product candidate, the costs and complexities of 
manufacturing and delivering such product candidate to patients, the potential of competing products, the existence of uncertainty with respect to our 
ownership of technology, which can exist if there is a challenge to such ownership without regard to the merits of the challenge and industry and market 
conditions generally. The collaborator may also consider alternative product candidates or technologies for similar indications that may be available to 
collaborate on and whether such a collaboration could be more attractive than the one with us for our product candidate. Collaborations are complex and 
time- consuming to negotiate and document. In addition, there have been a significant number of recent business combinations among large pharmaceutical 
companies that have resulted in a reduced number of potential future collaborators.

We may not be able to negotiate collaborations on a timely basis, on acceptable terms, or at all. If we are unable to do so, we may have to curtail the 

development of such product candidate, reduce or delay its development program or one or more of our other development programs, delay its potential 
commercialization or reduce the scope of any sales or marketing activities, or increase our expenditures and undertake development or commercialization 
activities at our own expense. If we elect to increase our expenditures to fund development or commercialization activities on our own, we may need to 
obtain additional capital, which may not be available to us on acceptable terms or at all. If we do not have sufficient funds, we may not be able to further 
develop our product candidates or bring them to market and generate revenue.

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Risks Related to Our Intellectual Property

If we are unable to obtain or protect intellectual property rights related to any of our product candidates, we may not be able to compete effectively in 
our market.

We plan to rely upon a combination of patents, trade secret protection, and confidentiality agreements to protect the intellectual property related to 

our product candidates. The issuance, scope, validity, enforceability, strength, and commercial value of patents in the pharmaceutical field involves 
complex legal and scientific questions and can be uncertain.  Although we currently have several issued United States and international patents, other 
patent applications that we own may fail to result in other issued patents with claims that cover the product candidates in the United States or in foreign 
jurisdictions. If this were to occur, early generic competition could be expected against our product candidates in development in certain jurisdictions. 
There may be relevant prior art relating to our patents and patent applications which could invalidate a patent or prevent a patent from issuing based on a 
pending patent application. In particular, because the API in many of our product candidates has been available and used for many years, it is possible that 
these products have previously been used in such a manner that such prior usage would affect our ability to obtain patents based on our patent applications. 
Moreover, because numerous parties have developed and/or commercialized, or are developing, a wide variety of applicator devices for use with topical 
dermatological medications, it is possible that prior art related to applicator devices could affect our ability to obtain patent protection for our planned 
product applicator device or that disputes may arise related to whether third-party applicator devices infringe patents we have applied for.

The patent prosecution process is expensive and time-consuming. We may not be able to prepare, file, and prosecute all necessary or desirable patent 

applications for a commercially reasonable cost or in a timely manner or in all jurisdictions. It is also possible that we may fail to identify patentable 
aspects of inventions made in the course of development and commercialization activities before it is too late to obtain patent protection on them. 
Moreover, depending on the terms of any future in-licenses to which we may become a party, we may not have the right to control the preparation, filing, 
and prosecution of patent applications, or to maintain the patents, covering technology in-licensed from third parties. Therefore, these patents and patent 
applications may not be prosecuted and enforced in a manner consistent with the best interests of our business.

In addition to the protection we hope to receive from patents we have applied for, we rely on trade secret protection and confidentiality agreements 
to protect proprietary know-how that is not patentable, processes for which patents are difficult to enforce and any other elements of our drug development 
and reformulation processes that involve proprietary know-how, information, or technology that is not covered by patents. Although we generally require 
all of our employees to assign their inventions to us, and all of our employees, consultants, advisors, and any third parties who have access to our 
proprietary know-how, information, or technology to enter into confidentiality agreements, we cannot provide any assurances that all such agreements have 
been duly executed, or that our trade secrets and other confidential proprietary information will not be disclosed. Moreover, our competitors may 
independently develop knowledge, methods and know-how equivalent to our trade secrets. Competitors could purchase our products and replicate some or 
all of the competitive advantages we derive from our development efforts for technologies on which we do not have patent protection. If any of our trade 
secrets were to be lawfully obtained or independently developed by a competitor, we would have no right to prevent them, or those to whom they 
communicate it, from using that technology or information to compete with us. If any of our trade secrets were to be disclosed to or independently 
developed by a competitor, our competitive position would be harmed.

We also seek to preserve the integrity and confidentiality of our data and trade secrets by maintaining physical security of our premises and physical 

and electronic security of our information technology systems. While we have confidence in these individuals, organizations and systems, agreements or 
security measures may be breached, and we may not have adequate remedies for any breach. Also, if the steps taken to maintain our trade secrets are 
deemed inadequate, we may have insufficient recourse against third parties for misappropriating the trade secret. In addition, others may independently 
discover our trade secrets and proprietary information. For example, the FDA is considering whether to make additional information publicly available on a 
routine basis, including information that we may consider to be trade secrets or other proprietary information, and it is not clear at the present time how the 
FDA’s disclosure policies may change in the future. If we are unable to prevent material disclosure of the non-patented intellectual property related to our 
technologies to third parties, and there is no guarantee that we will have 

54

 
any such enforceable trade secret protection, we may not be able to establish or maintain a competitive advantage in our market, which could materially 
adversely affect our business, results of operations and financial condition.

We may enjoy only limited geographical protection with respect to certain patents and we may not be able to protect our intellectual property rights 
throughout the world.

Filing and prosecuting patent applications and defending patents covering our product candidates in all countries 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 have patent protection, but enforcement rights are not as strong as that in the 
United States or Europe. These products may compete with our product candidates, and our current and future patents or other intellectual property rights 
may not be effective or sufficient to prevent them from competing.

In addition, we may decide to abandon national and regional patent applications before grant. The examination of each national or regional patent 

application is an independent proceeding. As a result, patent applications in the same family may issue as patents in some jurisdictions, such as in the 
United States, but may issue as patents with claims of different scope or may even be refused in other jurisdictions. It is also quite common that depending 
on the country, the scope of patent protection may vary for the same product candidate or technology.

While we intend to protect our intellectual property rights in our expected significant markets, we cannot ensure that we will be able to initiate or 

maintain similar efforts in all jurisdictions in which we may wish to market our product candidates. Accordingly, our efforts to protect our intellectual 
property rights in such countries may be inadequate, which may have an adverse effect on our ability to successfully commercialize our product candidates 
in all of our expected significant foreign markets. If we encounter difficulties in protecting, or are otherwise precluded from effectively protecting, the 
intellectual property rights important for our business in such jurisdictions, the value of these rights may be diminished, and we may face additional 
competition from others in those jurisdictions.

The laws of some jurisdictions do not protect intellectual property rights to the same extent as the laws or rules and regulations in the United States 
and Europe, and many companies have encountered significant difficulties in protecting and defending such rights in such jurisdictions. The legal systems 
of certain countries, particularly certain developing countries, do not favor the enforcement of patents, trade secrets, and other intellectual property rights, 
which could make it difficult for us to stop the infringement of our patents or marketing of competing products in violation of our proprietary rights 
generally. Proceedings to enforce our patent rights in other jurisdictions, whether or not successful, could result in substantial costs and divert our efforts 
and attention from other aspects of our business, could put our patents at risk of being invalidated or interpreted narrowly and our patent applications at risk 
of not issuing as patents, and could provoke third parties to assert claims against us. We may not prevail in any lawsuits that we initiate and the damages or 
other remedies awarded, if any, may not be commercially meaningful. Accordingly, our efforts to enforce our intellectual property rights around the world 
may be inadequate to obtain a significant commercial advantage from the intellectual property that we develop or license.

Some countries also have compulsory licensing laws under which a patent owner may be compelled to grant licenses to third parties. In addition, 
some countries limit the enforceability of patents against government agencies or government contractors. In those countries, the patent owner may have 
limited remedies, which could materially diminish the value of such patents. If we are forced to grant a license to third parties with respect to any patents 
relevant to our business, our competitive position may be impaired.

Recent patent reform legislation could increase the uncertainties and costs surrounding the prosecution of our patent applications and the enforcement 
or defense of our patents.

Our ability to obtain patents is highly uncertain because, to date, some legal principles remain unresolved, there has not been a consistent policy 

regarding the breadth or interpretation of claims allowed in patents in the United States and the specific content of patents and patent applications that are 
necessary to support and interpret patent claims is highly uncertain due to the complex nature of the relevant legal, scientific, and factual issues. Changes in 
either patent laws or interpretations of patent laws in the United States and other countries may diminish the value of our intellectual property or narrow the 
scope of our patent protection.

For example, on September 16, 2011, the Leahy-Smith America Invents Act, or the Leahy-Smith Act, was signed into law. The Leahy-Smith Act 

includes a number of significant changes to United States patent law. These 

55

 
include provisions that affect the way patent applications will be prosecuted and may also affect patent litigation. The United States Patent and Trademark 
Office, or USPTO, has developed new and untested regulations and procedures to govern the full implementation of the Leahy-Smith Act, and many of the 
substantive changes to patent law associated with the Leahy-Smith Act, and in particular, the first to file provisions, only became effective in March 2013. 
The Leahy-Smith Act has also introduced procedures making it easier for third parties to challenge issued patents, as well as to intervene in the prosecution 
of patent applications. Finally, the Leahy-Smith Act contains new statutory provisions that require the USPTO to issue new regulations for their 
implementation, and it may take the courts years to interpret the provisions of the new statute. It is too early to tell what, if any, impact the Leahy-Smith 
Act will have on the operation of our business and the protection and enforcement of our intellectual property. However, 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. Further, 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 actions 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 owned or licensed or that we might obtain in the future. An inability to obtain, enforce, and 
defend patents covering our proprietary technologies would materially and adversely affect our business prospects and financial condition.

Similarly, changes in patent laws and regulations in other countries or jurisdictions or changes in the governmental bodies that enforce them or 
changes in how the relevant governmental authority enforces patent laws or regulations may weaken our ability to obtain new patents or to enforce patents 
that we may obtain in the future. 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. For example, if the issuance to us, in a given country, of a patent covering an invention is not followed by the issuance, in other 
countries, of patents covering the same invention, or if any judicial interpretation of the validity, enforceability, or scope of the claims, or the written 
description or enablement, in a patent issued in one country is not similar to the interpretation given to the corresponding patent issued in another country, 
our ability to protect our intellectual property in those countries may be limited. Changes in either patent laws or in interpretations of patent laws in the 
United States and other countries may materially diminish the value of our intellectual property or narrow the scope of our patent protection.

Obtaining and maintaining our patent protection depends on compliance with various procedural, document submission, fee payment, and other 
requirements imposed by government patent agencies, and our patent protection could be reduced or eliminated for non-compliance with these 
requirements.

Periodic maintenance fees, renewal fees, annuity fees, and various other government fees on patents and/or applications will be due to be paid to the 

USPTO and various government patent agencies outside of the United States over the lifetime of our patents and/or applications and any patent rights we 
may obtain in the future. We rely on our outside counsel to pay these fees. The USPTO and various non-U.S. government patent agencies require 
compliance with several procedural, documentary, fee payment, and other similar provisions during the patent application process. We employ reputable 
law firms and other professionals to help us comply. In many cases, an inadvertent lapse can be cured by payment of a late fee or by other means in 
accordance with the applicable rules. There are situations, however, in which non-compliance can result in abandonment or lapse of the patents or patent 
applications, resulting in partial or complete loss of patent rights in the relevant jurisdiction. In such an event, potential competitors might be able to enter 
the market, and this circumstance could harm our business.

The patent applications that we have covering our product candidates are limited to specific formulations, preparations and devices, and methods of 
use and manufacturing processes, and our market opportunity for our product candidates may be limited by the lack of patent protection for the active 
ingredient itself and by competition from other formulations and manufacturing processes, as well as administration methods that may be developed by 
competitors.

Cantharidin is a naturally occurring compound found in many species of blister beetles and has been used since ancient times for medicinal 

purposes. Therefore, the composition of matter for the chemical structure of cantharidin itself, which is the API used in our product candidates, is not 
eligible for patent protection. We seek to 

56

 
obtain patent protection for our manufacturing technology, drug administering technology and our product candidates, including specific formulations, 
preparations and devices, and methods of use and manufacturing processes. Although the protection afforded by our patents and patent applications may be 
significant with respect to VP-102, when looking at the ability of the patents and patent applications to block competition, the protection offered by the 
patents and patents applications may be, to some extent, more limited than the protection provided by a patent claiming the composition of matter of an 
entirely new chemical entity previously unknown. As a result, generic products that do not infringe the claims of our patents covering formulations, 
preparations, devices, methods of use, and manufacturing processes may be available while we are marketing our products. In general, method of use 
patents are more difficult to enforce than composition of matter patents because, for example, of the risks that the FDA may approve alternative uses of the 
subject compound not covered by method of use patents, and others may engage in off-label sale or use of the subject compound. Physicians are permitted 
to prescribe an approved product for uses that are not described in the product’s labeling. Although off-label prescriptions may infringe the method of use 
patents we have applied for, the practice is common across medical specialties and such infringement is difficult to prevent or prosecute. In addition, 
competitors who obtain the requisite regulatory approval will be able to commercialize products with the same active ingredient as our product candidates 
so long as the competitors do not infringe any process, use, formulation, preparation or device patents that we have applied for to protect our product 
candidates, subject to any regulatory exclusivity we may be able to obtain for our product candidates.

The number of patents and patent applications covering products containing the same active ingredient as our product candidates indicates that 
competitors have sought to develop and may seek to commercialize competing formulations that may not be covered by our patents and patent applications. 
The commercial opportunity for our product candidates could be significantly harmed if competitors are able to develop and commercialize alternative 
formulations of our product candidates that are different from ours and do not infringe our issued patents covering our product candidates, our device, our 
manufacturing process or uses of our product candidates.

We may be involved in lawsuits to protect or enforce our patents, which could be expensive, time consuming and unsuccessful.

Competitors may infringe the patents we have applied for. To counter infringement or unauthorized use, we may be required to file infringement 

claims, which can be expensive and time-consuming. If we initiate legal proceedings against a third party to enforce a patent covering one of our product 
candidates, the defendant could counterclaim that the patent covering our product or product candidate is invalid and/or unenforceable. In patent litigation 
in the United States, defendant counterclaims alleging invalidity and/or unenforceability are common, and there are numerous grounds upon which a third 
party can assert invalidity or unenforceability of a patent. In an infringement proceeding, a court may decide that a patent of ours is not valid or is 
unenforceable or may refuse to stop the other party from using the technology at issue on the grounds that our patents do not cover the technology in 
question. Third parties may also raise similar claims before administrative bodies in the United States or abroad, even outside the context of litigation. Such 
mechanisms include re-examination, post grant review, inter partes review (IPR), and equivalent proceedings in foreign jurisdictions (e.g., opposition 
proceedings). Such proceedings could result in revocation of or amendment to our patents in such a way that they no longer cover our product candidates. 
The outcome following legal assertions of invalidity and unenforceability is unpredictable. With respect to the validity question, for example, we cannot be 
certain that there is no invalidating prior art, of which we, our patent counsel, and the patent examiner were unaware during prosecution. If a defendant 
were to prevail on a legal assertion of invalidity and/or unenforceability, we would lose at least part, and perhaps all, of the patent protection on our product 
candidates. An adverse result in any litigation or defense proceedings could put one or more of our patents at risk of being invalidated or interpreted 
narrowly, could put our patent applications at risk of not issuing and could have a material adverse impact on our business.

Interference proceedings provoked by third parties or brought by us may be necessary to determine the priority of inventions with respect to our 

patent applications. An unfavorable outcome could require us to cease using the related technology or to attempt to license rights to it from the prevailing 
party. Our business could be harmed if the prevailing party does not offer us a license on commercially reasonable terms. Our defense of litigation or 
interference proceedings may fail and, even if successful, may result in substantial costs and distract our management and other employees. We may not be 
able to prevent misappropriation of our intellectual property rights, particularly in countries where the laws may not protect those rights as fully as in the 
United States.

57

 
Furthermore, because of the substantial amount of discovery required in connection with intellectual property litigation, there is a risk that some of 
our confidential information could be compromised by disclosure during this type of litigation. There could also be public announcements of the results of 
hearings, motions, or other interim proceedings or developments. If securities analysts or investors perceive these results to be negative, it could have a 
material adverse effect on the price of our common stock.

Third parties may initiate legal proceedings alleging that we are infringing their intellectual property rights, the outcome of which would be uncertain.

As our current and future product candidates progress toward commercialization, the possibility of a patent infringement claim against us increases. 

There can be no assurance that our current and future product candidates do not infringe other parties’ patents or other proprietary rights, and competitors 
or other parties may assert that we infringe their proprietary rights in any event. We may become party to, or threatened with, adversarial proceedings or 
litigation regarding intellectual property rights with respect to our current and future product candidates, including interference or derivation proceedings 
before the USPTO. Even if we believe such claims are without merit, a court of competent jurisdiction could hold that these third-party patents are valid, 
enforceable and infringed, which could have a negative impact on our ability to commercialize VP-102 and any future product candidates. In order to 
successfully challenge the validity of any such U.S. patent in federal court, we would need to overcome a presumption of validity. As this burden is a high 
one requiring us to present clear and convincing evidence as to the invalidity of any such U.S. patent claim, there is no assurance that a court of competent 
jurisdiction would invalidate the claims of any such U.S. patent. Moreover, given the vast number of patents in our field of technology, we cannot be 
certain that we do not infringe existing patents or that we will not infringe patents that may be granted in the future. Because numerous parties have 
developed and/or commercialized, or are developing, a wide variety of applicator devices for use with topical dermatological medications, it is possible that 
third parties may assert that our applicator device infringes patents they own or have applied for. While we may decide to initiate proceedings to challenge 
the validity of these or other patents in the future, we may be unsuccessful, and courts or patent offices in the United States and abroad could uphold the 
validity of any such patent. Furthermore, because patent applications can take many years to issue and may be confidential for 18 months or more after 
filing, and because pending patent claims can be revised before issuance, there may be applications now pending which may later result in issued patents 
that may be infringed by the manufacture, use or sale of our product candidates. Regardless of when filed, we may fail to identify relevant third-party 
patents or patent applications, or we may incorrectly conclude that a third-party patent is invalid or not infringed by our product candidates or activities. If a 
patent holder believes our drug or product candidate infringes its patent, the patent holder may sue us even if we have received patent protection for our 
technology. Moreover, we may face patent infringement claims from non-practicing entities that have no relevant drug revenue and against whom our own 
patent portfolio may thus have no deterrent effect. If a patent infringement suit were threatened or brought against us, we could be forced to stop or delay 
research, development, manufacturing or sales of the drug or product candidate that is the subject of the actual or threatened suit.

If we are found to infringe a third party’s intellectual property rights, we could be required to obtain a license from such third party to continue 
commercializing our product candidates. However, we may not be able to obtain any required license on commercially reasonable terms or at all. Even if a 
license can be obtained on acceptable terms, the rights may be non-exclusive, which could give our competitors access to the same technology or 
intellectual property rights licensed to us. If we fail to obtain a required license, we may be unable to effectively market product candidates based on our 
technology, which could limit our ability to generate revenue or achieve profitability and possibly prevent us from generating revenue sufficient to sustain 
our operations. Alternatively, we may need to redesign our infringing products, which may be impossible or require substantial time and monetary 
expenditure. Under certain circumstances, we could be forced, including by court orders, to cease commercializing our product candidates. In addition, in 
any such proceeding or litigation, we could be found liable for substantial monetary damages, potentially including treble damages and attorneys’ fees, if 
we are found to have willfully infringed. A finding of infringement could prevent us from commercializing our product candidates or force us to cease 
some of our business operations, which could harm our business. Any claims by third parties that we have misappropriated their confidential information or 
trade secrets could have a similar negative impact on our business.

The cost to us in defending or initiating any litigation or other proceeding relating to patent or other proprietary rights, even if resolved in our favor, 

could be substantial, and litigation would divert our management’s 

58

 
attention. Some of our competitors may be able to sustain the costs of complex patent litigation more effectively than we can because they have 
substantially greater resources. Uncertainties resulting from the initiation and continuation of patent litigation or other proceedings could delay our research 
and development efforts and limit our ability to continue our operations.

We may be subject to claims that our employees, consultants, or independent contractors have wrongfully used or disclosed confidential information of 
third parties.

We employ individuals who were previously employed at other biotechnology or pharmaceutical companies. Although we try to ensure that our 
employees, consultants and advisors do not use the proprietary information or know-how of others in their work for us, we may be subject to claims that we 
or our employees, consultants, or independent contractors have inadvertently or otherwise used or disclosed confidential information of our employees’ 
former employers or other third parties. We may also be subject to claims that former employers or other third parties have an ownership interest in our 
patents. Litigation may be necessary to defend against these claims. There is no guarantee of success in defending these claims, and even if we are 
successful, litigation could result in substantial cost and be a distraction to our management and other employees.

We may be subject to claims challenging the inventorship or ownership of our patents and other intellectual property.

We may also be subject to claims that former employees, collaborators, or other third parties have an ownership interest in our patents and patent 

applications, our future patents, or other intellectual property. We may be subject to ownership disputes in the future arising, for example, from conflicting 
obligations of consultants or others who are involved in developing our product candidates. Although it is our policy to require our employees and 
contractors who may be involved in the conception or development of intellectual property to execute agreements assigning such intellectual property to us, 
we may be unsuccessful in executing such an agreement with each party who, in fact, conceives or develops intellectual property that we regard as our 
own, and we cannot be certain that our agreements with such parties will be upheld in the face of a potential challenge, or that they will not be breached, for 
which we may not have an adequate remedy. The assignment of intellectual property rights may not be self-executing, or the assignment agreements may 
be breached, and litigation may be necessary to defend against these and other claims challenging inventorship or ownership. If we fail in defending any 
such claims, in addition to paying monetary damages, we may lose valuable intellectual property rights, such as exclusive ownership of, or right to use, 
valuable intellectual property. Such an outcome could have a material adverse effect on our business. Even if we are successful in defending against such 
claims, litigation could result in substantial costs and be a distraction to management and other employees.

Reliance on third parties requires us to share our trade secrets, which increases the possibility that a competitor will discover them or that our trade 
secrets will be misappropriated or disclosed.

If we rely on third parties to manufacture or commercialize VP-102 or any future product candidates, or if we collaborate with additional third 
parties for the development of VP-102 or any future product candidates, we must, at times, share trade secrets with them. We may also conduct joint 
research and development programs that may require us to share trade secrets under the terms of our research and development partnerships or similar 
agreements. We seek to protect our proprietary technology in part by entering into confidentiality agreements and, if applicable, material transfer 
agreements, consulting agreements or other similar agreements with our advisors, employees, third-party contractors and consultants prior to beginning 
research or disclosing proprietary information. These agreements typically limit the rights of the third parties to use or disclose our confidential 
information, including our trade secrets. Despite the contractual provisions employed when working with third parties, the need to share trade secrets and 
other confidential information increases the risk that such trade secrets become known by our competitors, are inadvertently incorporated into the 
technology of others, or are disclosed or used in violation of these agreements. Given that our proprietary position is based, in part, on our know-how and 
trade secrets, a competitor’s discovery of our trade secrets or other unauthorized use or disclosure could have an adverse effect on our business and results 
of operations.

In addition, these agreements typically restrict the ability of our advisors, employees, third-party contractors and consultants to publish data 

potentially relating to our trade secrets. Despite our efforts to protect our trade 

59

 
secrets, we may not be able to prevent the unauthorized disclosure or use of our technical know-how or other trade secrets by the parties to these 
agreements. Moreover, we cannot guarantee that we have entered into such agreements with each party that may have or have had access to our 
confidential information or proprietary technology and processes. Monitoring unauthorized uses and disclosures is difficult, and we do not know whether 
the steps we have taken to protect our proprietary technologies will be effective. If any of the collaborators, scientific advisors, employees, contractors and 
consultants who are parties to these agreements breaches or violates the terms of any of these agreements, we may not have adequate remedies for any such 
breach or violation, and we could lose our trade secrets as a result. Moreover, if confidential information that is licensed or disclosed to us by our partners, 
collaborators, or others is inadvertently disclosed or subject to a breach or violation, we may be exposed to liability to the owner of that confidential 
information. Enforcing a claim that a third-party illegally obtained and is using our trade secrets, like patent litigation, is expensive and time consuming, 
and the outcome is unpredictable. In addition, courts outside the United States are sometimes less willing to protect trade secrets.

Intellectual property rights do not necessarily address all potential threats to our competitive advantage.

The degree of future protection afforded by our intellectual property rights is uncertain because intellectual property rights have limitations and may 

not adequately protect our business or permit us to maintain our competitive advantage. The following examples are illustrative:

•

•

•

•

•

•

•

•

•

•

others may be able to make products that are similar to our product candidates but that are not covered by the claims of our patents or future 
patents;

we or future collaborators might not have been the first to make the inventions covered by our patents,  future issued patents or our pending 
patent applications;

we or future collaborators might not have been the first to file patent applications covering certain of our inventions;

others may independently develop similar or alternative technologies or duplicate any of our technologies without infringing our intellectual 
property rights;

it is possible that our pending patent applications will not lead to issued patents;

issued patents that we own may be held invalid or unenforceable as a result of legal challenges by our competitors;

issued patents that we own may not provide coverage for all aspects of our product candidates in all countries;

our competitors might conduct research and development activities in countries where we do not have patent rights and then use the 
information learned from such activities to develop competitive products for sale in our major commercial markets;

we may not develop additional proprietary technologies that are patentable; and

the patents of others may have an adverse effect on our business.

Should any of these events occur, they could significantly harm our business, results of operations and prospects.

Risks Related to Legal and Regulatory Compliance Matters

Our relationships with customers, physicians, and third-party payors may be subject, directly or indirectly, to federal and state healthcare fraud and 
abuse laws, false claims laws, health information privacy and security laws, and other healthcare laws and regulations. If we are unable to comply, or 
have not fully complied, with such laws, we could face substantial penalties.

Healthcare providers, including physicians and third-party payors in the United States and elsewhere will play a primary role in the recommendation 

and prescription of any product candidates for which we obtain marketing approval. Our current and future arrangements with healthcare professionals, 
principal investigators, consultants, customers and third-party payors may subject us to various federal and state fraud and abuse laws and other 

60

 
healthcare laws, including, without limitation, the federal Anti-Kickback Statute, the federal civil and criminal false claims laws and the law commonly 
referred to as the Physician Payments Sunshine Act and regulations. These laws will impact, among other things, our clinical research, proposed sales, 
marketing and educational programs, and other interactions with healthcare professionals. In addition, we may be subject to patient privacy laws by both 
the federal government and the states in which we conduct or may conduct our business. The laws that will affect our operations include, but are not limited 
to:

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•

•

•

•

the federal Anti-Kickback Statute, which prohibits, among other things, individuals or entities from knowingly and willfully soliciting, 
receiving, offering or paying any remuneration, directly or indirectly, overtly or covertly, in cash or in kind, in return for the purchase, 
recommendation, leasing or furnishing of an item or service reimbursable under a federal healthcare program, such as the Medicare and 
Medicaid programs. The term “remuneration” has been broadly interpreted to include anything of value. 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 and require strict compliance in order to offer protection. 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 qualify for an exception or safe 
harbor. A person does not need to have actual knowledge of this statute or specific intent to violate it in order to have committed a violation. 
In addition, the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act, or 
collectively, the ACA, provides that the government may assert that a claim including items or services resulting from a violation of the 
federal Anti-Kickback Statute constitutes a false or fraudulent claim for purposes of the False Claims Act and the civil monetary penalties 
statute;

the federal civil and criminal false claims laws, including, without limitation, the False Claims Act, and civil monetary penalty laws which 
prohibit, among other things, individuals or entities from knowingly presenting, or causing to be presented, claims for payment or approval 
from Medicare, Medicaid or other government payors that are false or fraudulent or making a false statement to avoid, decrease or conceal an 
obligation to pay money to the federal government. A claim includes “any request or demand” for money or property presented to the U.S. 
government. Several pharmaceutical and other healthcare companies have been prosecuted under these laws for 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, and thus 
non-reimbursable, uses;

the federal Health Insurance Portability and Accountability Act of 1996, or HIPAA, created additional federal criminal statutes which 
prohibit, among other things, a person from knowingly and willfully executing a scheme to defraud any healthcare benefit program, including 
private third-party payors 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 
federal Anti-Kickback Statute, 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; 

HIPAA, as amended by the Health Information Technology for Economic and Clinical Health Act, or HITECH, and their implementing 
regulations, which imposes certain requirements relating to the privacy, security and transmission of individually identifiable health 
information without appropriate authorization on health plans, healthcare clearinghouses and certain healthcare providers, known as covered 
entities, and their respective business associates, independent contractors that perform certain services involving the use or disclosure of 
individually identifiable health information and their subcontractors that use, disclose, access, or otherwise process individually identifiable 
health information. HITECH also created new tiers of civil monetary penalties, amended HIPAA to make civil and criminal penalties directly 
applicable to business associates, and gave state attorneys general new authority to file civil actions for damages or injunctions in federal 
courts to enforce HIPAA and seek attorneys’ fees and costs associated with pursuing federal civil actions;

the federal transparency laws, including the federal Physician Payments Sunshine Act, which requires certain manufacturers of drugs, 
devices, biologics and medical supplies for which payment is available under Medicare, Medicaid or the Children’s Health Insurance 
Program, with specific exceptions, to 

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report annually to the Centers for Medicare & Medicaid Services, or CMS, information related to: (i) payments or other “transfers of value’’ 
made to physicians (defined to include doctors, dentists, optometrists, podiatrists, and chiropractors), other health care professionals (such as 
physician assistants and nurse practitioners), and teaching hospitals; and (ii) ownership and investment interests held by physicians and their 
immediate family members; and

state and foreign law equivalents of each of the above federal laws; state laws that require manufacturers to report information related to 
payments and other transfers of value to physicians and other healthcare providers or marketing expenditures; state laws that require 
pharmaceutical companies to comply with the pharmaceutical industry’s voluntary compliance guidelines and the relevant compliance 
guidance promulgated by the federal government, or that otherwise restrict payments that may be made to healthcare providers; state laws 
that require the reporting of information related to drug prices; state and local laws that require the registration of pharmaceutical sales 
representatives; and state and foreign laws that govern the privacy and security of health information in some circumstances, many of which 
differ from each other in significant ways and often are not preempted by HIPAA, thus complicating compliance efforts.

U.S. data privacy regulations, such as the CCPA, which creates new individual privacy rights for consumers and places increased privacy and 
security obligations on entities handling personal data of consumers or households.  The CCPA requires covered companies to provide new 
disclosures to California consumers, provides such consumers new ways to opt-out of certain sales of personal information, and allows for a 
new cause of action for data breaches;

new U.S. data privacy regulations, such as the California Privacy Rights Act of 2020 (“CPRA”), effective January 1, 2023, which will 
expand the CCPA.  For example, the CPRA establishes a new California Privacy Protection Agency to implement and enforce the CPRA.  In 
addition, Virginia passed the Consumer Data Protection Act, and Colorado passed the Colorado Privacy Act, both of which differ from the 
CPRA and become effective in 2023.  If we become subject to new data privacy laws, at the state level, the risk of enforcement action against 
us could increase because we may become subject to additional obligations, and the number of individuals or entities that can initiate actions 
against us may increase (including individuals, via a private right of action, and state actors).;

foreign data privacy regulations, such as the General Data Protection Regulation (2016/679), or GDPR, which went into effect on May 25, 
2018 and applies to identified or identifiable personal data in electronic or paper form.  Under the GDPR, fines of up to €20.0 million or up to 
4% of the annual global turnover of the infringer, whichever is greater, could be imposed for significant non-compliance. The GDPR includes 
more stringent operational requirements for processors and controllers of personal data and creates additional rights for data subjects, 
including a private right of action. Other such foreign data privacy obligations include the EU GDPR as it forms part of United Kingdom 
(“UK”) law by virtue of section 3 of the European Union (Withdrawal) Act 2018 (“UK GDPR”); and

data localization and cross-border laws and regulations, such as the GDPR, which generally restricts the transfer of personal data to countries 
outside of the EEA, such as the United States, which the European Commission does not consider to provide an adequate level of data 
privacy and security.  The European Commission released a set of “Standard Contractual Clauses” that are designed to be a valid mechanism 
by which entities can transfer personal data out of the EEA to such jurisdictions.  The Standard Contractual Clauses, however, require parties 
that rely upon that legal mechanism to comply with additional obligations, such as conducting transfer impact assessments to determine 
whether additional security measures are necessary to protect the at-issue personal data.  Moreover, due to potential legal challenges, there 
exists some uncertainty regarding whether the Standard Contractual Clauses will remain a valid mechanism for transfers of personal data out 
of the EEA.

Because of the breadth of these laws and the narrowness of the statutory exceptions and regulatory safe harbors available, it is possible that some of 

our business activities could be subject to challenge under one or more of such laws. It is possible that governmental authorities will conclude that our 
business practices may not comply with current or future statutes, regulations or case law involving applicable fraud and abuse or other healthcare laws and 
regulations. If our operations are found to be in violation of any of these laws or any other governmental regulations that may apply to us, we may be 
subject to significant civil, criminal and administrative penalties, 

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damages, fines, disgorgement, imprisonment, exclusion from participating in government funded healthcare programs, such as Medicare and Medicaid, 
additional reporting requirements and oversight if we become subject to a corporate integrity agreement or similar agreement to resolve allegations of non-
compliance with these laws, contractual damages, reputational harm and the curtailment or restructuring of our operations.

The risk of our being found in violation of these laws is increased by the fact that many of them have not been fully interpreted by the regulatory 

authorities or the courts, and their provisions are open to a variety of interpretations. Efforts to ensure that our business arrangements with third parties will 
comply with applicable healthcare laws and regulations will involve substantial costs. Any action against us for violation of these laws, even if we 
successfully defend against it, could cause us to incur significant legal expenses and divert our management’s attention from the operation of our business. 
The shifting compliance environment and the need to build and maintain robust and expandable systems to comply with multiple jurisdictions with 
different compliance and/or reporting requirements increases the possibility that a healthcare company may run afoul of one or more of the requirements.

The FDA and other regulatory agencies actively enforce the laws and regulations prohibiting the promotion of off-label uses.

If VP-102 or other product candidates that we may identify are approved and we are found to have improperly promoted off-label uses of those 

products, we may become subject to significant liability. The FDA and other regulatory agencies strictly regulate the promotional claims that may be made 
about prescription products, such as our product candidates, if approved. In particular, generally, a product may not be promoted for uses that are not 
approved by the FDA or such other regulatory agencies as reflected in the product’s approved labeling. However, physicians may, in their independent 
medical judgment, prescribe legally available products for off-label uses. The FDA does not regulate the behavior of physicians in their choice of 
treatments but the FDA does restrict manufacturer’s communications on the subject of off-label use of their products. If we are found to have promoted 
such off-label uses, we may become subject to significant liability. The federal government has levied large civil and criminal fines against companies for 
alleged improper promotion of off-label use and has enjoined several companies from engaging in off-label promotion. The FDA has also required that 
companies enter into consent decrees or permanent injunctions under which specified promotional conduct is changed or curtailed. If we cannot 
successfully manage the promotion of our product candidates, if approved, we could become subject to significant liability, which would materially 
adversely affect our business and financial condition.

Even if we obtain regulatory approval for VP-102 or any future product candidates, they will remain subject to ongoing regulatory oversight.

Even if we obtain any regulatory approval for VP-102 or any future product candidates, such product candidates, once approved, will be subject to 

ongoing regulatory requirements for manufacturing, labeling, packaging, storage, advertising, promoting, sampling, record-keeping and submitting of 
safety and other post-market information among other things. Any regulatory approvals that we receive for VP-102 or any future product candidates may 
also be subject to a REMS, limitations on the approved indicated uses for which the drug may be marketed or to the conditions of approval, or contain 
requirements for potentially costly post-marketing testing, including Phase 4 trials, and surveillance to monitor the quality, safety and efficacy of the drug. 
An unsuccessful post-marketing study or failure to complete such a study could result in the withdrawal of marketing approval. We will further be required 
to immediately report any serious and unexpected adverse events and certain quality or production problems with our products to regulatory authorities 
along with other periodic reports.

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Any new legislation addressing drug safety issues could result in delays in product development or commercialization, or increased costs to assure 

compliance. We will also have to comply with requirements concerning advertising and promotion for our products. Promotional communications with 
respect to prescription drug products are subject to a variety of legal and regulatory restrictions and must be consistent with the information in the product’s 
approved label. As such, we will not be allowed to promote our products for indications or uses for which they do not have approval. The holder of an 
approved NDA must submit new or supplemental applications and obtain prior approval for certain changes to the approved product, product labeling, or 
manufacturing process.

In addition, drug manufacturers and their facilities are subject to payment of user fees and continual review and periodic inspections by the FDA and 
other regulatory authorities for compliance with cGMP requirements and adherence to commitments made in the NDA or foreign marketing application. If 
we, or a regulatory authority, discover previously unknown problems with a drug, such as adverse events of unanticipated severity or frequency, or 
problems with the facility where the drug is manufactured or if a regulatory authority disagrees with the promotion, marketing or labeling of that drug, a 
regulatory authority may impose restrictions relative to that drug, the manufacturing facility or us, including requesting a recall or requiring withdrawal of 
the drug from the market or suspension of manufacturing.

If we fail to comply with applicable regulatory requirements following approval of VP-102 or any future product candidates, a regulatory authority 

may:

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issue an untitled letter or warning letter asserting that we are in violation of the law;

seek an injunction or impose administrative, civil or criminal penalties or monetary fines;

suspend or withdraw regulatory approval;

suspend any ongoing clinical trials;

refuse to approve a pending NDA or comparable foreign marketing application (or any supplements thereto) submitted by us or our strategic 
partners;

restrict the marketing or manufacturing of the drug;

seize or detain the drug or otherwise require the withdrawal of the drug from the market;

refuse to permit the import or export of product candidates; or

refuse to allow us to enter into supply contracts, including government contracts.

Any government investigation of alleged violations of law could require us to expend significant time and resources in response and could generate 

negative publicity. The occurrence of any event or penalty described above may inhibit our ability to commercialize VP-102 or any future product 
candidates and harm our business, financial condition, results of operations and prospects.

Healthcare legislative or regulatory reform measures may have a negative impact on our business and results of operations.

In the United States and some foreign jurisdictions, there have been, and continue to be, several legislative and regulatory changes and proposed 

changes regarding the healthcare system that could prevent or delay marketing approval of product candidates, restrict or regulate post-approval activities, 
and affect our ability to profitably sell any product candidates for which we obtain marketing approval.

Among policy makers and payors in the United States and elsewhere, there is significant interest in promoting changes in healthcare systems with 

the stated goals of containing healthcare costs, improving quality and/or expanding access. In the United States, the pharmaceutical industry has been a 
particular focus of these efforts and has been significantly affected by major legislative initiatives. In March 2010, the ACA was passed, which 
substantially changed the way healthcare is financed by both the government and private insurers, and significantly impacts the U.S. pharmaceutical 
industry. The ACA, among other things: (i) increased the minimum Medicaid rebates owed by manufacturers under the Medicaid Drug Rebate Program 
and extends the rebate program to individuals enrolled in Medicaid managed care organizations; (ii) established an annual, nondeductible fee on any entity 
that manufactures or imports certain specified branded prescription drugs and biologic agents apportioned 

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among these entities according to their market share in some government healthcare programs; (iii) expanded the availability of lower pricing under the 
340B drug pricing program by adding new entities to the program; (iv) increased the statutory minimum rebates a manufacturer must pay under the 
Medicaid Drug Rebate Program, to 23.1% and 13% of the average manufacturer price for most branded and generic drugs, respectively and capped the 
total rebate amount for innovator drugs at 100% of the Average Manufacturer Price, or AMP; (v) expanded the eligibility criteria for Medicaid programs 
by, among other things, allowing states to offer Medicaid coverage to additional individuals and by adding new mandatory eligibility categories for 
individuals with income at or below 133% of the federal poverty level, thereby potentially increasing manufacturers’ Medicaid rebate liability; (vi) 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; and (vii) established a Center for Medicare and Medicaid Innovation at CMS to test innovative payment and service delivery 
models to lower Medicare and Medicaid spending, potentially including prescription drug spending.

There remain judicial and Congressional challenges to certain aspects of the ACA. While Congress has not passed comprehensive repeal legislation, 

bills affecting the implementation of certain taxes under the ACA have been signed into law. The Tax Cuts and Jobs Act of 2017, or Tax Act includes a 
provision repealing, effective January 1, 2019, the tax-based shared responsibility payment imposed by the ACA on certain individuals who fail to maintain 
qualifying health coverage for all or part of a year that is commonly referred to as the “individual mandate”. In addition, the 2020 federal spending package 
permanently eliminates, effective January 1, 2020, the ACA-mandated “Cadillac” tax on high-cost employer-sponsored health coverage and medical device 
tax and, effective January 1, 2021, also eliminates the health insurer tax. The Bipartisan Budget Act of 2018, or the BBA, among other things, amended the 
ACA, effective January 1, 2019, to close the coverage gap in most Medicare drug plans, commonly referred to as the “donut hole.” In December 2018, 
CMS published a final rule permitting further collections and payments to and from certain ACA qualified health plans and health insurance issuers under 
the ACA risk adjustment program in response to the outcome of federal district court litigation regarding the method CMS uses to determine this risk 
adjustment. On June 17, 2021, the U.S. Supreme Court dismissed a challenge on procedural grounds that argued the Affordable Care Act is 
unconstitutional in its entirety because the “individual mandate” was repealed by Congress. Thus, the Affordable Care Act will remain in effect in its 
current form. Further, prior to the U.S. Supreme Court ruling, on January 28, 2021, President Biden issued an executive order to initiate a special 
enrollment period for purposes of obtaining health insurance coverage through the ACA marketplace. The executive order also instructs certain 
governmental agencies to review and reconsider their existing policies and rules that limit access to healthcare, including among others, reexamining 
Medicaid demonstration projects and waiver programs that include work requirements, and policies that create unnecessary barriers to obtaining access to 
health insurance coverage through Medicaid or the ACA. It is possible that the ACA will be subject to judicial or Congressional challenges in the future. It 
is unclear how such challenges and the healthcare reform measures of the Biden administration will impact the ACA and our business.

Other legislative changes have been proposed and adopted since the ACA was enacted. These changes include aggregate reductions to Medicare 

payments to providers of 2% per fiscal year pursuant to the Budget Control Act of 2011, which began in 2013, and due to subsequent legislative 
amendments to the statute, will remain in effect through 2031 with the exception of a temporary suspension from May 1, 2020 through March 31, 2022 
unless additional Congressional action is taken. Under current legislation, the actual reduction in Medicare payments will vary from 1% in 2022 to up to 
3% in the final fiscal year of this sequester. Additionally, on March 11, 2021, President Biden signed the American Rescue Plan Act of 2021 into law, 
which eliminates the statutory Medicaid drug rebate cap, currently set at 100% of a drug’s average manufacturer price, for single source and innovator 
multiple source drugs, beginning January 1, 2024. The American Taxpayer Relief Act of 2012, among other things, further reduced Medicare payments to 
several providers, including hospitals and cancer treatment centers, and increased the statute of limitations period for the government to recover 
overpayments to providers from three to five years. These new laws may result in additional reductions in Medicare and other healthcare funding, which 
could have an adverse effect on customers for our product candidates, if approved, and, accordingly, our financial operations.

The American Taxpayer Relief Act of 2012, among other things, further reduced Medicare payments to several providers, including hospitals and 
cancer treatment centers, and increased the statute of limitations period for the government to recover overpayments to providers from three to five years. 
These new laws may result in additional reductions in Medicare and other healthcare funding, which could have an adverse effect on customers for our 
product candidates, if approved, and, accordingly, our financial operations. 

Additionally, there has been heightened governmental scrutiny in the United States of pharmaceutical pricing practices in light of the rising cost of 

prescription drugs and biologics. Such scrutiny has resulted in several recent 

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congressional inquiries and proposed and enacted federal and state legislation 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 products. 
At the federal level, the Trump administration used several means to propose or implement drug pricing reform, including through federal budget 
proposals, executive orders and policy initiatives. Further, on July 24, 2020 and September 13, 2020, the Trump administration announced several 
executive orders related to prescription drug pricing that seek to implement several of the administration’s proposals. As a result, the FDA released a final 
rule and guidance in September 2020, providing pathways for states to build and submit importation plans for drugs from Canada. Further, on November 
20, 2020, HHS finalized a regulation removing safe harbor protection for price reductions from pharmaceutical manufacturers to plan sponsors under Part 
D, either directly or through pharmacy benefit managers, unless the price reduction is required by law. The implementation of the rule has been delayed by 
the Biden administration from January 1, 2022 to January 1, 2023 in response to ongoing litigation. The rule also creates a new safe harbor for price 
reductions reflected at the point-of-sale, as well as a new safe harbor for certain fixed fee arrangements between pharmacy benefit managers and 
manufacturers, the implementation of which have also been delayed pending review by the Biden administration until March 22, 2021.  On November 20, 
2020, CMS issued an interim final rule implementing the Trump administration’s Most Favored Nation executive order, which would tie Medicare Part B 
payments for certain physician-administered drugs to the lowest price paid in other economically advanced countries, effective January 1, 2021. As a result 
of litigation challenging the Most Favored Nation model, on December 27, 2021, CMS published a final rule that rescinded the Most Favored Nation 
model interim final rule. In July 2021, the Biden administration released an executive order, “Promoting Competition in the American Economy,” with 
multiple provisions aimed at prescription drugs. In response to Biden’s executive order, on September 9, 2021, HHS released a Comprehensive Plan for 
Addressing High Drug Prices that outlines principles for drug pricing reform and sets out a variety of potential legislative policies that Congress could 
pursue to advance these principles. No legislation or administrative actions have been finalized to implement these principles. In addition, Congress is 
considering drug pricing as part of other reform initiatives. At the state level, legislatures are increasingly passing legislation and implementing regulations 
designed to control pharmaceutical and biological product pricing, including price or patient reimbursement constraints, discounts, restrictions on certain 
product access and marketing cost disclosure and transparency measures, and, in some cases, designed to encourage importation from other countries and 
bulk purchasing. It is also possible that additional governmental action will be taken in response to the COVID-19 pandemic.

We expect that these and other healthcare reform measures that may be adopted in the future, may result in more rigorous coverage criteria and in 
additional downward pressure on the price that we receive for any approved drug. Any reduction in reimbursement from Medicare or other government 
programs may result in a similar reduction in payments from private payors. The implementation of cost containment measures or other healthcare reforms 
may prevent us from being able to generate revenue, attain profitability, or commercialize our drugs.

In addition, FDA regulations and guidance may be revised or reinterpreted by the FDA in ways that may significantly affect our business and our 

products. The Trump administration undertook several executive actions, including the issuance of a number of Executive Orders, that could impose 
significant burdens on, or otherwise materially delay, the FDA’s ability to engage in routine oversight activities such as implementing statutes through 
rulemaking, issuance of guidance, and review and approval of marketing applications. It is difficult to predict how these requirements will be interpreted 
and implemented and the extent to which they will impact the FDA’s ability to exercise its regulatory authority, particularly in light of the new Biden 
administration. If these executive actions impose restrictions on the FDA’s ability to engage in oversight and implementation activities in the normal 
course, our business may be negatively impacted. Any new regulations or guidance, including implementation of or new guidance regarding the 
frameworks for compounding under Sections 503A and 503B of the FDCA, or revisions or reinterpretations of existing regulations or guidance, may 
impose additional costs or lengthen FDA review times for VP-102 or any future product candidates. We cannot determine how changes in regulations, 
statutes, policies, or interpretations when and if issued, enacted or adopted, may affect our business in the future. Such changes could, among other things, 
require:

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additional clinical trials to be conducted prior to obtaining approval;

changes to manufacturing methods;

recalls, replacements, or discontinuance of one or more of our products; and

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additional recordkeeping.

Such changes would likely require substantial time and impose significant costs, or could reduce the potential commercial value of VP-102 or other 
product candidates by authorizing competition in the form of compounded cantharidin products, and could materially harm our business and our financial 
results. In addition, delays in receipt of or failure to receive regulatory clearances or approvals for any other products would harm our business, financial 
condition, and results of operations.

Our business activities may be subject to the Foreign Corrupt Practices Act, or FCPA, and similar anti-bribery and anti-corruption laws.

Our business activities may be subject to the FCPA and similar anti-bribery or anti-corruption laws, regulations or rules of other countries in which 
we operate. The FCPA generally prohibits offering, promising, giving, or authorizing others to give anything of value, either directly or indirectly, to a non-
U.S. government official in order to influence official action, or otherwise obtain or retain business. The FCPA also requires public companies to make and 
keep books and records that accurately and fairly reflect the transactions of the corporation and to devise and maintain an adequate system of internal 
accounting controls. Our business is heavily regulated and therefore involves significant interaction with public officials, including officials of non-U.S. 
governments. Additionally, in many other countries, the health care providers who prescribe pharmaceuticals are employed by their government, and the 
purchasers of pharmaceuticals are government entities; therefore, our dealings with these prescribers and purchasers are subject to regulation under the 
FCPA. We may engage third parties to sell our products sell our products outside the United States, to conduct clinical trials, and/or to obtain necessary 
permits, licenses, patent registrations, and other regulatory approvals.  We have direct or indirect interactions with officials and employees of government 
agencies or government-affiliated hospitals, universities, and other organizations.  There is no certainty that all of our employees, agents, suppliers, 
manufacturers, contractors, or collaborators, or those of our affiliates, will comply with all applicable laws and regulations, particularly given the high level 
of complexity of these laws. We can be held liable for the corrupt or other illegal activities of our employees, agents, contractors, and other collaborators, 
even if we do not explicitly authorize or have actual knowledge of such activities.

Violations of these laws and regulations could result in fines, criminal sanctions against us, our officers, or our employees, the closing down of 

facilities, including those of our suppliers and manufacturers, requirements to obtain export licenses, cessation of business activities in sanctioned 
countries, implementation of compliance programs, and prohibitions on the conduct of our business. Any such violations could include prohibitions on our 
ability to offer our products in one or more countries as well as difficulties in manufacturing or continuing to develop our products, and could materially 
damage our reputation, our brand, our international expansion efforts, our ability to attract and retain employees, and our business, prospects, operating 
results, and financial condition.

We are subject to governmental export and import controls that could impair our ability to compete in international markets due to licensing 
requirements and subject us to liability if we are not in compliance with applicable laws. Compliance with these legal requirements could limit our 
ability to compete in foreign markets and subject us to liability if we violate them.

We are subject to export control and import laws and regulations, including the U.S. Export Administration Regulations, U.S. Customs regulations 
and various economic and trade sanctions regulations administered by the U.S. Treasury Department’s Office of Foreign Assets Controls. Exports of our 
product candidates outside of the U.S. must be made in compliance with these laws and regulations. If we fail to comply with these laws and regulations, 
we and certain of our employees could be subject to substantial civil or criminal penalties, including the possible loss of export or import privileges; fines, 
which may be imposed on us and responsible employees or managers; and, in extreme cases, the incarceration of responsible employees or managers.

In addition, changes in our product candidates or changes in applicable export or import laws and regulations may create delays in the introduction, 

provision or sale of our product candidates in international markets, prevent customers from using our product candidates or, in some cases, prevent the 
export or import of our product candidates to certain countries, governments or persons altogether. Any limitation on our ability to export, provide or sell 
our product candidates could adversely affect our business, financial condition and results of operations.

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Risks Related to Employee Matters and Managing Our Growth

Our future success depends on our ability to retain key executives and to attract, retain and motivate qualified personnel.

We are highly dependent on the management, development, clinical, financial and business development expertise of Ted White, our President and 

Chief Executive Officer, Joe Bonaccorso, our Chief Commercial Officer, Gary Goldenberg, our Chief Medical Officer, P. Terence Kohler Jr., our Chief 
Financial Officer, Chris Hayes, our Chief Legal Officer and the other members of our scientific and clinical teams. While we have entered into employment 
agreements with our executive officers, each of them may currently terminate their employment with us at any time. We do not maintain “key person” 
insurance for any of our executives or employees.

Recruiting and retaining qualified scientific and clinical personnel and, if we progress the development of our product pipeline toward scaling up for 

commercialization, manufacturing and sales and marketing personnel, will also be critical to our success. The loss of the services of our executive officers 
or other key employees could impede the achievement of our development and commercialization objectives and seriously harm our ability to successfully 
implement our business strategy. Furthermore, replacing executive officers and key employees may be difficult and may take an extended period of time 
because of the limited number of individuals in our industry with the breadth of skills and experience required to successfully develop, gain regulatory 
approval of and commercialize products. Competition to hire from this limited pool is intense, and we may be unable to hire, train, retain or motivate these 
key personnel on acceptable terms given the competition among numerous pharmaceutical and biotechnology companies for similar personnel. We also 
experience competition for the hiring of scientific and clinical personnel from universities and research institutions. In addition, we rely on consultants and 
advisors, including scientific and clinical advisors, to assist us in formulating our development and commercialization strategy. Our consultants and 
advisors may be employed by employers other than us and may have commitments under consulting or advisory contracts with other entities that may limit 
their availability to us. If we are unable to continue to attract and retain high quality personnel, our ability to pursue our growth strategy will be limited.

We expect to expand our development and regulatory capabilities and potentially implement sales, marketing and distribution capabilities, and as a 
result, we may encounter difficulties in managing our growth, which could disrupt our operations.

As of December 31, 2021, we had 38 full-time employees. As our development progresses, we expect to experience significant growth in the 

number of our employees and the scope of our operations, particularly in the areas of product development, regulatory affairs and, if any of our product 
candidates receives marketing approval, sales, marketing and distribution. To manage our anticipated future growth, we must continue to implement and 
improve our managerial, operational and financial systems, expand our facilities and continue to recruit and train additional qualified personnel. Due to our 
limited financial resources and the limited experience of our management team in managing a company with such anticipated growth, we may not be able 
to effectively manage the expansion of our operations or recruit and train additional qualified personnel. The expansion of our operations may lead to 
significant costs and may divert our management and business development resources. Any inability to manage growth could delay the execution of our 
business plans or disrupt our operations.

Our employees, independent contractors, consultants, commercial collaborators, principal investigators, CROs, suppliers and vendors may engage in 
misconduct or other improper activities, including non-compliance with regulatory standards and requirements.

We are exposed to the risk that our employees, independent contractors, consultants, commercial collaborators, principal investigators, CROs, 

suppliers and vendors may engage in fraudulent conduct or other illegal activity. Misconduct by these parties could include intentional, reckless and/or 
negligent conduct or disclosure of unauthorized activities to us that violates FDA regulations, including those laws requiring the reporting of true, complete 
and accurate information to the FDA, manufacturing standards, federal and state healthcare laws and regulations, and laws that require the true, complete 
and accurate reporting of financial information or data. In particular, sales, marketing and business arrangements in the healthcare industry are subject to 
extensive laws and regulations intended to prevent fraud, kickbacks, self-dealing and other abusive practices. These laws and regulations may restrict or 
prohibit a wide range of pricing, discounting, marketing and promotion, sales commission, customer incentive programs and other business arrangements. 
Misconduct by these parties could also involve the improper use of individually identifiable information, including, without limitation, information 
obtained 

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in the course of clinical trials, which could result in regulatory sanctions and serious harm to our reputation. We have adopted a code of business conduct 
and ethics, but it is not always possible to identify and deter misconduct, and the precautions we take to detect and prevent this activity may not be effective 
in controlling unknown or unmanaged risks or losses or in protecting us from governmental investigations or other actions or lawsuits stemming from a 
failure to be in compliance with such laws or regulations. If any such actions are instituted against us, and we are not successful in defending ourselves or 
asserting our rights, those actions could have a significant impact on our business, including the imposition of significant civil, criminal and administrative 
penalties, including, without limitation, damages, fines, disgorgement, imprisonment, exclusion from participation in government healthcare programs, 
such as Medicare and Medicaid, additional reporting requirements and oversight if we become subject to a corporate integrity agreement or similar 
agreement to resolve allegations of non-compliance with these laws, and the curtailment or restructuring of our operations.

Risks Related to Ownership of Our Common Stock and Our Status as a Public Company

The trading price of the shares of our common stock may be volatile, and purchasers of our common stock could incur substantial losses.

Our stock price may be volatile. The stock market in general and the market for biopharmaceutical companies in particular have experienced 
extreme volatility that has often been unrelated to the operating performance of particular companies. As a result of this volatility, investors may not be able 
to sell their common stock at or above the price paid for the shares. The market price for our common stock may be influenced by many factors, including:

•

•

•

•

•

•

•

•

•

•

•

•

•

•

•

•

the commencement, enrollment or results of our clinical trials of VP-102 for the treatment of external genital warts and common warts and 
any future clinical trials we may conduct, or changes in the development status of our product candidates;

any delay in our regulatory filings for VP-102 for the treatment of molluscum, external genital warts and common warts or any other product 
candidate we may develop, including VP-103 and LTX-315, and any adverse development or perceived adverse development with respect to 
the applicable regulatory authority’s review of such filings, including without limitation the FDA’s issuance of a “refusal to file” letter or a 
request for additional information;

adverse results from, delays in or termination of clinical trials;

adverse regulatory decisions, including failure to receive regulatory approval of our product candidates;

unanticipated serious safety concerns related to the use of VP-102 or any other product candidate;

changes in financial estimates by us or by any securities analysts who might cover our stock;

conditions or trends in our industry;

changes in the market valuations of similar companies;

stock market price and volume fluctuations of comparable companies and, in particular, those that operate in the biopharmaceutical industry;

publication of research reports about us or our industry or positive or negative recommendations or withdrawal of research coverage by 
securities analysts;

announcements by us or our competitors of significant acquisitions, strategic partnerships or divestitures;

announcements of investigations or regulatory scrutiny of our operations or lawsuits filed against us;

investors’ general perception of our company and our business;

recruitment or departure of key personnel;

overall performance of the equity markets;

trading volume of our common stock;

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•

•

•

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•

disputes or other developments relating to proprietary rights, including patents, litigation matters and our ability to obtain patent protection 
for our technologies;

significant lawsuits, including patent or stockholder litigation;

changes in the structure of healthcare payment systems;

general political and economic conditions; and

other events or factors, many of which are beyond our control.

In addition, in the past, stockholders have initiated class action lawsuits against pharmaceutical and biotechnology companies following periods of 

volatility in the market prices of these companies’ stock. Such litigation, if instituted against us, could cause us to incur substantial costs and divert 
management’s attention and resources from our business.

Sales of a substantial number of shares of our common stock in the public market could cause the market price of our common stock to drop 
significantly, even if our business is doing well.

Sales of a substantial number of shares of our common stock in the public market could occur at any time, subject to the restrictions and limitations 

described below. If our stockholders sell, or the market perceives that our stockholders intend to sell, substantial amounts of our common stock in the 
public market, the market price of our common stock could decline significantly.  All of our outstanding shares of common stock are available for sale in 
the public market, subject only to the restrictions of Rule 144 under the Securities Act in the case of our affiliates.

In addition, we have filed registration statements on Form S-8 under the Securities Act registering the issuance of shares of common stock subject to 
options or other equity awards issued or reserved for future issuance under our equity incentive plans. Shares registered under this registration statement on 
Form S-8 are available for sale in the public market subject to vesting arrangements and exercise of options, the lock-up agreements described above and 
the restrictions of Rule 144 in the case of our affiliates.

Provisions in our corporate charter documents and under Delaware law may prevent or frustrate attempts by our stockholders to change our 
management and hinder efforts to acquire a controlling interest in us, and the market price of our common stock may be lower as a result.

There are provisions in our certificate of incorporation and bylaws that may make it difficult for a third party to acquire, or attempt to acquire, 

control of our company, even if a change of control was considered favorable by you and other stockholders. For example, our board of directors has the 
authority to issue up to 10,000,000 shares of preferred stock. The board of directors can fix the price, rights, preferences, privileges, and restrictions of the 
preferred stock without any further vote or action by our stockholders. The issuance of shares of preferred stock may delay or prevent a change of control 
transaction. As a result, the market price of our common stock and the voting and other rights of our stockholders may be adversely affected. An issuance 
of shares of preferred stock may result in the loss of voting control to other stockholders.

Our charter documents contain other provisions that could have an anti-takeover effect, including:

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•

•

•

•

only one of our three classes of directors are elected each year;

stockholders are not entitled to remove directors other than by a 66 ⅔% vote and only for cause;

stockholders are not permitted to take actions by written consent;

stockholders cannot call a special meeting of stockholders; and

stockholders must give advance notice to nominate directors or submit proposals for consideration at stockholder meetings.

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In addition, we are subject to the anti-takeover provisions of Section 203 of the Delaware General Corporation Law, which regulates corporate 
acquisitions by prohibiting Delaware corporations from engaging in specified business combinations with particular stockholders of those companies. 
These provisions could discourage potential acquisition proposals and could delay or prevent a change of control transaction. They could also have the 
effect of discouraging others from making tender offers for our common stock, including transactions that may be in your best interests. These provisions 
may also prevent changes in our management or limit the price that investors are willing to pay for our stock.

Concentration of ownership of our common stock among our existing executive officers, directors and principal stockholders may prevent our other 
stockholders from influencing significant corporate decisions.

Our executive officers, directors and current beneficial owners of 5% or more of our common stock and their respective affiliates, including entities 
affiliated with Paul B. Manning, in the aggregate, beneficially own a majority of our outstanding common stock. As a result, these persons, acting together, 
can significantly influence all matters requiring stockholder approval, including the election and removal of directors, any merger, consolidation, sale of all 
or substantially all of our assets, or other significant corporate transactions.

Some of these persons or entities may have interests different than yours. For example, because many of these stockholders purchased their shares at 

prices substantially below the current market price of our common stock and have held their shares for a longer period, they may be more interested in 
selling our company to an acquirer than other investors, or they may want us to pursue strategies that deviate from the interests of other stockholders.

We are an “emerging growth company” and, as a result of the reduced disclosure and governance requirements applicable to emerging growth 
companies, our common stock may be 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 intend to take 

advantage of some of the exemptions from reporting requirements that are applicable to other public companies that are not emerging growth companies, 
including:

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•

•

being permitted to provide only two years of audited financial statements, in addition to any required unaudited interim financial statements, 
with correspondingly reduced “Management’s Discussion and Analysis of Financial Condition and Results of Operations” disclosure;

not being required to comply with the auditor attestation requirements in the assessment of our internal control over financial reporting;

not being required to comply with any requirement that may be adopted by the Public Company Accounting Oversight Board regarding 
mandatory audit firm rotation or a supplement to the auditor’s report providing additional information about the audit and the financial 
statements;

reduced disclosure obligations regarding executive compensation in our periodic reports, proxy statements and registration statements; and

not being required to hold a nonbinding advisory vote on executive compensation and shareholder approval of any golden parachute 
payments not previously approved.

We cannot predict if investors will find our common stock less attractive because we will rely on these exemptions. 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 be more volatile. We may 
take advantage of these reporting exemptions until we are no longer an emerging growth company. We will remain an emerging growth company until the 
earlier of (1) the last day of the fiscal year (a) ending December 31, 2023, which is the end of the fiscal year following the fifth anniversary of the closing 
of our initial public offering, (b) in which we have total annual gross revenue of at least $1.07 billion, or (c) in which we are deemed to be a large 
accelerated filer, which means the market value of our common stock that is held by non-affiliates exceeds $700 million as of the prior June 30th, and (2) 
the date on which we have issued more than $1.0 billion in non-convertible debt during the prior three-year period.

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Under Section 107(b) of the JOBS Act, emerging growth companies can delay adopting new or revised accounting standards until such time as 
those standards apply to private companies. We have irrevocably elected not to avail ourselves of this exemption from new or revised accounting standards 
and, therefore, we will be subject to the same new or revised accounting standards as other public companies that are not emerging growth companies.

If we fail to maintain proper and effective internal controls our ability to produce accurate financial statements on a timely basis could be impaired.

We are subject to the reporting requirements of the Securities Exchange Act of 1934, the Sarbanes-Oxley Act and the rules and regulations of the 
stock market on which our common stock is listed. The Sarbanes-Oxley Act requires, among other things, that we maintain effective disclosure controls 
and procedures and internal control over financial reporting.

We perform system and process evaluation and testing of our internal control over financial reporting to allow management to report on the 
effectiveness of our internal control over financial reporting in our Form 10-K filing for that year, as required by Section 404 of the Sarbanes-Oxley Act. 
This requires that we incur substantial additional professional fees and internal costs to expand our accounting and finance functions and that we expend 
significant management efforts.

 Our internal control over financial reporting will not prevent or detect all errors and all fraud. A control system, no matter how well designed and 

operated, can provide only reasonable, not absolute, assurance that the control system’s objectives will be met. Because of the inherent limitations in all 
control systems, no evaluation of controls can provide absolute assurance that misstatements due to error or fraud will not occur or that all control issues 
and instances of fraud will be detected.

If we are not able to comply with the requirements of Section 404 of the Sarbanes-Oxley Act in a timely manner, or if we are unable to maintain 

proper and effective internal controls, we may not be able to produce timely and accurate financial statements. If that were to happen, the market price of 
our stock could decline and we could be subject to sanctions or investigations by the stock exchange on which our common stock is listed, the Securities 
and Exchange Commission, or SEC, or other regulatory authorities.

We might not be able to utilize a significant portion of our net operating loss carryforwards.

As of December 31, 2021, we had federal and state net operating loss carryforwards of approximately $109.0 million and $110.9 million, 

respectively. The federal net operating loss carryforwards included in the foregoing totals that were generated prior to 2018 (federal of approximately $6.9 
million) will begin to expire, if not utilized, by 2033. These net operating loss carryforwards could expire unused and be unavailable to offset future income 
tax liabilities. Under the 2017 federal income tax law changes, the federal net operating losses incurred in 2018 and future years may be carried forward 
indefinitely, but the deductibility of such federal net operating losses is limited. It is uncertain how various states will respond to the federal tax law 
changes. In addition, under Section 382 of the Internal Revenue Code of 1986, as amended, and corresponding provisions of state law, if a corporation 
undergoes an “ownership change,” which is generally defined as a greater than 50% change, by value, in its equity ownership over a three-year period, the 
corporation’s ability to use its pre-change net operating loss carryforwards and other pre-change tax attributes to offset its post-change income or taxes may 
be limited. We may experience ownership changes in the future as a result of subsequent shifts in our stock ownership, some of which may be outside of 
our control. If an ownership change occurs and our ability to use our net operating loss carryforwards is materially limited, it would harm our future 
operating results by effectively increasing our future tax obligations.

We do not anticipate paying any cash dividends on our common stock in the foreseeable future.

You should not rely on an investment in our common stock to provide dividend income. We have not declared or paid cash dividends on our 
common stock to date. We currently intend to retain our future earnings, if any, to fund the development and growth of our business. In addition, the terms 
of the Loan Agreements restrict us from paying dividends, subject to limited exceptions, and any future debt agreements may also preclude us from paying 
dividends. As a result, capital appreciation, if any, of our common stock will be your sole source of gain for the foreseeable future. Investors seeking cash 
dividends should not purchase our common stock.

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We have begun to incur increased costs and demands upon management as a result of being a public company.

As a public company listed in the United States, we have begun to incur significant additional legal, accounting and other costs. These additional 

costs could negatively affect our financial results. In addition, changing laws, regulations and standards relating to corporate governance and public 
disclosure, including regulations implemented by the SEC and the Nasdaq Stock Market, may increase legal and financial compliance costs and make some 
activities more time-consuming. These laws, regulations and standards are subject to varying interpretations and, as a result, their application in practice 
may evolve over time as new guidance is provided by regulatory and governing bodies. We intend to invest resources to comply with evolving laws, 
regulations and standards, and this investment may result in increased general and administrative expenses and a diversion of management’s time and 
attention from revenue-generating activities to compliance activities. If notwithstanding our efforts to comply with new laws, regulations and standards, we 
fail to comply, regulatory authorities may initiate legal proceedings against us and our business may be harmed.

Failure to comply with these rules might also make it more difficult for us to obtain some types of insurance, including director and officer liability 
insurance, and we might be forced to accept reduced policy limits and coverage or incur substantially higher costs to obtain the same or similar coverage. 
The impact of these events could also make it more difficult for us to attract and retain qualified persons to serve on our board of directors, on committees 
of our board of directors or as members of senior management.

Our amended and restated certificate of incorporation provides that the Court of Chancery of the State of Delaware and, to the extent enforceable, the 
federal district courts of the United States of America will be the exclusive forums for substantially all disputes between us and our stockholders, which 
could limit our stockholders’ ability to obtain a favorable judicial forum for disputes with us or our directors, officers or employees. 

Our amended and restated certificate of incorporation provides that the Court of Chancery of the State of Delaware is the exclusive forum for (i) any 
derivative action or proceeding brought on our behalf, (ii) any action asserting a claim for breach of a fiduciary duty owed by any of our directors, officers 
or other employees to us or our stockholders, (iii) any action asserting a claim arising pursuant to any provision of the Delaware General Corporation Law, 
our amended and restated certificate of incorporation or our amended and restated bylaws or (iv) any action asserting a claim governed by the internal 
affairs doctrine. Our amended and restated certificate of incorporation further provides that the federal district courts of the United States of America will 
be the exclusive forum for resolving any complaint asserting a cause of action arising under the Securities Act, subject to and contingent upon a final 
adjudication in the State of Delaware of the enforceability of such exclusive forum provision. These exclusive forum provisions may limit a stockholder’s 
ability to bring a claim in a judicial forum that it finds favorable for disputes with us or our directors, officers or other employees, which may discourage 
such lawsuits against us and our directors, officers and other employees. For example, stockholders who do bring a claim in the Court of Chancery could 
face additional litigation costs in pursuing any such claim, particularly if they do not reside in or near the State of Delaware. The Court of Chancery and 
federal district courts may also reach different judgments or results than would other courts, including courts where a stockholder considering an action 
may be located or would otherwise choose to bring the action, and such judgments or results may be more favorable to us than to our stockholders. Some 
companies that adopted a similar federal district court forum selection provision are currently subject to a suit in the Chancery Court of Delaware by 
stockholders who assert that the provision is not enforceable. If a court were to find either choice of forum provision contained in our amended and restated 
certificate of incorporation to be inapplicable or unenforceable in an action, we may incur additional costs associated with resolving such action in other 
jurisdictions, which could adversely affect our business and financial condition. For example, the Court of Chancery of the State of Delaware recently 
determined that the exclusive forum provision of federal district courts of the United States of America for resolving any complaint asserting a cause of 
action arising under the Securities Act is not enforceable. However, this decision has been appealed and may be reviewed and ultimately overturned by the 
Delaware Supreme Court. If this ultimate adjudication were to occur, we would enforce the federal district court exclusive forum provision in our amended 
and restated certificate of incorporation.

General Risk Factors

Our business and operations would suffer in the event of computer system failures, cyber-attacks or a deficiency in our cyber-security, including but 
not limited to regulatory investigations or actions; litigation; fines and 

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penalties; disruptions of our business operations; reputational harm; loss of revenue or profits; and other adverse consequences.

Despite the implementation of security measures, our internal computer systems, and those of third parties on which we rely, are vulnerable to 
damage from computer viruses, malware, natural disasters, terrorism, war, telecommunication and electrical failures, cyber-attacks or cyber-intrusions over 
the Internet, attachments to emails, persons inside our organization, or persons with access to systems inside our organization. Cyberattacks, malicious 
internet-based activity, and online and offline fraud are prevalent and continue to increase.  These threats are becoming increasingly difficult to detect. 
These threats come from a variety of sources. In addition to traditional computer “hackers,” threat actors, personnel (such as through theft or misuse), 
sophisticated nation-states, and nation-state-supported actors now engage in attacks.  We and the third parties upon which we rely may be subject to a 
variety of evolving threats, including but not limited to social-engineering attacks (including through phishing attacks), malicious code (such as viruses and 
worms), malware (including as a result of advanced persistent threat intrusions), denial-of-service attacks (such as credential stuffing), personnel 
misconduct or error, ransomware attacks, supply-chain attacks, software bugs, server malfunctions, software or hardware failures, loss of data or other 
information technology assets, adware, telecommunications failures, earthquakes, fires, floods, and other similar threats. 

Any of the foregoing could result in a material disruption of our clinical and product development activities and business operations, in addition to 
possibly requiring substantial expenditures of resources to remedy. For example, the loss or compromise of clinical trial data from completed or ongoing 
clinical trials could result in delays in our regulatory approval efforts and significantly increase our costs to recover or reproduce the data. To the extent that 
any disruption or security incident was to result in a loss or damage to our data or applications, or inappropriate disclosure of confidential or proprietary 
information, we could incur significant unexpected losses, expenses and liabilities, we could face litigation or suffer reputational harm and the further 
development of our product candidates could be delayed.  Our contracts may not contain limitations of liability, and even where they do, there can be no 
assurance that limitations of liability in our contracts are sufficient to protect us from liabilities, damages, or claims related to our data privacy and security 
obligations. We cannot be sure that our insurance coverage will be adequate or sufficient to protect us from or to mitigate liabilities arising out of our 
privacy and security practices, that such coverage will continue to be available on commercially reasonable terms or at all, or that such coverage will pay 
future claims.

An active trading market for our common stock may not continue to develop or be sustained.

Prior to our initial public offering, there was no public market for our common stock, and we cannot assure you that an active trading market for our 

shares will continue to develop or be sustained. As a result, it may be difficult for you to sell shares at an attractive price or at all.

If equity research analysts do not publish research or reports, or publish unfavorable research or reports, about us, our business or our market, our 
stock price and trading volume could decline.

The trading market for our common stock will be influenced by the research and reports that equity research analysts publish about us and our 
business. As a newly public company, we have only limited research coverage by equity research analysts. Equity research analysts may elect not to initiate 
or continue to provide research coverage of our common stock, and such lack of research coverage may adversely affect the market price of our common 
stock. Even if we continue to have equity research analyst coverage, we will not have any control over the analysts or the content and opinions included in 
their reports. The price of our stock could decline if one or more equity research analysts downgrade our stock or issue other unfavorable commentary or 
research. If one or more equity research analysts ceases coverage of our company or fails to publish reports on us regularly, demand for our stock could 
decrease, which in turn could cause our stock price or trading volume to decline.

Our effective tax rate may fluctuate, and we may incur obligations in tax jurisdictions in excess of accrued amounts.

We are subject to taxation in more than one tax jurisdiction. As a result, our effective tax rate is derived from a combination of applicable tax rates in 

the various places that we operate. In preparing our financial statements, we estimate the amount of tax that will become payable in each of such places. 
Nevertheless, our effective tax rate may be different than experienced in the past due to numerous factors, including passage of the 2017 federal income tax 
law, changes in the mix of our profitability from jurisdiction to jurisdiction, the results of examinations and audits of 

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our tax filings, our inability to secure or sustain acceptable agreements with tax authorities, changes in accounting for income taxes and changes in tax 
laws. Any of these factors could cause us to experience an effective tax rate significantly different from previous periods or our current expectations. 

ITEM 1B. UNRESOLVED STAFF COMMENTS

None.

ITEM 2. PROPERTIES

On July 1, 2019, we entered into a lease for 5,829 square feet of office space located in West Chester, Pennsylvania that serves as our headquarters.  

The initial term of the lease is seven years with one five-year renewal option and an ongoing right of first offer to lease up to approximately 5,000 square 
feet of additional space on the same floor of the building.  On March 12, 2020, the Company entered into an amendment to that lease agreement. The 
amendment expands the original premises to include 5,372 square feet of additional office space increasing the total rentable premise to 11,201 square feet 
of space.  The commencement date for the lease was September 1, 2020. 

We believe that our existing facilities are suitable and adequate to meet our current needs. We intend to add new facilities or expand existing 
facilities as we add employees, and we believe that suitable additional or substitute space will be available as needed to accommodate any such expansion 
of our operations.

ITEM 3. LEGAL PROCEEDINGS

From time to time, we may be subject to litigation and claims arising in the ordinary course of business. We are not currently a party to any 

material legal proceedings and we are not aware of any pending or threatened legal proceeding against us that we believe could have a material adverse 
effect on our business, operating results, cash flows or financial condition.

ITEM 4. MINE SAFETY DISCLOSURES

None.

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PART II

ITEM 5. MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND ISSUER PURCHASE OF 
EQUITY SECURITIES

Dividend Policy

We have never declared or paid, and do not anticipate declaring or paying, in the foreseeable future, any cash dividends on our capital stock. We 
currently intend to retain all available funds and any future earnings to support our operations and finance the growth and development of our business. 
Pursuant to the Loan Agreements, we are also restricted from paying dividends or making other distributions or payments on our capital stock, subject to 
limited exceptions. Any future determination related to our dividend policy will be made at the discretion of our board of directors and will depend upon, 
among other factors, our results of operations, financial condition, capital requirements, contractual restrictions, business prospects and other factors our 
board of directors may deem relevant. 

Stockholders

Our common stock is listed on the Nasdaq Global Select Market under the symbol “VRCA”. As of March 1, 2022, we had 27,519,053 shares of 
common stock outstanding held by 21 holders of record. The actual number of stockholders is greater than this number of record holders and includes 
stockholders who are beneficial owners but whose shares are held in street name by brokers and other nominees. This number of holders of record also 
does not include stockholders whose shares may be held in trust by other entities.

Use of Proceeds from Initial Public Offering of Common Stock

Not applicable.

Recent Sales of Unregistered Securities

None.

Purchases of Equity Securities by the Issuer and Affiliated Parties

None.

ITEM 6. RESERVED

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

You should read the following discussion and analysis of our financial condition and results of operations in conjunction with the financial 

statements and the related notes to those statements included later in this Annual Report. In addition to historical financial information, the following 
discussion contains forward‑looking statements that reflect our plans, estimates, beliefs and expectations that involve risks and uncertainties. Our actual 
results and the timing of events could differ materially from those discussed in these forward‑looking statements. Factors that could cause or contribute to 
these differences include those discussed below and elsewhere in this Annual Report, particularly in Item 1A. “Risk Factors” and “Special Note Regarding 
Forward‑Looking Statements.” 

Overview

We are a dermatology therapeutics company committed to the development and commercialization of novel treatments that provide meaningful 

benefit for people living with skin diseases. Our lead product candidate, VP-102, is a proprietary drug-device combination of our topical solution of 
cantharidin, a widely recognized, naturally sourced agent to treat topical dermatological conditions, administered through our single-use precision 
applicator. We are initially developing VP-102 for the treatment of molluscum contagiosum, or molluscum, a highly contagious and primarily pediatric 
viral skin disease, external genital warts and common warts. There are currently no products approved by the U.S. Food and Drug Administration, or FDA, 
nor is there an established standard of care for either of these diseases, resulting in significant undertreated populations in two of the largest unmet needs in 
dermatology. VP-102 has the potential to be the first FDA-approved product for molluscum and for its active pharmaceutical ingredient, or API, to be 
characterized as a new chemical entity, or NCE, with the five years of non-patent regulatory exclusivity associated with that designation. We also believe 
VP-102 has the potential to qualify for pediatric exclusivity in common warts, which would provide for an additional six months of non-patent exclusivity. 
In addition, our granted patents and pending patent applications include claims drawn to our cantharidin formulations, applicator devices and related 
accessories, dosing regimens, methods of preparation including methods of synthesis, and methods of use.

In January 2019, we reported positive top-line results from our Phase 3 CAMP-1 and CAMP-2 pivotal trials with VP-102 for the treatment of 
molluscum. Both clinical trials evaluated the safety and efficacy of VP-102 compared to placebo. In each trial, we observed that a clinically and statistically 
significant proportion of subjects treated with VP-102 achieved complete clearance of all treatable molluscum lesions compared to subjects treated with 
placebo. VP-102 was well-tolerated in both trials, with no serious adverse events reported in VP-102 treated subjects. CAMP-1 was conducted under a 
special protocol assessment, or SPA, agreement with the FDA. Based on the results from these trials, we submitted a new drug application, or NDA, to the 
FDA for VP-102 for the treatment of molluscum in September 2019.  In November 2019, we received notice that the FDA accepted the NDA for filing, 
with a Prescription Drug User Fee Act, or PDUFA, goal date of July 13, 2020. In July 2020, we received a Complete Response Letter, or CRL, from the 
FDA for our NDA. The CRL indicated the need for additional information regarding certain aspects of the chemistry, manufacturing and controls, or CMC, 
processes for the drug/device combination as well as human factors validation.  The FDA did not identify any clinical deficiencies.  A Type A meeting was 
held with the FDA in October 2020 to discuss the issues that were identified in the CRL and the resubmission of the NDA for VP-102.  We resubmitted our 
NDA for VP-102 for the treatment of molluscum in December 2020.  In February 2021, we received notice that the FDA accepted the resubmitted NDA 
for filing, with a PDUFA goal date of June 23, 2021. On May 28, 2021 the FDA extended the PDUFA date to September 23, 2021 to allow the Agency 
additional time to review information submitted by Verrica in response to comments from the agency regarding the Company's human factors study.

On September 17, 2021, the FDA issued a CRL regarding our NDA for VP-102.  According to the CRL, the FDA identified deficiencies at a facility 

of a contract manufacturing organization, or CMO, which are not specifically related to the manufacturing of VP-102 but instead raise general quality 
issues at the facility. The FDA did not identify any clinical, safety or product specific CMC deficiencies related to VP-102.  Following the CRL, on 
September 22, 2021 we received a General Advice Letter from the FDA with recommendations to improve VP-102’s user interface. On November 5, 2021, 
we were notified that the inspection of the CMO has been classified as “voluntary action indicated”, or VAI, is now closed and that the VAI classification 
will not directly negatively impact FDA’s assessment of our NDA regarding this CMO. With the satisfactory resolution of the facility 

77

 
inspection, we resubmitted the NDA for the approval of VP-102 for the treatment of molluscum.  The resubmission was limited to those sections and 
elements of the NDA that were identified as deficiencies in the CRL issued by the FDA in September 2021. In December 2021 the FDA acknowledged our 
resubmission of the NDA and assigned a PDUFA goal date of May 24, 2022.

 In addition, we are also developing VP-102 for the treatment of external genital warts. We initiated a Phase 2 clinical trial evaluating the optimal 
dose regimen, efficacy, safety and tolerability of VP-102 in patients with external genital warts in June 2019.  In November 2020, we announced positive 
topline results from our Phase 2 clinical trial of VP-102 for the treatment of external genital warts.  Based on the results of the Phase 2 trial, an end of 
Phase 2 meeting was held with the FDA in May 2021. In addition, we are conducting necessary drug development activities for VP-103, our second 
cantharidin-based product candidate, and are evaluating when to initiate a Phase 2 clinical trial for the treatment of plantar warts. We also intend to develop 
our third product candidate, LTX-315, for the treatment of dermatological oncology indications. The FDA accepted our IND in November 2021.  We 
expect to initiate the Phase 2 trial of LTX-315 in Basel Cell Carcinoma in the first quarter of 2022.

In June 2019, we announced positive topline results from our COVE-1 Phase 2 open label clinical trial of VP-102 for the treatment of verruca 
vulgaris, or common warts. Based on feedback from the FDA regarding a potential Phase 3 trial protocol, we are currently evaluating conducting an 
additional Phase 2 clinical trial of VP-102 for the treatment of common warts. 

On March 17, 2021, we entered into a collaboration and license agreement, or the Torii Agreement, with Torii Pharmaceutical Co., Ltd., or Torii, 

pursuant to which we granted Torii an exclusive license to develop and commercialize our product candidates that contain a topical formulation of 
cantharidin for the treatment of molluscum contagiosum and common warts in Japan, including VP-102.  Additionally, we granted Torii a right of first 
negotiation with respect to additional indications for the licensed products and certain additional products for use in the licensed field, in each case in 
Japan. Pursuant to the Torii Agreement, we are entitled to receive an up-front payment from Torii of $11.5 million.  Additionally, we are entitled to receive 
from Torii an additional $58.0 million in aggregate payments contingent on achievement of specified development, regulatory, and sales milestones, in 
addition to tiered transfer price payments for supply of product in the percentage range of the mid-30s to the mid-40s of net sales

In August 2020, we entered into an exclusive license agreement with Lytix Biopharma AS, or Lytix, pursuant to which we obtained a worldwide, 
license for certain technology of Lytix to develop LTX-315 for use in all malignant and pre-malignant dermatological indications, other than metastatic 
melanoma and metastatic Merkel cell carcinoma.      

Our strategy is to advance VP-102 through regulatory approval and self-commercialize in the United States for the treatment of several skin 

diseases. We intend to build a specialized sales organization in the United States focused on pediatric dermatologists, dermatologists, and select 
pediatricians. In the future, we also intend to develop VP-102 for commercialization in additional geographic regions, either alone or together with a 
strategic partner.

We have been actively monitoring the novel coronavirus, or COVID-19, pandemic and its impact globally. The full extent to which the COVID-19 

pandemic will directly or indirectly impact our business, results of operations and financial condition will depend on future developments that are highly 
uncertain, including as a result of new information that may emerge concerning COVID-19 and the actions taken to contain it or treat COVID-19. As a 
direct result of COVID-19, we decided to delay the initiation of our previously planned Phase 3 clinical trials to evaluate VP-102 in subjects with common 
warts as well as our previously planned Phase 2 clinical trial to evaluate VP-103 in subjects with plantar warts. 

Since our inception in 2013, our operations have focused on developing VP-102, organizing and staffing our company, business planning, raising 

capital, establishing our intellectual property portfolio and conducting clinical trials. We do not have any product candidates approved for sale and have not 
generated any revenue from product sales. We have funded our operations primarily through the sale of equity and equity-linked securities and through 
borrowing under our loan agreement with Silicon Valley Bank, or SVB.

78

 
 
On June 19, 2018, we completed an IPO of common stock, which resulted in the issuance and sale of 5,750,000 shares of common stock at a public 
offering price of $15.00 per share, generating net proceeds of $78.4 million after deducting underwriting discounts and other offering costs. We completed 
a follow-on public offering of our common stock in March 2021, generating net proceeds of $28.1 million after deducting underwriting discounts and other 
offering costs. 

On March 10, 2020, we entered into (i) a mezzanine loan and security agreement, or the Mezzanine Loan Agreement, with Silicon Valley Bank, as 

administrative agent and collateral agent, or the Agent, and Silicon Valley Bank and West River Innovation Lending Fund VIII, L.P., as lenders, or the 
Mezzanine Lenders, pursuant to which the Mezzanine Lenders have agreed to lend us up to $50.0 million in a series of term loans, and (ii) a loan and 
security agreement, or the Senior Loan Agreement, and together with the Mezzanine Loan Agreement, the Loan Agreements, with Silicon Valley Bank, as 
lender, or the Senior Lender, and together with the Mezzanine Lenders, the Lenders, pursuant to which the Senior Lender has agreed to provide us a 
revolving line of credit of up to $5.0 million. Upon entering into the Loan Agreements, we borrowed $35.0 million in term loans, or the Term A Loan, from 
the Mezzanine Lenders. We entered into amendments to the Loan Agreements in October 2020 under which we borrowed an additional $5.0 million in 
term loans, or the Term B1 Loan and together with the Term A Loan, the Loans, on March 1, 2021.

We believe that our existing cash, cash equivalents and marketable securities as of December 31, 2021, will be sufficient to support our planned 

operations into the third quarter of 2022.

Since inception, we have incurred significant operating losses. For the years ended December 31, 2021 and 2020, our net loss was $35.1 million and 
$42.7 million, respectively. As of December 31, 2021, we had an accumulated deficit of $139.0 million. We expect to continue to incur significant expenses 
and operating losses for the foreseeable future. We anticipate that our expenses will increase significantly in connection with our ongoing activities, as we:

•

•

•

•

•

•

•

•

•

•

•

•

initiate clinical trials evaluating VP-102 for the treatment of external genital warts;

continue our ongoing clinical programs evaluating VP-102 for the treatment of common warts as well as initiate and complete additional 
clinical trials, as needed;

initiate clinical trials evaluating VP-103 for the treatment of plantar warts, and LTX-315 for the treatment of dermatological oncology 
indications;

pursue regulatory approvals for VP-102 for the treatment of molluscum, and eventually for the treatment of  external genital warts, common 
warts or any other indications we may pursue for VP-102, as well as for VP-103 or LTX-315;

seek to discover and develop additional product candidates;

ultimately establish a commercialization infrastructure and scale up external manufacturing and distribution capabilities to commercialize 
any product candidates for which we may obtain regulatory approval, including VP-102, VP-103 and LTX-315;

seek to in-license or acquire additional product candidates for other dermatological conditions;

adapt our regulatory compliance efforts to incorporate requirements applicable to marketed products;

maintain, expand and protect our intellectual property portfolio;

hire additional clinical, manufacturing and scientific personnel;

add operational, financial and management information systems and personnel, including personnel to support our product development and 
planned future commercialization efforts; and

incur additional legal, accounting and other expenses in operating as a public company.

79

 
Critical Accounting Estimates

The preparation of our financial statements requires us to make estimates and assumptions that affect the reported amounts of assets and liabilities 

and the disclosure of contingent assets and liabilities at the date of our financial statements, as well as the reported revenues and expenses during the 
reported periods. We base our estimates on historical experience and on various other factors that we believe are reasonable under the circumstances, the 
results of which form the basis for making judgments about the carrying value of assets and liabilities that are not apparent from other sources. Actual 
results may differ from these estimates under different assumptions or conditions.

A summary of our significant accounting policies appears in the notes to our audited financial statements for the year ended December 31, 2021 
included in this Annual Report on Form 10-K. However, we believe that the following accounting estimate is important to understanding and evaluating 
our reported financial results, and we have accordingly included it in this discussion.

Research and Development Costs

We rely on third parties to conduct our preclinical studies and clinical trials, and to provide services, including manufacturing of product in 

connection with the clinical trials. At the end of each reporting period, we compare payments made to third-party service providers to the estimated 
progress toward completion of the applicable research or development objectives. Such estimates are subject to change as additional information becomes 
available. Depending on the timing of payments to the service providers and the progress that we estimate has been made as a result of the service 
provided, we may record net prepaid or accrued expense relating to these costs. As of December 31, 2021, we did not make any material adjustments to our 
prior estimates of accrued research and development expenses.

JOBS Act

In April 2012, the Jumpstart Our Business Startups Act of 2012, or the JOBS Act, was enacted. Section 107 of the JOBS Act provides that an 
“emerging growth company” can take advantage of the extended transition period provided in Section 7(a)(2)(B) of the Securities Act 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.

Subject to certain conditions, as an emerging growth company, we may rely on certain exemptions, including exemptions from (i) providing an 

auditor’s attestation report on our system of internal controls over financial reporting pursuant to Section 404(b) of the Sarbanes-Oxley Act and (ii) 
complying with any requirement that may be adopted by the Public Company Accounting Oversight Board regarding mandatory audit firm rotation or a 
supplement to the auditor’s report providing additional information about the audit and the financial statements, known as the auditor discussion and 
analysis. We will remain an emerging growth company until the earlier to occur of (1) (a) December 31, 2023, which is the end of the fiscal year following 
the fifth anniversary of the completion of our initial public offering, (b) the last day of the fiscal year in which we have total annual gross revenues of at 
least $1.07 billion or (c) the last day of the fiscal year in which we are deemed to be a “large accelerated filer” under the rules of the U.S. Securities and 
Exchange Commission, which means the market value of our common stock that is held by non-affiliates exceeds $700 million as of the prior June 30th, 
and (2) the date on which we have issued more than $1.0 billion in non-convertible debt during the prior three-year period.

Components of Operating Results

License Revenue

We have not received any revenue from product sales since our inception. License revenue represents revenue from the Torii Agreement pursuant to 

which we granted Torii an exclusive license to develop and commercialize our 

80

 
product candidates that contain a topical formulation of cantharidin for the treatment of molluscum contagiosum and common warts in Japan including VP-
102.

Operating Expenses

Research and Development Expenses

Research and development expenses consist of expenses incurred in connection with the discovery and development of our product candidates. We 

expense research and development costs as incurred. These expenses include:

•

•

•

•

•

•

expenses incurred under agreements with contract research organizations, or CROs, as well as investigative sites and consultants that conduct 
our clinical trials and preclinical studies;

manufacturing and supply scale-up expenses and the cost of acquiring and manufacturing preclinical and clinical trial supply and commercial 
supply, including manufacturing validation batches;

outsourced professional scientific development services;

employee-related expenses, which include salaries, benefits and stock-based compensation;

expenses relating to regulatory activities; and

laboratory materials and supplies used to support our research activities.

Research and development activities are central to our business model. Product candidates in later stages of clinical development generally have 

higher development costs than those in earlier stages of clinical development, primarily due to the increased size and duration of later-stage clinical trials. 
We expect our research and development expenses to increase over the next several years as we increase personnel costs, including stock-based 
compensation, initiate and conduct clinical trials of VP-102 in patients with external genital warts, VP-102 in patients with common warts, VP-103 in 
patients with plantar warts, LTX-315 for dermatological oncology indications, and conduct other clinical trials and prepare regulatory filings for our 
product candidates.

The successful development of our product candidates is highly uncertain. At this time, we cannot reasonably estimate or know the nature, timing 
and costs of the efforts that will be necessary to complete the remainder of the development of, or when, if ever, material net cash inflows may commence 
from our product candidates. This uncertainty is due to the numerous risks and uncertainties associated with the duration and cost of clinical trials, which 
vary significantly over the life of a project as a result of many factors, including:

•

•

•

•

•

•

the number of clinical sites included in the trials;

the length of time required to enroll suitable patients;

the number of patients that ultimately participate in the trials;

the number of doses patients receive;

the duration of patient follow-up; and

the results of our clinical trials.

Our expenditures are subject to additional uncertainties, including the manufacturing process for our product candidates, the terms and timing of 

regulatory approvals, and the expense of filing, prosecuting, defending and enforcing any patent claims or other intellectual property rights. We may never 
succeed in achieving regulatory approval for our product candidates. We may obtain unexpected results from our clinical trials. We may elect to 
discontinue, delay or modify clinical trials of our product candidates. A change in the outcome of any of these variables with respect to the development of 
a product candidate could mean a significant change in the costs and timing associated with the development of that product candidate. For example, if the 
FDA or other regulatory authorities were to require us to conduct clinical trials beyond those that we currently anticipate, or if we experience significant 
delays in enrollment in any of our clinical trials, we could be required to expend significant additional financial resources and time on the completion of 
clinical development. 

81

 
General and Administrative Expenses

General and administrative expenses consist principally of salaries and related costs for personnel in executive and administrative functions, 

including stock-based compensation, travel expenses and recruiting expenses. Other general and administrative expenses include market research costs, 
insurance costs, and professional fees for audit, tax and legal services.

We anticipate that our general and administrative expenses, including payroll and related expenses, will increase in the future as we continue to 
increase our headcount to support the expected growth in our business, expand our operations and organizational capabilities, and prepare for potential 
commercialization of VP-102 for the treatment of molluscum, if successfully developed and approved. We also anticipate increased expenses associated 
with general operations, including costs related to audit, tax and legal services, director and officer insurance premiums, and investor relations costs

Income Taxes

Since our inception in 2013, we have not recorded any U.S. federal or state income tax benefits for the net losses we have incurred in each year due 

to our uncertainty of realizing a benefit from those items. As of December 31, 2021, we had federal and state net operating loss carryforwards of 
approximately $109.0 million and $110.9 million, respectively. The federal net operating loss carryforwards included in the foregoing totals that were 
generated prior to 2018 (federal of approximately $6.9 million) will begin to expire, if not utilized, by 2033. Utilization of the net operating loss 
carryforwards may be subject to an annual limitation according to Section 382 of the Internal Revenue Code of 1986, as amended, and similar provisions.

Results of Operations for the Years Ended December 31, 2021 and 2020

The following table summarizes our results of operations for the years ended December 31, 2021 and 2020 (in thousands): 

License revenue
Operating expenses:

Research and development
General and administrative

Total operating expenses
Loss from operations
Other expense:

Interest income
Interest expense
Total other expense
Net loss

License Revenue

For the Year Ended December 31,

2021

2020

Change

  $

12,000  

  $

—  

  $

15,929    
26,979    
42,908    
(30,908 )  

123    
(4,295 )  
(4,172 )  
(35,080 )   $

15,673    
24,508    
40,181    
(40,181 )  

521    
(3,034 )  
(2,513 )  
(42,694 )   $

  $

12,000  

256  
2,471  
2,727  
9,273  

(398 )
(1,261 )
(1,659 )
7,614  

License revenue was $12.0 million for the year ended December 31, 2021, compared to no license revenue for the year ended December 31, 2020.  
Pursuant to the exercise of the license option in March 17, 2021 per the Torii Agreement we recognized revenue of $12.0 million comprised of an up-front 
payment of $0.5 million received in December 2020 and $11.5 million payment paid in April 2021.

Research and Development Expenses

Research and development expenses were $15.9 million for the year ended December 31, 2021, compared to $15.7 million for the year ended 

December 31, 2020. The increase of $0.3 million was primarily attributable to a one-time $2.3 million payment made to Lytix upon the achievement of a 
regulatory milestone for LTX-315 and increased compensation costs, and increased clinical costs related to our development of VP-102 for molluscum 

82

 
 
 
 
   
 
 
 
 
   
   
 
 
     
     
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
     
     
   
 
 
 
 
 
 
 
 
 
 
 
 
 
partially offset by decreased Chemistry, Manufacturing and Controls, or CMC, costs related to our development of VP-102 for molluscum.  

General and Administrative Expenses

General and administrative expenses were $27.0 million for the year ended December 31, 2021, compared to $24.5 million for the year ended 

December 31, 2020. The increase of $2.5 million was primarily driven by expenses related to increased headcount, an increase in insurance, professional 
fees, and other operating costs, and an increase in expenses related to pre-commercial activities for VP-102. The increase was partially offset by a decrease 
in stock-based compensation costs, which includes $4.8 million of stock-based compensation expense recorded in December 2020 related to the 
modification of a stock award to a former executive. 

Interest Income

Interest income for the years ended December 31, 2021 and 2020 consisted of interest earned on our cash, cash equivalents and marketable 

securities. The decrease of $0.4 million was primarily a result of lower interest income due to lower interest rates.  

Interest Expense

Interest expense for the year ended December 31, 2021 and 2020 consisted of interest expense on the Mezzanine Loan Agreement as noted in Note 

11 to our financial statements. The increase of $1.3 million was primarily a result of the Mezzanine Loan Agreement which commenced on March 10, 
2020.

Results of Operations for Years Ended December 31, 2020 and 2019

For a discussion and analysis of changes in financial condition and results of operations for the year ended December 31, 2020 as compared to the 

year ended December 31, 2019, refer to our Annual Report on Form 10-K for the fiscal year ended December 31, 2020, filed with the SEC on March 17, 
2021. 

Liquidity and Capital Resources

Overview

Since our inception, we have not generated any product revenue and have incurred net losses and negative cash flows from our operations. We have 
financed our operations since inception through sales of our convertible preferred stock and the sale of our common stock in our IPO, receiving aggregate 
gross proceeds of $123.2 million and most recently, $40.0 million of gross proceeds from the Mezzanine Loan Agreement noted below, $28.1 million in net 
proceeds from issuance of common stock in a follow-on offering in March 2021 and $12.0 million from the Torii Agreement.

As of December 31, 2021, we had cash, cash equivalents and marketable securities of $70.4 million. Cash in excess of immediate requirements is 

invested in accordance with our investment policy, primarily with a view to liquidity and capital preservation.

We have debt obligations through March 1, 2024 of $40.0 million principal, $3.8 million final payment fee and interest expense of $3.7 million.  In 

addition, we have an operating lease for office space in West Chester with obligations through September 1, 2027 of $2.0 million including imputed 
interest. 

Indebtedness

On March 10, 2020, or the Effective Date, we entered into (i) the Mezzanine Loan Agreement with the Agent, and the Mezzanine Lenders, pursuant 

to which the Mezzanine Lenders have agreed to lend us up to $50.0 million in a series of term loans, and (ii) the Senior Loan Agreement with the Senior 
Lender, pursuant to which the Senior Lender has agreed to provide us with a revolving line of credit of up to $5.0 million. Upon entering into the Loan 
Agreements, we borrowed the Term A Loan. 

83

 
 
 
 
On October 26, 2020, we entered into (i) the first amendment to the Mezzanine Loan Agreement, or the Mezzanine Loan Amendment and (ii) the 

first amendment to the Senior Loan Agreement, or the Senior Loan Amendment with the Lenders, under which we borrowed the Term B1 Loan on March 
1, 2021.

On March 1, 2022, we entered into a second amendment to the Mezzanine Loan Agreement, or the Second Mezzanine Loan Amendment. Pursuant 

to the Second Mezzanine Loan Amendment, we are no longer required to maintain a minimum liquidity ratio or achieve minimum levels of trailing six-
month net product revenues but will be required to maintain a minimum cash balance equal to the outstanding amount of the Term Loans under the 
Mezzanine Loan Agreement prior to entry into the Second Mezzanine Loan Amendment in a separate money market account with SVB. Additionally, we 
entered into a second amendment to the Senior Loan Agreement, or the Second Senior Loan Amendment.  Pursuant to the Second Senior Loan 
Amendment, we are no longer required to achieve minimum levels of trailing six-month net product revenues.  See Notes 11 and 14 for a full discussion of 
our indebtedness.

Under the terms of the Senior Loan Agreement, as amended, we may, at our sole discretion, borrow from the Senior Lender one or more advances 

on the revolving credit line, or the Revolving Loans, and together with the Term Loans, the Loans in an aggregate amount not to exceed the lesser of (i) 
85% of the aggregate amount then-contained in our eligible accounts receivable and (ii) $5.0 million.  

Our obligations under the Senior Loan Agreement and the Mezzanine Loan Agreement, as amended, are secured by, respectively, a first priority 

perfected security interest and second priority perfected security interest in substantially all of our current and future assets, other than our intellectual 
property (except rights to payment from the sale, licensing or disposition of such intellectual property).  We have also agreed not to encumber our 
intellectual property assets, except as permitted by the Loan Agreements.  

All of the Loans mature on March 1, 2024, or the Maturity Date. Based on the terms of the Term Loans prior to the Second Loan Amendments, the 

Term Loans were interest-only through March 31,2022, followed by 24 equal monthly payments of principal and interest. Following the entry into the 
Second Loan Amendments on March 1, 2022, the Term Loans will be interest-only through February 28, 2023, followed by 12 equal monthly payments of 
principal and interest. The Term Loans will bear interest at a floating per annum rate equal to the greater of (i) 7.25% and (ii) the sum of (a) the prime rate 
reported in The Wall Street Journal on the last business day of the month that immediately precedes the month in which the interest will accrue, plus (b) 
2.50%. The Revolving Loans will bear interest at a floating per annum rate equal to the greater of (i) 6.00% and (ii) the sum of (a) the prime rate reported 
in The Wall Street Journal on the last business day of the month that immediately precedes the month in which the interest will accrue, plus (b) 1.25%.

Under the terms of the Mezzanine Loan Agreement, as amended, we will be required to make a final payment fee of $3,750,000 payable on the 

earlier of (i) the Maturity Date, (ii) the acceleration of any Term Loans, or (iii) the prepayment of the Term Loans, or the Final Payment.  We are recording 
the final payment fee using the effective interest rate method over the term of the Term Loan with an increase in debt. We may prepay all, or any portion of 
the Term Loans upon 5 business days advance written notice to the Agent, provided that we will be obligated to pay a prepayment fee equal to (i) $1.0 
million if  prepaid between October 27, 2021 and October 26, 2022, and (ii) $0.5 million if prepaid between October 27, 2022 and October 26, 2023 and 
(iii) no prepayment fee if prepaid after October 26, 2023, each, a Prepayment Fee.

We may terminate the revolving credit line under the Senior Loan Agreement at any time upon three business days advance written notice to the 

Senior Lender. If we terminate the revolving credit line prior to the Maturity Date, we must pay to the Senior Lender an early termination fee of $50,000, or 
the Termination Fee.

Under the Loan Agreements, as amended, we are subject to a number of affirmative and restrictive covenants, including covenants regarding 

delivery of financial statements, maintenance of inventory, payment of taxes, maintenance of insurance, protection of intellectual property rights, 
dispositions of property, business combinations or acquisitions, incurrence of additional indebtedness or liens and investments and transactions with 
affiliates, among other customary covenants. As of December 31, 2021, we were in compliance with all covenants.

84

 
 
 
 
 
 
 
 
Upon the occurrence of certain events, including but not limited to our failure to satisfy our payment obligations under the Loan Agreements, the 

breach of certain of our other covenants under the Loan Agreements, or the occurrence of a material adverse change, cross defaults to other indebtedness or 
material agreements, judgment defaults and defaults related to failure to maintain governmental approvals failure of which to maintain could result in a 
material adverse effect, the Agent and the Lenders will have the right, among other remedies, to declare all principal and interest immediately due and 
payable, to exercise secured party remedies, to receive the Final Payment and Termination Fee and, if the payment of principal and interest is due prior to 
the Maturity Date, to receive the applicable Prepayment Fee. The Loan Agreements also include subjective acceleration clauses that permit the Lenders to 
accelerate the maturity date under certain circumstances, including a material adverse change in our business, operations, or financial condition or a 
material impairment of the prospect of repayment of our obligations to the Mezzanine Lenders. 

Prior to the Second Loan Amendments of the Term Loans on March 1, 2022, we believed that without additional financing, it was probable that we 
would not be in compliance with the minimum liquidity ratio covenant at some point in the next twelve months.  In accordance with FASB ASC 470, since 
the Mezzanine Loan Agreement contained subjective acceleration clauses and assessment that it was probable that the minimum liquidity ratio covenant 
would not be met, we classified all outstanding principal and final payment fees as a current liability in the accompanying balance sheet as of December 31, 
2021.  

Cash Flows

The following table summarizes our cash flows for the years ended December 31, 2021 and 2020 (in thousands):

Net cash used in operating activities
Net cash used in investing activities
Net cash provided by financing activities
Net increase in cash and cash equivalents

Operating Activities

For the Year Ended
December 31,

2021

2020

  $

  $

(27,582 )   $
(998 )  
33,646    
5,066     $

(30,207 )
(3,580 )
35,232  
1,445  

During the year ended December 31, 2021, operating activities used $27.6 million of cash, primarily resulting from a net loss of $35.1 million and 
noncash stock-based compensation of $6.1 million and non-cash interest expense of $1.4 million. Net cash used in operating assets and liabilities of $0.5 
million consisted primarily of a decrease in deferred revenue of $0.5 million, and a decrease in prepaid expenses and operating lease liability partially 
offset by an increase in accounts payable and accrued expenses of $0.7 million.  

During the year ended December 31, 2020, operating activities used $30.2 million of cash, primarily resulting from a net loss of $42.7 million and 
noncash stock-based compensation of $9.8 million. Net cash provided by changes in operating assets and liabilities of $1.6 million consisted primarily of 
an increase in accrued expenses of $1.4 million. The increase in accrued expenses was primarily due to accruals for clinical development and product 
development activities.

85

 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
Investing Activities

During the year ended December 31, 2021, net cash used in investing activities was related to the purchase of marketable securities of $68.9 million 

and purchases of property and equipment of $0.9 million, partially offset by the sales and maturities of marketable securities of $69.0 million.  

During the year ended December 31, 2020, net cash used in investing activities was related to the purchase of marketable securities of $71.7 million 

and purchases of property and equipment of $1.5 million, partially offset by the sales and maturities of marketable securities of $69.8 million.  

Financing Activities

During the ended December 31, 2021, net cash provided by financing activities was $33.6 million, which was primarily related to the proceeds from 

issuance of common stock, net of issuance costs of $28.1 million and proceeds from debt, net of issuance costs of $5.0 million.

During the ended December 31, 2020, net cash provided by financing activities was $35.2 million, which was primarily related to the proceeds from 

issuance of debt net of issuance costs of $34.5 million.

Funding Requirements

We expect our expenses to increase in connection with our ongoing activities, particularly as we continue the research and development of, continue 

or initiate clinical trials of, and seek marketing approval for, our product candidates. In addition, if we obtain marketing approval for any of our product 
candidates, we expect to incur significant commercialization expenses related to sales, marketing, manufacturing and distribution. Furthermore, we expect 
to incur additional costs associated with operating as a public company. Accordingly, we may need to obtain additional funding in connection with our 
continuing operations. If we are unable to raise capital when needed or on attractive terms, we would be forced to delay, reduce or eliminate our research 
and development programs or future commercialization efforts.

We believe that our existing cash, cash equivalents, and marketable securities as of December 31, 2021, will be sufficient to support our planned 

operations into the third quarter of 2022. Our future capital requirements will depend on many factors, including:

•

•

•

•

•

•

•

•

•

the costs, timing and outcome of regulatory review of our product candidates;

the scope, progress, results and costs of our clinical trials;

the scope, prioritization and number of our research and development programs;

the costs of preparing, filing and prosecuting patent applications, maintaining and enforcing our intellectual property rights and defending 
intellectual property-related claims;

our ability to maintain compliance with covenants under our loan agreements;

the extent to which we acquire or in-license other product candidates and technologies;

the impact on the timing of our clinical trials and our business due to the COVID-19 pandemic;

the costs to scale up and secure manufacturing arrangements for commercial production; and

the costs of establishing or contracting for sales and marketing capabilities if we obtain regulatory approvals to market our product 
candidates.

Identifying potential product candidates and conducting preclinical studies and clinical trials is a time-consuming, expensive and uncertain process 

that takes many years to complete, and we may never generate the necessary data or results required to obtain marketing approval and achieve product 
sales. In addition, our product candidates, if approved, may not achieve commercial success. Our commercial revenues, if any, will be derived from sales of 
a product candidate that we do not expect to be commercially available in the near term, if at all. We may need to continue to rely on additional financing to 
achieve our business objectives. Adequate additional financing may not be available to us on acceptable terms, or at all.  

86

 
Our financial statements have been prepared on a going concern basis, which contemplates the realization of assets and satisfaction of liabilities in 

the normal course of business. The financial statements do not include any adjustments relating to the recoverability and classification of recorded asset 
amounts or the amounts and classification of liabilities that might result from the outcome of this uncertainty. We anticipate incurring additional losses until 
such time, if ever, that we can obtain marketing approval to sell, and then generate significant sales of, VP-102. We will need substantial additional 
financing to fund our operations and to develop and commercialize our drug candidate. These factors raise substantial doubt about our ability to continue as 
a going concern.

Until such time, if ever, as we can generate substantial product revenues, we expect to finance our cash needs through a combination of equity 
offerings, debt financings, collaborations, strategic alliances and licensing arrangements. Our ability to raise additional capital may be adversely impacted 
by potential worsening global economic conditions and the recent disruptions to, and volatility in, the credit and financial markets in the United States and 
worldwide resulting from the ongoing COVID-19 pandemic. To the extent that we raise additional capital through the sale of equity or convertible debt 
securities, ownership interests of existing stockholders may be diluted, and the terms of these securities may include liquidation or other preferences that 
adversely affect our existing stockholders’ rights. Debt financing, if available, may involve agreements that include covenants limiting or restricting our 
ability to take specific actions, such as incurring additional debt, making capital expenditures or declaring dividends.

If we raise funds through additional collaborations, strategic alliances or licensing arrangements with third parties, we may have to relinquish 
valuable rights to our technologies, future revenue streams, research programs or product candidates or to grant licenses on terms that may not be favorable 
to us. If we are unable to raise additional funds through equity or debt financings when needed, we may be required to delay, limit, reduce or terminate our 
product development or future commercialization efforts or grant rights to develop and market product candidates that we would otherwise prefer to 
develop and market ourselves.

Other Contractual Obligations and Commitments

On August 7, 2020, we entered into an exclusive license agreement, or the Lytix Agreement, with Lytix, pursuant to which we obtained a 

worldwide, exclusive, royalty-bearing license, with the right to sublicense, for certain technology of Lytix to research, develop, manufacture, have 
manufactured, use, sell, have sold, offer for sale, import and otherwise commercialize LTX-315 for use in all malignant and pre-malignant dermatological 
indications, other than metastatic melanoma and metastatic Merkel cell carcinoma. Our right to manufacture the active pharmaceutical ingredient is limited 
to certain instances, and Lytix is obligated to manufacture and supply our clinical and commercial needs for such active pharmaceutical ingredient. We are 
obligated to use commercially reasonable efforts to develop and to commercialize the product, which development and commercialization will be overseen 
by a joint steering committee. Lytix has agreed not to pursue any products in the field of dermatology other than LTX-315 for use in metastatic melanoma 
and metastatic Merkel cell carcinoma. Lytix has granted us an exclusive option to negotiate for an exclusive license for use of LTX-315 in additional 
dermatological indications.

In connection with entering the Lytix Agreement, we made an initial payment of $250,000 and an additional payment of $2.3 million upon the 

achievement by Lytix of a regulatory milestone. Additionally, we are obligated to pay up to $111.0 million contingent on achievement of specified 
development, regulatory, and sales milestones, and tiered royalties based on worldwide annual net sales ranging in the low double digits to the mid-teens, 
subject to certain customary reductions. Our obligation to pay royalties expires on a country-by-country and product-by-product basis on the later of the 
expiration or abandonment of the last to expire licensed patent covering LTX-315 anywhere in the world and expiration of regulatory exclusivity for LTX-
315 in such country. Additionally, all upfront fees and milestone-based payments received by us from a sublicensee will be treated as net sales and will be 
subject to the royalty payment obligations under the Lytix Agreement, and all royalties received by us from a sublicensee shall be shared with Lytix at a 
rate that is initially 50% but decreases based on the stage of development of LTX-315 at the time such sublicense is granted.

87

 
 
ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

Our primary exposure to market risk is interest rate sensitivity, which is affected by changes in the general level of U.S. interest rates, particularly 

because our investments, including cash equivalents and marketable securities, are in the form of U.S. Treasury securities, asset-backed securities, and 
commercial paper. Our marketable securities are subject to interest rate risk and will fall in value if market interest rates increase. However, due to the 
short-term nature and low-risk profile of our investment portfolio, we do not expect that an immediate 100 basis point change in market interest rates would 
have a material effect on the fair market value of our investment portfolio. We have the ability to hold our marketable securities until maturity, and 
therefore we would not expect our operating results or cash flows to be affected to any significant degree by the effect of a change in market interest rates 
on our investments. In addition, our outstanding debt instruments entered into on March 10, 2020 carry a floating interest rate that is equal to the greater of 
(i) 7.25% and (ii) the sum of (a) the prime rate reported in The Wall Street Journal on the last business day of the month that immediately precedes the 
month in which the interest will accrue, plus (b) 2.50%. 

We are also exposed to market risk related to changes in foreign currency exchange rates. We contract with vendors that are located outside of the 
United States, including in China, and certain invoices are denominated in foreign currencies. We are subject to fluctuations in foreign currency rates in 
connection with these arrangements. We do not currently hedge our foreign currency exchange rate risk. As of December 31, 2021, we had minimal or no 
liabilities denominated in foreign currencies.

Inflation generally affects us by increasing our cost of labor and clinical trial costs. We do not believe that inflation had a material effect on our 

business, financial condition or results of operations during the year ended December 31, 2021.

88

 
ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

Index to Financial Statements

Report of Independent Registered Public Accounting Firm

Balance Sheets as of December 31, 2021 and 2020

Statements of Operations and Comprehensive Loss for the years ended December 31, 2021 and 2020

Statements of Stockholders' Equity for the years ended December 31, 2021 and 2020 

Statements of Cash Flows for the years ended December 31, 2021 and 2020

Notes to Financial Statements

89

90

91

92

93

94

95

 
 
 
 
 
 
 
 
 
 
 
 
 
  
Report of Independent Registered Public Accounting Firm

To the Stockholders and the Board of Directors
Verrica Pharmaceuticals Inc.:

Opinion on the Financial Statements

We have audited the accompanying balance sheets of Verrica Pharmaceuticals Inc. (the Company) as of December 31, 2021 and 2020, the related 
statements of operations and comprehensive loss, stockholders’ equity, and cash flows for the years then ended, and the related notes (collectively, the 
financial statements). In our opinion, the financial statements present fairly, in all material respects, the financial position of the Company as of December 
31, 2021 and 2020, and the results of its operations and its cash flows for the years then ended, in conformity with U.S. generally accepted accounting 
principles.

Going Concern

The accompanying financial statements have been prepared assuming that the Company will continue as a going concern. As discussed in Note 1 to the 
financial statements, the Company has incurred substantial operating losses since inception 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 financial statements do not include any adjustments that 
might result from the outcome of this uncertainty.

Basis for Opinion

These financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on these financial statements 
based on our audits. We 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 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 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 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 financial statements. We believe that our audits provide a reasonable basis for our opinion.

/s/ KPMG LLP
We have served as the Company’s auditor since 2
We have served as the Company’s auditor since 2017.

Philadelphia, Pennsylvania
March 2, 2022

90

 
 
 
 
 
 
 
 
 
 
 
  
  
  
  
 
  
  
  
  
  
 
VERRICA PHARMACEUTICALS INC.
BALANCE SHEETS
(in thousands, except share and per share amounts)

ASSETS
Current assets:

Cash and cash equivalents
Marketable securities
Prepaid expenses and other assets

Total current assets
Property and equipment, net
Operating lease right-of-use asset
Other non-current assets
Total assets
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:

Accounts payable
Accrued expenses and other current liabilities
Operating lease liability
Financing lease liability
Deferred revenue
Debt, net

Total current liabilities
Operating lease liability
Financing lease liability

Total liabilities
Stockholders’ equity:
Preferred stock, $0.0001 par value; 10,000,000 shares authorized; no shares
 issued and outstanding as of December 31, 2021 and 2020
Common stock, $0.0001 par value; 200,000,000 authorized; 
27,624,197 shares issued and 27,519,053 shares outstanding as of December 31, 2021; 
25,546,257 shares issued and 25,441,113 shares outstanding as of December 31, 2020
Treasury stock, at cost, 105,144 shares as of December 31, 2021 and 2020
Additional paid-in capital
Accumulated deficit
Accumulated other comprehensive (loss) gain
Total stockholders’ equity
Total liabilities and stockholders’ equity

December 31,

2021

2020

15,752     $
54,602    
3,974    
74,328    
3,894    
1,608    
295    
80,125     $

845     $

3,266    
245    
6    
—    
41,693    
46,055    
1,449    
16    
47,520    

10,686  
54,784  
2,180  
67,650  
3,102  
1,836  
1,566  
74,154  

348  
3,114  
198  
—  
500  
35,315  
39,475  
1,693  
—  
41,168  

—    

—  

3    
—    
171,597    
(138,966 )  
(29 )  
32,605    
80,125     $

3  
—  
136,868  
(103,886 )
1  
32,986  
74,154  

  $

  $

  $

  $

The accompanying notes are an integral part of these financial statements.

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VERRICA PHARMACEUTICALS INC.
STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS
(in thousands, except share and per share amounts)

For the Year Ended December 31,
2020
2021

  $

12,000     $

License revenue
Operating expenses:

Research and development
General and administrative

Total operating expenses
Loss from operations
Other income (expense):

Interest income
Interest expense
Total other expense
Net loss
Net loss per share, basic and diluted

Weighted-average common shares outstanding, basic and diluted

Net loss
Other comprehensive loss:

Unrealized loss on marketable securities

Comprehensive loss

15,929    
26,979    
42,908    
(30,908 )  

123    
(4,295 )  
(4,172 )  
(35,080 )   $
(1.30 )   $

—  

15,673  
24,508  
40,181  
(40,181 )

521  
(3,034 )
(2,513 )
(42,694 )
(1.71 )

27,044,462    

24,995,556  

(35,080 )   $

(30 )  
(35,110 )   $

(42,694 )

(19 )
(42,713 )

  $
  $

  $

  $

The accompanying notes are an integral part of these financial statements.

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VERRICA PHARMACEUTICALS INC.
STATEMENTS OF STOCKHOLDERS’ EQUITY
(in thousands, except share amounts)

Common Stock

    Shares Issued    

Amount

Paid In
Capital

    Subscription  
    Receivable

  Accumulated    
Deficit

Additional

Treasury

Stock

    Accumulated    
Other
Comprehensiv
e

Total
    Stockholders’  

Shares

Cost

(Loss) Gain    

Balance as of December 31, 
   2019
Stock-based compensation
Repurchased and retired common stock
Exercise of stock options
Repayment of subscription receivable
Net loss
Unrealized loss on marketable
   securities
Balance as of December 31, 
   2020
Stock-based compensation
Issuance of common stock, net of issuance 
costs
Exercise of stock options
Net loss
Unrealized loss on marketable
   securities
Balance as of December 31, 
   2021

25,912,137     $

3     $

—    
(424,429 )  
58,549    
—    
—    

—    

25,546,257    
—    

2,033,899    
44,041    
—    

—    

—    
—    
—    
—    
—    

—    

3    
—    

—    
—    
—    

—    

126,594     $
9,821      
—      
453      
—      
—      

—      

136,868      
6,053      

28,118      
558    
—      

  $

(410 )
—  
—  
—  
410  
—  

—  

—  
—  

—  

—  

—      

—    

(61,192 ) 
—    
—    
—    
—    
(42,694 ) 

—    

(103,886 ) 
—    

—    
—    
(35,080 ) 

—    

105,144    $

—   
—   
—   
—   
—   

—   

105,144   
—   

—   
—   
—   

—   

—    $
—   
—   
—   
—   
—   

—   

—   
—   

—   
—   
—   

—   

27,624,197     $

3     $

171,597     $

—  

  $

(138,966 ) 

105,144    $

—    $

20     $
—    
—    
—    
—    
—    

(19 ) 

1    
—    

—    
—    
—    

(30 ) 

(29 )  $

The accompanying notes are an integral part of these financial statements.

93

Equity

65,015  
9,821  
—  
453  
410  
(42,694 )

(19 )

32,986  
6,053  

28,118  
558  
(35,080 )

(30 )

32,605  

 
 
 
   
 
   
 
     
  
 
   
 
   
 
   
 
 
 
   
 
   
 
   
   
 
 
 
 
   
   
 
   
   
   
   
 
 
   
 
 
   
   
   
 
 
 
   
 
 
   
 
 
   
 
 
 
 
 
   
 
 
   
 
 
 
 
 
   
 
 
   
 
 
 
 
 
   
 
 
   
 
 
 
 
 
   
 
 
   
 
 
 
 
 
   
 
 
   
 
 
 
 
 
   
 
 
   
 
 
 
 
 
   
 
 
   
 
 
 
 
 
   
 
 
   
 
 
 
 
 
   
 
 
   
   
 
 
 
 
 
   
 
 
   
 
 
 
 
 
   
 
 
 
 
 
 
 
 
   
 
 
VERRICA PHARMACEUTICALS INC.
STATEMENTS OF CASH FLOWS
(in thousands)

Cash flows from operating activities
Net loss
Adjustments to reconcile net loss to net cash used in operating activities:

Stock-based compensation
Amortization of premiums / (discounts) on marketable securities
Depreciation expense
Noncash interest expense
Amortization on operating lease right-of-use asset
Changes in operating assets and liabilities:

Prepaid expenses and other assets
Accounts payable
Accrued expenses and other current liabilities
Deferred revenue
Operating lease liability
Net cash used in operating activities
Cash flows from investing activities
Purchases of marketable securities
Sales and maturities of marketable securities
Purchases of property and equipment
Deposits

Net cash used in investing activities
Cash flows from financing activities

Proceeds from exercise of stock options
Proceeds from issuance of common stock, net of issuance costs
Proceeds from issuance of debt, net of issuance costs
Debt issuance cost
Repayment of subscription receivable
Repayment of financing lease

Net cash provided by financing activities
Net increase in cash and cash equivalents
Cash and cash equivalents at the beginning of the year
Cash and cash equivalents at the end of the year

Supplemental disclosure of noncash investing and financing activities:
Property and equipment purchases payable or accrued at period end
Right-of-use asset obtained in exchange for lease obligation
Change in unrealized loss on marketable securities
Cash paid for interest
Debt issuance costs included in accrued expenses at year end

For the Year Ended
December 31,

2021

2020

  $

(35,080 )   $

(42,694 )

6,053    
66    
244    
1,442    
228    

(543 )  
497    
208    
(500 )  
(197 )  
(27,582 )  

(68,914 )  
69,000    
(883 )  
(201 )  
(998 )  

558    
28,118    
4,975    
—    
—    
(5 )  
33,646    
5,066    
10,686    
15,752     $

255     $
—     $
(30 )   $
2,850     $
—     $

9,821  
(138 )
43  
940  
186  

786  
(838 )
1,394  
500  
(207 )
(30,207 )

(71,738 )
69,849  
(1,470 )
(221 )
(3,580 )

453  
—  
34,460  
(91 )
410  
—  
35,232  
1,445  
9,241  
10,686  

318  
1,910  
(19 )
1,875  
100  

  $

  $
  $
  $
  $
  $

The accompanying notes are an integral part of these financial statements.

94

 
 
 
 
 
 
 
   
 
 
     
   
 
     
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
     
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
     
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
     
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
     
   
 
     
   
 
 
VERRICA PHARMACEUTICALS INC.
Notes to Financial Statements

Note 1—Organization and Description of Business Operations

Verrica Pharmaceuticals Inc. (the “Company”) was formed on July 3, 2013 and is incorporated in the State of Delaware. The Company is a 
dermatology therapeutics company committed to the development and commercialization of novel treatments that provide meaningful benefit for people 
living with skin diseases.

Liquidity and Capital Resources

The Company has incurred substantial operating losses since inception and expects to continue to incur significant operating losses for the 

foreseeable future and may never become profitable. As of December 31, 2021, the Company had an accumulated deficit of $139.0 million.  On March 17, 
2021, the Company entered into the Torii Agreement (Note 13), pursuant to which the Company received an upfront payment from Torii of $11.5 million in 
April 2021. On March 25, 2021, the Company closed a follow-on public offering in which it sold 2,033,899 shares of common stock at a public offering 
price of $14.75 per share, resulting in net proceeds of $28.1 million after deducting underwriting discounts and commissions and offering expenses. In 
March 2020, the Company entered into a Mezzanine Loan Agreement (as defined in Note 11), pursuant to which the Company borrowed (i) $35.0 million 
in March 2020 (the “Term A Loan”) and (ii) $5.0 million on March 1, 2021 (the “Term B1 Loan” and together with the Term A Loan, the “Term Loans”)  
that remains outstanding as of December 31, 2021. On March 1, 2022, the Company entered into a second amendment to the Mezzanine Loan Agreement 
(the “Second Mezzanine Loan Amendment”). Pursuant to the Second Mezzanine Loan Amendment the Company is no longer required to maintain a 
minimum liquidity ratio or achieve minimum levels of trailing six-month net product revenues but will be required to maintain a minimum balance equal to 
the outstanding amount of the Term Loans under the Existing Mezzanine Credit Facility (as defined in Note 14) in a separate money market account with 
Silicon Valley Bank (“SVB”). Additionally, the Company entered into a second amendment (the “Second Senior Loan Amendment”) to the Senior Loan 
Agreement (as defined in Note 11). Pursuant to the Second Senior Loan Amendment, the Company is no longer required to achieve minimum levels of 
trailing six-month net product revenues. 

The Company believes its cash, cash equivalents and marketable securities of $70.4 million as of December 31, 2021 will be sufficient to support 
the Company’s planned operations into the third quarter of 2022. Substantial additional financing will be needed by the Company to fund its operations. 
The Company's financial statements have been prepared on a going concern basis, which contemplates the realization of assets and satisfaction of liabilities 
in the normal course of business. The financial statements do not include any adjustments relating to the recoverability and classification of recorded asset 
amounts or the amounts and classification of liabilities that might result from the outcome of this uncertainty. The Company anticipates incurring additional 
losses until such time, if ever, that it can obtain marketing approval to sell, and then generate significant sales of VP-102. These factors raise substantial 
doubt about the Company's ability to continue as a going concern within one year after the date the financial statements are issued. The Company plans to 
secure additional capital in the future through equity or debt financings, partnerships, or other sources to carry out the Company’s planned development 
activities. If the Company is unable to raise capital when needed or on attractive terms, the Company would be forced to delay, reduce or eliminate its 
research and development programs or future commercialization efforts.

Note 2—Significant Accounting Policies

Basis of Presentation

The accompanying financial statements have been prepared in conformity with accounting principles generally accepted in the United States of 

America (“GAAP”). Any reference in these notes to applicable guidance is meant to refer to the authoritative United States generally accepted accounting 
principles as found in the Accounting Standards Codification (“ASC”) and Accounting Standards Update (“ASU”) of the Financial Accounting Standards 
Board (“FASB”). The Company’s functional currency is the U.S. dollar.

The Company has been actively monitoring the novel coronavirus (“COVID-19”) pandemic and its impact globally. Management believes the 

financial results for the years ended December 31, 2021 and 2020, were not significantly impacted by COVID-19. In addition, management believes the 
remote working arrangements, travel 

95

 
 
restrictions and any other regulations imposed by various governmental jurisdictions have had limited impact on the Company’s ability to maintain internal 
operations during the year. The full extent to which the COVID-19 pandemic will directly or indirectly impact the Company’s business, results of 
operations and financial condition will depend on future developments that are highly uncertain, including as a result of new information that may emerge 
concerning COVID-19 and the actions taken to contain it or treat COVID-19. As a direct result of COVID-19, the Company decided to delay the initiation 
of its previously planned Phase 2 clinical trial to evaluate VP-103 in subjects with plantar warts. 

Use of Estimates

The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported 

amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of 
expenses during the reporting period. These estimates and assumptions are based on current facts, historical experience as well as other pertinent industry 
and regulatory authority information, including the potential future effects of COVID-19, the results of which form the basis for making judgments about 
the carrying values of assets and liabilities and the recording of expenses that are not readily apparent from other sources. Actual results may differ 
materially and adversely from these estimates. To the extent there are material differences between the estimates and actual results, the Company’s future 
results of operations will be affected.

Segments

Operating segments are identified as components of an enterprise about which separate discrete financial information is available for evaluation by 
the chief operating decision-maker in making decisions regarding resource allocation and assessing performance. The Company views its operations and 
manages its business in one operating segment.

Cash, Cash Equivalents and Marketable Securities

The Company considers all highly liquid investments purchased with original maturities of 90 days or less at acquisition to be cash equivalents. 

Cash and cash equivalents include cash held in banks and money market mutual funds.

The Company classifies its marketable securities as “available-for-sale”, pursuant to ASC 320, Investments—Debt and Equity Securities, carries 
them at fair market value and classifies them as current assets on its balance sheets. There were no marketable securities with a maturity of greater than one 
year as of December 31, 2021.  Unrealized gains and losses on marketable debt securities are recorded as a separate component of accumulated other 
comprehensive gain or loss included in stockholders’ equity. 

Concentrations of Credit Risk and Off-Balance Sheet Risk

Cash, cash equivalents and marketable securities are financial instruments that are potentially subject to concentrations of credit risk. The 

Company’s deposits are in accounts at large financial institutions, and amounts may exceed federally insured limits. The Company believes it is not 
exposed to significant credit risk due to the financial strength of the depository institutions in which the funds are held. The Company has no financial 
instruments with off-balance sheet risk of loss.

Property and Equipment

Property and equipment is recorded at cost less accumulated depreciation. Depreciation and amortization is calculated using the straight line method 

over the expected useful life of the asset, after the asset is placed in service. The Company generally uses the following depreciable lives for its major 
classifications of property and equipment:

96

 
 
 
  
Expenditures associated with upgrades and enhancements that improve, add functionality, or otherwise extend the life of property and equipment are 

capitalized, while expenditures that do not, such as repairs and maintenance, are expensed as incurred.

The Company reviews long-lived assets, including property and equipment, for impairment whenever events or changes in business circumstances 
indicate that the carrying amount of an asset may not be fully recoverable. If the estimated undiscounted future cash flows expected to result from the use 
of the asset and its eventual disposition is less than its carrying amount, an impairment loss would be recognized if the carrying value of the asset exceeds 
its fair value. Fair value is generally determined using discounted cash flows. No impairment losses have been recorded during the years ended December 
31, 2021 or 2020.

Description

Machinery and equipment
Office furniture and fixtures and equipment
Leasehold improvements
Automobiles

Revenue

Useful lives
3 - 5 years
3 years
Lease Term
3 years

In accordance with FASB’s ASC 606, Revenue from Contracts with Customers (“ASC 606”), the Company recognizes revenue when its customer 
obtains control of promised goods or services, in an amount that reflects the consideration which the entity expects to receive in exchange for those goods 
or services. To determine revenue recognition for arrangements that the Company determines are within the scope of ASC 606, it performs the following 
five steps:  

(i)

(ii)

(iii)

(iv)

(v)

identify the contract(s) with a customer; 

identify the performance obligations in the contract; 

determine the transaction price;  

allocate the transaction price to the performance obligations in the contract; and 

recognize revenue when (or as) the entity satisfies a performance obligation.

The Company applies the five-step model to contracts when it determines that it is probable it will collect the consideration it is entitled to in 
exchange for the goods or services it transfers to the customer. At contract inception, once the contract is determined to be within the scope of ASC 606, the 
Company assesses the goods or services promised within each contract and determines those that are performance obligations and assesses whether each 
promised good or service is distinct. The Company then recognizes as revenue the amount of the transaction price that is allocated to the respective 
performance obligation when (or as) the performance obligation is satisfied. 

License Revenues

The Company’s revenues have been solely generated through licensing arrangements. The terms of the agreement typically include payments to the 

Company of one or more of the following: nonrefundable, up-front license fees: regulatory and commercial milestone payments; payments for 
manufacturing supply services; materials shipped to support development; and royalties on net sales of licensed products.  

In determining the appropriate amount of revenue to be recognized as it fulfills its obligations under each of its agreements, the Company performs 

the following steps:  

(i)

(ii)

identification of the promised goods or services in the contract;

determination of whether the promised goods or services are performance obligations including whether they are distinct in the context of the 
contract;

(iii) measurement of the transaction price, including the constraint on variable consideration;

(iv)

allocation of the transaction price to the performance obligations; and

97

 
 
 
 
 
 
 
 
 
(v)

recognition of revenue when (or as) the Company satisfies each performance obligation.

The Company also assesses whether there is an option in a contract to acquire additional goods or services. An option gives rise to a performance 

obligation only if the option provides a material right to the customer that it would not receive without entering into that contract. Factors that the Company 
considers in evaluating whether an option represents a material right include, but are not limited to: (i) the overall objective of the arrangement, (ii) the 
benefit the collaborator might obtain from the arrangement without exercising the option, (iii) the cost to exercise the option (e.g. priced at a significant and 
incremental discount) and (iv) the likelihood that the option will be exercised. With respect to options determined to be performance obligations, the 
Company recognizes revenue when those future goods or services are transferred or when the options expire.

The Company’s revenue arrangements may include the following:

Up-front License Fees: If a license is determined to be distinct from the other performance obligations identified in the arrangement, the Company 
recognizes revenues from nonrefundable, up-front fees allocated to the license when the license is transferred to the licensee and the licensee is able to use 
and benefit from the license. For licenses that are bundled with other promises, the Company utilizes judgment to assess the nature of the combined 
performance obligation to determine whether the combined performance obligation is satisfied over time or at a point in time and, if over time, the 
appropriate method of measuring progress for purposes of recognizing revenue from non-refundable, up-front fees. The Company evaluates the measure of 
progress each reporting period and, if necessary, adjusts the measure of performance and related revenue recognition.

Milestone Payments: At the inception of an agreement that includes regulatory or commercial milestone payments, the Company evaluates whether 

each milestone is considered probable of being achieved and estimates the amount to be included in the transaction price using the most likely amount 
method. If it is probable that a significant revenue reversal would not occur, the associated milestone value is included in the transaction price. Milestone 
payments that are not within the control of the Company or the licensee, such as regulatory approvals, are not considered probable of being achieved until 
those approvals are received. At each reporting period, the Company assesses the probability of achievement of each milestone under its current 
agreements.

Royalties: If the Company is entitled to receive sales-based royalties from its collaborator, including milestone payments based on the level of sales, 
and the license is deemed to be the predominant item to which the royalties relate, the Company recognizes revenue at the later of (i) when the related sales 
occur, provided the reported sales are reliably measurable, or (ii) when the performance obligation to which some or all of the royalty has been allocated 
has been satisfied (or partially satisfied).

Manufacturing Supply and Research Services: Arrangements that include a promise for future supply of drug substance or drug product for either 

clinical development or commercial supply at the licensee’s discretion are generally considered as options. The Company assesses if these options provide 
a material right to the licensee and if so, they are accounted for as separate performance obligations.

The Company receives payments from its licensees based on schedules established in each contract. Upfront payments are recorded as deferred 

revenue upon receipt, and may require deferral of revenue recognition to a future period until the Company performs its obligations under these 
arrangements. Amounts are recorded as accounts receivable when the Company’s right to consideration is unconditional. The Company does not assess 
whether a contract has a significant financing component if the expectation at contract inception is such that the period between payment by the licensees 
and the transfer of the promised goods or services to the licensees will be one year or less.  See Note 13 for a full discussion of the Company’s license 
revenue.

Research and Development Costs

The Company’s research and development expenses consist primarily of costs associated with the Company’s clinical trials, salaries, payroll taxes, 

employee benefits, and equity-based compensation charges for those individuals involved in ongoing research and development efforts. Research and 
development costs are expensed as incurred. Advance payments for goods and services that will be used in future research and development activities 

98

 
 
are expensed when the activity has been performed or when the goods have been received rather than when the payment is made.

Fair Value Measurement

ASC 820, Fair Value Measurements, provides guidance on the development and disclosure of fair value measurements. Under this accounting 

guidance, fair value is defined as an exit price, representing the amount that would be received to sell an asset or paid to transfer a liability in an orderly 
transaction between market participants at the measurement date. As such, fair value is a market-based measurement that should be determined based on 
assumptions that market participants would use in pricing an asset or a liability.

The accounting guidance classifies fair value measurements in one of the following three categories for disclosure purposes:

Level 1:  Quoted prices in active markets for identical assets or liabilities.

Level 2:  Inputs other than Level 1 prices for similar assets or liabilities that are directly or indirectly observable in the marketplace.

Level 3:  Unobservable inputs which are supported by little or no market activity and values determined using pricing models, discounted cash flow 
methodologies, or similar techniques, as well as instruments for which the determination of fair value requires significant judgment or estimation.

Comprehensive Loss 

Comprehensive loss is defined as the change in equity of a business enterprise during a period from transactions, and other events and circumstances 

from non-owner sources. For the years ended December 31, 2021 and 2020, comprehensive loss includes net loss and unrealized loss on marketable 
securities. 

Stock-Based Compensation

The Company accounts for stock-based compensation awards in accordance with ASC 718, Compensation –Stock Compensation. The Company 

uses the Black-Scholes option-pricing model to value its stock option awards. For stock-based awards granted to employees, non-employees and to 
members of the board of directors for their services, the Company estimates the grant date fair value of each option award and recognizes compensation 
expense on a straight-line basis over the vesting period of the award. 

The use of the Black‑Scholes option-pricing model requires management to make assumptions with respect to the expected term of the option, the 
expected volatility of the common stock consistent with the expected life of the option, risk‑free interest rates, and, for grants prior to the Company’s IPO, 
the value of the common stock. The expected life of stock options was estimated using the “simplified method,” as the Company has limited historical 
information to develop reasonable expectations about future exercise patterns and post-vesting employment termination behavior for its stock options 
grants. The simplified method is based on the average of the vesting tranches and the contractual life of each grant. The Company historically has been a 
private company and lacks company-specific historical and implied volatility information. Therefore, it estimates its expected stock volatility based on the 
historical volatility of a publicly traded set of peer companies in addition to the volatility of the Company's stock. The risk-free interest rate is based on 
U.S. Treasury notes with a term approximating the expected life of the option. Expected dividend yield is zero based on the fact that the Company has 
never paid cash dividends and does not expect to pay any cash dividends in the foreseeable future. 

The fair value of restricted stock awards are based on the closing price of the Company’s common stock on the grant date.

99

 
Income Taxes

Income taxes are recorded in accordance with ASC 740, Income Taxes, which provides for deferred taxes using an asset and liability approach. The 

Company recognizes deferred tax assets and liabilities for the expected future tax consequences of events that have been included in the financial 
statements or tax returns. Deferred tax assets and liabilities are determined based on the difference between the financial statement and tax bases of assets 
and liabilities using enacted tax rates in effect for the year in which the differences are expected to reverse. Valuation allowances are provided, if based 
upon the weight of available evidence, it is more likely than not that some or all of the deferred tax assets will not be realized.

The Company accounts for uncertain tax positions in accordance with the provisions of ASC 740. When uncertain tax positions exist, the Company 

recognizes the tax benefit of tax positions to the extent that the benefit would more likely than not be realized assuming examination by the taxing 
authority. The determination as to whether the tax benefit will more likely than not be realized is based upon the technical merits of the tax position as well 
as consideration of the available facts and circumstances.

Net Loss Per Share

Net loss per share of common stock is computed by dividing net loss attributable to common stockholders by the weighted average number of shares 

of common stock outstanding for the period. Diluted net loss per share excludes the potential impact of common stock options and unvested shares of 
restricted stock because their effect would be anti-dilutive due to the Company’s net loss. Since the Company had a net loss in each of the periods 
presented, basic and diluted net loss per common share are the same.

The table below provides potential shares outstanding that were not included in the computation of diluted net loss per common share, as the 

inclusion of these securities would have been anti-dilutive:

Shares issuable upon exercise of stock options
Non-vested shares under restricted stock grants

Recently Adopted Accounting Pronouncements

As of December 31,

2021

2020

3,443,817    
425,000    

2,901,908  
475,000  

In August 2018, the FASB issued ASU 2018-13, Fair Value Measurement (Topic 820): Disclosure Framework–Changes to the Disclosure 
Requirements for Fair Value Measurement, which makes a number of changes meant to add, modify or remove certain disclosure requirements associated 
with the movement amongst or hierarchy associated with Level 1, Level 2 and Level 3 fair value measurements. This guidance is effective for fiscal years, 
and interim periods within those fiscal years, beginning after December 15, 2019. The adoption of this guidance as of January 1, 2020 did not have an 
impact on the financial statements.

In August 2018, the FASB issued ASU 2018-15, Intangibles–Goodwill and Other–Internal-Use Software (Subtopic 350-40): Customer’s Accounting 

for Implementation Costs Incurred in a Cloud Computing Arrangement that is a Service Contract, which aligns the requirements for capitalizing 
implementation costs incurred in a hosting arrangement that is a service contract with the requirements for capitalizing implementation costs incurred to 
develop or obtain internal-use software (and hosting arrangements that include an internal-use software license). The guidance also requires the entity to 
expense the capitalized implementation costs of a hosting arrangement that is a service contract over the term of the hosting arrangement, which includes 
reasonably certain renewals. The adoption of this guidance as of January 1, 2020 did not have an impact on the financial statements.

As of January 1, 2020 the Company has adopted Accounting Standards Codification Topic 606, “Revenue from Contracts with Customers.” In 

accordance with FASB’s ASC 606, Revenue from Contracts with Customers (“ASC 606”), the Company recognizes revenue when its customer obtains 
control of promised goods or services, in an amount that reflects the consideration which the entity expects to receive in exchange for those goods or 
services. The adoption of this guidance as of January 1, 2020 did not have an impact on the prior year financial statements. 

100

 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
Note 3—Investments in Marketable Securities

Investments in marketable securities consisted of the following as of December 31, 2021 and 2020 (in thousands):

U.S. treasury securities
Commercial paper
Asset-backed securities
Total marketable securities

U.S. treasury securities
Commercial paper
Asset-backed securities
Total marketable securities

Amortized
Cost

15,272    
28,980    
10,379    
54,631     $

Amortized
Cost

11,607     $
41,674    
1,502    
54,783     $

  $

  $

  $

  $

As of December 31, 2021

Gross
Unrealized
Gains

Gross
Unrealized
Losses

—     $
—    
—    
—     $

As of December 31, 2020

Gross
Unrealized
Gains

Gross
Unrealized
Losses

2     $

—    
—    
2     $

Fair
Value

15,257  
28,980  
10,365  
54,602  

Fair
Value

11,609  
41,673  
1,502  
54,784  

(15 )   $
—    
(14 )  
(29 )   $

—     $
(1 )  
—    
(1 )   $

Unrealized gains and losses on marketable debt securities are recorded as a separate component of accumulated other comprehensive gain (loss) 

included in stockholders’ equity. Realized gains (losses) are included in interest income (expense) in the statement of operations and comprehensive loss on 
a specific identification basis. The Company recorded nominal realized gains and losses during the years ended December 31, 2021 and 2020. The 
Company has not recorded any impairment charges on marketable securities related to other-than-temporary declines in market value during the years 
ended December 31, 2021 or 2020.

Accretion of bond discount and premium on marketable securities and interest income on marketable securities is recorded as interest income on the 

statement of operations and comprehensive loss.

There were no marketable securities with a maturity of greater than one year for either period presented. 

Fair value is the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the 

measurement date.  Financial assets and liabilities carried at fair value are classified and disclosed in one of the following three categories:

Level 1 — Quoted market prices in active markets for identical assets or liabilities.

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

Level 3 — Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities.

101

 
 
 
 
 
 
 
 
   
   
   
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
   
 
   
 
 
 
 
 
 
 
   
   
   
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
The following tables presents fair value by level in accordance with ASC 820 (see Note 2) of the Company’s marketable securities (in thousands):

U.S. treasury securities
Commercial paper
Asset-backed securities
Total

U.S. treasury securities
Commercial paper
Asset-backed securities
Total

Note 4—Property and Equipment

Property and equipment, net consisted of (in thousands):

Machinery and equipment
Office furniture and fixtures
Office equipment
Leasehold improvements
Automobiles
Construction in process

Accumulated depreciation
Total property and equipment, net

Fair Value Measurement as of December 31, 2021

Level 1

Level 2

Level 3

Total

15,257     $
—    
—    
15,257     $

—     $

28,980    
10,365    
39,345     $

—     $
—    
—    
—     $

15,257  
28,980  
10,365  
54,602  

Fair Value Measurement as of December 31, 2020

Level 1

Level 2

Level 3

Total

11,609     $
—    
—    
11,609     $

—     $

41,673    
1,502    
43,175     $

—     $
—    
—    
—     $

11,609  
41,673  
1,502  
54,784  

  $

  $

  $

  $

As of December 31,

2021

2020

737     $
303    
301    
49    
27    
2,731    
4,148    
(254 )  
3,894     $

102  
117  
52  
101  
—  
2,857  
3,229  
(127 )
3,102  

  $

  $

Depreciation expense for the years ended December 31, 2021 and 2020 was $244,000 and $43,000, respectively.

The Company has recorded an asset classified as construction in process associated with the construction of a product assembly and packaging line 

that would be placed into service for commercial manufacturing upon future regulatory product approval.

Note 5—Related Party Transactions

Prior to the completion of the initial public offering (“IPO”) of the Company’s common stock in June 2018, the Company was controlled by PBM 
VP Holdings, LLC (“PBM VP Holdings”) an affiliate of PBM Capital Group, LLC (“PBM”). Paul B. Manning, who is the Chairman and Chief Executive 
Officer of PBM and the current chairman of the Company’s Board of Directors, and certain entities affiliated with Mr. Manning, continue to be the 
Company’s largest shareholder on a collective basis.

102

 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
   
 
   
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
On December 2, 2015, the Company entered into a Services Agreement (the “SA”) with PBM. Pursuant to the terms of the SA, which had an initial 
term of twelve months (and was automatically renewable for successive monthly periods), PBM rendered advisory and consulting services to the Company. 
Services provided under the SA included certain business development, operations, technical, contract, accounting and back office support services. In 
consideration for these services, the Company was obligated to pay PBM a monthly management fee. On October 1, 2019, the SA was amended to reduce 
the monthly management fee to $5,000 as a result of a reduction in services provided by PBM.

For each of the years ended December 31, 2021 and 2020, the Company incurred expenses under the SA of $60,000, of which $36,000 were 

included in general and administrative expenses, and $24,000 were included in research and development expenses.

As of December 31, 2021 and 2020, the Company had no payables due to PBM and its affiliates. 

Note 6—Accrued Expenses 

Accrued expenses consisted of the following (in thousands):

Compensation and related costs
Clinical trials and drug development
Professional fees
Interest expense
Construction in process
Machinery and equipment
Other accrued expenses and other current liabilities
Total accrued expenses and other current liabilities

Note 7—Commitments and Contingencies

Litigation

As of December 31,

2021

2020

1,667     $
613    
406    
250    
131    
124    
75    
3,266     $

1,338  
611  
447  
219  
277  
—  
222  
3,114  

   $

   $

The Company is involved in ordinary, routine legal proceedings that are not considered by management to be material.  In the opinion of Company 
counsel and management, the ultimate liabilities resulting from such legal proceedings will not materially affect the financial position of the Company or 
its results of operations or cash flows.  

Supply Agreement and Purchase Order

On July 16, 2018, the Company entered into a supply agreement with a supplier of crude cantharidin material. All executed purchase orders for 
crude cantharidin in the ordinary course of business are expected to be covered under the terms of the supply agreement. Pursuant to the supply agreement, 
the supplier has agreed that it will not supply cantharidin, any beetles or other raw material from which cantharidin is derived to any other customer in 
North America, subject to specified minimum annual purchase orders and forecasts by the Company. The supply agreement has an initial five-year term, 
which is subject to automatic renewal absent termination by either party in accordance with the terms of the supply agreement. Each party also has the right 
to terminate the supply agreement for other customary reasons such as material breach or bankruptcy.   

103

 
 
  
  
 
 
 
   
 
  
 
 
  
 
 
 
 
 
  
 
 
  
 
 
  
 
 
 
During 2019, the Company executed a single purchase order pursuant to which the Company agreed to purchase $1.8 million of crude cantharidin 

material and made a prepayment of $1.1 million against this purchase order.  The Company received the shipments of material in 2020 and as of December 
31, 2020, this purchase order was fulfilled. During 2021, the Company executed a single purchase order pursuant to which the Company agreed to purchase 
$0.8 million of crude cantharidin material and made a prepayment of $0.8 million against this purchase order, recorded as prepaid expense in the balance 
sheet as of December 31, 2021.  The Company received the shipments of material in 2022. 

Note 8—Stockholders’ Equity

Common Stock

The Company had authorized 200,000,000 shares of common stock, $0.0001 par value per share, as of each of December 31, 2021 and 2020. Each 
share of common stock is entitled to one vote. Common stock owners are entitled to dividends when funds are legally available and declared by the Board. 

On March 25, 2021, the Company closed a follow-on public offering in which it sold 2,033,899 shares of common stock at a public offering price of 

$14.75 per share, resulting in net proceeds of $28.1 million after deducting underwriting discounts and commissions and offering expenses.         

Note 9—Stock-Based Compensation

In June 2018, the Board adopted and approved the 2018 Equity Incentive Plan (the “2018 Plan”), which amended and restated the Company’s prior 

2013 Equity Incentive Plan (the “2013 Plan”) and became effective in connection with the IPO. Prior to the effectiveness of the 2018 Plan, the 2013 Plan 
provided for the grant of share-based awards to employees, directors and consultants of the Company. As a result of the effectiveness of the 2018 Plan, no 
further grants may be made under the 2013 Plan.

The 2018 Plan provides for the grant of incentive stock options to employees, and for the grant of nonstatutory stock options, stock appreciation 

rights, restricted stock awards, restricted stock unit awards, performance-based stock awards and other forms of stock awards to employees, including 
officers, consultants and directors. The 2018 Plan also provides for the grant of performance-based cash awards to employees, including officers, 
consultants and directors. The Company initially reserved 3,738,199 shares of common stock for issuance under the 2018 Plan, which is the sum of (1) 
2,198,198 new shares, plus (2) the number of shares reserved for issuance under the 2013 Plan at the time the 2018 Plan became effective, plus (3) any 
shares subject to outstanding stock options or other stock awards that would have otherwise returned to the 2013 Plan (such as upon the expiration or 
termination of a stock award prior to exercise). The number of shares of common stock reserved for issuance under the 2018 Plan will automatically 
increase on January 1 each year, for a period of ten years, from January 1, 2019 through January 1, 2028, by 4% of the total number of shares of the 
Company’s common stock outstanding on December 31 of the preceding calendar year, or a lesser number of shares as may be determined by the Board. 
As of December 31, 2021, 2,496,593 shares were available for grant under the 2018 Plan.

Stock Options

The Company’s employee and non-employee stock options generally vest as follows: 25% after 12 months of continuous services and the remaining 
75% on a ratable basis over a 36-month period from 12 months after the grant date. Stock options granted during the year ended December 31, 2021 have a 
maximum contractual term of 10 years. The stock options are subject to time vesting requirements through 2025, are nontransferable, and have term 
expiration dates set to expire through 2031.

104

 
 
The grant date fair value of employee and non-employee stock option awards is determined using the Black-Scholes option-pricing model. The 
following assumptions were used during the years ended December 31, 2021 and 2020 to estimate the fair value of employee and non-employee stock 
option awards:

Exercise price
Risk-free rate of interest
Expected term (years)
Expected stock price volatility
Dividend yield
Weighted average grant date fair value

For the Year Ended December 31,

2021
$9.26 - $15.10
0.76% - 1.24%
6
87.14% - 89.39%
—
$9.72

2020
$6.56 - $15.91
0.27% - 1.67%
6
76.71% - 85.97%
—
$7.00

The following table summarizes the Company’s employee and non-employee stock option activity under the 2013 Plan and 2018 Plan for the years 

ended December 31, 2021 and 2020:

Number of
shares

    Weighted average    
exercise price

    Weighted average    
remaining 
contractual
life (in years)

    Aggregate intrinsic  
value

Outstanding as of  December 31, 2019

Options granted
Exercised
Forfeited
Expired

Outstanding as of December 31, 2020

Options granted
Exercised
Forfeited
Expired

Outstanding as of December 31, 2021
Options vested and exercisable
  as of December 31, 2021

1,914,545     $
1,193,956    
(58,549 )  
(125,377 )  
(22,667 )  
2,901,908    
1,222,786    
(44,041 )  
(462,617 )  
(174,219 )  
3,443,817     $

1,757,554     $

9.14    
10.35    
7.73    
10.78    
12.00    
9.57    
13.28    
12.67    
13.87    
13.84    
10.05    

8.48    

7.8     $

6.7     $

3,952,803  

3,211,470  

The aggregate intrinsic value in the above table is calculated as the difference between fair value of the Company’s common stock price and the 

exercise price of the stock options. The weighted average grant date fair value per share for the employee and non-employee stock options granted during 
the years ended December 31, 2021 and 2020 was $9.72 and $7.00, respectively. As of December 31, 2021, the total unrecognized compensation related to 
unvested employee and non-employee stock option awards granted was $11.7 million, which the Company expects to recognize over a weighted-average 
period of 2.9 years.

The Company utilizes a designated broker to process exercises of stock options. In late December 2019, there was an exercise of 27,329 vested 
stock options for which the Company did not receive the net proceeds from the designated broker until early January 2020. The net proceeds were reflected 
as a stock subscription receivable as of December 31, 2019 in the balance sheet.    

Restricted Stock

Pursuant to the Amended and Restated Stock Purchase Agreement (the “Amended and Restated Agreement”) between the Company and the 

former CSO, 848,859 shares held by the former CSO were subject to repurchase by the Company at $0.0001714 per share in the event the former CSO 
ceased to be a consultant to the Company. These shares were to be released from the repurchase option on the earliest to occur of (i) a change in 

105

 
 
 
 
 
 
 
 
  
 
  
 
  
 
  
 
  
 
  
 
 
 
 
 
   
 
 
 
 
 
 
 
   
   
   
 
   
     
   
   
 
     
   
   
 
     
   
   
 
     
   
   
 
     
   
   
 
     
   
   
 
     
   
   
 
     
   
   
 
     
   
   
 
     
   
   
 
   
 
  
 
 
control, (ii) regulatory approval of the Company’s new drug application for VP-102 for the treatment of molluscum, (iii) commercial sale of products and 
(iv) a covered termination, as defined in the Amended and Restated Agreement.  

In December 2020, the Company and the former CSO amended the agreement whereby 424,430 shares were no longer subject to repurchase and 

the remaining 424,429 shares were repurchased and retired by the Company at $0.0001714 per share. The Company accounted for the December 2020 
amendment as a modification to a share-based payment arrangement whereby the shares no longer subject to repurchase represent a new grant. The value 
of the new grant was $4.8 million and was recognized immediately. Prior to the December 2020 modification, no compensation expense had been 
recognized for these nonvested shares as these shares were performance-based and the triggering event was not determined to be probable.       

In November 2019 and August 2020, the Company granted 300,000 and 250,000 restricted stock units to its executive officers.  The restricted stock 

units vest 50% upon receipt of regulatory approval of the Company’s new drug application for VP-102 for the treatment of molluscum (the “Approval 
Date”) and 50% shall vest on the one year anniversary of the Approval Date subject to the holders’ continuous service through each applicable date. No 
compensation expenses has been recognized for these nonvested restricted stock units as these shares are performance based and the triggering event was 
not determined to be probable as of December 31, 2021.  As of December 31, 2021 the total unrecognized compensation expense related to the restricted 
stock was $5.0 million.

The following table summarizes restricted stock awards: 

Non-vested as of December 31, 2019

Granted
Forfeitures
Vested

Non-vested as of December 31, 2020

Granted
Forfeitures
Vested

Non-vested as of December 31, 2021

Number of Shares

Weighted Average
Grant Date Fair
Value

1,148,859    
250,000    
(499,429 )  
(424,430 )  
475,000    
—    
(50,000 )  
—    
425,000    

$

$

$

4.35  
8.17  
2.64  
11.27  
11.74  
—  
12.29  
—  
11.68  

Stock-based compensation expense, which includes expense for both employees and non-employees, has been reported in the Company’s statements 

of operations for the years ended December 31, 2021 and 2020 as follows (in thousands):

Research and development
General and administrative
Total stock-based compensation

Note 10—Leases

For the Year Ended December 31,

2021

2020

  $

  $

1,513     $
4,540    
6,053     $

813  
9,008  
9,821  

Effective January 1, 2019, the Company accounts for its leases under ASC 842, Leases (Topic 842). Under this guidance, arrangements meeting 
the definition of a lease are classified as operating or financing leases and are recorded on the balance sheet as both a right-of-use asset and lease liability, 
calculated by discounting fixed lease payments over the lease term at the rate implicit in the lease, if available, otherwise at the Company’s incremental 
borrowing rate. Lease liabilities are increased by interest and reduced by payments each period, and the right-of-use asset is amortized over the lease term. 
For operating leases, interest on the lease liability and the amortization of the right-of-use asset result in straight-line rent expense over the lease term. 
Variable lease expenses, if any, are recorded when incurred.

106

 
  
 
 
 
   
 
 
 
 
   
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
   
 
 
 
 
 
In calculating the right-of-use asset and lease liability, the Company elected to combine lease and non-lease components. The Company excludes 

short-term leases having initial terms of 12 months or less from the guidance as an accounting policy election and recognizes rent expense on a straight-line 
basis over the lease term. 

The Company leased office space in West Chester, Pennsylvania under an agreement classified as an operating lease that expired in May 2021.  

On July 1, 2019, the Company entered into a lease for 5,829 square feet of office space located in West Chester, Pennsylvania that serves as the 
Company’s headquarters.  On March 12, 2020 the Company entered into an amendment to the lease agreement. The amendment expands the original 
premises to include 5,372 square feet of additional office space increasing the total rentable premise to 11,201 square feet of space.  For the first six months 
following the commencement date of September 1, 2020, the base rent was based on the square footage of the original premises.   The initial term will 
expire on September 1, 2027. Base rent over the initial term is approximately $2.4 million, and the Company is also responsible for its share of the 
landlord’s operating expense.  At the commencement date of the new lease, the Company recorded a right-of-use asset of $1.9 million and a lease liability 
of $1.9 million on the balance sheet.

As of December 31, 2021, the Company had an operating lease liability of $1,694,000, of which $244,600 was classified as current, and an 

operating right-of-use asset of $1,608,000.

The Company leases a vehicle for the sales force under a financing lease that expires through 2025.  The net basis of the vehicle lease of $22,000 is 

recorded as property and equipment on the condensed balance sheet.

The components of lease expense are as follows (in thousands):

Finance lease cost:
Amortization ROU assets
Finance lease costs
Interest on lease liabilities
Total finance lease cost
Operating lease
Operating lease costs
Short-term lease costs
Total operating lease

For the Year Ended
December 31,

2021

2020

  $

  $

  $

  $

5  
—  
—  
5  

346  
21  
367  

  $

  $

  $

  $

Maturities of the Company’s operating lease, excluding short-term leases as of December 31, 2021 are as follows (in thousands): 

December 31, 2021

Operating

Finance

2022
2023
2024
2025
Thereafter
Total lease payments
Less imputed interest
Lease liability

$

$

107

344    
349    
355    
360    
613    
2,021    
(327 )  
1,694    

$

$

—    
—    
—    
—    

164    
22    
186    

7  
7  
8  
2  
—  
24  
(2 )
22  

 
 
 
 
   
 
 
 
 
   
 
   
 
     
 
 
 
 
 
 
 
 
 
 
 
 
     
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The remaining term of the Company’s operating and finance leases were 5.7 and 3.3 years, respectively and the discount rate used to measure the 

present value of the Company’s operating and finance lease liability were 6.25% and 4.35%, respectively as of December 31, 2021.

Note 11–Debt

On March 10, 2020 (the “Effective Date”), the Company entered into (i) a mezzanine loan and security agreement (the “Mezzanine Loan 

Agreement”) with Silicon Valley Bank, or SVB, as administrative agent and collateral agent (the “Agent”), and Silicon Valley Bank and West River 
Innovation Lending Fund VIII, L.P., as lenders (the “Mezzanine Lenders”), pursuant to which the Mezzanine Lenders have agreed to lend the Company up 
to $50.0 million in a series of term loans, and (ii) a loan and security agreement (the “Senior Loan Agreement”, and together with the Mezzanine Loan 
Agreement, the “Loan Agreements”) with Silicon Valley Bank, as lender (the “Senior Lender”, and together with the Mezzanine Lenders, the “Lenders”), 
pursuant to which the Senior Lender has agreed to provide the Company with a revolving line of credit of up to $5.0 million. Upon entering into the Loan 
Agreements, the Company borrowed the “Term A Loan”.

On October 26, 2020, the Company entered into (i) the first amendment to the Mezzanine Loan Agreement (the “Mezzanine Loan Amendment”) 

and (ii) the first amendment to the Senior Loan Agreement (the “Senior Loan Amendment” and together with the Mezzanine Loan Amendment the “Loan 
Agreement Amendments”) with the Lenders, under which the Company borrowed the “Term B1 Loan”.  

On March 1, 2022, the Company entered into the Second Mezzanine Loan Amendment . Pursuant to the Second Mezzanine Loan Amendment, the 

Company is no longer required to maintain a minimum liquidity ratio or achieve minimum levels of trailing six-month net product revenues. Under the 
terms of the Second Mezzanine Loan Amendment, the Company will be required to maintain a minimum cash balance equal to the outstanding amount of 
the term loans under the Existing Mezzanine Credit Facility (as defined in Note 14) at all times in a separate money market account with SVB. The 
Company also entered into the Second Senior Loan Amendment pursuant to which, the Company is no longer required to achieve minimum levels of 
trailing six-month net product revenues.  See Note 14 for additional discussion of the Second Mezzanine Loan Amendment and the Second Senior Loan 
Amendment.

Under the terms of the Senior Loan Agreement, as amended, the Company may, at its sole discretion, borrow from the Senior Lender one or more 
advances on the revolving credit line (the “Revolving Loans”, and together with the Term Loans, the “Loans”) in an aggregate amount not to exceed the 
lesser of (i) 85% of the aggregate amount then-contained in the Company’s eligible accounts receivable and (ii) $5.0 million.  

The Company’s obligations under the Senior Loan Agreement and the Mezzanine Loan Agreement, as amended, are secured by, respectively, a first 
priority perfected security interest and second priority perfected security interest in substantially all of the Company’s current and future assets, other than 
its intellectual property (except rights to payment from the sale, licensing or disposition of such intellectual property).  The Company has also agreed not to 
encumber its intellectual property assets, except as permitted by the Loan Agreements.  

All of the Loans mature on March 1, 2024 (the “Maturity Date”). The Term Loans will be interest-only through March 31, 2022, followed by 24 

equal monthly payments of principal and interest. The Term Loans will bear interest at a floating per annum rate equal to the greater of (i) 7.25% and (ii) 
the sum of (a) the prime rate reported in The Wall Street Journal on the last business day of the month that immediately precedes the month in which the 
interest will accrue, plus (b) 2.50%. The Revolving Loans will bear interest at a floating per annum rate equal to the greater of (i) 6.00% and (ii) the sum of 
(a) the prime rate reported in The Wall Street Journal on the last business day of the month that immediately precedes the month in which the interest will 
accrue, plus (b) 1.25%.

Under the terms of the Mezzanine Loan Agreement, as amended, the Company will be required to make a final payment fee of $3,750,000 payable 

on the earlier of (i) the Maturity Date, (ii) the acceleration of any Term Loans, or (iii) the prepayment of the Term Loans (the “Final Payment”).  The 
Company is recording the final payment fee using the effective interest rate method over the term of the Term Loan with an increase in debt. The Company 
may prepay all, or any portion of the Term Loans upon 5 business days advance written notice to the Agent, provided that the Company will be obligated to 
pay a prepayment fee equal to (i) $1.0 million if  prepaid 

108

 
 
 
 
between October 27, 2021 and October 26, 2022, and (ii)  $0.5 million if prepaid between October 27, 2022 and October 26, 2023 and (iii) no prepayment 
fee if prepaid after October 26, 2023 (each, a “Prepayment Fee”).  

The Company may terminate the revolving credit line under the Senior Loan Agreement at any time upon three business days advance written notice 

to the Senior Lender. If the Company terminates the revolving credit line prior to the Maturity Date, it must pay to the Senior Lender an early termination 
fee of $50,000 (the “Termination Fee”).

Under the Loan Agreements, as amended, the Company is subject to a number of affirmative and restrictive covenants, including covenants 
regarding delivery of financial statements, maintenance of inventory, payment of taxes, maintenance of insurance, protection of intellectual property rights, 
dispositions of property, business combinations or acquisitions, incurrence of additional indebtedness or liens, investments and transactions with affiliates 
among other customary covenants. As of December 31, 2021 the Company is in compliance with all covenants.

Upon the occurrence of certain events, including but not limited to the Company’s failure to satisfy its payment obligations under the Loan 
Agreements, the breach of certain of its other covenants under the Loan Agreements, or the occurrence of a material adverse change, cross defaults to other 
indebtedness or material agreements, judgment defaults and defaults related to failure to maintain governmental approvals failure of which to maintain 
could result in a material adverse effect, the Agent and the Lenders will have the right, among other remedies, to declare all principal and interest 
immediately due and payable, to exercise secured party remedies, to receive the Final Payment and Termination Fee and, if the payment of principal and 
interest is due prior to the Maturity Date, to receive the applicable Prepayment Fee. The Loan Agreements also include subjective acceleration clauses that 
permit the Lenders to accelerate the maturity date under certain circumstances, including a material adverse change in the Company’s business, operations, 
or financial condition or a material impairment of the prospect of repayment of the Company’s obligations to the Mezzanine Lenders. 

The Company believes that, without additional financing, it is probable that it will not be in compliance with its minimum liquidity ratio covenant at 
some point in the next twelve months. In addition, under the Second Mezzanine Loan Amendment dated March 1, 2022, without additional financing, it is 
probable that the Company will not be in compliance with its minimum cash requirement covenant at some point in the next twelve months. In accordance 
with FASB ASC 470, since the Mezzanine Loan Agreement contains subjective acceleration clauses and the assessment that it is probable that the 
minimum liquidity ratio covenant will not be met, the Company has classified all outstanding principal and final payment fees as a current liability in the 
accompanying balance sheet as of December 31, 2021.

The Company borrowed $35.0 million upon entering into the Loan Agreement in March 2020, and an additional $5.0 million on March 1, 2021. The 

Company has incurred debt discount and issuance costs of $4.3 million, including the final payment fee of $3.8 million, that are classified as a contra-
liability on the condensed balance sheet.  The Company incurred additional debt issuance costs related to the revolving credit line of $0.1 million, classified 
as other non-current assets in the condensed balance sheet.  These costs related to the revolving credit line are being amortized to interest expense over the 
life of the loans using the straight-line method.

For the years ended December 31, 2021 and 2020, the Company recognized interest expense of  $4.3 and $3.0 million, respectively, of which $2.9 

and $2.1 million, respectively, was interest on the term loan and $1.4 and $0.9 million, respectively, was noncash interest expense related to the 
amortization of deferred debt issuance costs and accrual of the final payment fee. 

The following table summarizes the composition of debt as reflected on the balance sheet as of December 31, 2021 (in thousands):

Gross proceeds
Accrued final payment fee
Unamortized debt discount and issuance costs
Total short-term debt, net

$

$

40,000  
3,750  
(2,057 )
41,693  

109

 
 
 
 
 
 
 
 
 
The aggregate maturities of debt as of December 31, 2021 are as follows (in thousands):

2022
2023
2024 (1)
Total
(1) Excludes the final payment fee due at time of maturity.

Note 12–Income Taxes 

$

$

15,000  
20,000  
5,000  
40,000  

There is no provision for income taxes as the Company has incurred operating losses since inception and maintains a full valuation allowance 

against its deferred tax assets. 

Differences between the provision (benefit) for income taxes and income taxes at the statutory federal income tax rate are as follows (in thousands):

Tax computed at statutory federal income tax rate
State taxes, net of federal benefit
Permanent items
R&D credits
Other
Change in valuation allowance
Income tax provision (benefit)

For the Year Ended
December 31,

2021

2020

  $

  $

(7,367 )   $
(2,697 )  
282    
26    
205    
9,551    

—     $

Significant components of the Company’s deferred tax assets and liabilities are as follows (in thousands): 

Deferred tax assets:
Net operating loss carryovers
Share-based compensation
Tax credits
Amortization
Accrued compensation
Lease liabilities
Other
Total deferred tax assets
Less valuation allowance
Deferred tax asset, net of valuation allowance
Deferred tax liabilities:
Right-of-use assets
Fixed assets
Total deferred tax liabilities
Net deferred tax assets

As of
December 31,

2021

2020

  $

  $

  $

31,514  
3,321  
2,380  
678  
479  
497  
16  
38,885  
(38,414 )    
471  

(466 )    
(5 )    
(471 )    
  $
—  

(8,966 )
(2,938 )
1,283  
(2,405 )
(2 )
13,028  
—  

23,881  
2,170  
2,405  
—  
388  
549  
12  
29,405  
(28,863 )
542  

(532 )
(10 )
(542 )
—  

The Company has determined, based upon all available evidence, that it is more likely than not that the net deferred tax asset will not be realized 

and, accordingly, has provided a full valuation allowance against its net deferred tax asset. 

As of December 31, 2021, the Company had federal and state net operating loss carryforwards of approximately $109.0 million and $110.9 million, 

respectively. The federal net operating loss carryforwards 

110

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
 
     
   
   
   
   
included in the foregoing totals that were generated prior to 2018 (federal of approximately $6.9 million) will begin to expire, if not utilized, by 2033.  
Under the 2017 federal income tax law changes, federal net operating losses incurred in 2018 and in future years may be carried forward indefinitely, but 
the deductibility of such federal net operating losses is limited. As of December 31, 2021, the Company had federal and state research and development 
carryforwards of $2.4 million. In addition, under Section 382 of the Internal Revenue Code of 1986, as amended, and corresponding provisions of state law, 
if a corporation undergoes an “ownership change,” which is generally defined as a greater than 50% change, by value, in its equity ownership over a three-
year period, the corporation’s ability to use its pre-change net operating loss and tax credit carryforwards may be limited.  The Company has not done an 
analysis to determine whether or not ownership changes have occurred since inception.  

As of December 31, 2019, the Company had uncertain tax positions related to federal income tax credits for its research and development activities.  

The total amount of unrecognized tax benefits was $1.5 million. The Company released the uncertain tax position in 2020 and as of December 31, 2021 
and 2020 has recognized a deferred tax benefit of $2.4 million of federal income tax credits for its research and development activities. The Company will 
recognize interest and penalties, if any, related to uncertain tax positions in income tax expense. As of December 31, 2021 and 2020, the Company had no 
accrued interest or penalties related to uncertain tax positions and no amounts have been recognized in the Company’s statement of operations.  The 
Company does not anticipate a material change to unrecognized tax benefits in the next twelve months.

The 2017 and subsequent federal and state tax years for the Company remain open for the assessment of income taxes. 

Note 13—License and Collaboration Agreements

In August 2020, the Company entered into an option agreement with Torii Pharmaceutical Co., Ltd. (“Torii”) for the development and 
commercialization of the Company’s product candidates for the treatment of molluscum contagiosum and common warts in Japan, including VP-102 (the 
“Option Agreement”).  Torii paid the Company $0.5 million to secure the exclusive option.  The $0.5 million is included in deferred revenue as of 
December 31, 2020 in the balance sheet.

On March 2, 2021, Torii exercised the exclusive option in the Option Agreement.  On March 17, 2021, the Company entered into a collaboration 

and license agreement (the “Torii Agreement”) with Torii, pursuant to which the Company granted Torii an exclusive license to develop and commercialize 
the Company’s product candidates that contain a topical formulation of cantharidin for the treatment of molluscum contagiosum and common warts in 
Japan, including VP-102.  Additionally, the Company granted Torii a right of first negotiation with respect to additional indications for the licensed 
products and certain additional products for use in the licensed field, in each case in Japan.

 Pursuant to the Torii Agreement, the Company received payments from Torii of $0.5 million in December 2020 and $11.5 million in April 2021. 

Additionally, the Company is entitled to receive from Torii an additional $58 million in aggregate payments contingent on achievement of specified 
development, regulatory, and sales milestones, in addition to tiered transfer price payments for supply of product in the percentage range of the mid-30’s to 
the mid-40’s of net sales.  The transfer payments shall be payable, on a product-by-product basis, beginning on the first commercial sale of such product 
and ending on the latest of (a) expiration of the last-to-expire valid claim contained in certain licensed patents in Japan that cover such product, (b) 
expiration of regulatory exclusivity for the first indication for such product in Japan, and, (c) (i) with respect to the first product, ten years after first 
commercial sale of such product, and, (ii) with respect to any other product, the later of (x) ten years after first commercial sale of the first product and (y) 
five years after first commercial sale of such product. 

The Torii Agreement expires on a product-by-product basis upon expiration of Torii’s obligation under the agreement to make transfer price 
payments for such product.  Torii has the right to terminate the agreement upon specified prior written notice to us.  Additionally, either party may 
terminate the agreement in the event of an uncured material breach of the agreement by, or insolvency of, the other party.  The Company may terminate the 

111

 
 
agreement in the event that Torii commences a legal action challenging the validity, enforceability or scope of any licensed patents.

In August 2020, the Company entered into an exclusive license agreement with Lytix Biopharma AS (“Lytix”) for the use of licensed technology to 

research, develop, manufacture, have manufactured, use, sell, have sold, offer for sale, import, and otherwise commercialize products for use in all 
malignant and pre-malignant dermatological indications, other than metastatic melanoma and metastatic Merkel cell carcinoma (the” Lytix Agreement”).  
As part of the Lytix Agreement, the Company paid Lytix a one-time up-front fee of $0.3 million in 2020.  In addition, in February 2021, the Company paid 
Lytix a one-time $2.3 million payment upon the achievement by Lytix of a regulatory milestone. The $2.3 and $0.3 million payments were recognized in 
research and development expense in the statement of operations for the years ended December 31, 2021 and 2020, respectively.   The Company is also 
obligated to pay up to $111.0 million contingent on achievement of specified development, regulatory, and sales milestones, as well as tiered royalties 
based on worldwide annual net sales ranging in the low double digits to the mid-teens, subject to certain customary reductions. The Company’s obligation 
to pay royalties expires on a country-by-country and product-by-product basis on the later of the expiration or abandonment of the last to expire licensed 
patent covering LTX-315 anywhere in the world and expiration of regulatory exclusivity for LTX-315 in such country. Additionally, all upfront fees and 
milestone based payments received by the Company from a sublicensee will be treated as net sales and will be subject to the royalty payment obligations 
under the Lytix Agreement, and all royalties received by the Company from a sublicensee shall be shared with Lytix at a rate that is initially 50% but 
decreases based on the stage of development of LTX-315 at the time such sublicense is granted.

Note 14–Subsequent Event

On March 1, 2022, the Company entered into the Second Mezzanine Loan Amendment to its existing mezzanine loan and security agreement (as 
amended prior to the Amendment, the “Existing Mezzanine Credit Facility”) with SVB, as administrative agent and a lender and SVB Innovation Credit 
Fund VIII, L.P. as a lender. Pursuant to the Second Mezzanine Loan Amendment, the Company is no longer required to maintain a minimum liquidity ratio 
or achieve minimum levels of trailing six-month net product revenues. Under the terms of the Second Mezzanine Loan Amendment, the Company will be 
required to maintain a minimum cash balance equal to the outstanding amount of the term loans under the Existing Mezzanine Credit Facility at all times in 
a separate money market account with SVB. The Company also entered into the Second Senior Loan Amendment (together with the Second Mezzanine 
Loan Amendment, the “Second Amendments”) to its existing loan and security agreement (as amended prior to the Amendment, the “Existing Senior 
Credit Facility” and together with the Existing Mezzanine Credit Facility, the “Existing Credit Facilities”) with SVB, pursuant to which, the Company is no 
longer required to achieve minimum levels of trailing six-month net product revenues.  Pursuant to the Second Amendments, The Term Loans will be 
interest-only through February 28, 2023, followed by 12 equal monthly payments of principal and interest.

Other than as amended by the Second Amendments, the remaining terms of the Existing Credit Facilities remain in full force and effect.

112

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

None.

ITEM 9A. CONTROLS AND PROCEDURES 

Evaluation of Disclosure Controls and Procedures.

Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of our 

disclosure controls and procedures (as such term is defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act) as of the end of the period covered 
by this Annual Report on Form 10-K to ensure that the information required to be disclosed by us in the reports that it files or submits under the Exchange 
Act is recorded, processed, summarized and reported within the time periods specified in SEC rules and forms, and that information required to be 
disclosed in the reports we file or submit under the Exchange Act is accumulated and communicated to our management, including our Chief Executive 
Officer and Chief Financial Officer, to allow timely decisions regarding required disclosures. Management recognizes that any controls and procedures, no 
matter how well designed and operated, can provide only reasonable assurance of achieving their objectives and management necessarily applies its 
judgment in evaluating the cost benefit relationship of possible controls and procedures. Based on such evaluation, our Chief Executive Officer and Chief 
Financial Officer have concluded that our disclosure controls and procedures were effective at the reasonable assurance level as of December 31, 2021.

Management’s Report on Internal Control Over Financial Reporting

Management is responsible for establishing and maintaining adequate internal control over financial reporting as defined in Rules 13a-15(f) and 

15d-15(f) under the Exchange Act. 

Our internal control over financial reporting is a process designed 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. Because of its inherent 
limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness 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 the policies or 
procedures may deteriorate.

Management utilized the criteria established in the Internal Control – Integrated Framework (2013) issued by the Committee of Sponsoring 

Organizations of the Treadway Commission (COSO) to assess the effectiveness of our internal control over financial reporting as of December 31, 2021. 

This Annual Report does not include an attestation report of our registered public accounting firm regarding internal control over financial 

reporting pursuant to Section 404(c) of the Sarbanes Oxley Act of 2002. Because we qualify as an emerging growth company under the JOBS Act, 
management's report was not subject to attestation by our independent registered public accounting firm.

Changes in Internal Control Over Financial Reporting

There has been no changes in our internal control over financial reporting identified in connection with the evaluation required by Rule 13a-15(d) and 

15d-15(d) of the Exchange Act that occurred during the year ended December 31, 2021 that has materially affected, or is reasonably likely to materially 
affect, our internal control over financial reporting.

ITEM 9B. OTHER INFORMATION

On March 1, 2022, we entered into the Second Mezzanine Loan Amendment to our existing mezzanine loan and security agreement (as amended 

prior to the Amendment, the “Existing Mezzanine Credit Facility”) with 

113

 
 
 
SVB, as administrative agent and a lender and SVB Innovation Credit Fund VIII, L.P. as a lender. Pursuant to the Second Mezzanine Loan Amendment, we 
are no longer required to maintain a minimum liquidity ratio or achieve minimum levels of trailing six-month net product revenues. Under the terms of the 
Second Mezzanine Loan Amendment, we will be required to maintain a minimum balance equal to the outstanding amount of the term loans under the 
Existing Mezzanine Credit Facility at all times in a separate money market account with SVB. We also entered into the Second Senior Loan Amendment 
(together with the Second Mezzanine Loan Amendment, the “Second Amendments”) to our existing loan and security agreement (as amended prior to the 
Amendment, the “Existing Senior Credit Facility” and together with the Existing Mezzanine Credit Facility, the “Existing Credit Facilities”) with SVB, 
pursuant to which, we are no longer required to achieve minimum levels of trailing six-month net product revenues. 

Other than as amended by the Second Amendments, the remaining terms of the Existing Credit Facilities remain in full force and effect. The 

foregoing description of the Amendments are not complete and is qualified in its entirety by reference to the full text of the Amendments, copies of which 
are filed herewith as Exhibit 10.26 and Exhibit 10.28 to this Annual Report on Form 10-K.

ITEM 9C. DISCLOSURE REGARDING FOREIGN JURISDICTIONS THAT PREVENT INSPECTIONS

Not applicable.

PART III

We will file a definitive Proxy Statement for our 2022 Annual Meeting of Stockholders (the “2022 Proxy Statement”) with the SEC, pursuant to 

Regulation 14A, not later than 120 days after the end of our fiscal year. Accordingly, certain information required by Part III has been omitted under 
General Instruction G(3) to Form 10-K. Only those sections of the 2022 Proxy Statement that specifically address the items set forth herein are 
incorporated by reference.

ITEM 10. DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE

The information required by Item 10 is hereby incorporated by reference to the sections of the 2022 Proxy Statement under the captions 
"Information Regarding the Board of Directors and Corporate Governance," "Election of Directors," "Executive Officers" and "Section 16(a) Beneficial 
Ownership Reporting Compliance."

ITEM 11. EXECUTIVE COMPENSATION

The information required by Item 11 is hereby incorporated by reference to the sections of the 2022 Proxy Statement under the captions 

"Executive Compensation" and "Non-Employee Director Compensation."

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

The information required by Item 12 is hereby incorporated by reference to the sections of the 2022 Proxy Statement under the captions "Security 

Ownership of Certain Beneficial Owners and Management" and "Securities Authorized for Issuance under Equity Compensation Plans."

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

The information required by Item 13 is hereby incorporated by reference to the sections of the 2022 Proxy Statement under the captions 

"Transactions with Related Persons" and "Independence of the Board of Directors."

114

 
 
 
 
ITEM 14. PRINCIPAL ACCOUNTING FEES AND SERVICES

The information required by Item 14 is hereby incorporated by reference to the sections of the 2022 Proxy Statement under the caption 

"Ratification of Selection of Independent Auditors."

115

 
ITEM 15. EXHIBITS AND FINANCIAL STATEMENT SCHEDULES

We have filed the following documents as part of this Annual Report:

PART IV

(a)(1) 

Financial Statements

The financial statements are included in Item 8. “Financial Statements and Supplementary Data.”

(a)(2) 

Financial Statement Schedules

All schedules are omitted as information required is inapplicable or the information is presented in the financial statements and the related notes.

(a)(3) 

Exhibits 

Exhibit
Number

Description of Exhibit

    3.1

    3.2

    4.1

  10.1

  10.2+

  10.3+

  10.4+

  10.5+

  10.6+

 Amended and Restated Certificate of Incorporation of the Registrant (incorporated herein by reference to Exhibit 3.3 to the Registrant’s 
Registration Statement on Form S-1 (File No. 333-225104), filed with the Securities and Exchange Commission on May 22, 2018)

 Amended and Restated Bylaws of the Registrant (incorporated herein by reference to Exhibit 3.4 to the Registrant’s Registration 
Statement on Form S-1 (File No. 333-225104), filed with the Securities and Exchange Commission on May 22, 2018)   

 Description of Verrica Pharmaceuticals Inc. Common Stock (incorporated herein by reference to Exhibit 4.1 to the Registrant’s Annual 
Report on Form 10-K (File No. 001-38529), filed with the Securities and Exchange Commission on March 13, 2020).

 Amended and Restated Investors’ Rights Agreement by and among the Registrant and certain of its stockholders, dated February 20, 2018 
(incorporated herein by reference to Exhibit 10.1 to the Registrant’s Registration Statement on Form S-1 (File No. 333-225104), filed with 
the Securities and Exchange Commission on May 22, 2018)

 2013 Equity Incentive Plan, as amended (incorporated herein by reference to Exhibit 10.2 to the Registrant’s Registration Statement on 
Form S-1 (File No. 333-225104), filed with the Securities and Exchange Commission on May 22, 2018)

 Form of Stock Option Grant Notice and Stock Option Agreement under 2013 Equity Incentive Plan (incorporated herein by reference to 
Exhibit 10.3 to the Registrant’s Registration Statement on Form S-1 (File No. 333-225104), filed with the Securities and Exchange 
Commission on May 22, 2018)

 2018 Equity Incentive Plan (incorporated herein by reference to Exhibit 10.4 to Amendment No. 1 to the Registrant’s Registration 
Statement on Form S-1 (File No. 333-225104), filed with the Securities and Exchange Commission on June 5, 2018)

 Form of Stock Option Grant Notice, Stock Option Agreement, Restricted Stock Unit Grant Notice, and Restricted Stock Unit Award 
Agreement under 2018 Equity Incentive Plan (incorporated herein by reference to Exhibit 10.5 to Amendment No. 1 to the Registrant’s 
Registration Statement on Form S-1 (File No. 333-225104), filed with the Securities and Exchange Commission on June 5, 2018)

 Form of Indemnification Agreement with Executive Officers and Directors (incorporated herein by reference to Exhibit 10.6 to the 
Registrant’s Registration Statement on Form S-1 (File No. 333-225104), filed with the Securities and Exchange Commission on May 22, 
2018)

116

 
 
 
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  10.7

  10.8+

  10.9#

  10.10

  10.11

  10.12+

  10.13

  10.14+

  10.15+

  10.16*

  10.17*

  10.18

 Services Agreement, by and between the Registrant and PBM Capital Group, LLC, dated as of December 2, 2015, as amended on March 
29, 2018 (incorporated herein by reference to Exhibit 10.12 to the Registrant’s Registration Statement on Form S-1 (File No. 333-225104), 
filed with the Securities and Exchange Commission on May 22, 2018)

 Amended and Restated Non-Employee Director Compensation Policy (incorporated herein by reference to Exhibit 10.1 to the Registrant’s 
Quarterly Report on Form 10-Q (File No. 001-38529), filed with the Securities and Exchange Commission on August 10, 2021)

 Supply Agreement, by and between the Registrant and Funing County Development Brucea Javanica Professional Cooperatives, dated as 
of July 16, 2018 (incorporated herein by reference to Exhibit 10.1 to the Registrant’s Quarterly Report on Form 10-Q (File No. 001-
38529), filed with the Securities and Exchange Commission on November 7, 2018)

 Second Amendment to Services Agreement, by and between the Registrant and PBM Capital Group, LLC, dated as of January 1, 2019 
(incorporated herein by reference to Exhibit 10.19 to the Registrant’s Annual Report on Form 10-K (File No. 001-38529), filed with the 
Securities and Exchange Commission on March 7, 2019).

 Lease Agreement, by and between the Registrant and 44 West Gay LLC, dated as of July 1, 2019 (incorporated herein by reference to 
Exhibit 10.1 to the Registrant’s Current Report on Form 8-K (File No. 001-38529), filed with the Securities and Exchange Commission on 
July 1, 2019).

 Employment Agreement, by and between the Registrant and P. Terence Kohler, dated as of July 16, 2021 (incorporated herein by reference 
to Exhibit 10.1 to the Registrant’s Quarterly Report on Form 10-Q (File No. 001-38529), filed with the Securities and Exchange 
Commission on November 11, 2021).

 Third Amendment to Services Agreement, by and between the Registrant and PBM Capital Group, LLC, dated as of October 1, 2019 
(incorporated herein by reference to Exhibit 10.2 to the Registrant’s Quarterly Report on Form 10-Q (File No. 001-38529), filed with the 
Securities and Exchange Commission on November 6, 2019).

 Amended and Restated Employment Agreement, by and between the Registrant and Ted White, dated as of January 10, 2020 
(incorporated herein by reference to Exhibit 10.18 to the Registrant’s Annual Report on Form 10-K (File No. 001-38529), filed with the 
Securities and Exchange Commission on March 13, 2020).

 Amended and Restated Employment Agreement, by and between the Registrant and Joe Bonaccorso, dated as of January 10, 2020 
(incorporated herein by reference to Exhibit 10.19 to the Registrant’s Annual Report on Form 10-K (File No. 001-38529), filed with the 
Securities and Exchange Commission on March 13, 2020).

 Loan and Security Agreement, by and between the Company and Silicon Valley Bank, dated as of March 10, 2020 (incorporated herein by 
reference to Exhibit 10.1 to the Registrant’s Quarterly Report on Form 10-Q (File No. 001-38529), filed with the Securities and Exchange 
Commission on May 7, 2020).

 Mezzanine Loan and Security Agreement, by and among the Company, Silicon Valley Bank and WestRiver Innovation Lending Fund 
VIII, L.P., dated as of March 10, 2020 (incorporated herein by reference to Exhibit 10.2 to the Registrant’s Quarterly Report on Form 10-Q 
(File No. 001-38529), filed with the Securities and Exchange Commission on May 7, 2020).

 First Amendment to Lease Agreement, by and between the Registrant and 44 West Gay LLC, dated as of March 12, 2020 (incorporated 
herein by reference to Exhibit 10.5 to the Registrant’s Quarterly Report on Form 10-Q (File No. 001-38529), filed with the Securities and 
Exchange Commission on May 7, 2020).

117

 
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
 
  
 
  
 
  
 
  10.19

  10.20*

10.21*

10.22*

  Second Amendment to Lease Agreement, by and between the Registrant and 44 West Gay LLC, dated as of April 27, 2020 (incorporated 
herein by reference to Exhibit 10.1 to the Registrant’s Quarterly Report on Form 10-Q (File No. 001-38529), filed with the Securities and 
Exchange Commission on August 5, 2020).

  Exclusive License Agreement, by and between the Registrant and Lytix Biopharma AS, dated as of August 7, 2020 (incorporated herein 

by reference to Exhibit 10.1 to the Registrant’s Quarterly Report on Form 10-Q (File No. 001-38529), filed with the Securities and 
Exchange Commission on November 9, 2020).

  First Amendment to Loan and Security Agreement, by and between the Company and Silicon Valley Bank, dated as of October 26, 2020 
(incorporated herein by reference to Exhibit 10.21 to the Registrant’s Annual Report on Form 10-K (File No. 001-38529), filed with the 
Securities and Exchange Commission on March 17, 2021).

  First Amendment to Mezzanine Loan and Security Agreement, by and among the Company, Silicon Valley Bank and WestRiver 

Innovation Lending Fund VIII, L.P., dated as of October 26, 2020 (incorporated herein by reference to Exhibit 10.22 to the Registrant’s 
Annual Report on Form 10-K (File No. 001-38529), filed with the Securities and Exchange Commission on March 17, 2021).

10.23+

  Employment Agreement by and between the Registrant and Gary Goldenberg, dated as of August 1, 2020.

10.24+

  .Employment Agreement, by and between the Registrant and Christopher Hayes, dated as of February 27, 2020.

10.25*

  Collaboration and License Agreement, by and between the Company and Torii Pharmaceutical Co., Ltd., dated March 17, 2021 

(incorporated herein by reference to exhibit 10.1 to the Registrant’s Quarterly Report on Form 10-Q (File No. 001-38529), filed with the 
Securities and Exchange Commission on May 7, 2021).

10.26

  Waiver and Second Amendment to Mezzanine Loan and Security Agreement, dated as of March 1, 2022

10.27+

  Amended and Restated Non-Employee Director Compensation Policy, adopted by the Board as of February 24, 2022

10.28

  23.1

  24.1

  31.1

  31.2

  32.1^

101.INS

  Waiver and Second Amendment to Loan and Security Agreement, dated as of March 1, 2022.

  Consent of KPMG LLP, independent registered public accounting firm

  Power of Attorney (included on signature page)

  Certification of Principal Executive Officer pursuant to Rules 13a-14(a) and 15d-14(a) promulgated under the Securities Exchange Act of 

1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

  Certification of Principal Financial Officer pursuant to Rules 13a-14(a) and 15d-14(a) promulgated under the Securities Exchange Act of 

1934, as adopted pursuant to section 302 of the Sarbanes-Oxley Act of 2002.

  Certification of Principal Executive Officer and Principal Financial Officer pursuant to Rules 13a-14(b) and 15d-14(b) promulgated under 
the Securities Exchange Act of 1934 and 18 U.S.C. Section 1350, as adopted pursuant to section 906 of The Sarbanes-Oxley Act of 2002.

  Inline XBRL Instance Document - the instance document does not appear in the interactive data file because its XBRL tags are embedded 

within the inline XBRL document.

101.SCH

  Inline XBRL Taxonomy Extension Schema Document

118

 
 
 
 
 
 
 
 
 
 
 
   
 
   
 
   
 
 
 
 
   
 
   
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
101.CAL

  Inline XBRL Taxonomy Extension Calculation Linkbase Document

101.DEF

  Inline XBRL Taxonomy Extension Definition Linkbase Document

101.LAB

  Inline XBRL Taxonomy Extension Label Linkbase Document

101.PRE

  Inline XBRL Taxonomy Extension Presentation Linkbase Document

104

  Cover Page Interactive Data File (embedded within the Inline XBRL document)

+ Indicates management contract or compensatory plan.
# Confidential treatment has been granted with respect to portions of this exhibit (indicated by asterisks) and those portions have been separately filed with 
the Securities and Exchange Commission.
* Certain portions of this exhibit, indicated by asterisks, have been omitted pursuant to Item 601(b)(10) of Regulation S-K because they are not material 
and would likely cause competitive harm to the registrant if publicly disclosed.
^ These certifications are being furnished solely to accompany this Annual Report pursuant to 18 U.S.C. Section 1350, and are not being filed for purposes 
of Section 18 of the Securities Exchange Act of 1934, as amended, and are not to be incorporated by reference into any filing of the Registrant, whether 
made before or after the date hereof, regardless of any general incorporation language in such filing.

ITEM 16. FORM 10-K SUMMARY

Not applicable.

119

 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
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

March 2, 2022

VERRICA PHARMACEUTICALS INC.

By:

/s/ Ted White
Ted White
President and Chief Executive Officer

KNOW ALL PERSONS BY THESE PRESENTS, that each person whose signature appears below constitutes and appoints Ted White and P. 

Terence Kohler, Jr., jointly and severally, as his or her true and lawful attorneys-in-fact and agents, with full power of substitution and resubstitution, for 
him and in his name, place and stead, in any and all capacities, to sign this Annual Report on Form 10-K of Verrica Pharmaceuticals Inc., and any or all 
amendments thereto, and to file the same, with all exhibits thereto, and other documents in connection therewith, with the Securities and Exchange 
Commission, granting unto said attorneys-in-fact and agents full power and authority to do and perform each and every act and thing requisite or necessary 
to be done in and about the premises hereby ratifying and confirming all that said attorneys-in-fact and agents, or his, her or their substitute or substitutes, 
may lawfully do or cause to be done by virtue hereof.

Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, this report has been signed below by the following persons on 

behalf of the registrant and in the capacities and on the dates indicated.

Signature

Title

         Date

/s/ Ted White
Ted White

President, Chief Executive Officer and Director (Principal Executive Officer)

/s/ P. Terence Kohler, Jr
P. Terence Kohler, Jr.

Chief Financial Officer
(Principal Financial Officer and Principal Accounting Officer)

/s/ Paul B. Manning 
Paul B. Manning

/s/ Sean Stalfort
Sean Stalfort

/s/ Craig Ballaron
Craig Ballaron

/s/ Mark Prygocki
Mark Prygocki

/s/ Lawrence Eichenfield
Lawrence Eichenfield

/s/ Diem Nguyen
Diem Nguyen

Chairman of the Board of Directors

Director

Director

Director

Director

Director

120

March 2, 2022

March 2, 2022

March 2, 2022

March 2, 2022

March 2, 2022

March 2, 2022

March 2, 2022

March 2, 2022

 
 
 
 
   
 
 
 
 
 
  
 
  
 
 
 
   
   
  
 
 
 
 
  
  
  
 
 
 
 
 
 
  
  
  
 
 
 
 
 
 
  
 
  
  
 
 
 
 
 
 
  
 
  
  
 
 
 
 
 
 
  
 
  
  
 
 
 
 
 
 
  
  
  
 
 
 
 
 
  
  
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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Exhibit 10-23

EMPLOYMENT AGREEMENT

This EMPLOYMENT AGREEMENT (the “Agreement”) is entered into effective August 1, 2020 (the “Effective Date”), by and 
between  Verrica  Pharmaceuticals  Inc.,  a  Delaware  corporation  (the  “Company”)  and  Gary  Goldenberg  (the  “Employee”). 
Company and Employee are each herein referred to individually as a “Party,” or collectively as the “Parties”).

Whereas, the Company desires to employ the Employee in the capacity of full-time Chief Medical Officer (“CMO”) 
pursuant to the terms of this Agreement and, in connection therewith, to compensate the Employee for Employee’s personal 
services to the Company; and

Whereas,  the  Employee  wishes  to  be  employed  by  the  Company  and  provide  personal  services  to  the  Company  in 

return for certain compensation.

Accordingly,  in  consideration  of  the  mutual  promises  and  covenants  contained  herein,  the  parties  agree  to  the 

following:

1.

EMPLOYMENT BY THE COMPANY.

1.1

At-Will Employment. Employee shall be employed by the Company on an “at-will” basis, 
meaning  either  the  Company  or  Employee  may  terminate  Employee’s  employment  at  any  time,  with  or  without  cause  or 
advanced notice. Any contrary representations that may have been made to Employee shall be superseded by this Agreement. 
This Agreement shall constitute the full and complete agreement between Employee and the Company on the “at-will” nature 
of  Employee’s  employment  with  the  Company,  which  may  be  changed  only  in  an  express  written  agreement  signed  by 
Employee and a duly authorized officer of the Company. Employee’s rights to any compensation following a termination shall 
be only as set forth in Section 6.

1.2

Position.  Subject  to  the  terms  set  forth  herein,  the  Company  agrees  to  employ  Employee, 
initially,  in  the  position  of  CMO  and  Employee  hereby  accepts  such  employment.  Subject  to  Section  4,  during  the  term  of 
Employee’s employment with the Company, Employee will devote Employee’s best efforts and substantially all of Employee’s 
business time and attention to the business of the Company.

1.3

Duties. Employee will report to the President and Chief Executive Officer (“CEO”) of the 
Company, performing such duties as are normally associated with his position and such duties as are assigned to him from time 
to  time,  subject  to  the  oversight  and  direction  of  the  CEO  and  the  Company’s  Board  of  Directors  (the  “Board”).  Employee 
shall perform his duties under this Agreement principally out of the Company’s current office in New Jersey located at 340 
Main St., Madison, NJ 07940, or such other location as assigned. In addition, the Employee shall make such business trips to 
such places as may be necessary or advisable for the efficient operations of the Company.

also be subject to the Company’s personnel policies and procedures as they may

1.4

Company  Policies  and  Benefits.  The  employment  relationship  between  the  parties  shall 

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be interpreted, adopted, revised or deleted from time to time in the Company’s sole discretion. The Employee will be eligible 
to participate on the same basis as similarly situated employees in the Company’s benefit plans and paid time off policies, in 
all cases, as in effect from time to time during his employment. All matters of eligibility for coverage or benefits under any 
benefit plan shall be determined in accordance with the provisions of such plan. The Company reserves the right to change, 
alter,  or  terminate  any  benefit  plan  in  its  sole  discretion.  Notwithstanding  the  foregoing,  in  the  event  that  the  terms  of  this 
Agreement differ from or are in conflict with the Company’s general employment policies or practices, this Agreement shall 
control.

2.

COMPENSATION.

2.1

Salary. Employee shall receive for Employee’s services to be rendered hereunder an initial 
annualized base salary of $400,000 per year, subject to review and adjustment from time to time by the Company in its sole 
discretion,  payable  subject  to  standard  federal  and  state  payroll  withholding  requirements  in  accordance  with  Company’s 
standard payroll practices (“Base Salary”).

2.2

Signing  Bonus.  Upon  Employee’s  execution  of  this  Agreement  and  the  Confidential 
Information Agreement (as defined below), Employee will receive a one-time bonus of $60,000 (the “One-Time Bonus”). The 
One-Time Bonus will be paid subject to standard federal and state payroll withholding requirements within thirty (30) days 
after the Effective Date, subject to Employee’s continued employment with the Company through the date payment is made.

2.3

Bonus.

(a)

During  Employment.  Employee  shall  be  eligible  to  earn  an  annual 
performance bonus with a target amount equal to 40% (the “Target Percentage”) of his Base Salary (“Annual Bonus”). The 
Annual Bonus will be based upon the Board’s assessment of the Employee’s and the Company’s attainment of goals set by the 
Board  in  its  sole  discretion.  The  Annual  Bonus,  if  any,  will  be  subject  to  applicable  payroll  deductions  and  withholdings. 
Following the close of each calendar year, the Board will determine whether the Employee has earned the Annual Bonus, and 
the amount of any Annual Bonus, which can be above or below the Target Percentage, based on the set criteria. No amount of 
the Annual Bonus is guaranteed, and the Employee must be an employee in good standing on the Annual Bonus payment date 
to be eligible to receive an Annual Bonus; no partial or prorated bonuses will be provided, except as otherwise set forth in this 
Section 2.3. Notwithstanding the foregoing, Employee will be eligible for a pro-rated Annual Bonus for 2020, subject to the 
eligibility  criteria  in  this  Section  2.3  and  provided  that  his  Annual  Bonus  for  2020  (if  any)  will  be  prorated  based  upon  the 
number of days during which he was employed by the Company in 2020. The Annual Bonus, if earned, will be paid no later 
than March 15 of the calendar year immediately following the applicable calendar year for which the Annual Bonus is being 
measured.

Company for any reason prior to payment of any bonus, he is not eligible for such bonus, prorated or otherwise.

(b)

Upon  Termination.  In  the  event  Employee  leaves  the  employ  of  the 

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3.4

Stock Option.

(a)

Option  Grant.  Subject  to  approval  of  the  Board,  which  the  Company 
agrees  to  use  its  best  efforts  to  secure,  Employee  will  be  issued  an  option  to  purchase  250,000  shares  of  the  Company’s 
common stock (subject to adjustment for stock splits, dividends and combinations and similar events as will be set forth in the 
option  agreement)  (the  “Option”),  with  a  10-year  term,  pursuant  and  subject  to  the  Company’s  2018  Equity  Incentive  Plan 
(“Plan”) and the Company’s standard form of Stock Option Agreement (“Stock Agreement’) between the Employee and the 
Company. The option shall be an incentive stock option to the extent permissible under Section 422 of the Internal Revenue 
Code and will have an exercise price per share equal to the fair market value of a share of the Company’s common stock, to be 
determined in accordance with Section 409A. The Option shall vest over a period of four years as follows: (i) 25% of the total 
shares subject to the Option shall vest on the first anniversary of the Effective Date, and (ii) 1/48th of total shares subject to the 
Option shall vest monthly thereafter over the remaining three years of the vesting period, subject to Employee’s continuous 
service as of each applicable date, except as otherwise provided in Section 6.4 below. The foregoing notwithstanding, in the 
event of a Change in Control (as defined in the Plan, as may be amended from time to time), subject to Employee’s continuous 
service  as  of  the  effective  date  of  such  Change  in  Control,  all  of  Employee’s  then-unvested  Option  shall  immediately  and 
automatically vest as of the effective date of such Change in Control.

(b)

Restricted  Stock  Units.  Subject  to  Board  approval,  Employee  will  be 
granted restricted stock units with respect to 75,000 shares of the Company’s common stock (the “RSU Award”).  The  RSU 
Award  will  be  subject  to  the  terms  of  the  Plan  and  a  restricted  stock  unit  award  agreement  thereunder  to  be  provided  to 
Employee.  The  RSU  Award  will  vest  as  follows:  50%  of  the  shares  subject  to  the  RSU  Award  shall  vest  upon  receipt  of 
approval by the
U.S.  Food  and  Drug  Administration  of  the  New  Drug  Application  for  VP-102  for  the  marketing  of  VP-102  (such  date  of 
receipt, the “Approval Date”) and 50% of the shares subject to the RSU Award shall vest on the one year anniversary of the 
Approval Date, subject to Employee’s continuous service as of each applicable date, except as otherwise provided in Section 
6.4 below. Employee understands and agrees that the vesting of the RSU Award and issuance of shares will be subject to tax 
withholding obligations for which Employee shall be responsible for payment to the Company at the time such withholding 
obligations arise as a condition to receiving shares subject to such RSU Award.

Expense  Reimbursement.  The  Company  will  reimburse  Employee  for  all  reasonable, 
documented business expenses incurred in connection with his services hereunder, in accordance with the Company’s business 
expense reimbursement policies and procedures as may be in effect from time to time.

3.5

4.

CONFIDENTIAL INFORMATION, INVENTIONS, NON-COMPETITION  AND  NON-  SOLICITATION  OBLIGATIONS. 
As  a  condition  of  employment,  Employee  agrees  to  execute  and  abide  by  an  Employee  Confidential  Information, 
Inventions,  Non-Solicitation  and  Non-  Competition  Agreement  attached  as  Exhibit  A  (the  “Confidential  Information 
Agreement”),  which  may  be  amended  by  the  parties  from  time  to  time  without  regard  to  this  Agreement.  The  Confidential 
Information Agreement contains provisions that are intended by the parties to survive and do survive termination or expiration 
of this Agreement.

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4.

OUTSIDE  ACTIVITIES.  Except  with  the  prior  written  consent  of  the  Company’s  Board,  Employee  will  not, 
while employed by the Company, undertake or engage in any other employment, occupation or business enterprise that would 
interfere with Employee’s responsibilities and the performance of Employee’s duties hereunder except for (i) reasonable time 
devoted to volunteer services for or on behalf of such religious, educational, non-profit and/or other charitable organization as 
Employee may wish to serve; (ii) reasonable time devoted to activities in the non-profit and business communities consistent 
with Employee’s duties; (iii) reasonable time devoted to service on boards of directors of companies that are not competitive 
with  the  Company,  do  not  otherwise  present  a  conflict  of  interest  and  would  not  otherwise  interfere  with  Employee’s 
responsibilities and the performance of Employee’s duties hereunder, subject to the prior written approval of the Board (which 
approval shall not be unreasonably withheld); and
(iv) such other activities that are not competitive with the Company, do not otherwise present a conflict of interest and would 
not otherwise interfere with Employee’s responsibilities and the performance of Employee’s duties hereunder, subject to the 
prior  written  approval  of  the  Board  (which  approval  shall  not  be  unreasonably  withheld).  In  this  regard,  such  approval  is 
hereby granted to the following activities that do not interfere with Employee’s responsibilities and duties or present a conflict 
hereunder:  practicing  dermatology  at  Goldenberg  Dermatology,  P.C.,  consulting,  speaking,  participating  in  advisory  boards, 
and  conducting  studies  with  other  pharmaceutical  and  device  companies,  as  long  as,  in  addition  to  not  interfering  with 
Employee’s  responsibilities  and  duties  or  present  a  conflict  hereunder,  the  drug/device  in  question  does  not  compete  with 
VRCA;  continued  involvement  with  the  American  Academy  of  Dermatology,  Fall  Clinical  and  other  meetings  under  this 
umbrella,  including  DermX  Media  Advisory  Board;  involvement  with  Gore  Range  Capital  Fund(s),  including  its  Advisory 
Board  (collectively,  the  “Permitted  Activities”).  Unless  adequately  demonstrated  by  the  Company  that  such  Permitted 
Activities materially interfere with Employee’s responsibilities and duties or present a conflict hereunder, any revocation by 
the Company of the approval of, or additional restriction placed on Employee by the Company with respect to, the Permitted 
Activities shall be a material breach of this Agreement by the Company, including, without limitation, for purposes of Sections 
6.3 and
6.4  below.  This  restriction  shall  not,  however,  preclude  the  Employee  from  owning  less  than  one  percent  (1%)  of  the  total 
outstanding shares of a publicly traded company.

5.

NO CONFLICT WITH EXISTING OBLIGATIONS. Employee represents that Employee’s performance of all the 
terms of this Agreement and as an Employee of the Company do not and will not breach any agreement or obligation of any 
kind made prior to Employee’s employment by the Company, including agreements or obligations Employee may have with 
prior employers or entities for which Employee has provided services. Employee has not entered into, and Employee agrees 
that Employee will not enter into, any agreement or obligation, either written or oral, in conflict herewith.

6.

TERMINATION OF EMPLOYMENT.  The  parties  acknowledge  that  Employee’s  employment  relationship  with 
the  Company  is  at-will.  Either  Employee  or  the  Company  may  terminate  the  employment  relationship  at  any  time,  with  or 
without Cause. The provisions in this Section govern the amount of compensation, if any, to be provided to Employee upon 
termination of employment and do not alter this at-will status.

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1.1

Termination by the Company Without Cause (not in Connection with a Change in 

Control).

The  Company  shall  have  the  right  to  terminate  Employee’s  employment 
with  the  Company  pursuant  to  this  Section  6.1  at  any  time  without  “Cause”  (as  defined  in  Section  6.2(a)  below)  by  giving 
notice as described in Section 6.7 of this Agreement. A termination pursuant to Section 6.6 below is not a termination without 
“Cause” for purposes of receiving the benefits described in this Section 6.1.

(a)

(b)

In  the  event  Employee’s  employment  is  terminated  without  Cause  at  any 
time  except  during  the  Change  in  Control  Measurement  Period  (as  defined  in  Section  6.4  below),  then  provided  that  the 
Employee  executes  and  does  not  revoke  a  separation  agreement  that  includes  a  general  release  substantially  in  the  form 
attached hereto as Exhibit B (the “Release”), and subject to Section 6.1(c) (the date that the Release becomes effective and 
may  no  longer  be  revoked  by  the  Employee  is  referred  to  as  the  “Release  Date”),  then  Employee  shall  be  eligible  for  the 
following “Non-CIC Severance Benefits”:

(i)

the  Company  shall  pay  to  Employee  an  amount  equal  to 
Employee’s then current Base Salary for the Severance Period (as defined below), less applicable withholdings and deductions, 
in  installments  in  accordance  with  the  Company’s  ordinary  payroll  practices  commencing  on  the  Company’s  first  regular 
payroll date that is more than sixty (60) days following the Separation Date (as defined below), and shall be for any accrued 
Base Salary for the sixty (60) day period plus the period from the sixtieth (60th) day until the regular payroll date, if applicable, 
and all salary continuation payments thereafter, if any, shall be made on the Company’s regular payroll dates; and

(ii)

if  the  Employee  timely  elects  continued  coverage  under 
COBRA for himself and his covered dependents under the Company’s group health plans following such termination, then the 
Employee  will  be  entitled  to  the  following  COBRA  benefits:  the  Company  shall  pay  the  COBRA  premiums  necessary  to 
continue  the  Employee’s  and  his  covered  dependents’  health  insurance  coverage  in  effect  for  himself  (and  his  covered 
dependents) on the termination date until the earliest of (x) a number of months following the termination date equal to the 
Severance  Period;  (y)  the  date  when  the  Employee  becomes  eligible  for  health  insurance  coverage  in  connection  with  new 
employment or self-employment; or (iii) the date the Employee ceases to be eligible for COBRA continuation coverage for 
any  reason,  including  plan  termination  (such  period  from  the  termination  date  through  the  earlier  of  (i)-(iii),  the  “Non-CIC 
COBRA  Payment  Period”).  Notwithstanding  the  foregoing,  if  at  any  time  the  Company  determines  that  its  payment  of 
COBRA  premiums  on  the  Employee’s  behalf  would  result  in  a  violation  of  applicable  law  (including  but  not  limited  to  the 
2010  Patient  Protection  and  Affordable  Care  Act,  as  amended  by  the  2010  Health  Care  and  Education  Reconciliation  Act), 
then in lieu of paying COBRA premiums pursuant to this Section, the Company shall pay the Employee on the last day of each 
remaining month of the Non-CIC COBRA Payment Period, a fully taxable cash payment equal to the COBRA premium for 
such month, subject to applicable tax withholding (such amount, the “Special Severance Payment”), such Special Severance 
Payment to be made without regard to the Employee’s payment of COBRA premiums and without regard to the expiration of 
the COBRA period prior to the end of the Non-CIC COBRA Payment Period.

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Nothing in this Agreement shall deprive the Employee of his rights under COBRA or ERISA for benefits under plans and 
policies arising under his employment by the Company.

(c)

Employee  shall  not  receive  the  Non-CIC  Severance  Benefits  pursuant  to 
Section 6.1(b), or the CIC Severance Benefits (as defined below) pursuant to Section 6.4(a), unless he executes the Release 
within the consideration period specified therein, which shall in no event be more than sixty (60) days, and until the Release 
becomes effective and can no longer be revoked by Employee under its terms. Employee’s ability to receive benefits pursuant 
to Section 6.1(b) or Section 6.4(a) is further conditioned upon his: returning all Company property; complying with his post-
termination obligations under this Agreement and the Confidential Information Agreement; and complying with the Release 
including without limitation any non- disparagement and confidentiality provisions contained therein.

The benefits provided to Employee pursuant to this Section 6.1 are in lieu 
of,  and  not  in  addition  to,  any  benefits  to  which  Employee  may  otherwise  be  entitled  under  any  Company  severance  plan, 
policy  or  program.  For  avoidance  of  doubt,  Employee  shall  not  be  eligible  for  both  CIC  Severance  Benefits  and  Non-CIC 
Severance Benefits.

(d)

The  damages  caused  by  the  termination  of  Employee’s  employment 
without  Cause  would  be  difficult  to  ascertain;  therefore,  the  severance  for  which  Employee  is  eligible  pursuant  to  Section 
6.1(b) above in exchange for the Release is agreed to by the parties as liquidated damages, to serve as full compensation, and 
not a penalty.

(e)

(f)

For  purposes  of  this  Agreement,  “Severance  Period”  shall  mean  (i)  zero 
(0)  months  in  the  event  a  termination  under  this  Section  6.1  or  under  Section  6.3  (together  an  “Involuntary  Termination”) 
occurs on or before the second anniversary of the Effective Date, and
(ii) six (6) months in the event an Involuntary Termination occurs after the first anniversary of the Effective Date and on or 
before  the  second  anniversary  of  the  Effective  Date,  and  (iii)  twelve  (12)  months  in  the  event  an  Involuntary  Termination 
occurs after the second anniversary of the Effective Date.

Termination by the  Company  for  Cause.  Subject  to  Section  6.2(b)  below,  the  Company 
shall  have  the  right  to  terminate  Employee’s  employment  with  the  Company  at  any  time  for  Cause  by  giving  notice  as 
described in this Section 6.2 and in Section 6.7 of this Agreement.

1.3

(a)

“Cause” for termination shall mean the occurrence of any of the following: 

(i) Employee’s conviction of any felony or any crime involving fraud or dishonesty;
(ii) Employee’s participation in a fraud, act of dishonesty or other act of gross misconduct that materially adversely affects the 
Company;  (iii)  conduct  by  Employee  that  demonstrates  Employee’s  gross  unfitness  to  serve  under  circumstances  that 
materially and adversely affect the Company; (iv) Employee’s violation of any statutory or fiduciary duty, or duty of loyalty, 
owed to the Company; (v) Employee’s breach of any material term of any contract between such Employee and the Company; 
and/or (vi) Employee’s serious violation of a material Company policy. Whether a termination is for Cause shall be decided by 
the Board in its sole and exclusive judgment and discretion. Prior to termination for Cause pursuant to each event listed in (iii) 
and (iv) above, the Company shall give the Employee notice of such event(s), which notice shall 
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specify in

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reasonable  detail  the  circumstances  constituting  Cause,  and  an  opportunity  to  explain  the  circumstances.  Prior  to  any 
termination for Cause pursuant to each event listed in (v) and (vi) above, to the extent such event(s) is (are) capable of being 
cured by Employee, (A) the Company shall give the Employee notice of such event(s), which notice shall specify in reasonable 
detail the circumstances constituting Cause, and an opportunity to cure, and (B) there shall be no Cause with respect to any 
such event(s) if the Board  determines  in  good  faith  that  such  events  have  been cured by Employee within fifteen (15) days 
after the delivery of such notice.

(c)

In the event Employee’s employment is terminated at any time for Cause, 
Employee will not receive the Non-CIC Severance Benefits described in Section 6.1(b), the CIC Severance Benefits described 
in  Section  6.4(a),  or  any  other  severance  compensation  or  benefit,  except  that,  pursuant  to  the  Company’s  standard  payroll 
policies,  the  Company  shall  pay  to  Employee  the  accrued  but  unpaid  salary  of  Employee  through  the  date  of  termination 
pursuant to the Company’s standard payroll policies, together with all compensation and benefits payable to Employee based 
on  his  participation  in  any  compensation  or  benefit  plan,  program  or  arrangement  (including  any  Company  expense 
reimbursement policy) through the date of termination.

Control).

2.4

Resignation by the Employee With Good Reason (not in Connection with a Change in 

(a)

Employee may resign from Employee’s employment with the Company for 
Good  Reason  by  giving  notice  following  the  end  of  the  Cure  Period  (as  defined  in  this  Section).  For  purposes  of  this 
Agreement, “Good Reason” for the Employee to terminate his employment hereunder shall mean any of following actions are 
taken by the Company without Employee’s prior written consent: (i) a material reduction by the Company of Employee’s Base 
Salary as initially set forth herein or as the same may be increased from time to time, provided, however, that if such reduction 
occurs in connection with a Company-wide decrease in executive team compensation, such reduction shall not constitute Good 
Reason;  (ii)  a  material  breach  of  this  Agreement  by  the  Company;  (iii)  the  relocation  of  Employee’s  principal  place  of 
employment,  without  Employee’s  consent,  by  twenty-five  (25)  or  more  miles  from  his  then-current  principal  place  of 
employment  immediately  prior  to  such  relocation;  or  (iv)  a  material  reduction  in  Employee’s  title,  duties,  authority,  or 
responsibilities relative to Employee’s title, duties, authority, or responsibilities in effect immediately prior to such reduction; 
provided, however, that, any such termination by Employee shall only be deemed for Good Reason pursuant to this definition 
if: (1) Employee gives the Company written notice of his intent to terminate for Good Reason within thirty (30) days following 
the occurrence of the condition(s) that he believes constitute(s) Good Reason, which notice shall describe such condition(s); 
(2) the Company fails to remedy such condition(s) within thirty (30) days following receipt of the written notice (the “Cure 
Period”);  and  (3)  Employee  voluntarily  terminates  his  employment  within  thirty  (30)  days  following  the  end  of  the  Cure 
Period.

In the event Employee resigns from employment for Good Reason at any 
time except during the Change in Control Measurement Period, then provided that the Employee executes and does not revoke 
the Release and subject to Section 6.1(c), then the Company shall pay to Employee the Non-CIC Severance Benefits described 
in Section 6.1(b).

(b)

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Reason (in connection with a Change in Control).

1.4

Termination by the Company without Cause or Resignation by Employee for Good 

(a)

In  the  event  that  Employee’s  employment  is  terminated  without  Cause  or 
Employee resigns for Good Reason in either case within eighteen (18) months following or one (1) month prior to the effective 
date of a Change in Control (“Change in Control Measurement Period”) of the Company, then provided that the Employee 
executes and does not revoke the Release and subject to Employee’s compliance with the requirements of Section 6.1(c), then 
Employee will be eligible for the following “CIC Severance Benefits:”

(i)

the  Company  shall  pay  to  Employee  an  amount  equal  to 
Employee’s then current Base Salary for twelve (12) months, less applicable withholdings and deductions, in installments in 
accordance  with  the  Company’s  ordinary  payroll  practices  commencing  on  the  Company’s  first  regular  payroll  date  that  is 
more than sixty (60) days following the Separation Date, and shall be for any accrued Base Salary for the sixty (60) day period 
plus the period from the sixtieth (60th) day until the regular payroll date, if applicable, and all salary continuation payments 
thereafter, shall be made on the Company’s regular payroll dates; and

the  Company  will  pay  a  cash  severance  benefit  equal  to 
the Employee’s Annual Bonus paid at the Target Percentage for the year in which Employee’s Separation Date occurs. Such 
cash severance benefit will be paid in a single lump sum cash payment on the Company’s first regular payroll date that is more 
than sixty (60) days following the Separation Date; and

(ii)

(iii)

if  the  Employee  timely  elects  continued  coverage  under 
COBRA for himself and his covered dependents under the Company’s group health plans following such termination, then the 
Employee  will  be  entitled  to  the  following  COBRA  benefits:  the  Company  shall  pay  the  COBRA  premiums  necessary  to 
continue  the  Employee’s  and  his  covered  dependents’  health  insurance  coverage  in  effect  for  himself  (and  his  covered 
dependents) on the termination date until the earliest of (x) twelve (12) months following the termination date;
(y)the date when the Employee becomes eligible for health insurance coverage in connection with new employment or self-
employment; or (iii) the date the Employee ceases to be eligible for COBRA continuation coverage for any reason, including 
plan termination (such period from the termination date through the earlier of (i)-(iii), the “CIC COBRA Payment Period”). 
Notwithstanding  the  foregoing,  if  at  any  time  the  Company  determines  that  its  payment  of  COBRA  premiums  on  the 
Employee’s behalf would result in a violation of applicable law (including but not limited to the 2010 Patient Protection and 
Affordable Care Act, as amended by the 2010 Health Care and Education Reconciliation Act), then in lieu of paying COBRA 
premiums pursuant to this Section, the Company shall pay the Employee on the last day of each remaining month of the CIC 
COBRA Payment Period the Special Severance Payment, such Special Severance Payment to be made without regard to the 
Employee’s payment of COBRA premiums and without regard to the expiration of the COBRA period prior to the end of the 
CIC COBRA Payment Period. Nothing in this Agreement shall deprive the Employee of his rights under COBRA or ERISA 
for benefits under plans and policies arising under his employment by the Company.

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(iv)

With regard to Employee’s equity awards: (i) The vesting 
and exercisability of all outstanding time-based vesting equity awards and performance-based vesting equity awards (together, 
the “Equity Awards”) that are held by Employee on such date, including, without limitation, the Option and the RSU Award, 
shall be accelerated in full as of the later of the effective date of such Change in Control or Employee’s termination date, and 
(ii)  any  reacquisition  or  repurchase  rights  held  by  the  Company  in  respect  of  common  stock  issued  pursuant  to  any  equity 
awards granted Employee by the Company shall lapse in full as of the later of the effective date of such Change in Control or 
Employee’s termination date. For purposes of determining the number of shares that will vest pursuant to this provision with 
respect to any performance-based vesting equity awards for which the performance period has not ended and that has multiple 
vesting  levels  depending  upon  the  level  of  performance,  vesting  acceleration  with  respect  to  any  ongoing  performance 
period(s) shall occur with respect to the number of shares subject to the award as if the applicable performance criteria had 
been attained at a 100% level for such ongoing performance period(s) or, if greater, based on actual performance as of the later 
of the effective date of the Change in Control or Employee’s termination date. In this regard, 100% of the RSU Award shall 
vest. Notwithstanding the foregoing, this Section 6.4(a)(iv) shall not apply to common stock issued under or held in any plan 
sponsored by the Company or its affiliates that is intended to be qualified under Section 401(a) of the Internal Revenue Code 
of 1986, as amended. Notwithstanding any contrary terms governing the Equity Awards or common stock held by Employee, 
if a Change in Control has not occurred prior to Employee’s termination date, no forfeiture of the Equity Awards will occur 
and no reacquisition or repurchase rights will be exercised by the Company for one month following the termination date, to 
enable the application of this paragraph if a Change in Control does occur during that month.

The CIC Severance Benefits provided to Employee pursuant to this Section 
6.4  are  in  lieu  of,  and  not  in  addition  to,  any  benefits  to  which  Employee  may  otherwise  be  entitled  under  any  Company 
severance plan, policy or program.

(a)

Any  damages  caused  by  the  termination  of  Employee’s  employment 
without Cause during the Change in Control Measurement Period would be difficult to ascertain; therefore, the CIC Severance 
Benefits  for  which  Employee  is  eligible  pursuant  to  Section  6.4(a)  above  in  exchange  for  the  Release  are  agreed  to  by  the 
parties as liquidated damages, to serve as full compensation, and not a penalty.

(b)

1.6

Resignation by the Employee Without Good Reason.

(a)
any time by giving notice as described in Section 6.7.

Employee may resign from Employee’s employment with the Company at 

(b)

In  the  event  Employee  resigns  from  Employee’s  employment  with  the 
Company  other  than  for  Good  Reason,  Employee  will  not  receive  the  Non-CIC  Severance  Benefits,  the  CIC-Severance 
Benefits, or any other severance compensation or benefit, except that, pursuant to the Company’s standard payroll policies, the 
Company shall pay to Employee the accrued but unpaid salary of Employee through the date of resignation, together with all 
compensation  and  benefits  payable  to  Employee  through  the  date  of  resignation  under  any  compensation  or  benefit  plan, 
program or arrangement (including any Company expense reimbursement policy) through the date of termination.

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1.6

Termination by Virtue of Death or Disability of the Employee.

(a)

In  the  event  of  Employee’s  death  while  employed  pursuant  to  this 
Agreement,  all  obligations  of  the  parties  hereunder  shall  terminate  immediately,  and  the  Company  shall,  pursuant  to  the 
Company’s  standard  payroll  policies,  pay  to  the  Employee’s  legal  representatives  Employee’s  accrued  but  unpaid  salary 
through the date of death together with all compensation and benefits payable to Employee based on his participation in any 
compensation or benefit plan, program or arrangement (including any Company expense reimbursement policy) through the 
date of termination.

(b)

Subject to applicable state and federal law, the Company shall at all times 
have  the  right,  upon  written  notice  to  the  Employee,  to  terminate  this  Agreement  based  on  the  Employee’s  Disability  (as 
defined  below).  Termination  by  the  Company  of  the  Employee’s  employment  based  on  “Disability”  shall  mean  termination 
because the Employee is unable due to a physical or mental condition to perform the essential functions of his position with or 
without reasonable accommodation for six (6) months in the aggregate during any twelve (12) month period or based on the 
written certification by two licensed physicians of the likely continuation of such condition for such period, provided that such 
condition  meets  the  definition  of  a  disability  for  coverage  under  the  terms  of  Company’s  then-current  long-term  disability 
insurance plan. This definition shall be interpreted and applied consistent with the Americans with Disabilities Act, the Family 
and Medical Leave Act, and other applicable law. In the event Employee’s employment is terminated based on the Employee’s 
Disability, Employee will not receive the Non-CIC Severance Benefits, the CIC Severance Benefits, or any other severance 
compensation or benefit, except that, pursuant to the Company’s standard payroll policies, the Company shall pay to Employee 
the  accrued  but  unpaid  salary  of  Employee  through  the  date  of  termination,  together  with  all  compensation  and  benefits 
payable to Employee based on his participation in any compensation or benefit plan, program or arrangement through the date 
of termination.

1.7

Notice; Effective Date of Termination.

to this Agreement shall be effective as follows:

(a)

Termination of Employee’s employment (the “Separation Date”) pursuant 

with written notice of Employee’s termination without Cause under Section 6.1 or 6.4;

(i)

ten (10) days after the Company has provided Employee 

For  a  termination  for  Cause:  (aa)  under  Section  6.2(a)(i) 
or 6.2(a)(ii), immediately upon provision by the Company of written notice of the reasons to Employee; (bb) under Section 
6.2(a)(iii) or 6.2(a)(iv), following the required written notice to Employee and expiration of the period during which Employee 
may explain; (cc) under Section 6.2(a)(v) or 6.2(a)(vi), following the required written notice to Employee and expiration of the 
15-day cure period, if Employee has not cured;

(ii)

(iii)

immediately upon the Employee’s death;

Employee of Employee’s termination on account of Employee’s Disability under Section 6.6, unless the 
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(iv)

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Company specifies a later Separation Date, in which case, termination shall be effective as of such

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later Separation Date, provided that Employee has not returned to the full time performance of Employee’s duties prior to such 
date;

on  the  date  specified  in  Employee’s  written  notice  of 
Employee’s  resignation  for  Good  Reason,  provided  it  is  within  thirty  (30)  days  after  the  Cure  Period  has  ended  and  the 
Company has failed to remedy any of the reasons for Good Reason set forth in Employee’s initial notice under Section 6.3(a); 
or

(i)

ten  (10)  days  after  the  Employee  gives  written  notice  to 
the Company of Employee’s resignation not for Good Reason, provided that the Company may set a Separation Date at any 
time between the date of notice and the date of resignation, in which case the Employee’s resignation shall be effective as of 
such other date. Employee will receive compensation through the Separation Date.

(ii)

(c)

In the event notice of a termination under subsections (a)(iii) and

(iv) is given orally, at the other party’s request, the party giving notice must provide written confirmation of such notice within 
five (5) business days of the request in compliance with the requirement of Section 7.1 below. In the event of a termination for 
Cause,  written  confirmation  shall  specify  the  subsection(s)  of  the  definition  of  Cause  relied  on  to  support  the  decision  to 
terminate.

2.5

Cooperation With Company After Termination of Employment. Following termination 
of Employee’s employment for any reason, Employee shall reasonably cooperate with the Company in all matters relating to 
the winding up of Employee’s pending work including, but not limited to, any litigation in which the Company is involved, 
and the orderly transfer of any such pending work to such other Employees as may be designated by the Company.

2.6

Application of Section 409A. Notwithstanding anything to the contrary set forth herein, any 
payments and benefits provided under this Agreement that constitute “deferred compensation” within the meaning of the Code 
and the regulations and other guidance thereunder and any state law of similar effect (collectively, “Section 409A”) shall not 
commence  in  connection  with  Employee’s  termination  of  employment  unless  and  until  Employee  has  also  incurred  a 
“separation from service” (as such term is defined in Treasury Regulation Section 1.409A-1(h)) (“Separation From Service”), 
unless  the  Company  reasonably  determines  that  such  amounts  may  be  provided  to  Employee  without  causing  Employee  to 
incur  the  additional  20%  tax  under  Section  409A.  It  is  intended  that  each  installment  of  severance  pay  provided  for  in  this 
Agreement  is  a  separate  “payment”  for  purposes  of  Treasury  Regulation  Section  1.409A-  2(b)(2)(i).  For  the  avoidance  of 
doubt, it is intended that severance payments set forth in this Agreement satisfy, to the greatest extent possible, the exceptions 
from  the  application  of  Section  409A  provided  under  Treasury  Regulation  Sections  1.409A-1(b)(4),  1.409A-1(b)(5),  and 
1.409A-  1(b)(9).  If  the  Company  (or,  if  applicable,  the  successor  entity  thereto)  determines  that  any  payments  or  benefits 
constitute  “deferred  compensation”  under  Section  409A  and  Employee  is,  on  the  termination  of  service,  a  “specified 
employee” of the Company or any successor entity thereto, as such term is defined in Section 409A(a)(2)(B)(i) of the Code, 
then, solely to the extent necessary to avoid the incurrence of the adverse personal tax consequences under Section 409A, the 
timing of the payments and benefits shall be delayed until the earlier to occur of: (a) the date that is six months and one day 
after Employee’s Separation From Service, or (b) the date of Employee’s

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death  (such  applicable  date,  the  “Specified  Employee  Initial  Payment  Date”).  On  the  Specified  Employee  Initial  Payment 
Date, the Company (or the successor entity thereto, as applicable) shall
(i)pay to Employee a lump sum amount equal to the sum of the payments and benefits that Employee would otherwise have 
received through the Specified Employee Initial Payment Date if the commencement of the payment of such amounts had not 
been so delayed pursuant to this Section and (ii) commence paying the balance of the payments and benefits in accordance 
with the applicable payment schedules set forth in this Agreement. All reimbursements provided under this Agreement shall be 
subject to the following requirements: (i) the amount of in-kind benefits provided or reimbursable expenses incurred in one 
taxable year shall not affect the in-kind benefits to be provided or the expenses eligible for reimbursement in any other taxable 
year, (ii) all reimbursements shall be paid as soon as administratively practicable, but in no event shall any reimbursement be 
paid after the last day of the taxable year following the taxable year in which the expense was incurred, and (iii) the right to 
reimbursement  or  in-kind  benefits  is  not  subject  to  liquidation  or  exchange  for  any  other  benefit.  It  is  intended  that  all 
payments and benefits under this Agreement shall either comply with or be exempt from the requirements of Section 409A, 
and  any  ambiguity  contained  herein  shall  be  interpreted  in  such  manner  so  as  to  avoid  adverse  personal  tax  consequences 
under Section 409A. Notwithstanding the foregoing, the Company shall in no event be obligated to indemnify the Employee 
for  any  taxes  or  interest  that  may  be  assessed  by  the  Internal  Revenue  Service  pursuant  to  Section  409A  of  the  Code  to 
payments made pursuant to this Agreement.

7.

GENERAL PROVISIONS.

7.1

Notices. Any notices required hereunder to be in writing shall be deemed effectively given: 
(a)  upon  personal  delivery  to  the  party  to  be  notified,  (b)  when  sent  by  electronic  mail,  telex  or  confirmed  facsimile  if  sent 
during normal business hours of the recipient, and if not, then on the next business day, (c) five (5) days after having been sent 
by  registered  or  certified  mail,  return  receipt  requested,  postage  prepaid,  or  (d)  one  (1)  day  after  deposit  with  a  nationally 
recognized overnight courier, specifying next day delivery, with written verification of receipt. All communications shall be 
sent to the Company at its primary office location and to Employee at Employee’s address as listed on the Company payroll, or 
at such other address as the Company or the Employee may designate by ten (10) days advance written notice to the other.

7.2

Severability.  Whenever  possible,  each  provision  of  this  Agreement  will  be  interpreted  in 
such manner as to be effective and valid under applicable law, but if any provision of this Agreement is held to be invalid, 
illegal  or  unenforceable  in  any  respect  under  any  applicable  law  or  rule  in  any  jurisdiction,  such  invalidity,  illegality  or 
unenforceability will not affect any other provision or any other jurisdiction, but this Agreement will be reformed, construed 
and enforced in such jurisdiction as if such invalid, illegal or unenforceable provisions had never been contained herein.

Waiver. If either party should waive any breach of any provisions of this Agreement, such 
party shall not thereby be deemed to have waived any preceding or succeeding breach of the same or any other provision of 
this Agreement.

7.3

between Employee and the Company with regard to the subject matter hereof.

7.4

Complete  Agreement.  This  Agreement  and  its  exhibit  constitutes  the  entire  agreement 

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This  Agreement  is  the  complete,  final,  and  exclusive  embodiment  of  their  agreement  with  regard  to  this  subject  matter  and 
supersedes  any  prior  oral  discussions  or  written  communications  and  agreements.  This  Agreement  is  entered  into  without 
reliance on any promise or representation other than those expressly contained herein, and it cannot be modified or amended 
except  in  writing  signed  by  Employee  and  an  authorized  officer  of  the  Company.  The  parties  are  entering  into  a  separate 
Confidential Information Agreement and have or may enter into separate agreement related to equity awards. These separate 
agreements govern other aspects of the relationship between the parties, have or may have provisions that survive termination 
of  the  Employee’s  employment  under  this  Agreement,  may  be  amended  or  superseded  by  the  parties  without  regard  to  this 
Agreement and are enforceable according to their terms without regard to the enforcement provision of this Agreement.

Counterparts. This Agreement may be executed in separate counterparts, any one of which 
need  not  contain  signatures  of  more  than  one  party,  but  all  of  which  taken  together  will  constitute  one  and  the  same 
Agreement.

2.7

not be deemed to constitute a part hereof nor to affect the meaning thereof.

2.8

Headings. The headings of the sections hereof are inserted for convenience only and shall 

2.9

Successors  and  Assigns.  The  Company  shall  assign  this  Agreement  and  its  rights  and 
obligations hereunder in whole, but not in part, to any Company or other entity with or into which the Company may hereafter 
merge  or  consolidate  or  to  which  the  Company  may  transfer  all  or  substantially  all  of  its  assets,  if  in  any  such  case  said 
Company or other entity shall by operation of law or expressly in writing assume all obligations of the Company hereunder as 
fully as if it had been originally made a party hereto, but may not otherwise assign this Agreement or its rights and obligations 
hereunder. The Employee may not assign or transfer this Agreement or any rights or obligations hereunder, other than to his 
estate upon his death.

Agreement will be governed by the law of the State of New Jersey, without regard to its rules of conflicts or choice of laws.

2.10

Choice of Law. All questions concerning the construction, validity and interpretation of this 

2.11

Indemnification. The Employee shall be entitled to indemnification to the maximum extent 
permitted  by  applicable  law  and  the  Company’s  Bylaws  with  terms  no  less  favorable  than  provided  to  any  other  Company 
executive  officer  and  subject  to  the  terms  of  any  separate  written  indemnification  agreement.  At  all  times  during  the 
Employee’s  employment,  the  Company  shall  maintain  in  effect  a  directors  and  officers  liability  insurance  policy  with  the 
Employee as a covered officer.

2.12

Resolution  of  Disputes.  The  parties  recognize  that  litigation  in  federal  or  state  courts  or 
before federal or state administrative agencies of disputes arising out of the Employee’s employment with the Company or out 
of  this  Agreement,  or  the  Employee’s  termination  of  employment  or  termination  of  this  Agreement,  may  not  be  in  the  best 
interests of either the Employee or the Company, and may result in unnecessary costs, delays, complexities, and uncertainty. 
The parties agree that any dispute between the parties arising out of or relating to the negotiation, execution, performance or 
termination  of  this  Agreement  or  the  Employee’s  employment,  including,  but  not  limited  to,  any  claim  arising  out  of  this 
Agreement, claims under

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Title VII of the Civil Rights Act of 1964, as amended, the Civil Rights Act of 1991, the Age Discrimination in Employment 
Act  of  1967,  the  Americans  with  Disabilities  Act  of  1990,  Section  1981  of  the  Civil  Rights  Act  of  1966,  as  amended,  the 
Family Medical Leave Act, the Employee Retirement Income Security Act, and any similar federal, state or local law, statute, 
regulation, or any common law doctrine, whether that dispute arises during or after employment, shall be settled by binding 
arbitration conducted before a single arbitrator by Judicial Arbitration and Mediation Services, Inc. (“JAMS”) or its successor, 
under the then applicable JAMS rules; provided however, that this dispute resolution provision shall not apply to any separate 
agreements  between  the  parties  that  do  not  themselves  specify  arbitration  as  an  exclusive  remedy.  The  location  for  the 
arbitration shall be Philadelphia, Pennsylvania. Any award made by such panel shall be final, binding and conclusive on the 
parties  for  all  purposes,  and  judgment  upon  the  award  rendered  by  the  arbitrators  may  be  entered  in  any  court  having 
jurisdiction thereof. The arbitrators’ fees and expenses and all administrative fees and expenses associated with the filing of the 
arbitration shall be borne by the Company; provided however, that at the Employee’s option, Employee may voluntarily pay up 
to one-half the costs and fees, for which Employee shall be reimbursed by the Company. The parties acknowledge and agree 
that  their  obligations  to  arbitrate  under  this  Section  survive  the  termination  of  this  Agreement  and  continue  after  the 
termination  of  the  employment  relationship  between  Employee  and  the  Company.  The  parties  each  further  agree  that  the 
arbitration provisions of this Agreement shall provide each party with its exclusive remedy, and each party expressly waives 
any  right  it  might  have  to  seek  redress  in  any  other  forum,  except  as  otherwise  expressly  provided  in  this  Agreement.  By 
election arbitration as the means for final settlement of all claims, the parties hereby waive their respective rights to, and 
agree not to, sue each other in any action in a Federal, State or local court with respect to such claims, but may seek to 
enforce  in  court  an  arbitration  award  rendered  pursuant  to  this  Agreement.  The  parties  specifically  agree  to  waive 
their respective rights to a trial by jury, and further agree that no demand, request or motion will be made for trial by 
jury.

IN WITNESS WHEREOF, the parties have executed this Employment Agreement on the day and year first written above.

COMPANY:

Verrica Pharmaceuticals Inc.

By:   Name: Ted White
Title: 

President & Chief Executive Officer

EMPLOYEE:

Gary Goldenberg

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Exhibit A

Employee Confidential Information, Inventions, Non-Solicitation and Non-Competition Agreement

[sent under separate cover]

A-1
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Exhibit B Release Agreement

This  Release  Agreement  (“Release”  or  “Agreement”)  is  made  by  and  between  Gary  Goldenberg  (“you”)  and  Verrica  Pharmaceuticals  Inc.  (the 
“Company”). A copy of this Release is an attachment to the Employment Agreement between the Company and you dated 
, 2020 (the “Employment 
Agreement”). Capitalized terms not defined in this Agreement carry the definition found in the Employment Agreement.

1.

Severance Payments; Other Payments.

In consideration for your execution, return and non-revocation of this Release on or after your Separation Date, 
the Company will provide you with the following “Severance Benefits”: [to include payment of specific severance payments and COBRA benefits to be 
paid].

a.

In addition, regardless of whether you sign this Agreement, the Company affirms that it will pay the following 
on the next regularly scheduled date on which payroll is run, as required under Section 6 of the Employment Agreement,: [to include payment of all 
salary, business expense reimbursements and other amounts due to employee that are not part of the severance].

b.

2.

Compliance  with  Section  409A.  The  Severance  Benefits  offered  to  you  by  the  Company  are  payable  in  reliance  on  Treasury 
Regulation Section 1.409A-1(b)(9) and the short term deferral exemption in Treasury Regulation Section 1.409A-1(b)(4). For purposes of Code Section 
409A, your right to receive any installment payments (whether pay in lieu of notice, Severance Benefits, reimbursements or otherwise) shall be treated 
as a right to receive a series of separate payments and, accordingly, each installment payment shall at all times be considered a separate and distinct 
payment.  All payments and benefits are subject to applicable withholdings and deductions.

3.

Release. In exchange for the Severance Benefits and other consideration, to which you would not otherwise be entitled, and except 
as  otherwise  set  forth  in  this  Agreement,  you,  on  behalf  of  yourself  and,  to  the  extent  permitted  by  law,  on  behalf  of  your  spouse,  heirs,  executors, 
administrators,  assigns,  insurers,  attorneys  and  other  persons  or  entities,  acting  or  purporting  to  act  on  your  behalf  (collectively,  the  “Employee 
Parties”), hereby generally and completely release, acquit and forever discharge the Company, its parents and subsidiaries, and its and their officers, 
directors, managers, partners, agents, representatives, employees, attorneys, shareholders, predecessors, successors, assigns, insurers and affiliates (the 
“Company Parties”) of and from any and all claims, liabilities, demands, contentions, actions, causes of action, suits, costs, expenses, attorneys’ fees, 
damages,  indemnities,  debts,  judgments,  levies,  executions  and  obligations  of  every  kind  and  nature,  in  law,  equity,  or  otherwise,  both  known  and 
unknown,  suspected  and  unsuspected,  disclosed  and  undisclosed,  arising  out  of  or  in  any  way  related  to  my  employment  with  the  Company  and 
separation therefrom, arising at any time prior to and including the execution date of this Agreement, including but not limited to: all such claims and 
demands directly or indirectly arising out of or in any way connected with your employment with the Company or the termination of that employment; 
claims or demands related to salary, bonuses, commissions, vacation pay, the right to receive additional grants of stock, stock options or other ownership 
interests in the Company, fringe benefits, expense reimbursements, severance pay, or any other form of compensation; claims pursuant to any federal, 
state or local law, statute, or cause of action; tort law; or contract law (individually a “Claim” and collectively “Claims”). The Claims you are releasing 
and waiving in this Agreement include, but are not limited to, any and all Claims that any of the Company Parties:

has violated its personnel policies, handbooks, contracts of employment, or covenants of good faith and fair dealing;

has discriminated against you on the basis of age, race, color, sex (including sexual harassment), national origin, ancestry, disability, 
religion, sexual orientation, marital status, parental status, 

o

o

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source of income, entitlement to benefits, any union activities or other protected category in violation of any local, state or federal 
law, constitution, ordinance, or regulation, including but not limited to: the Age Discrimination in Employment Act, as amended 
(“ADEA”); Title VII of the Civil Rights Act of 1964, as amended; the Civil Rights Act of 1991; 42 U.S.C. § 1981, as amended;

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the Equal Pay Act; the Americans With Disabilities Act; the Genetic Information Nondiscrimination Act; the Family and Medical 
Leave Act; the New Jersey Law Against Discrimination; the New Jersey Equal Pay Act; the New Jersey Conscientious Employee 
Protection Act; the New Jersey Civil Rights Act; the New Jersey Family Leave Act; the New Jersey State Wage and Hour Law; the 
New Jersey Wage Withholding Protection Law; the Pennsylvania Human Relations Act; the Pennsylvania Whistleblower Law; the 
Pennsylvania Equal Pay Law; the Employee Retirement Income Security Act; the Employee Polygraph Protection Act; the Worker 
Adjustment  and  Retraining  Notification  Act;  the  Older  Workers  Benefit  Protection  Act;  the  anti-retaliation  provisions  of  the 
Sarbanes-Oxley  Act,  or  any  other  federal  or  state  law  regarding  whistleblower  retaliation;  the  Lilly  Ledbetter  Fair  Pay  Act;  the 
Uniformed Services Employment and Reemployment Rights Act; the Fair Credit Reporting Act; and the National Labor Relations 
Act; and

o

has  violated  any  statute,  public  policy  or  common  law  (including,  but  not  limited  to,  Claims  for  retaliatory  discharge;  negligent 
hiring,  retention  or  supervision;  defamation;  intentional  or  negligent  infliction  of  emotional  distress  and/or  mental  anguish; 
intentional interference with contract; negligence; detrimental reliance; loss of consortium to you or any member of your family 
and/or promissory estoppel).

Notwithstanding the foregoing, other than events expressly contemplated by this Agreement you do not waive or release rights or Claims that may arise: 
(i) from events that occur after the date this Release is executed; (ii) that relate to a breach of this Agreement; (iii) that relate to any existing ownership 
interest in the Company or vested equity awards as of the date this Release is executed; (iv) that relate to my vested benefits or existing rights under any 
Company benefit plan or any plan or agreement related to equity ownership in the Company that arise after this Release is executed; (v) in connection 
with any right of indemnification you may have for any liabilities arising from your actions within the course and scope of your employment with the 
Company or within the course and scope of your role as an officer of the Company; and (vi) any Claims which cannot be waived by law, including, 
without limitation, any rights you may have under applicable workers’ compensation laws. Nothing in this Agreement shall prevent you from filing, 
cooperating with, or participating in any proceeding or investigation before the Equal Employment Opportunity Commission, United States Department 
of  Labor,  the  National  Labor  Relations  Board,  the  Occupational  Safety  and  Health  Administration,  the  Securities  and  Exchange  Commission  or  any 
other  federal  government  agency,  or  similar  state  or  local  agency  (“Government  Agencies”),  or  exercising  any  rights  pursuant  to  Section  7  of  the 
National  Labor  Relations  Act.  You  further  understand  this  Agreement  does  not  limit  your  ability  to  voluntarily  communicate  with  any  Government 
Agencies or otherwise participate in any investigation or proceeding that may be conducted by any Government Agency, including providing documents 
or other information, without notice to the Company. While this Agreement does not limit your right to receive an award for information provided to the 
Securities  and  Exchange  Commission,  you  understand  and  agree  that,  you  are  otherwise  waiving,  to  the  fullest  extent  permitted  by  law,  any  and  all 
rights you may have to individual relief based on any Claims that you have released and any rights you have waived by signing this Agreement. If any 
Claim  is  not  subject  to  release,  to  the  extent  permitted  by  law,  you  waive  any  right  or  ability  to  be  a  class  or  collective  action  representative  or  to 
otherwise  participate  in  any  putative  or  certified  class,  collective  or  multi-party  action  or  proceeding  based  on  such  a  Claim  in  which  any  of  the 
Company Parties is a party.

4.

Your Acknowledgments and Affirmations. You also acknowledge and agree that (i) the consideration given to you in exchange 
for the waiver and release in this Agreement is in addition to anything of value to which you were already entitled, and (ii) that you have been paid for 
all time worked, have received all the leave, leaves of absence and leave benefits and protections for which you are eligible, and have not suffered any 
on-the-job  injury  for  which  you  have  not  already  filed  a  Claim.  You  affirm  that  all  of  the  decisions  of  the  Company  Parties  regarding  your  pay  and 
benefits through the date of your execution of this Agreement were not discriminatory based on age, disability, race, color, sex, religion, national origin 
or any other classification protected by law. You affirm that you have not filed or caused to be filed, and are not presently a party to, a Claim against any 
of the Company Parties. You further affirm that you have no known workplace injuries or occupational diseases. You acknowledge and affirm that you 
have not been retaliated against for reporting any allegation of corporate fraud or other wrongdoing by any of the Company Parties, or for exercising any 
rights protected by law, including any rights protected by the Fair Labor Standards Act, the Family Medical Leave Act or any related statute or local 
leave or disability accommodation laws, 
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or any applicable state workers’ compensation law. In addition, you acknowledge that you are

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knowingly  and  voluntarily  waiving  and  releasing  any  rights  you  may  have  under  the  ADEA  (“ADEA  Waiver”).  You  also  acknowledge  that  the 
consideration given for the ADEA Waiver is in addition to anything of value to which you were already entitled. You further acknowledge that you have 
been advised by this writing, as required by the ADEA, that: (a) your release and waiver herein does not apply to any rights or claims that arise after the 
date you sign this Agreement; (b) you should consult with an attorney prior to signing this Agreement; (c) you have twenty-one (21) days to consider 
this Agreement (although you may choose to voluntarily sign it sooner); (d) you have seven (7) days following the date you sign this Agreement to 
revoke it (by sending written revocation directly to [ 
(e) the Agreement will not be effective until the date upon which the revocation period has expired unexercised, which will be the eighth (8th) day after 
you sign this Agreement.

]; and

3.

Return  of  Company  Property.  By  the  Separation  Date,  you  agree  to  return  to  the  Company  all  Company  documents  (and  all 
copies  thereof)  and  other  Company  property  that  you  have  had  in  your  possession  at  any  time,  including,  but  not  limited  to,  Company  files,  notes, 
drawings, records, business plans and forecasts, financial information, specifications, computer-recorded information, tangible property (including, but 
not  limited  to,  computers),  credit  cards,  entry  cards,  identification  badges  and  keys;  and,  any  materials  of  any  kind  that  contain  or  embody  any 
proprietary  or  confidential  information  of  the  Company  (and  all  reproductions  thereof).  Please  coordinate  return  of  Company  property  with  [ 
]. 
Receipt of the Severance Benefits described in Section 1 of this Agreement is expressly conditioned upon return of all Company property.

4.

Confidential  Information,  Non-Competition  and  Non-Solicitation  Obligations.  Both  during  and  after  your  employment  you 
acknowledge  your  continuing  obligations  under  your  Employee  Confidential  Information,  Inventions,  Non-Solicitation  and  Non-Competition 
Agreement not to use or disclose any confidential or proprietary information of the Company and comply with your post-employment non-competition 
and non-solicitation restrictions. The Company acknowledges that you will not be held criminally or civilly liable under any federal or state trade secret 
law for the disclosure of a trade secret that: (A) is made (i) in confidence to a federal, state, or local government official, either directly or indirectly, or 
to an attorney and (ii) solely for the purpose of reporting or investigating a suspected violation of law; or (B) is made in a complaint or other document 
filed in a lawsuit or other proceeding, if such filing is made under seal. In addition, in the event that you file a lawsuit for retaliation by the Company for 
reporting a suspected violation of law, you may disclose the trade secret to your attorney and use the trade secret information in the court proceeding, if 
you: (A) file any document containing the trade secret under seal; and (B) do not disclose the trade secret, except pursuant to court order.

5.

Confidentiality.  The  provisions  of  this  Agreement  will  be  held  in  strictest  confidence  by  you  and  will  not  be  publicized  or 
disclosed in any manner whatsoever; provided, however, that: (a) you may disclose this Agreement to your immediate family; (b) you may disclose this 
Agreement in confidence to your attorney, accountant, auditor, tax preparer, and financial advisor; and (c) you may disclose this Agreement insofar as 
such disclosure may be required by law. Notwithstanding the foregoing, nothing in this Agreement shall limit your right to voluntarily communicate 
with  the  Equal  Employment  Opportunity  Commission,  United  States  Department  of  Labor,  the  National  Labor  Relations  Board,  the  Securities  and 
Exchange Commission, other federal government agency or similar state or local agency or to discuss the terms and conditions of your employment 
with others to the extent expressly permitted by Section 7 of the National Labor Relations Act.

6.

Non-Disparagement.  You  and  the  Company  agree  not  to  disparage  each  other,  and  the  other’s  attorneys,  directors,  managers, 
partners,  employees,  agents  and  affiliates,  in  any  manner  likely  to  be  harmful  to  them  or  their  business,  business  reputation  or  personal  reputation; 
provided that you and the Company will respond accurately and fully to any question, inquiry or request for information when required by legal process. 
For  purposes  of  this  Section  8,  the  obligations  of  the  Company  shall  apply  only  to  the  senior  management  team  and  the  members  of  the  Board  of 
Directors.  Notwithstanding  the  foregoing,  nothing  in  this  Agreement  shall  limit  your  right  to  voluntarily  communicate  with  the  Equal  Employment 
Opportunity Commission, United States Department of Labor, the National Labor Relations Board, other federal government agency or similar state or 
local agency or to discuss the terms and conditions of your employment with others to the extent expressly permitted by Section 7 of the National Labor 
Relations Act.

7.

No Admission. This Agreement does not constitute an admission by you or by the Company of any wrongful action or violation of 

any federal, state, or local statute, or common law rights, including those relating to

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the provisions of any law or statute concerning employment actions, or of any other possible or claimed violation of law or rights.

8.

Breach. You agree that upon any material breach of this Agreement you will forfeit all amounts paid or owing to you under this 
Agreement. Further, you acknowledge that it may be impossible to assess the damages caused by your violation of the terms of Sections 5, 6, 7 and 8 of 
this Agreement and further agree that any threatened or actual violation or breach of those Sections of this Agreement will constitute immediate and 
irreparable injury to the Company. You therefore agree that, in addition to any and all other damages and remedies available to the Company upon your 
breach of this Agreement, the Company shall be entitled to an injunction to prevent you from violating or breaching this Agreement.

9.

Miscellaneous. This Agreement is entered into without reliance on any promise or representation, written or oral, other than those 
expressly contained herein, and it supersedes any other such promises, warranties or representations. This Agreement may not be modified or amended 
except  in  a  writing  signed  by  both  you  and  a  duly  authorized  officer  of  the  Company.  This  Agreement  will  bind  the  heirs,  personal  representatives, 
successors and assigns of both you and the Company, and inure to the benefit of both you and the Company, their heirs, successors and assigns. If any 
provision of this Agreement is determined to be invalid or unenforceable, in whole or in part, this determination will not affect any other provision of 
this Agreement and the provision in question will be modified by the court so as to be rendered enforceable. This Agreement will be deemed to have 
been entered into and will be construed and enforced in accordance with the laws of the State of New Jersey as applied to contracts made and to be 
performed entirely within the State of New Jersey.

VERRICA PHARMACEUTICALS INC.

By:   Name:
Title:

I UNDERSTAND THAT THIS AGREEMENT INCLUDES A RELEASE OF ALL KNOWN AND UNKNOWN 
CLAIMS, EVEN THOSE UNKNOWN CLAIMS THAT IF KNOWN BY ME, WOULD AFFECT MY DECISION TO 
ACCEPT THIS AGREEMENT.

Gary Goldenberg

230128721
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Exhibit 10.24

EMPLOYMENT AGREEMENT

This  EMPLOYMENT  AGREEMENT  (the  “Agreement”)  is  entered  into  effective  February  27,  2020  (the 
“Effective  Date”),  by  and  between  Verrica  Pharmaceuticals  Inc.,  a  Delaware  corporation  (the  “Company”)  and 
Christopher G. Hayes (the “Employee”).

Whereas,  the  Company  desires  to  continue  to  employ  the  Employee  in  the  capacity  of  full-time  Chief 
Legal Officer pursuant to the terms of this Agreement and, in connection therewith, to compensate the Employee 
for Employee’s personal services to the Company; and

Whereas, the Employee wishes to continue to be employed by the Company and provide personal services 

to the Company in return for certain compensation.

Accordingly, in consideration of the mutual promises and covenants contained herein, the parties agree to 

the following:

1.

EMPLOYMENT BY THE COMPANY.

1.1

At-Will Employment. Employee shall continue to be employed by the Company 
on  an  “at-will”  basis,  meaning  either  the  Company  or  Employee  may  terminate  Employee’s  employment  at  any 
time,  with  or  without  cause  or  advanced  notice.  Any  contrary  representations  that  may  have  been  made  to 
Employee shall be superseded by this Agreement. This Agreement shall constitute the full and complete agreement 
between Employee and the Company on the “at-will” nature of Employee’s employment with the Company, which 
may  be  changed  only  in  an  express  written  agreement  signed  by  Employee  and  a  duly  authorized  officer  of  the 
Company. Employee’s rights to any compensation following a termination shall be only as set forth in Section 6.

1.2

Position. Subject to the terms set forth herein, the Company agrees to continue to 
employ  Employee  in  the  position  of  Chief  Legal  Officer  and  Employee  hereby  accepts  such  continued 
employment.  During  the  term  of  Employee’s  employment  with  the  Company,  Employee  will  continue  to  devote 
Employee’s  best  efforts  and  substantially  all  of  Employee’s  business  time  and  attention  to  the  business  of  the 
Company.

1.3

Duties. Employee will continue to report to the Chief Executive Officer (“CEO”) 
of  the  Company,  performing  such  duties  as  are  normally  associated  with  his  position  and  such  duties  as  are 
assigned to him from time to time, subject to the oversight and direction of the CEO and the Company’s Board of 
Directors (the “Board”). Employee shall perform his duties under this Agreement principally out of the Company’s 
office  in  West  Chester,  PA.  In  addition,  the  Employee  shall  make  such  business  trips  to  such  places  as  may  be 
necessary or advisable for the efficient operations of the Company.

1.4

Company  Policies  and  Benefits.  The  employment  relationship  between  the 
parties  shall  remain  subject  to  the  Company’s  personnel  policies  and  procedures  as  they  may  be  interpreted, 
adopted, revised or deleted from time to time in the Company’s sole discretion. The Employee remains eligible to 
participate  on  the  same  basis  as  similarly  situated  employees  in  the  Company’s  benefit  plans  and  paid  time  off 
policies, in all cases, as in effect from time to time during his employment. All matters of eligibility for coverage or 
benefits under any benefit

 
 
 
 
 
 
 
 
 
 
 
 
 
 
plan  shall  be  determined  in  accordance  with  the  provisions  of  such  plan.  The  Company  reserves  the  right  to 
change, alter, or terminate any benefit plan in its sole discretion. Notwithstanding the foregoing, in the event that 
the  terms  of  this  Agreement  differ  from  or  are  in  conflict  with  the  Company’s  general  employment  policies  or 
practices, this Agreement shall control.

2.

COMPENSATION.

2.1

Salary. Employee shall receive for Employee’s services to be rendered hereunder 
an initial annualized base salary of $355,000 per year, subject to review and adjustment from time to time by the 
Company in its sole discretion, payable subject to standard federal and state payroll withholding requirements in 
accordance with Company’s standard payroll practices (“Base Salary”).

2.2

Bonus.

(a)

During  Employment.  Employee  shall  be  eligible  to  earn  an 
annual  performance  bonus  with  a  target  amount  equal  to  40%  (the  “Target  Percentage”)  of  his  Base  Salary 
(“Annual Bonus”). The Annual Bonus will be based upon the Board’s assessment of the Employee’s performance 
and the Company’s attainment of targeted goals as set by the Board in its sole discretion. The Annual Bonus, if 
any, will be subject to applicable payroll deductions and withholdings. Following the close of each calendar year, 
the  Board  will  determine  whether  the  Employee  has  earned  the  Annual  Bonus,  and  the  amount  of  any  Annual 
Bonus,  which  can  be  above  or  below  the  Target  Percentage,  based  on  the  set  criteria.  No  amount  of  the  Annual 
Bonus is guaranteed, and the Employee must be an employee in good standing on the Annual Bonus payment date 
to be eligible to receive an Annual Bonus; no partial or prorated bonuses will be provided. The Annual Bonus, if 
earned, will be paid no later than March 15 of the calendar year immediately following the applicable calendar year 
for  which  the  Annual  Bonus  is  being  measured.      The  Employee’s  eligibility  for  an  Annual  Bonus  is  subject  to 
change in the discretion of the Board (or any authorized committee thereof).

Upon Termination. In the event Employee leaves the employ of 
the  Company  for  any  reason  prior  to  payment  of  any  bonus,  he  is  not  eligible  for  such  bonus,  prorated  or 
otherwise.

(b)

Future Equity Awards.  Employee  remains  eligible  to  be  considered  for  future 
equity awards as may be determined by the Board or a committee of the Board in its discretion in accordance with 
the terms of any applicable equity plan or arrangement that may be in effect from time to time.

2.3

Expense  Reimbursement.      The  Company  will  reimburse  Employee  for  all 
reasonable, documented business expenses incurred in connection with his services hereunder, in accordance with 
the Company’s business expense reimbursement policies and procedures as may be in effect from time to time.

2.4

3.

CONFIDENTIAL  INFORMATION,  INVENTIONS,  NON-COMPETITION  AND  NON-  SOLICITATION 
OBLIGATIONS. As a condition of continued employment, and in consideration for the benefits provided under this 
Agreement  that  were  not  provided  under  the  Prior  Agreement,  Employee  agrees  to  execute  and  abide  by  an 
Employee Confidential Information, Inventions, 

2

 
 
 
 
 
 
 
 
 
 
 
Non-Solicitation and Non-Competition Agreement attached as Exhibit A (the

3

 
 
 
“Confidential Information Agreement”), which may be amended by the parties from time to time without regard 
to this Agreement. The Confidential Information Agreement contains provisions that are intended by the parties to 
survive and do survive termination or expiration of this Agreement.

2.

OUTSIDE ACTIVITIES. Except with the prior written consent of the Company’s Board, Employee 
will not, while employed by the Company, undertake or engage in any other employment, occupation or business 
enterprise  that  would  interfere  with  Employee’s  responsibilities  and  the  performance  of  Employee’s  duties 
hereunder  except  for  (i)  reasonable  time  devoted  to  volunteer  services  for  or  on  behalf  of  such  religious, 
educational, non-profit and/or other charitable organization as Employee may wish to serve; (ii) reasonable time 
devoted to activities in the non-profit and business communities consistent with Employee’s duties; (iii) reasonable 
time  devoted  to  service  on  boards  of  directors  of  companies  that  are  not  competitive  with  the  Company,  do  not 
otherwise present a conflict of interest and would not otherwise interfere with Employee’s responsibilities and the 
performance of Employee’s duties hereunder, subject to the prior written approval of the Board (which approval 
shall  not  be  unreasonably  withheld);  and  (iv)  such  other  activities  that  would  not  interfere  with  Employee’s 
responsibilities and the performance of Employee’s duties hereunder as may be specifically approved by the Board 
(which approval shall not be unreasonably withheld). This restriction shall not, however, preclude the Employee 
from owning less than one percent (1%) of the total outstanding shares of a publicly traded company.

3.

NO CONFLICT WITH EXISTING OBLIGATIONS. Employee represents that Employee’s performance 
of all the terms of this Agreement and as an Employee of the Company do not and will not breach any agreement 
or  obligation  of  any  kind  made  prior  to  Employee’s  employment  by  the  Company,  including  agreements  or 
obligations  Employee  may  have  with  prior  employers  or  entities  for  which  Employee  has  provided  services. 
Employee  has  not  entered  into,  and  Employee  agrees  that  Employee  will  not  enter  into,  any  agreement  or 
obligation, either written or oral, in conflict herewith.

4.

TERMINATION  OF  EMPLOYMENT.  The  parties  acknowledge  that  Employee’s  employment 
relationship  with  the  Company  continues  to  be  at-will.  Either  Employee  or  the  Company  may  terminate  the 
employment relationship at any time, with or without Cause. The provisions in this Section govern the amount of 
compensation,  if  any,  to  be  provided  to  Employee  upon  termination  of  employment  and  do  not  alter  this  at-will 
status.

4.1
Change in Control).

Termination by the Company Without Cause (not in Connection with a 

The  Company  shall  have  the  right  to  terminate  Employee’s 
employment  with  the  Company  pursuant  to  this  Section  6.1  at  any  time  without  “Cause”  (as  defined  in  Section 
6.2(a) below) by giving notice as described in Section 6.7 of this Agreement. A termination pursuant to Section 6.6 
below is not a termination without “Cause” for purposes of receiving the benefits described in this Section 6.1.

(a)

In  the  event  Employee’s  employment  is  terminated  without 
Cause at any time except during the Change in Control Measurement Period (as defined in Section 6.4 below), then 
provided that the Employee executes and does not revoke a separation agreement

(b)

4

 
 
 
 
 
 
 
 
 
 
that includes a general release substantially in the form attached hereto as Exhibit B (the “Release”), and subject to 
Section  6.1(c)  (the  date  that  the  Release  becomes  effective  and  may  no  longer  be  revoked  by  the  Employee  is 
referred  to  as  the  “Release  Date”),  then  Employee  shall  be  eligible  for  the  following  “Non-CIC  Severance 
Benefits”:

(i)

the Company shall pay to Employee an amount 
equal  to  Employee’s  then  current  Base  Salary  for  the  Severance  Period  (as  defined  below),  less  applicable 
withholdings  and  deductions,  in  installments  in  accordance  with  the  Company’s  ordinary  payroll  practices 
commencing on the Company’s first regular payroll date that is more than sixty (60) days following the Separation 
Date (as defined below), and shall be for any accrued Base Salary for the sixty (60) day period plus the period from 
the sixtieth (60th) day until the regular payroll date, if applicable, and all salary continuation payments thereafter, if 
any, shall be made on the Company’s regular payroll dates; and

if 

(ii)

the  Employee 

timely  elects  continued 
coverage  under  COBRA  for  himself  and  his  covered  dependents  under  the  Company’s  group  health  plans 
following such termination,  then  the  Employee  will  be  entitled  to  the  following COBRA benefits: the Company 
shall  pay  the  COBRA  premiums  necessary  to  continue  the  Employee’s  and  his  covered  dependents’  health 
insurance coverage in effect for himself (and his covered dependents) on the termination date until the earliest of 
(x)  a  number  of  months  following  the  termination  date  equal  to  the  Severance  Period;  (y)  the  date  when  the 
Employee  becomes  eligible  for  health  insurance  coverage  in  connection  with  new  employment  or  self-
employment; or (iii) the date the Employee ceases to be eligible for COBRA continuation coverage for any reason, 
including  plan  termination  (such  period  from  the  termination  date  through  the  earlier  of  (i)-(iii),  the  “Non-CIC 
COBRA  Payment  Period”).  Notwithstanding  the  foregoing,  if  at  any  time  the  Company  determines  that  its 
payment of COBRA premiums on the Employee’s behalf would result in a violation of applicable law (including 
but not limited to the 2010 Patient Protection and Affordable Care Act, as amended by the 2010 Health Care and 
Education  Reconciliation  Act),  then  in  lieu  of  paying  COBRA  premiums  pursuant  to  this  Section,  the  Company 
shall pay the Employee on the last day of each remaining month of the Non-CIC COBRA Payment Period, a fully 
taxable cash payment equal to the COBRA premium for such month, subject to applicable tax withholding (such 
amount, the “Special  Severance  Payment”),  such  Special  Severance  Payment  to  be  made  without  regard  to  the 
Employee’s payment of COBRA premiums and without regard to the expiration of the COBRA period prior to the 
end of the Non-CIC COBRA Payment Period. Nothing in this Agreement shall deprive the Employee of his rights 
under COBRA or ERISA for benefits under plans and policies arising under his employment by the Company.

(c)

Employee  shall  not  receive  the  Non-CIC  Severance  Benefits 
pursuant to Section 6.1(b), or the CIC Severance Benefits (as defined below) pursuant to Section 6.4(a), unless he 
executes the Release within the consideration period specified therein, which shall in no event be more than sixty 
(60)  days,  and  until  the  Release  becomes  effective  and  can  no  longer  be  revoked  by  Employee  under  its  terms. 
Employee’s ability to receive benefits pursuant to Section 6.1(b) or Section 6.4(a) is further conditioned upon his: 
returning  all  Company  property;  complying  with  his  post-termination  obligations  under  this  Agreement  and  the 
Confidential  Information  Agreement;  and  complying  with  the  Release  including  without  limitation  any  non-
disparagement and confidentiality provisions contained therein.

5

 
 
 
 
 
 
 
The benefits provided to Employee pursuant to this Section 6.1 
are  in  lieu  of,  and  not  in  addition  to,  any  benefits  to  which  Employee  may  otherwise  be  entitled  under  any 
Company severance plan, policy or program. For avoidance of doubt, Employee shall not be eligible for both CIC 
Severance Benefits and Non-CIC Severance Benefits.

(d)

termination  of  Employee’s 
employment without Cause would be difficult to ascertain; therefore, the severance for which Employee is eligible 
pursuant to Section 6.1(b) above in exchange for the Release is agreed to by the parties as liquidated damages, to 
serve as full compensation, and not a penalty.

The  damages  caused  by 

the 

(e)

For purposes of this Agreement, “Severance Period” shall mean 
in the event a termination under this Section 6.1 or under Section 6.3 (an "Involuntary Termination") occurs on or 
before September 17, 2020 (i) six (6) months and (ii) twelve (12) months in the event an Involuntary Termination 
occurs after September 17, 2020.

(f)

1.3

Termination by the Company for Cause.  Subject  to  Section  6.2(b)  below,  the 
Company shall have the right to terminate Employee’s employment with the Company at any time for Cause by 
giving notice as described in this Section 6.2 and in Section
1.6 of this Agreement.

(a)

“Cause” for termination shall mean the occurrence of any of the 

following: (i) Employee’s conviction of any felony or any crime involving fraud or dishonesty;
(ii) Employee’s participation in a fraud, act of dishonesty or other act of gross misconduct that adversely affects the 
Company; (iii) conduct by Employee that demonstrates Employee’s gross unfitness to serve under circumstances 
that materially and adversely affect the Company; (iv) Employee’s violation of any statutory or fiduciary duty, or 
duty of loyalty, owed to the Company; (v) Employee’s breach of any material term of any contract between such 
Employee and the Company; and/or (vi) Employee’s serious violation of a material Company policy. Whether a 
termination is for Cause shall be decided by the Board in its sole and exclusive judgment and discretion. Prior to 
termination for Cause pursuant to each event listed in (iii) and
(iv) above, the Company shall give the Employee notice of such event(s), which notice shall specify in reasonable 
detail  the  circumstances  constituting  Cause,  and  an  opportunity  to  explain  the  circumstances.  Prior  to  any 
termination for Cause pursuant to each event listed in (v) and
(vi) above, to the extent such event(s) is (are) capable of being cured by Employee, (A) the Company shall give the 
Employee  notice  of  such  event(s),  which  notice  shall  specify  in  reasonable  detail  the  circumstances  constituting 
Cause, and an opportunity to cure, and (B) there shall be no Cause with respect to any such event(s) if the Board 
determines in good faith that such events have been cured by Employee within fifteen (15) days after the delivery 
of such notice.

(b)

In  the  event  Employee’s  employment  is  terminated  at  any  time 
for  Cause,  Employee  will  not  receive  the  Non-CIC  Severance  Benefits  described  in  Section  6.1(b),  the  CIC 
Severance  Benefits  described  in  Section  6.4(a),  or  any  other  severance  compensation  or  benefit,  except  that, 
pursuant to the Company’s standard payroll policies, the Company shall pay to Employee the accrued but unpaid 
salary  of  Employee  through  the  date  of  termination,  together  with  all  compensation  and  benefits  payable  to 
Employee based on his participation in any compensation or benefit plan, program or arrangement through the date 
of termination.

6

 
 
 
 
 
 
 
 
 
1.3
Change in Control).

Resignation by the Employee With Good Reason (not in Connection with a 

(a)

Employee  may  resign  from  Employee’s  employment  with  the 
Company for Good Reason by giving notice following the end of the Cure Period (as defined in this Section). For 
purposes of this Agreement, “Good Reason” for the Employee to terminate his employment hereunder shall mean 
any  of  following  actions  are  taken  by  the  Company  without  Employee’s  prior  written  consent:  (i)  a  material 
reduction by the Company of Employee’s Base Salary as initially set forth herein or as the same may be increased 
from time to time, provided, however, that if such reduction occurs in connection with a Company-wide decrease 
in  executive  team  compensation,  such  reduction  shall  not  constitute  Good  Reason;  (ii)  a  material  breach  of  this 
Agreement by the Company; (iii) the relocation of Employee’s principal place of employment, without Employee’s 
consent,  by  fifty  (50)  or  more  miles  from  his  then-  current  principal  place  of  employment  immediately  prior  to 
such  relocation;  or  (iv)  a  material  reduction  in  Employee’s  title,  duties,  authority,  or  responsibilities  relative  to 
Employee’s  title,  duties,  authority,  or  responsibilities  in  effect  immediately  prior  to  such  reduction;  provided, 
however, that, any such termination by Employee shall only be deemed for Good Reason pursuant to this definition 
if: (1) Employee gives the Company written notice of his intent to terminate for Good Reason within thirty (30) 
days following the occurrence of the condition(s) that he believes constitute(s) Good Reason, which notice shall 
describe  such  condition(s);  (2)  the  Company  fails  to  remedy  such  condition(s)  within  thirty  (30)  days  following 
receipt of the written notice (the “Cure Period”); and (3) Employee voluntarily terminates his employment within 
thirty (30) days following the end of the Cure Period.

In  the  event  Employee  resigns  from  employment  for  Good 
Reason  at  any  time  except  during  the  Change  in  Control  Measurement  Period,  then  provided  that  the  Employee 
executes and does not revoke the Release and subject to Section 6.1(c), then the Company shall pay to Employee 
the Non-CIC Severance Benefits described in Section 6.1(b).

(b)

Good Reason (in connection with a Change in Control).

1.4

Termination by the Company without Cause or Resignation by Employee for 

(a)

In the event that Employee’s employment is terminated without 
Cause or Employee resigns for Good Reason in either case within twelve (12) months following or one (1) month 
prior to the effective date of a Change in Control (“Change in Control Measurement Period”)  of  the  Company, 
then provided that the Employee executes and does not revoke the Release and subject to Employee’s compliance 
with  the  requirements  of  Section  6.1(c),  then  Employee  will  be  eligible  for  the  following  “CIC  Severance 
Benefits:”

(i)

the Company shall pay to Employee an amount 
equal to Employee’s then current Base Salary for twelve (12) months, less applicable withholdings and deductions, 
in installments in accordance with the Company’s ordinary payroll practices commencing on the Company’s first 
regular payroll date that is more than sixty (60) days following the Separation Date, and shall be for any accrued 
Base Salary for the sixty (60) day period plus the period from the sixtieth (60th) day until the regular payroll date, if 
applicable, and all salary continuation payments thereafter, shall be made on the Company’s regular payroll dates; 
and

7

 
 
 
 
 
 
 
 
 
the Company will pay a cash severance benefit 
equal to the Employee’s Annual Bonus paid at the Target Percentage for the year in which Employee’s Separation 
Date occurs. Such cash severance benefit will be paid in a single lump sum cash payment on the Company’s first 
regular payroll date that is more than sixty (60) days following the Separation Date.

(ii)

if 

(iii)

the  Employee 

timely  elects  continued 
coverage  under  COBRA  for  himself  and  his  covered  dependents  under  the  Company’s  group  health  plans 
following such termination,  then  the  Employee  will  be  entitled  to  the  following COBRA benefits: the Company 
shall  pay  the  COBRA  premiums  necessary  to  continue  the  Employee’s  and  his  covered  dependents’  health 
insurance coverage in effect for himself (and his covered dependents) on the termination date until the earliest of 
(x) twelve (12) months following the termination date; (y) the date when the Employee becomes eligible for health 
insurance coverage in connection with new employment or self-employment; or (iii) the date the Employee ceases 
to be eligible for COBRA continuation coverage for any reason, including plan termination (such period from the 
termination  date  through  the  earlier  of  (i)-(iii),  the  “CIC  COBRA  Payment  Period”).  Notwithstanding  the 
foregoing, if at any time the Company determines that its payment of COBRA premiums on the Employee’s behalf 
would  result  in  a  violation  of  applicable  law  (including  but  not  limited  to  the  2010  Patient  Protection  and 
Affordable  Care  Act,  as  amended  by  the  2010  Health  Care  and  Education  Reconciliation  Act),  then  in  lieu  of 
paying COBRA premiums pursuant to this Section, the Company shall pay the Employee on the last day of each 
remaining  month  of  the  CIC  COBRA  Payment  Period  the  Special  Severance  Payment,  such  Special  Severance 
Payment to be made without regard to the Employee’s payment of COBRA premiums and without regard to the 
expiration of the COBRA period prior to the end of the CIC COBRA Payment Period. Nothing in this Agreement 
shall  deprive  the  Employee  of  his  rights  under  COBRA  or  ERISA  for  benefits  under  plans  and  policies  arising 
under his employment by the Company.

(iv)

With  regard  to  Employee’s  equity  awards:  (i) 
The vesting and exercisability of all outstanding time-based vesting equity awards and performance-based vesting 
equity awards (together, the “Equity Awards”) that are held by Employee on such date shall be accelerated in full 
as  of  the  later  of  the  effective  date  of  such  Change  in  Control  and  Employee’s  termination  date,  and  (ii)  any 
reacquisition or repurchase rights held by the Company in respect of common stock issued pursuant to any other 
Equity Awards granted Employee by the Company shall lapse in full as of the later of the effective date of such 
Change in Control and Employee’s termination date. For purposes of determining the number of shares that will 
vest  pursuant  to  this  provision  with  respect  to  any  performance-based  vesting  equity  awards  for  which  the 
performance period has not ended and that has multiple vesting levels depending upon the level of performance, 
vesting acceleration with respect to any ongoing performance period(s) shall occur with respect to the number of 
shares subject to the award as if the applicable performance criteria had been attained at a 100% level or, if greater, 
based  on  actual  performance  as  of  the  later  of  the  effective  date  of  the  Change  in  Control  and  Employee’s 
termination  date.  Notwithstanding  the  foregoing,  this  Section  6.4(a)(iv)  shall  not  apply  to  common  stock  issued 
under or held in any plan sponsored by the Company or its affiliates that is intended to be qualified under Section 
401(a)  of  the  Internal  Revenue  Code  of  1986,  as  amended.  Notwithstanding  any  contrary  terms  governing  the 
Equity Awards or common stock held by Employee, if a Change in Control has not occurred prior to Employee’s 
termination date, no forfeiture of the Equity Awards will occur and no reacquisition or repurchase rights will be

8

 
 
 
 
 
 
exercised by the Company for one month following the termination date, to enable the application of this paragraph 
if a Change in Control does occur during that month.

The  CIC  Severance  Benefits  provided  to  Employee  pursuant  to 
this Section 6.4 are in lieu of, and not in addition to, any benefits to which Employee may otherwise be entitled 
under any Company severance plan, policy or program.

(b)

termination  of  Employee’s 
employment  without  Cause  during  the  Change  in  Control  Measurement  Period  would  be  difficult  to  ascertain; 
therefore, the CIC Severance Benefits for which Employee is eligible pursuant to Section 6.4(a) above in exchange 
for the Release are agreed to by the parties as liquidated damages, to serve as full compensation, and not a penalty.

Any  damages  caused  by 

the 

(c)

1.6

Resignation by the Employee Without Good Reason.

Company at any time by giving notice as described in Section 6.7.

(a)

Employee  may  resign  from  Employee’s  employment  with  the 

(b)

In  the  event  Employee  resigns  from  Employee’s  employment 
with the Company other than for Good Reason, Employee will not receive the Non-CIC Severance Benefits, the 
CIC-Severance Benefits, or any other severance compensation or benefit, except that, pursuant to the Company’s 
standard payroll policies, the Company shall pay to Employee the accrued but unpaid salary of Employee through 
the  date  of  resignation,  together  with  all  compensation  and  benefits  payable  to  Employee  through  the  date  of 
resignation  under  any  compensation  or  benefit  plan,  program  or  arrangement  during  such  period  and  Employee 
shall be eligible for any benefit continuation or conversion rights provided by the provisions of a benefit plan or by 
law.

1.7

Termination by Virtue of Death or Disability of the Employee.

(a)

In  the  event  of  Employee’s  death  while  employed  pursuant  to 
this  Agreement,  all  obligations  of  the  parties  hereunder  shall  terminate  immediately,  and  the  Company  shall, 
pursuant  to  the  Company’s  standard  payroll  policies,  pay  to  the  Employee’s  legal  representatives  Employee’s 
accrued  but  unpaid  salary  through  the  date  of  death  together  with  all  compensation  and  benefits  payable  to 
Employee based on his participation in any compensation or benefit plan, program or arrangement through the date 
of termination.

(b)

Subject to applicable state and federal law, the Company shall at 
all times have the right, upon written notice to the Employee, to terminate this Agreement based on the Employee’s 
Disability (as defined below). Termination by the Company of the Employee’s employment based on “Disability” 
shall  mean  termination  because  the  Employee  is  unable  due  to  a  physical  or  mental  condition  to  perform  the 
essential functions of his position with or without reasonable accommodation for six (6) months in the aggregate 
during any twelve
(12)  month  period  or  based  on  the  written  certification  by  two  licensed  physicians  of  the  likely  continuation  of 
such condition for such period, provided that such condition meets the definition of a disability for coverage under 
the terms of Company’s then-current long-term disability insurance plan. This definition shall be interpreted and 
applied  consistent  with  the  Americans  with  Disabilities  Act,  the  Family  and  Medical  Leave  Act,  and  other 
applicable law. In the event 

9

 
 
 
 
 
 
 
 
 
 
 
Employee’s employment is terminated based on the Employee’s Disability, Employee will not

10

 
 
 
receive  the  Non-CIC  Severance  Benefits,  the  CIC  Severance  Benefits,  or  any  other  severance  compensation  or 
benefit, except that, pursuant to the Company’s standard payroll policies, the Company shall pay to Employee the 
accrued  but  unpaid  salary  of  Employee  through  the  date  of  termination,  together  with  all  compensation  and 
benefits  payable  to  Employee  based  on  his  participation  in  any  compensation  or  benefit  plan,  program  or 
arrangement through the date of termination.

4.2

Notice; Effective Date of Termination.

(a)
pursuant to this Agreement shall be effective as follows:

Termination of Employee’s employment (the “Separation Date”) 

Employee with written notice of Employee’s termination without Cause under Section 6.1 or 6.4;

(i)

ten  (10)  days  after  the  Company  has  provided 

For a termination for Cause: (aa) under Section 
6.2(a)(i) or 6.2(a)(ii), immediately upon provision by the Company of written notice of the reasons to Employee; 
(bb) under Section 6.2(a)(iii) or 6.2(a)(iv), following the required written notice to Employee and expiration of the 
period  during  which  Employee  may  explain;  (cc)  under  Section  6.2(a)(v)  or  6.2(a)(vi),  following  the  required 
written notice to Employee and expiration of the 15-day cure period, if Employee has not cured;

(ii)

(iii)

immediately upon the Employee’s death;

thirty (30) days after the Company gives notice 
to  Employee  of  Employee’s  termination  on  account  of  Employee’s  Disability  under  Section  6.6,  unless  the 
Company specifies a later Separation Date, in which case, termination shall be effective as of such later Separation 
Date, provided  that  Employee  has  not  returned  to  the  full  time  performance  of  Employee’s  duties  prior  to  such 
date;

(iv)

on  the  date  specified  in  Employee’s  written 
notice of Employee’s resignation for Good Reason, provided it is within thirty (30) days after the Cure Period has 
ended and the Company has failed to remedy any of the reasons for Good Reason set forth in Employee’s initial 
notice under Section 6.3(a); or

(v)

ten  (10)  days  after  the  Employee  gives  written 
notice to the Company of Employee’s resignation, provided that the Company may set a Separation Date at any 
time  between  the  date  of  notice  and  the  date  of  resignation,  in  which  case  the  Employee’s  resignation  shall  be 
effective as of such other date. Employee will receive compensation through the Separation Date.

(vi)

(b)

In the event notice of a termination under subsections (a)(iii) and

(iv) is given orally, at the other party’s request, the party giving notice must provide written confirmation of such 
notice within five (5) business days of the request in compliance with the requirement of Section 7.1 below. In the 
event  of  a  termination  for  Cause,  written  confirmation  shall  specify  the  subsection(s)  of  the  definition  of  Cause 
relied on to support the decision to terminate.

11

 
 
 
 
 
 
 
 
 
 
 
 
 
1.8

Cooperation  With  Company  After  Termination  of  Employment.  Following 
termination of Employee’s employment for any reason, Employee shall reasonably cooperate with the Company in 
all matters relating to the winding up of Employee’s pending work including, but not limited to, any litigation in 
which  the  Company  is  involved,  and  the  orderly  transfer  of  any  such  pending  work  to  such  other  Employees  as 
may be designated by the Company.

1.9

Application of Section 409A. Notwithstanding anything to the contrary set forth 
herein, any payments and benefits provided under this Agreement that constitute “deferred compensation” within 
the meaning of Section 409A of the Internal Revenue Code of 1986, as amended (“Code”) and the regulations and 
other guidance thereunder and any state law of similar effect (collectively, “Section 409A”) shall not commence in 
connection with Employee’s termination of employment unless and until Employee has also incurred a “separation 
from service” (as such term is defined in Treasury Regulation Section 1.409A-1(h)) (“Separation From Service”), 
unless  the  Company  reasonably  determines  that  such  amounts  may  be  provided  to  Employee  without  causing 
Employee to incur the additional 20% tax under Section 409A. It is intended that each installment of severance pay 
provided for in this Agreement is a separate “payment” for purposes of Treasury Regulation Section 1.409A- 2(b)
(2)(i). For the avoidance of doubt, it is intended that severance payments set forth in this Agreement satisfy, to the 
greatest extent possible, the exceptions from the application of Section 409A provided under Treasury Regulation 
Sections  1.409A-1(b)(4),  1.409A-1(b)(5),  and  1.409A-1(b)(9).  If  the  Company  (or,  if  applicable,  the  successor 
entity thereto) determines that any payments or benefits constitute “deferred compensation” under Section 409A 
and Employee is, on the termination of service, a “specified employee” of the Company or any successor entity 
thereto,  as  such  term  is  defined  in  Section  409A(a)(2)(B)(i)  of  the  Code,  then,  solely  to  the  extent  necessary  to 
avoid the incurrence of the adverse personal tax consequences under Section 409A, the timing of the payments and 
benefits shall be delayed until the earlier to occur of: (a) the date that is six months and one day after Employee’s 
Separation  From  Service,  or  (b)  the  date  of  Employee’s  death  (such  applicable  date,  the  “Specified  Employee 
Initial Payment Date”). On the Specified Employee Initial Payment Date, the Company (or the successor entity 
thereto, as applicable) shall (i) pay to Employee a lump sum amount equal to the sum of the payments and benefits 
that  Employee  would  otherwise  have  received  through  the  Specified  Employee  Initial  Payment  Date  if  the 
commencement  of  the  payment  of  such  amounts  had  not  been  so  delayed  pursuant  to  this  Section  and  (ii) 
commence paying the balance of the payments and benefits in accordance with the applicable payment schedules 
set forth in this Agreement. All reimbursements provided under this Agreement shall be subject to the following 
requirements:
(i) the amount of in-kind benefits provided or reimbursable expenses incurred in one taxable year shall not affect 
the  in-kind  benefits  to  be  provided  or  the  expenses  eligible  for  reimbursement  in  any  other  taxable  year,  (ii)  all 
reimbursements shall be paid as soon as administratively practicable, but in no event shall any reimbursement be 
paid after the last day of the taxable year following the taxable year in which the expense was incurred, and (iii) the 
right  to  reimbursement  or  in-kind  benefits  is  not  subject  to  liquidation  or  exchange  for  any  other  benefit.  It  is 
intended  that  all  payments  and  benefits  under  this  Agreement  shall  either  comply  with  or  be  exempt  from  the 
requirements  of  Section  409A,  and  any  ambiguity  contained  herein  shall  be  interpreted  in  such  manner  so  as  to 
avoid adverse personal tax consequences under Section 409A. Notwithstanding the foregoing, the Company shall 
in no event be obligated to indemnify the Employee for any taxes or interest that may be assessed by the Internal 
Revenue Service pursuant to Section 409A of the Code to payments made pursuant to this Agreement.

12

 
 
 
 
 
7.

GENERAL PROVISIONS.

7.1

Notices.  Any  notices  required  hereunder  to  be  in  writing  shall  be  deemed 
effectively given: (a) upon personal delivery to the party to be notified, (b) when sent by electronic mail, telex or 
confirmed facsimile if sent during normal business hours of the recipient, and if not, then on the next business day, 
(c) five (5) days after having been sent by registered or certified mail, return receipt requested, postage prepaid, or 
(d)  one  (1)  day  after  deposit  with  a  nationally  recognized  overnight  courier,  specifying  next  day  delivery,  with 
written verification of receipt. All communications shall be sent to the Company at its primary office location and 
to Employee at Employee’s address as listed on the Company payroll, or at such other address as the Company or 
the Employee may designate by ten (10) days advance written notice to the other.

7.2

Severability.  Whenever  possible,  each  provision  of  this  Agreement  will  be 
interpreted in such manner as to be effective and valid under applicable law, but if any provision of this Agreement 
is held to be invalid, illegal or unenforceable in any respect under any applicable law or rule in any jurisdiction, 
such invalidity, illegality or unenforceability will not affect any other provision or any other jurisdiction, but this 
Agreement will be reformed, construed and enforced in such jurisdiction as if such invalid, illegal or unenforceable 
provisions had never been contained herein.

Waiver.  If  either  party  should  waive  any  breach  of  any  provisions  of  this 
Agreement,  such  party  shall  not  thereby  be  deemed  to  have  waived  any  preceding  or  succeeding  breach  of  the 
same or any other provision of this Agreement.

7.3

7.4

Complete Agreement. This Agreement constitutes the entire agreement between 
Employee and the Company with regard to the subject matter hereof.   This Agreement is the complete, final, and 
exclusive  embodiment  of  their  agreement  with  regard  to  this  subject  matter  and  supersedes  any  prior  oral 
discussions or written communications and agreements, including the Prior Agreement. This Agreement is entered 
into without reliance on any promise or representation other than those expressly contained herein, and it cannot be 
modified or amended except in writing signed by Employee and an authorized officer of the Company. The parties 
have entered into a separate Confidential Information Agreement and have or may enter into separate agreement 
related  to  stock  option  awards.  These  separate  agreements  govern  other  aspects  of  the  relationship  between  the 
parties,  have  or  may  have  provisions  that  survive  termination  of  the  Employee’s  employment  under  this 
Agreement, may be amended or superseded by the parties without regard to this Agreement and are enforceable 
according to their terms without regard to the enforcement provision of this Agreement.

Counterparts.  This  Agreement  may  be  executed  in  separate  counterparts,  any 
one of which need not contain signatures of more than one party, but all of which taken together will constitute one 
and the same Agreement.

7.5

and shall not be deemed to constitute a part hereof nor to affect the meaning thereof.

7.6

Headings. The headings of the sections hereof are inserted for convenience only 

and obligations hereunder in whole, but not in part, to any Company or other entity

7.7

Successors and Assigns. The Company shall assign this Agreement and its rights 

13

 
 
 
 
 
 
 
 
 
 
 
with or into which the Company may hereafter merge or consolidate or to which the Company may transfer all or 
substantially all of its assets, if in any such case said Company or other entity shall by operation of law or expressly 
in  writing  assume  all  obligations  of  the  Company  hereunder  as  fully  as  if  it  had  been  originally  made  a  party 
hereto, but may not otherwise assign this Agreement or its rights and obligations hereunder. The Employee may 
not assign or transfer this Agreement or any rights or obligations hereunder, other than to his estate upon his death.

Choice  of  Law.  All  questions  concerning  the  construction,  validity  and 
interpretation  of  this  Agreement  will  be  governed  by  the  law  of  the  Commonwealth  of  Pennsylvania,  without 
regard to its rules of conflicts or choice of laws.

4.3

4.4

Indemnification.      The  Employee  shall  be  entitled  to  indemnification  to  the 
maximum  extent  permitted  by  applicable  law  and  the  Company’s  Bylaws  with  terms  no  less  favorable  than 
provided to any other Company executive officer and subject to the terms of any separate written indemnification 
agreement.   At all times during the Employee’s employment, the Company shall maintain in effect a directors and 
officers liability insurance policy with the Employee as a covered officer.

4.5

Resolution  of  Disputes.  The  parties  recognize  that  litigation  in  federal  or  state 
courts or before federal or state administrative agencies of disputes arising out of the Employee’s employment with 
the  Company  or  out  of  this  Agreement,  or  the  Employee’s  termination  of  employment  or  termination  of  this 
Agreement, may not be in the best interests of either the Employee or the Company, and may result in unnecessary 
costs, delays, complexities, and uncertainty. The parties agree that any dispute between the parties arising out of or 
relating  to  the  negotiation,  execution,  performance  or  termination  of  this  Agreement  or  the  Employee’s 
employment, including, but not limited to, any claim arising out of this Agreement, claims under Title VII of the 
Civil Rights Act of 1964, as amended, the Civil Rights Act of 1991, the Age Discrimination in Employment Act of 
1967, the Americans with Disabilities Act of 1990, Section 1981 of the Civil Rights Act of 1966, as amended, the 
Family Medical Leave Act, the Employee Retirement Income Security Act, and any similar federal, state or local 
law, statute, regulation, or any common law doctrine, whether that dispute arises during or after employment, shall 
be  settled  by  binding  arbitration  conducted  before  a  single  arbitrator  by  Judicial  Arbitration  and  Mediation 
Services, Inc. (“JAMS”) or its successor, under the then applicable JAMS rules; provided however, that this dispute 
resolution provision shall not apply to any separate agreements between the parties that do not themselves specify 
arbitration as an exclusive remedy. The location for the arbitration shall be Philadelphia, Pennsylvania. Any award 
made by such panel shall be final, binding and conclusive on the parties for all purposes, and judgment upon the 
award rendered by the arbitrators may be entered in any court having jurisdiction thereof. The arbitrators’ fees and 
expenses and all administrative fees and expenses associated with the filing of the arbitration shall be borne by the 
Company; provided however, that at the Employee’s option, Employee may voluntarily pay up to one-half the costs 
and fees, for which Employee shall be reimbursed by the Company. The parties acknowledge and agree that their 
obligations  to  arbitrate  under  this  Section  survive  the  termination  of  this  Agreement  and  continue  after  the 
termination of the employment relationship between Employee and the Company. The parties each further agree 
that the arbitration provisions of this Agreement shall provide each party with its exclusive remedy, and each party 
expressly waives any right it might have to seek redress in any other forum, except as otherwise expressly provided 
in this Agreement. By election arbitration as the means for final settlement of all claims, the parties hereby waive

14

 
 
 
 
 
 
 
their  respective  rights  to,  and  agree  not  to,  sue  each  other  in  any  action  in  a  Federal,  State  or  local  court 
with respect to such claims, but may seek to enforce in court an arbitration award rendered pursuant to this 
Agreement. The parties specifically agree to waive their respective rights to a trial by jury, and further agree 
that no demand, request or motion will be made for trial by jury.

15

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IN WITNESS WHEREOF, the parties have executed this Employment Agreement on the day and year first 

written above.

COMPANY:

Verrica Pharmaceuticals Inc.

By:   

 Ted White

President & CEO

EMPLOYEE:

Christopher G. Hayes Chief 
Legal Officer

 
 
 
 
 
 
 
 
 
 
  
DocuSign Envelope ID: 6331C7FF-6F42-4698-AFAB-FE5B7154A5CD

Exhibit A

EMPLOYEE CONFIDENTIAL INFORMATION, INVENTIONS, NON-SOLICITATION AND NON-
COMPETITION AGREEMENT

In  consideration  of  my  employment  or  continued  employment  by  Verrica  Pharmaceuticals  Inc.,  and  its  subsidiaries,  parents,  affiliates, 
successors  and  assigns  (together,  “Company”)  and  the  compensation  now  and  later  paid  to  me,  I  hereby  enter  into  this  Employee  Confidential 
Information, Inventions, Non-Solicitation and Non-Competition Agreement (the “Agreement”) and agree as follows:

 
 
 
  
DocuSign Envelope ID: 6331C7FF-6F42-4698-AFAB-FE5B7154A5CD

1.CONFIDENTIAL  INFORMATION PROTECTIONS.

1.1 Recognition  of  Company’s  Rights;  Nondisclosure.  I  understand  and  acknowledge  that  my  employment  by 
Company creates a relationship of confidence and trust with respect to Company’s Confidential Information (as defined below) 
and that Company has a protectable interest therein. At all times during and after my employment, I will hold in confidence and 
will  not  disclose,  use,  lecture  upon  or  publish  any  of  Company’s  Confidential  Information,  except  as  such  disclosure,  use  or 
publication may be required in connection with my work for Company, or unless an officer of Company expressly authorizes 
such  disclosure  in  writing.  I  will  obtain  Company’s  written  approval  before  publishing  or  submitting  for  publication  any 
material  (written,  verbal,  or  otherwise)  that  discloses  and/or  incorporates  any  Confidential  Information.  I  hereby  assign  to 
Verrica  Pharmaceuticals  Inc.  any  rights  I  may  have  or  acquire  in  such  Confidential  Information  and  recognize  that  all 
Confidential Information shall be the sole and exclusive property of Verrica Pharmaceuticals Inc. and its assigns. I will take all 
reasonable  precautions  to  prevent  the  inadvertent  or  accidental  disclosure  of  Confidential  Information.  Notwithstanding  the 
foregoing, pursuant to 18 U.S.C. Section 1833(b), I shall not be held criminally or civilly liable under any Federal or State trade 
secret law for the disclosure of a trade secret that: (1) is made in confidence to a Federal, State, or local government official, 
either directly or indirectly, or to an attorney, and solely for the purpose of reporting or investigating a suspected violation of 
law; or (2) is made in a complaint or

 
 
 
 
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other document filed in a lawsuit or other proceeding, if such filing is made under seal.

1.2 Confidential  Information.  The  term  “Confidential  Information”  shall  mean  any  and  all  confidential 
knowledge, data or information of Company. By way of illustration but not limitation, “Confidential Information” includes 
(a)  trade  secrets,  inventions,  mask  works,  ideas,  processes,  formulas,  software  in  source  or  object  code  versions,  data, 
programs, other works of authorship, know-how, improvements, discoveries, developments, designs and techniques and any 
other  proprietary  technology  and  all  Intellectual  Property  Rights  therein  (collectively,  “Inventions”);  (b)  information 
regarding research, development, new products, marketing and selling, business plans, budgets and unpublished financial 
statements,  licenses,  prices  and  costs,  margins,  discounts,  credit  terms,  pricing  and  billing  policies,  quoting  procedures, 
methods of obtaining business, forecasts, future plans and potential strategies, financial projections and business strategies, 
operational plans, financing and capital-raising plans, activities and agreements, internal services and operational manuals, 
methods of conducting Company business, suppliers and supplier information, and purchasing; (c) information regarding 
customers and potential customers of Company, including customer lists, names, representatives, their needs or desires with 
respect to the types of products or services offered by Company, proposals, bids, contracts and their contents and parties, 
the type and quantity of products and services provided or sought to be provided to customers and potential customers of 
Company and other non- public information relating to customers and potential Customers; (d) information regarding

 
 
  
DocuSign Envelope ID: 6331C7FF-6F42-4698-AFAB-FE5B7154A5CD
any  of  Company’s  business  partners  and  their  services,  including  names;  representatives,  proposals,  bids,  contracts  and  their 
contents and parties, the type and quantity of products and services received by Company, and other non- public information 
relating to business partners;
(e)information regarding personnel, employee lists, compensation, and employee skills; and
(f)any other non-public information which a competitor of Company could use to the competitive disadvantage of Company. 
Notwithstanding the foregoing, it is understood that, at all such times, I am free to use information which was known to me 
prior to employment with Company or which is generally known in the trade or industry through no breach of this Agreement 
or  other  act  or  omission  by  me.  Notwithstanding  the  foregoing  or  anything  to  the  contrary  in  this  Agreement  or  any  other 
agreement  between  Company  and  me,  nothing  in  this  Agreement  shall  limit  my  right  to  discuss  my  employment  or  report 
possible  violations  of  law  or  regulation  with  the  Equal  Employment  Opportunity  Commission,  United  States  Department  of 
Labor, the National Labor Relations Board, the Securities and Exchange Commission, or other federal government agency or 
similar  state  or  local  agency  or  to  discuss  the  terms  and  conditions  of  my  employment  with  others  to  the  extent  expressly 
permitted  by  Section  7  of  the  National  Labor  Relations  Act  or  to  the  extent  that  such  disclosure  is  protected  under  the 
applicable provisions of law or regulation, including but not limited to “whistleblower” statutes or other similar provisions that 
protect such disclosure.

2.3

Third  Party  Information.  I  understand,  in  addition,  that  Company  has  received  and  in  the  future  will  receive 
from third parties their confidential and/or proprietary knowledge, data or information (“Third Party Information”) subject to a 
duty  on  Company’s  part  to  maintain  the  confidentiality  of  such  information  and  to  use  it  only  for  certain  limited  purposes. 
During my employment and thereafter, I will hold Third Party Information in confidence and will not disclose to anyone (other 
than Company personnel who need to

2.

 
 
 
 
DocuSign Envelope ID: 6331C7FF-6F42-4698-AFAB-FE5B7154A5CD
know  such  information  in  connection  with  their  work  for  Company)  or  use,  except  in  connection  with  my  work  for 
Company, Third Party Information unless expressly authorized by an officer of Company in writing.

2.4 Term of Nondisclosure Restrictions. I understand that Confidential Information and Third Party Information 
is never to be used or disclosed by me, as provided in this Section 1. If a temporal limitation on my obligation not to use or 
disclose  such  information  is  required  under  applicable  law,  and  the  Agreement  or  its  restriction(s)  cannot  otherwise  be 
enforced, I agree and Company agrees that the two (2) year period after the date my employment ends will be the temporal 
limitation relevant to the contested restriction, provided, however, that this sentence will not apply to trade secrets protected 
without temporal limitation under applicable law.

2.5 No Improper Use of Information of Prior Employers and Others. During my employment by Company, I 
will not improperly use or disclose confidential information or trade secrets, if any, of any former employer or any other 
person to whom I have an obligation of confidentiality, and I will not bring onto the premises of Company any unpublished 
documents  or  any  property  belonging  to  any  former  employer  or  any  other  person  to  whom  I  have  an  obligation  of 
confidentiality unless consented to in writing by that former employer or person.

3. ASSIGNMENTS OF INVENTIONS.

3.1 Definitions.  As  used  in  this  Agreement,  the  term  “Intellectual  Property  Rights”  means  all  trade  secrets, 
Copyrights,  trademarks,  mask  work  rights,  patents  and  other  intellectual  property  rights  recognized  by  the  laws  of  any 
jurisdiction or country; the term “Copyright” means the exclusive legal right to reproduce, perform, display, distribute and 
make  derivative  works  of  a  work  of  authorship  (as  a  literary,  musical,  or  artistic  work)  recognized  by  the  laws  of  any 
jurisdiction or country; and the term “Moral Rights” means all paternity,

3.

 
 
 
 
 
 
 
DocuSign Envelope ID: 6331C7FF-6F42-4698-AFAB-FE5B7154A5CD
integrity, disclosure, withdrawal, special and any other similar rights recognized by the laws of any jurisdiction or country.

1.2

Excluded  Inventions  and  Other  Inventions.  Attached  hereto  as  Exhibit  A  is  a  list  describing  all  existing 
Inventions, if any, that may relate to Company’s business or actual or demonstrably anticipated research or development and 
that were made by me or acquired by me prior to the commencement of my employment with, and which are not to be assigned 
to, Company (“Excluded Inventions”). If no such list is attached, I represent and agree that it is because I have no rights in any 
existing Inventions that may relate to Company’s business or actual or demonstrably anticipated research or development. For 
purposes  of  this  Agreement,  “Other  Inventions”  means  Inventions  in  which  I  have  or  may  have  an  interest,  as  of  the 
commencement of my employment, other than Company Inventions (defined below) and Excluded Inventions. I acknowledge 
and agree that if I use any Excluded Inventions or any Other Inventions in the scope of my employment, or if I include any 
Excluded Inventions or Other Inventions in any product or service of Company, or if my rights in any Excluded Inventions or 
Other Inventions may block or interfere with, or may otherwise be required for, the exercise by Company of any rights assigned 
to Company under this Agreement, I will immediately so notify Company in writing. Unless Company and I agree otherwise in 
writing as to particular Excluded Inventions or Other Inventions, I hereby grant to Company, in such circumstances (whether or 
not I give Company notice as required above), a non-exclusive, perpetual, transferable, fully-paid and royalty-free, irrevocable 
and worldwide license, with rights to sublicense through multiple levels of sublicensees, to reproduce, make derivative works 
of, distribute, publicly perform, and publicly display in any form or medium, whether now known or later developed, make, 
have made, use, sell, import, offer for sale, and exercise any and all present or future rights in, such Excluded Inventions and 
Other Inventions.

4.

 
 
 
 
DocuSign Envelope ID: 6331C7FF-6F42-4698-AFAB-FE5B7154A5CD
To the extent that any third parties have rights in any such Other Inventions, I hereby represent and warrant that such third 
party or parties have validly and irrevocably granted to me the right to grant the license stated above.

1.3 Assignment of Company Inventions. Inventions assigned to Verrica Pharmaceuticals Inc., or to a third party as 
directed  by  Verrica  Pharmaceuticals  Inc.  pursuant  to  Section  2.6,  are  referred  to  in  this  Agreement  as  “Company 
Inventions.” Subject to Section 2.4 (Unassigned or Nonassignable Inventions) and except for Excluded Inventions set forth 
in Exhibit A and Other Inventions, I hereby assign to Verrica Pharmaceuticals Inc. all my right, title, and interest in and to 
any and all Inventions (and all Intellectual Property Rights with respect thereto) made, conceived, reduced to practice, or 
learned by me, either alone or with others, during the period of my employment by Company. To the extent required by 
applicable Copyright laws, I agree to assign in the future (when any copyrightable Inventions are first fixed in a tangible 
medium  of  expression)  my  Copyright  rights  in  and  to  such  Inventions.  Any  assignment  of  Company  Inventions  (and  all 
Intellectual Property Rights with respect thereto) hereunder includes an assignment of all Moral Rights. To the extent such 
Moral Rights cannot be assigned to Verrica Pharmaceuticals Inc. and to the extent the following is allowed by the laws in 
any  country  where  Moral  Rights  exist,  I  hereby  unconditionally  and  irrevocably  waive  the  enforcement  of  such  Moral 
Rights, and all claims and causes of action of any kind against Company or related to Company’s customers, with respect to 
such rights. I further acknowledge and agree that neither my successors-in-interest nor legal heirs retain any Moral Rights 
in any Company Inventions (and any Intellectual Property Rights with respect thereto).

1.4 Unassigned  or  Nonassignable  Inventions.  I  recognize  that  this  Agreement  will  not  be  deemed  to  require 

assignment of any Invention that I developed entirely on my own

5.

 
 
 
 
 
DocuSign Envelope ID: 6331C7FF-6F42-4698-AFAB-FE5B7154A5CD
time  without  using  Company’s  equipment,  supplies,  facilities,  trade  secrets  or  Confidential  Information,  except  for  those 
Inventions that either (i) relate to Company’s actual or anticipated business, research or development, or (ii) result from or are 
connected  with  work  performed  by  me  for  Company.  In  addition,  this  Agreement  does  not  apply  to  any  Invention  which 
qualifies fully for protection from assignment to Company under any specifically applicable state law, regulation, rule or public 
policy. (“Specific Inventions Law”).

1.5 Obligation  to  Keep  Company  Informed.  During  the  period  of  my  employment  and  for  one  (1)  year  after 
termination of my employment, I will promptly and fully disclose to Company in writing all Inventions authored, conceived, or 
reduced  to  practice  by  me,  either  alone  or  jointly  with  others.  In  addition,  I  will  promptly  disclose  to  Company  all  patent 
applications  filed  by  me  or  on  my  behalf  within  one  (1)  year  after  termination  of  employment.  At  the  time  of  each  such 
disclosure, I will advise Company in writing of any Inventions that I believe fully qualify for protection under the provisions of 
any  applicable  Specific  Inventions  Law;  and  I  will  at  that  time  provide  to  Company  in  writing  all  evidence  necessary  to 
substantiate that belief. Company will keep in confidence and will not use for any purpose or disclose to third parties without 
my consent any Confidential Information disclosed in writing to Company pursuant to this Agreement relating to Inventions 
that qualify fully for protection under a Specific Inventions Law. I will preserve the confidentiality of any Invention that does 
not fully qualify for protection under a Specific Inventions Law.

1.6 Government or Third Party. I agree that, as directed by Company, I will assign to a third party, including without 

limitation the United States, all my right, title, and interest in and to any particular Company Invention.

1.7

Ownership of Work Product.

(a)

I acknowledge that all original

6.

 
 
 
 
 
 
 
DocuSign Envelope ID: 6331C7FF-6F42-4698-AFAB-FE5B7154A5CD
works of authorship which are made by me (solely or jointly with others) within the scope of my employment and which 
are protectable by Copyright are “works made for hire,” pursuant to United States Copyright Act (17 U.S.C., Section 101).

(b)

I  agree  that  Verrica  Pharmaceuticals  Inc.  will  exclusively  own  all  work  product  that  is  made  by  me 
(solely or jointly with others) within the scope of my employment, and I hereby irrevocably and unconditionally assign to 
Verrica Pharmaceuticals Inc. all right, title, and interest worldwide in and to such work product. I understand and agree that 
I have no right to publish on, submit for publishing, or use for any publication any work product protected by this Section, 
except as necessary to perform services for Company.

1.8 Enforcement of Intellectual Property Rights and Assistance. I will assist Company in every proper way to 
obtain, and from time to time enforce, United States and foreign Intellectual Property Rights and Moral Rights relating to 
Company Inventions in any and all countries. To that end I will execute, verify and deliver such documents and perform 
such other acts (including appearances as a witness) as Company may reasonably request for use in applying for, obtaining, 
perfecting, evidencing, sustaining and enforcing such Intellectual Property Rights and the assignment thereof. In addition, I 
will  execute,  verify  and  deliver  assignments  of  such  Intellectual  Property  Rights  to  Verrica  Pharmaceuticals  Inc.  or  its 
designee, including the United States or any third party designated by Verrica Pharmaceuticals Inc. My obligation to assist 
Company  with  respect  to  Intellectual  Property  Rights  relating  to  such  Company  Inventions  in  any  and  all  countries  will 
continue  beyond  the  termination  of  my  employment,  but  Company  will  compensate  me  at  a  reasonable  rate  after  my 
termination for the time actually spent by me at Company’s request on such assistance. In the event Company is unable for 
any reason, after reasonable effort, to secure my signature

7.

 
 
 
 
 
DocuSign Envelope ID: 6331C7FF-6F42-4698-AFAB-FE5B7154A5CD
on any document needed in connection with the actions specified in this paragraph, I hereby irrevocably designate and appoint 
Company and its duly authorized officers and agents as my agent and attorney in fact, which appointment is coupled with an 
interest, to act for and in my behalf to execute, verify and file any such documents and to do all other lawfully permitted acts to 
further the purposes of the preceding paragraph with the same legal force and effect as if executed by me. I hereby waive and 
quitclaim to Company any and all claims, of any nature whatsoever, which I now or may hereafter have for infringement of any 
Intellectual Property Rights assigned under this Agreement to Verrica Pharmaceuticals Inc.

3.9

Incorporation  of  Software  Code.  I  agree  that  I  will  not  incorporate  into  any  Company  software  or  otherwise 
deliver to Company any software code licensed under the GNU General Public License or Lesser General Public License or any 
other  license  that,  by  its  terms,  requires  or  conditions  the  use  or  distribution  of  such  code  on  the  disclosure,  licensing,  or 
distribution of any source code owned or licensed by Company except in strict compliance with Company’s policies regarding 
the use of such software.

4.RECORDS. I  agree  to  keep  and  maintain  adequate  and  current  records  (in  the  form  of  notes,  sketches,  drawings  and  in  any 
other form that is required by Company) of all Confidential Information developed by me and all Company Inventions made by 
me  during  the  period  of  my  employment  at  Company,  which  records  will  be  available  to  and  remain  the  sole  property  of 
Company at all times.

5.DUTY OF LOYALTY DURING EMPLOYMENT. I agree that during the period of my employment by Company I will not, without 
Company’s express written consent, directly or indirectly engage in any employment or business activity which is directly or 
indirectly competitive with, or would otherwise conflict with, my employment by Company.

6.
8.

 
 
 
 
 
DocuSign Envelope ID: 6331C7FF-6F42-4698-AFAB-FE5B7154A5CD
OR CUSTOMERS OR POTENTIAL CUSTOMERS. I 
NO SOLICITATION OF EMPLOYEES, CONSULTANTS,  C ONTRACTORS, 
agree that during the period of my employment and for the one (1) year period after the date my employment ends for any 
reason, including but not limited to voluntary termination by me or involuntary termination by Company, I will not, as an 
officer, director, employee, consultant, owner, partner, or in any other capacity, either directly or through others, except on 
behalf of Company:

6.1

solicit, induce, encourage, or participate in soliciting, inducing or encouraging any person known to me to be 
an employee, consultant, or independent contractor of Company to terminate his or her relationship with Company, even if I 
did not initiate the discussion or seek out the contact;

6.2

solicit, induce, encourage, or participate in soliciting, inducing, or encouraging any person known to me to be 
an  employee,  consultant,  or  independent  contractor  of  Company  to  terminate  his  or  her  relationship  with  Company  to  
render  services  to  me  or  any  other  person  or  entity  that  researches,  develops,  markets,  sells,  performs  or  provides  or  is 
preparing to develop, market, sell, perform or provide Conflicting Services (as defined in Section 6 below);

6.3

hire, employ, or engage in a business venture with as partners or owners or other joint capacity, or attempt to 
hire, employ, or engage in a business venture as partners or owners or other joint capacity, with any person then employed 
by  Company  or  who  has  left  the  employment  of  Company  within  the  preceding  three  (3)  months  to  research,  develop, 
market, sell, perform or provide Conflicting Services;

6.4

solicit,  induce  or  attempt  to  induce  any  Customer  or  Potential  Customer  (as  defined  below),  to  terminate, 

diminish, or materially alter in a manner harmful to Company its relationship with Company;

9.

 
 
 
 
 
 
 
DocuSign Envelope ID: 6331C7FF-6F42-4698-AFAB-FE5B7154A5CD

6.5

solicit  or  assist  in  the  solicitation  of  any  Customer  or  Potential  Customer  to  induce  or  attempt  to  induce  such 

Customer or Potential Customer to purchase or contract for any Conflicting Services; or

6.6

perform, provide or attempt to perform or provide any Conflicting Services for a Customer or Potential Customer.

The parties agree that for purposes of this Agreement, a “Customer or Potential Customer” is any person or entity who or which, at any time during the 
one (1) year period prior to my contact with such person or entity as described in Sections 5.4-5.6 above if such contact occurs during my employment or, 
if such contact occurs following the termination of my employment, during the one (1) year period prior to the date my employment with Company ends: 
(i)  contracted  for,  was  billed  for,  or  received  from  Company  any  product,  service  or  process  with  which  I  worked  directly  or  indirectly  during  my 
employment  by  Company  or  about  which  I  acquired  Confidential  Information;  or  (ii)  was  in  contact  with  me  or  in  contact  with  any  other  employee, 
owner, or agent of Company, of which contact I was or should have been aware, concerning the sale or purchase of, or contract for, any product, service 
or process with which I worked directly or indirectly during my employment with Company or about which I acquired Confidential Information; or (iii) 
was solicited by Company in an effort in which I was involved or of which I was aware.

7.NON-COMPETE  PROVISION.  I  agree  that  for  the  one  (1)  year  period  after  the  date  my  employment  ends  for  any  reason, 
including  but  not  limited  to  voluntary  termination  by  me  or  involuntary  termination  by  Company,  I  will  not,  directly  or 
indirectly, as an officer, director, employee, consultant, owner, partner, or in any other capacity solicit, perform, or provide, or 
attempt  to  perform  or  provide  Conflicting  Services  anywhere  in  the  Restricted  Territory  (as  defined  below),  nor  will  I  assist 
another person to solicit, perform or provide or attempt to perform or provide Conflicting Services anywhere in the Restricted 
Territory.

The  parties  agree  that  for  purposes  of  this  Agreement,  “Conflicting Services”  means  any  product,  service,  or  process  or  the 
research  and  development  thereof,  of  any  person  or  organization  other  than  Company  that  directly  competes  with  a  product, 
service, or process,

10.

 
 
 
 
 
 
 
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including  the  research  and  development  thereof,  of  Company  with  which  I  worked  directly  or  indirectly  during  my 
employment by Company or about which I acquired Confidential Information during my employment by Company.

The parties agree that for purposes of this Agreement, “Restricted Territory” means the one hundred (100) mile radius of 
any of the following locations: (i) any Company business location at which I have worked on a regular or occasional basis 
during the preceding year; (ii) my home if I work from home on a regular or occasional basis; (iii) any potential business 
location of Company under active consideration by Company to which I have traveled in connection with the consideration 
of that location; (iv) the primary business location of a Customer or Potential Customer; or (v) any business location of a 
Customer or Potential Customer where representatives of the Customer or Potential Customer with whom I have been in 
contact in the preceding year are based.

8.REASONABLENESS 

OF RESTRICTIONS.

8.1

I agree that I have read this entire Agreement and understand it. I agree that this Agreement does not prevent 
me from earning a living or pursuing my career. I agree that the restrictions contained in this Agreement are reasonable, 
proper,  and  necessitated  by  Company’s  legitimate  business  interests.  I  represent  and  agree  that  I  am  entering  into  this 
Agreement  freely  and  with  knowledge  of  its  contents  with  the  intent  to  be  bound  by  the  Agreement  and  the  restrictions 
contained in it.

8.2

In  the  event  that  a  court  finds  this  Agreement,  or  any  of  its  restrictions,  to  be  ambiguous,  unenforceable,  or 
invalid, I and Company agree that the court will read the Agreement as a whole and interpret the restriction(s) at issue to be 
enforceable and valid to the maximum extent allowed by law.

11.

 
 
 
 
 
 
 
DocuSign Envelope ID: 6331C7FF-6F42-4698-AFAB-FE5B7154A5CD

8.3

If the court declines to enforce this Agreement in the manner provided in subsection 7.2, I and Company agree that 
this  Agreement  will  be  automatically  modified  to  provide  Company  with  the  maximum  protection  of  its  business  interests 
allowed by law and I agree to be bound by this Agreement as modified.

8.4

If after applying the provisions of subsections 7.2 and 7.3, a court still decides that this Agreement or any of its 
restrictions is unenforceable for lack of reasonable geographic limitation and the Agreement or restriction(s) cannot otherwise 
be enforced, the parties hereby agree that the fifty (50) mile radius from any location at which I worked for Company on either 
a regular or occasional basis during the one (1) year immediately preceding termination of my employment with Company shall 
be the geographic limitation relevant to the contested restriction.

9.NO CONFLICTING AGREEMENT OR OBLIGATION. I represent that my performance of all the terms of this Agreement and as 
an  employee  of  Company  does  not  and  will  not  breach  any  agreement  to  keep  in  confidence  information  acquired  by  me  in 
confidence  or  in  trust  prior  to  my  employment  by  Company.  I  have  not  entered  into,  and  I  agree  I  will  not  enter  into,  any 
agreement either written or oral in conflict with this Agreement.

10.RETURN OF COMPANY PROPERTY. When I leave the employ of Company, I will deliver to Company any and all drawings, 
notes,  memoranda,  specifications,  devices,  formulas  and  documents,  together  with  all  copies  thereof,  and  any  other  material 
containing or disclosing  any  Company Inventions,  Third  Party  Information  or Confidential Information of Company. I agree 
that I will not copy, delete, or alter any information contained upon my Company computer or Company equipment before I 
return  it  to  Company.  In  addition,  if  I  have  used  any  personal  computer,  server,  or  e-  mail  system  to  receive,  store,  review, 
prepare or transmit any Company information, including but not limited to, Confidential Information, I

12.

 
 
 
 
 
 
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agree to provide Company with a computer- useable copy of all such Confidential Information and then permanently delete 
and expunge such Confidential Information from those systems; and I agree to provide Company access to my system as 
reasonably  requested  to  verify  that  the  necessary  copying  and/or  deletion  is  completed.  I  further  agree  that  any  property 
situated on Company’s premises and owned by Company, including disks and other storage media, filing cabinets or other 
work  areas,  is  subject  to  inspection  by  Company’s  personnel  at  any  time  with  or  without  notice.  Prior  to  leaving,  I  will 
cooperate  with  Company  in  attending  an  exit  interview  and  completing  and  signing  Company’s  termination  statement  if 
required to do so by Company.

11. LEGAL AND EQUITABLE REMEDIES.

11.1 I agree that it may be impossible to assess the damages caused by my violation of this Agreement or any of its 
terms. I agree that any threatened or actual violation of this Agreement or any of its terms will constitute immediate and 
irreparable  injury  to  Company  and  Company  will  have  the  right  to  enforce  this  Agreement  and  any  of  its  provisions  by 
injunction,  specific  performance  or  other  equitable  relief,  without  bond  and  without  prejudice  to  any  other  rights  and 
remedies that Company may have for a breach or threatened breach of this Agreement.

11.2 I agree that if Company is successful in whole or in part in any legal or equitable action against me under this 

Agreement, Company will be entitled to payment of all costs, including reasonable attorneys’ fees, from me.

11.3 In the event Company enforces this Agreement through a court order, I agree that the restrictions of Sections 5 

and 6 will remain in effect for a period of twelve (12) months from the effective date of the order enforcing the Agreement.

12.NOTICES.  Any notices 

required  or permitted under this Agreement will be given to

13.

 
 
 
 
 
 
 
 
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Company at its headquarters location at the time notice is given, labeled “Attention Chief Executive Officer,” and to me at my 
address as listed on Company payroll, or at such other address as Company or I may designate by written notice to the other. 
Notice will be effective upon receipt or refusal of delivery. If delivered by certified or registered mail, notice will be considered 
to have been given five (5) business days after it was mailed, as evidenced by the postmark. If delivered by courier or express 
mail service, notice will be considered to have been given on the delivery date reflected by the courier or express mail service 
receipt.

12.PUBLICATION OF THIS AGREEMENT TO SUBSEQUENT EMPLOYER OR BUSINESS ASSOCIATES OF EMPLOYEE.

12.1 If I am offered employment or the opportunity to enter into any business venture as owner, partner, consultant or 
other capacity while the restrictions described in Sections 5 and 6 of this Agreement are in effect I agree to inform my potential 
employer, partner, co- owner and/or others involved in managing the business with which I have an opportunity to be associated 
of my obligations under this Agreement and also agree to provide such person or persons with a copy of this Agreement.

12.2 I  agree  to  inform  Company  of  all  employment  and  business  ventures  which  I  enter  into  while  the  restrictions 
described in Sections 5 and 6 of this Agreement are in effect and I also authorize Company to provide copies of this Agreement 
to my employer, partner, co- owner and/or others involved in managing the business with which I am employed or associated 
and to make such persons aware of my obligations under this Agreement.

13. GENERAL PROVISIONS.

13.1 Governing  Law;  Consent  to  Personal  Jurisdiction.  This  Agreement  will  be  governed  by  and  construed 

according to the laws of the Commonwealth of Pennsylvania as such laws are applied to agreements entered into

14.

 
 
 
 
 
 
 
 
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and  to  be  performed  entirely  within  Pennsylvania  between  Pennsylvania  residents.  I  hereby  expressly  consent  to  the 
personal  jurisdiction  and  venue  of  the  state  and  federal  courts  for  the  county  in  which  Company’s  principal  place  of 
business is located for any lawsuit filed there against me by Company arising from or related to this Agreement.

13.2 Severability. In case any one or more of the provisions, subsections, or sentences contained in this Agreement 
will,  for  any  reason,  be  held  to  be  invalid,  illegal  or  unenforceable  in  any  respect,  such  invalidity,  illegality  or 
unenforceability  will  not  affect  the  other  provisions  of  this  Agreement,  and  this  Agreement  will  be  construed  as  if  such 
invalid, illegal or unenforceable provision had never been contained in this Agreement. If moreover, any one or more of the 
provisions  contained  in  this  Agreement  will  for  any  reason  be  held  to  be  excessively  broad  as  to  duration,  geographical 
scope, activity or subject, it will be construed by limiting and reducing it, so as to be enforceable to the extent compatible 
with the applicable law as it will then appear.

13.3 Successors  and  Assigns.  This  Agreement  is  for  my  benefit  and  the  benefit  of  Company,  its  successors, 
assigns,  parent  corporations,  subsidiaries,  affiliates,  and  purchasers,  and  will  be  binding  upon  my  heirs,  executors, 
administrators and other legal representatives.

13.4 Survival. The provisions of this Agreement will survive the termination of my employment, regardless of the 

reason, and the assignment of this Agreement by Company to any successor in interest or other assignee.

13.5 Employment  At-Will.  I  agree  and  understand  that  nothing  in  this  Agreement  will  change  my  at-will 
employment status or confer any right with respect to continuation of employment by Company, nor will it interfere in any 
way with my right or Company’s right to terminate my employment at any time, with or without cause or advance notice.

15.

 
 
 
 
 
 
 
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1.6 Waiver. No waiver by Company of any breach of this Agreement will be a waiver of any preceding or succeeding 
breach. No waiver by Company of any right under this Agreement will be construed as a waiver of any other right. Company 
will not be required to give notice to enforce strict adherence to all terms of this Agreement.

1.7

Export. I agree not to export, reexport, or transfer, directly or indirectly, any

U.S. technical data acquired from Company or any products utilizing such data, in violation of the United States export laws or 
regulations.

1.8 Advice            of            Counsel. 

I  ACKNOWLEDGE  THAT,  IN  EXECUTING  THIS  AGREEMENT,  I 
HAVE HAD THE OPPORTUNITY TO SEEK THE ADVICE OF INDEPENDENT LEGAL COUNSEL, AND I HAVE 
READ  AND  UNDERSTOOD  ALL  OF  THE  TERMS  AND  PROVISIONS  OF            THIS            AGREEMENT. 
AGREEMENT  WILL  NOT  BE  CONSTRUED  AGAINST  ANY  PARTY  BY  REASON  OF  THE  DRAFTING  OR 
PREPARATION OF THIS AGREEMENT.

THIS 

1.9 Entire      Agreement. The obligations pursuant to Sections 1 and 2 (except Subsections 2.4 and 2.7(a)) of this 
Agreement will apply to any time during which I was previously engaged, or am in the future engaged, by Company as a 
consultant if no other agreement governs nondisclosure and assignment of Inventions during such period. This Agreement 
is  the  final,  complete  and  exclusive  agreement  of  the  parties  with  respect  to  the  subject  matter  of  this  Agreement  and 
supersedes  and  merges  all  prior  discussions  between  us;  provided,  however,  prior  to  the  execution  of  this  Agreement,  if 
Company and I were parties to any agreement regarding the subject matter hereof, that agreement will be superseded by this 
Agreement prospectively only. No modification of or amendment to this Agreement, nor any waiver of any rights under this 
Agreement, will be effective unless in writing and signed by the party to be charged. Any subsequent change or changes in 
my duties, salary or compensation will not affect the validity or scope of this Agreement.

16.

 
 
 
 
 
 
DocuSign Envelope ID: 6331C7FF-6F42-4698-AFAB-FE5B7154A5CD

This Agreement will be effective as of February 27, 2020.

I HAVE READ THIS AGREEMENT CAREFULLY AND UNDERSTAND ITS TERMS. I HAVE COMPLETELY FILLED OUT

EXHIBIT A TO THIS AGREEMENT.

Christopher G. Hayes

ACCEPTED AND AGREED TO:

VERRICA PHARMACEUTICALS INC.

By:   

 Ted White, President & CEO

17.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
DocuSign Envelope ID: 6331C7FF-6F42-4698-AFAB-FE5B7154A5CD

EXHIBIT 1

LIST OF EXCLUDED INVENTIONS

1.

Except as listed in Section 2 below, the following is a complete list of all inventions or improvements relevant to the 
subject matter of my employment by Verrica Pharmaceuticals Inc. that have been made or conceived or first reduced to practice by me 
alone or jointly with others prior to my engagement by Verrica Pharmaceuticals Inc.:

No inventions or improvements.

See below:

Title 

Date 

Identifying Number or Brief Description

Additional sheets attached.

2.

Due  to  a  prior  confidentiality  agreement,  I  cannot  complete  the  disclosure  under  Section  1  above  with  respect  to 
inventions or improvements generally listed below, the intellectual property rights and duty of confidentiality with respect to which I owe 
to the following party(ies):

Invention or Improvement

Party(ies)

Relationship

1. 

2. 

3. 

A-1

Additional sheets attached

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
  
 
  
  
 
  
  
 
 
 
 
DocuSign Envelope ID: 6331C7FF-6F42-4698-AFAB-FE5B7154A5CD

Exhibit B

[Draft] Release Agreement

This Release Agreement (“Release” or “Agreement”) is made by and between Christopher G. Hayes (“you”) and Verrica Pharmaceuticals 
Inc.  (the  “Company”).  A  copy  of  this  Release  is  an  attachment  to  the  Employment  Agreement  between  the  Company  and  you  dated 
February  27,  2020  (the  “Employment Agreement”).  Capitalized  terms  not  defined  in  this  Agreement  carry  the  definition  found  in  the 
Employment Agreement.

5.

Severance Payments; Other Payments.

In  consideration  for  your  execution,  return  and  non-revocation  of  this  Release  on  or  after  your 
Separation  Date,  the  Company  will  provide  you  with  the  following  “Severance  Benefits”:  [to  include  payment  of  specific  severance 
payments and COBRA benefits to be paid].

5.1

In addition, regardless of whether you sign this Agreement, the Company affirms that it will pay 
the following on the next regularly scheduled date on which payroll is run, as required under Section 6 of the Employment Agreement,: 
[to include payment of all salary, business expense reimbursements and other amounts due to employee that are not part of the severance].

5.2

6.

Compliance with Section 409A. The Severance Benefits offered to you by the Company are payable in reliance on 
Treasury Regulation Section 1.409A-1(b)(9) and the short term deferral exemption in Treasury Regulation Section 1.409A-1(b)(4). For 
purposes  of  Code  Section  409A,  your  right  to  receive  any  installment  payments  (whether  pay  in  lieu  of  notice,  Severance  Benefits, 
reimbursements  or  otherwise)  shall  be  treated  as  a  right  to  receive  a  series  of  separate  payments  and,  accordingly,  each  installment 
payment shall at all times be considered a separate and distinct payment. All payments and benefits are subject to applicable withholdings 
and deductions.

7.

Release.  In  exchange  for  the  Severance  Benefits  and  other  consideration,  to  which  you  would  not  otherwise  be 
entitled, and except as otherwise set forth in this Agreement, you, on behalf of yourself and, to the extent permitted by law, on behalf of 
your spouse, heirs, executors, administrators, assigns, insurers, attorneys and other persons or entities, acting or purporting to act on your 
behalf  (collectively,  the  “Employee Parties”),  hereby  generally  and  completely  release,  acquit  and  forever  discharge  the  Company,  its 
parents  and  subsidiaries,  and  its  and  their  officers,  directors,  managers,  partners,  agents,  representatives,  employees,  attorneys, 
shareholders, predecessors, successors, assigns, insurers and affiliates (the “Company Parties”) of and from any and all claims, liabilities, 
demands,  contentions,  actions,  causes  of  action,  suits,  costs,  expenses,  attorneys’  fees,  damages,  indemnities,  debts,  judgments,  levies, 
executions and obligations of every kind and nature, in law, equity, or otherwise, both known and unknown, suspected and unsuspected, 
disclosed and undisclosed, arising out of or in any way related to my employment with the Company and separation therefrom, arising at 
any time prior to and including the execution date of this Agreement, including but not limited to: all such claims and demands directly or 
indirectly arising out of or in any way connected with your employment with the Company or the termination of that employment; claims 
or demands related to salary, bonuses, commissions, vacation pay, the right to receive additional grants of stock, stock options or other 
ownership interests in the Company, fringe benefits, expense reimbursements, severance pay, or any other form of compensation; claims 
pursuant to any federal, state or local law, statute, or cause of action; tort law; or contract law (individually a “Claim” and collectively 
“Claims”). The Claims you are releasing and waiving in this Agreement include, but are not limited to, any and all Claims that any of the 
Company Parties:

•

•

B-1

has violated its personnel policies, handbooks, contracts of employment, or covenants of good faith and fair dealing;

has  discriminated  against  you  on  the  basis  of  age,  race,  color,  sex  (including  sexual  harassment),  national  origin, 
ancestry,  disability,  religion,  sexual  orientation,  marital  status,  parental  status,  source  of  income,  entitlement  to 
benefits, any union activities or other protected category in violation of any local, state or federal law, constitution, 
ordinance, or regulation, including but not

 
 
 
 
 
 
 
 
 
 
 
 
 
DocuSign Envelope ID: 6331C7FF-6F42-4698-AFAB-FE5B7154A5CD

limited to: the Age Discrimination in Employment Act, as amended (“ADEA”); Title VII of the Civil Rights Act of 
1964, as amended; the Civil Rights Act of 1991; 42 U.S.C. § 1981, as amended; the Equal Pay Act; the Americans 
With  Disabilities  Act;  the  Genetic  Information  Nondiscrimination  Act;  the  Family  and  Medical  Leave  Act;  the 
Pennsylvania  Human  Relations  Act;  the  Pennsylvania  Whistleblower  Law;  the  Pennsylvania  Equal  Pay  Law;  the 
Employee  Retirement  Income  Security  Act;  the  Employee  Polygraph  Protection  Act;  the  Worker  Adjustment  and 
Retraining Notification Act; the Older Workers Benefit Protection Act; the anti-retaliation provisions of the Sarbanes-
Oxley Act, or any other federal or state law regarding whistleblower retaliation; the Lilly Ledbetter Fair Pay Act; the 
Uniformed  Services  Employment  and  Reemployment  Rights  Act;  the  Fair  Credit  Reporting  Act;  and  the  National 
Labor Relations Act; and

•

has violated any statute, public policy or common law (including, but not limited to, Claims for retaliatory discharge; 
negligent hiring, retention or supervision; defamation; intentional or negligent infliction of emotional distress and/or 
mental anguish; intentional interference with contract; negligence; detrimental reliance; loss of consortium to you or 
any member of your family and/or promissory estoppel).

Notwithstanding the foregoing, other than events expressly contemplated by this Agreement you do not waive or release rights or Claims 
that may arise: (i) from events that occur after the date this Release is executed; (ii) that relate to a breach of this Agreement; (iii) that 
relate to any existing ownership interest in the Company or vested equity awards as of the date this Release is executed; (iv) that relate to 
my  vested  benefits  or  existing  rights  under  any  Company  benefit  plan  or  any  plan  or  agreement  related  to  equity  ownership  in  the 
Company that arise after this Release is executed; (v) in connection with any right of indemnification you may have for any liabilities 
arising from your actions within the course and scope of your employment with the Company or within the course and scope of your role 
as an officer of the Company; and (vi) any Claims which cannot be waived by law, including, without limitation, any rights you may have 
under applicable workers’ compensation laws. Nothing in this Agreement shall prevent you from filing, cooperating with, or participating 
in  any  proceeding  or  investigation  before  the  Equal  Employment  Opportunity  Commission,  United  States  Department  of  Labor,  the 
National  Labor  Relations  Board,  the  Occupational  Safety  and  Health  Administration,  the  Securities  and  Exchange  Commission  or  any 
other federal government agency, or similar state or local agency (“Government Agencies”), or exercising any rights pursuant to Section 7 
of the National Labor Relations Act. You further understand this Agreement does not limit your ability to voluntarily communicate with 
any Government Agencies or otherwise participate in any investigation or proceeding that may be conducted by any Government Agency, 
including providing documents or other information, without notice to the Company. While this Agreement does not limit your right to 
receive an award for information provided to the Securities and Exchange Commission, you understand and agree that, you are otherwise 
waiving, to the fullest extent permitted by law, any and all rights you may have to individual relief based on any Claims that you have 
released and any rights you have waived by signing this Agreement. If any Claim is not subject to release, to the extent permitted by law, 
you waive any right or ability to be a class or collective action representative or to otherwise participate in any putative or certified class, 
collective or multi-party action or proceeding based on such a Claim in which any of the Company Parties is a party.

4.

Your Acknowledgments and Affirmations. You also acknowledge and agree that (i) the consideration given to you 
in exchange for the waiver and release in this Agreement is in addition to anything of value to which you were already entitled, and (ii) 
that you have been paid for all time worked, have received all the leave, leaves of absence and leave benefits and protections for which 
you  are  eligible,  and  have  not  suffered  any  on-  the-job  injury  for  which  you  have  not  already  filed  a  Claim.  You  affirm  that  all  of  the 
decisions  of  the  Company  Parties  regarding  your  pay  and  benefits  through  the  date  of  your  execution  of  this  Agreement  were  not 
discriminatory based on age, disability, race, color, sex, religion, national origin or any other classification protected by law. You affirm 
that you have not filed or caused to be filed, and are not presently a party to, a Claim against any of the Company Parties.   You further 
affirm that you have no known workplace injuries or occupational diseases. You acknowledge and affirm that you have not been retaliated 
against for reporting any allegation of corporate fraud or other wrongdoing by any of the Company Parties, or for exercising any rights 
protected by law, including any rights protected by the Fair Labor Standards Act, the Family Medical Leave Act or any related statute or 
local leave or disability accommodation laws, or any applicable state workers’ compensation law.   In addition, you acknowledge that you 
are knowingly and voluntarily waiving and releasing any rights you may have under the

B-2

 
 
 
 
 
 
 
 
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ADEA (“ADEA Waiver”). You also acknowledge that the consideration given for the ADEA Waiver is in addition to anything of value to 
which you were already entitled. You further acknowledge that you have been advised by this writing, as required by the ADEA, that:   (a) 
your release and waiver herein does not apply to any rights or claims that arise after the date you sign this Agreement; (b) you should 
consult with an attorney prior to signing this Agreement; (c) you have twenty-one (21) days to consider this Agreement (although you 
may choose to voluntarily sign it sooner); (d) you have seven (7) days following the date you sign this Agreement to revoke it (by sending 
written  revocation  directly  to  [ 
];  and  (e)  the  Agreement  will  not  be  effective  until  the  date  upon  which  the  revocation  period  has 
expired unexercised, which will be the eighth (8th) day after you sign this Agreement.

8.

Return of Company Property. By the Separation Date, you agree to return to the Company all Company documents 
(and  all  copies  thereof)  and  other  Company  property  that  you  have  had  in  your  possession  at  any  time,  including,  but  not  limited  to, 
Company  files,  notes,  drawings,  records,  business  plans  and  forecasts,  financial  information,  specifications,  computer-recorded 
information, tangible property (including, but not limited to, computers), credit cards, entry cards, identification badges and keys; and, any 
materials of any kind that contain or embody any proprietary or confidential information of the Company (and all reproductions thereof). 
Please coordinate return of Company property with [  ]. Receipt of the Severance Benefits described in Section 1 of this Agreement is 
expressly conditioned upon return of all Company property.

9.

Confidential  Information,  Non-Competition  and  Non-Solicitation  Obligations.  Both  during  and  after  your 
employment you acknowledge your continuing obligations under your Employee Confidential Information, Inventions, Non-Solicitation 
and Non-Competition Agreement not to use or disclose any confidential or proprietary information of the Company and comply with your 
post-employment non-competition and non- solicitation restrictions. The Company acknowledges that you will not be held criminally or 
civilly liable under any federal or state trade secret law for the disclosure of a trade secret that: (A) is made (i) in confidence to a federal, 
state, or local government official, either directly or indirectly, or to an attorney and (ii) solely for the purpose of reporting or investigating 
a suspected violation of law; or (B) is made in a complaint or other document filed in a lawsuit or other proceeding, if such filing is made 
under seal. In addition, in the event that you file a lawsuit for retaliation by the Company for reporting a suspected violation of law, you 
may disclose the trade secret to your attorney and use the trade secret information in the court proceeding, if you: (A) file any document 
containing the trade secret under seal; and (B) do not disclose the trade secret, except pursuant to court order.

10.

Confidentiality.  The  provisions  of  this  Agreement  will  be  held  in  strictest  confidence  by  you  and  will  not  be 
publicized  or  disclosed  in  any  manner  whatsoever;  provided,  however,  that:  (a)  you  may  disclose  this  Agreement  to  your  immediate 
family; (b) you may disclose this Agreement in confidence to your attorney, accountant, auditor, tax preparer, and financial advisor; and 
(c) you may disclose this Agreement insofar as such disclosure may be required by law. Notwithstanding the foregoing, nothing in this 
Agreement  shall  limit  your  right  to  discuss  your  employment  with  the  Equal  Employment  Opportunity  Commission,  United  States 
Department of Labor, the National Labor Relations Board, other federal government agency or similar state or local agency or to discuss 
the terms and conditions of your employment with others to the extent expressly permitted by Section 7 of the National Labor Relations 
Act.

11.

Non-Disparagement. You and the Company agree not to disparage each other, and the other’s attorneys, directors, 
managers, partners, employees, agents and affiliates, in any manner likely to be harmful to them or their business, business reputation or 
personal  reputation;  provided  that  you  and  the  Company  will  respond  accurately  and  fully  to  any  question,  inquiry  or  request  for 
information when required by legal process. For purposes of this Section 8, the obligations of the Company shall apply only to the senior 
management team and the members of the Board of Directors. Notwithstanding the foregoing, nothing in this Agreement shall limit your 
right to voluntarily communicate with the Equal Employment Opportunity Commission, United States Department of Labor, the National 
Labor Relations Board, other federal government agency or similar state or local agency or to discuss the terms and conditions of your 
employment with others to the extent expressly permitted by Section 7 of the National Labor Relations Act.

12.

No Admission. This Agreement does not constitute an admission by you or by the Company of any wrongful action 
or violation of any federal, state, or local statute, or common law rights, including those relating to the provisions of any law or statute 
concerning employment actions, or of any other possible or claimed violation of law or rights.

B-3

 
 
 
 
 
 
 
 
 
 
DocuSign Envelope ID: 6331C7FF-6F42-4698-AFAB-FE5B7154A5CD

10.

Breach. You agree that upon any material breach of this Agreement you will forfeit all amounts paid or owing to you 
under this Agreement. Further, you acknowledge that it may be impossible to assess the damages caused by your violation of the terms of 
Sections  5,  6,  7  and  8  of  this  Agreement  and  further  agree  that  any  threatened  or  actual  violation  or  breach  of  those  Sections  of  this 
Agreement  will  constitute  immediate  and  irreparable  injury  to  the  Company.  You  therefore  agree  that,  in  addition  to  any  and  all  other 
damages and remedies available to the Company upon your breach of this Agreement, the Company shall be entitled to an injunction to 
prevent you from violating or breaching this Agreement.

11.

Miscellaneous.  This  Agreement  is  entered  into  without  reliance  on  any  promise  or  representation,  written  or  oral, 
other  than  those  expressly  contained  herein,  and  it  supersedes  any  other  such  promises,  warranties  or  representations.  This  Agreement 
may not be modified or amended except in a writing signed by both you and a duly authorized officer of the Company. This Agreement 
will bind the heirs, personal representatives, successors and assigns of both you and the Company, and inure to the benefit of both you and 
the Company, their heirs, successors and assigns.   If any provision of this Agreement is determined to be invalid or unenforceable, in 
whole or in part, this determination will not affect any other provision of this Agreement and the provision in question will be modified by 
the court so as to be rendered enforceable. This Agreement will be deemed to have been entered into and will be construed and enforced 
in accordance with the laws of the Commonwealth of Pennsylvania as applied to contracts made and to be performed entirely within the 
Commonwealth of Pennsylvania.

VERRICA PHARMACEUTICALS INC.

By:   Name:
Title:

I UNDERSTAND THAT THIS AGREEMENT INCLUDES A RELEASE OF ALL KNOWN AND UNKNOWN CLAIMS, EVEN 
THOSE UNKNOWN CLAIMS THAT IF KNOWN BY ME, WOULD AFFECT MY DECISION TO ACCEPT THIS 
AGREEMENT.

Christopher G. Hayes

213698993

B-4

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Exhibit 10.26

WAIVER AND SECONDAMENDMENT TO
MEZZANINE LOAN AND SECURITYAGREEMENT

This  Waiver  and  Second  Amendment  to  Loan  and  Security  Agreement(this  “Amendment”  )  is  entered  into  this  1st  day  of 
March,2022 by and among (a) SILICONVALLEY BANK, a California corporation (“SVB”),  in its capacity as  administrative 
agent  and  collateral  agent  (“Agent”),  (b)  SILICON  VALLEY  BANK,  a  California  corporation,  as  a  lender,  (c)  SVB 
INNOVATION CREDIT FUND VIII, L.P., a Delaware limited partnership (“SVB Innovation Fund”), as a lender (SVB and 
SVB Innovation Fund and each of the other “ Lenders” from time to time a party heretoare referred to herein collectively as the 
“Lenders”  and  each  individually  as  a  “Lender”),  and  (d)  VERRICA  PHARMACEUTICALS  INC.,  a  Delawarecorporation 
(“Borrower”), whose address is 44 West Gay Street, Suite 400, West Chester, Pennsylvania 19380.

RECITALS

a) Borrower, Agent and the Lenders have entered into that certain Mezzanine Loan and SecurityAgreement dated as of 
March 10, 2020, as amendedby that certain First Amendmentto Mezzanine Loan and Security Agreement dated as of 
October 26, 2020 (as the same may from time to time be further amended,modified, supplemented or restated, the “Loan 
Agreement”).

b) The Lenders have extended credit to Borrower for the purposes permitted in the Loan Agreement.

c) Borrower has requested that the Lenders amend the Loan Agreement to (i) waive the Stated Default (as hereinafter 
defined) and (ii) make certain revisions to the Loan Agreement as more fullyset forth herein.

d) The Lenders have agreed to waive the Stated Default (as hereinafter defined) and so amend certain provisions of the Loan 
Agreement, but only to the extent,in accordance with the terms, subject to the conditions and in reliance upon the 
representations and warranties set forth below.

AGREEMENT

NOW, THEREFORE, inconsideration of the foregoing recitalsand other good and valuable consideration, the receipt and adequacy 
of which is hereby acknowledged, and intending to be legally bound, the parties heretoagree as follows:

1.   Definitions. Capitalized terms used but not defined in this Amendmentshall have the meanings givento them in the 

Loan Agreement.

2.   Amendments to Loan Agreement.

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Section 6.2 (Financial Statements, Reports, Certificates). Section 6.2(a) is amendedin its entirety and 
replacedwith the following:

“          (a)        [Reserved];”

following:

b.    Section 6.7. Section 6.7 is amendedin its entirety and replacedwith the

“6.7     [Reserved].”

c.    Section 6 (Affirmative Covenants). The Loan Agreementis amended by inserting the following new provision 

to appear as Sections 6.14 thereof:

“6.14 PledgeAccount. At all times on and after the Second Amendment Effective Date, Borrower shall maintain unrestricted and 
unencumbered  cash  (other  than  Liens  in  favor  of  SVB  under  the  Senior  Loan  Agreement  and  Liens  in  favor  of  Agent  for  the 
ratable benefit of the Lenders under this Agreement) in the Cash Collateral Account in an amount equal to at least the aggregate 
outstanding principal amount of the Term Loan Advances. Borrower hereby authorizes and directs Agent to transferto the Cash 
Collateral Accountan amount equal to
$40,000,000.00  on  or  about  the  Second  Amendment  Effective  Date  as  required  under  this  Section6.14  (the  “Cash 
Collateralization”).  Borrowerauthorizes  Agent,  at  the  election  of  Agent  and  the  Lenders,  in  Agent’s  and  Lenders’  sole  and 
absolute  discretion,  to  apply  the  funds  held  in  the  Cash  Collateral  Account  to  the  Obligations  with  respect  to  the  Term  Loan 
Advanceswhen due in accordance with the terms of this Agreement. Borrower shall not be permitted to withdraw or remove (or 
in any manner have access to) any cash collateral maintained in the Cash Collateral Account.Borrower shall executeand deliver 
any  forms  or  agreements  requested  by  Agent  and  Lenders  with  respect  to  the  Cash  Collateral  Account,including,  without 
limitation, the Pledge Agreement.”

d.    Section 8.2 (Covenant Default). Section 8.2(a) is amended in its entirety and replaced with the following:

“      (a)     Borrower fails or neglectsto perform any obligation in Sections 6.2, 6.3, 6.4, 6.5, 6.6, 6.8(b), 6.13 or 6.14, or violates 
any covenant in Section7; or”

e.    Section 11 (Notices). The notice information for WestRiver is deleted in its entiretyand replaced with the 

“If to SVB Innovation Credit Fund VIII, L.P.: SVB Innovation CreditFund VIII, L.P.

following:

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c/o SVB Capital
2770 Sand Hill Road Menlo Park, CA 94025
Attention: SVB Capital Financeand Operations Email:
svbcapitalcredit@svbank.com SVBCapitalCreditFinance@svb.com”

f.    Section 14 (Definitions). The followingterms and their respective definitions set forth in Section 14.1 are 

amendedin their entiretyand replaced with the following:

“  “Lender  Intercreditor  Agreement”  is,  collectively,  any  and  all  intercreditor  agreement,  master  arrangement  agreement  or 
similar agreement by and between SVB Innovation Fund and SVB, as each may be amended from time to time in accordance 
with the provisions thereof.”
“ “Loan Documents” are, collectively, this Agreement and any schedules, exhibits, certificates, notices, and any other documents 
related  to  this  Agreement,  the  Subordination  Agreement,  the  Senior  Loan  Agreement,  the  Perfection  Certificate,  each 
Disbursement  Letter,  the  Lender  Intercreditor  Agreement,  the  Pledge  Agreement,  any  Control  Agreement,  any  subordination 
agreement, any note, or notes or guaranties executed by Borroweror any Guarantor, and any other present or future agreement by 
Borrower  and/or  any  Guarantor  with  or  for  the  benefit  of  Agent  and  the  Lendersin  connection  with  this  Agreement,  all  as 
amended, restated, or otherwise modified.”
“ “Repayment Schedule” means the period of time equal to thirteen (13) consecutive months.”

“         “Term Loan Amortization Date”means March 1, 2023.”

g.    Section 14 (Definition). The following new terms and their definitions are hereby insertedto appear 

alphabetically in Section 14.1 thereof:

“ “Cash Collateral Account” means a separate segregated collateral money market account of Borrower maintained with SVB, 
which is subject to the Pledge Agreement.”

“         “Cash Collateralization” is defined in Section 6.14.”

“       “Pledge Agreement” is that certainBank Services Cash Pledge Agreement by and among Borrower, Agent and the Lenders 
dated as of March 1, 2022.”

“         “Second AmendmentEffective Date” is March 1, 2022.”

“ “SVB Innovation Fund” means SVB Innovation Credit Fund VIII, L.P., a Delaware limited partnership.”

h.    Exhibit B (Compliance Certificate). The Compliance Certificate appearing as Exhibit B to the Loan Agreement 
is deleted in its entirety and replaced with the Compliance Certificate attached as Schedule 1 attached hereto.

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i.    Schedule 1 (Lenders and Commitments). Lenders and Commitments appearing as Schedule 1 to the Loan 
Agreement is deleted in its entirety and replaced with the Lendersand Commitments attachedas Schedule 2 
attached hereto.

2.10         Exhibit D (Form of Disbursement Letter). The Form of Disbursement Letter appearing as Exhibit D to the Loan 
Agreement is deleted in its entirety and replaced with the Form of Disbursement Letter attached as Schedule 3 attached hereto

3.   Limitation of Amendments.

j.    The amendments set forth in Section 2 above are effective for thepurposes set forth herein and shall be limited 

precisely as written and shall not be deemedto (a) be a consentto any amendment, waiver or modification of any 
other term or condition of any Loan Document, or (b) otherwise prejudice any right or remedy which Agent or 
the Lendersmay now have or may have in the futureunder or in connection with any Loan Document.

k.    This Amendment shall be construed in connection with and as part of the Loan Documents and all terms, 

conditions, representations, warranties, covenants and agreements set forth in the Loan Documents, exceptas 
herein amended,are hereby ratifiedand confirmed and shall remainin full force and effect.

4.   Representations and Warranties.  To induce Agent and the Lenders to enter intothis Amendment, Borrower 

herebyrepresents and warrants to Agent and the Lenders as follows:

l.    Immediately after giving effect to this Amendment (a) the representations and warranties contained in the Loan 

Documents are true, accurate and complete in all material respects as of the date hereof(except to the extent 
such representations and warranties relate to an earlier date, in which case they are true and correct in all 
materialrespects as of such date), and

b)    no Event of Defaulthas occurred and is continuing;

m.    Borrower has the power and authority to execute and deliver this Amendment and to perform its obligations 

under the Loan Agreement, as amended by this Amendment;

n.    The organizational documents of Borrower delivered to Agent on the Effective Date remain true, accurate and 

complete and have not been amended, supplemented or restated and are and continue to be in full force and 
effect;

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o.    The execution and delivery by Borrower of this Amendment and the performance by Borrower of its obligations 

under the Loan Agreement, as amended by this Amendment, have been duly authorized;

p.    The execution and delivery by Borrower of this Amendment and the performance by Borrower of its obligations 
under the Loan Agreement, as amended by this Amendment, do not and will not contravene (a) any law or 
regulation binding on or affecting Borrower, (b) any contractual restriction with a Person binding on Borrower, 
(c) any order, judgment or decree of any court or othergovernmental or publicbody or authority, or subdivision 
thereof,binding on Borrower,or (d) the organizational documents of Borrower;

q.    The execution and delivery by Borrower of this Amendmentand the performance by Borrower of its obligations 

under the Loan Agreement, as amended by this Amendment, do not require any order, consent, 
approval,license, authorization or validation of,

or filing, recording or registration with, or exemption by any governmental or public body or authority, or subdivision thereof, 
binding on Borrower, except as already has been obtained or made; and

r.    This Amendment has been duly executed and delivered by Borrower and is the binding obligation of Borrower, 

enforceable against Borrower in accordance with its terms, except as such enforceability may be limitedby 
bankruptcy, insolvency, reorganization, liquidation, moratorium or other similar laws of general application and 
equitable principles relating to or affecting creditors’ rights.

5.   Waiver. Lenders hereby waive Borrower’s anticipated default under the LoanAgreement by virtue of Borrower’s 

anticipated failure to comply with Section 6.2(e) of the Loan Agreement in connection with delivery of an unqualified 
opinion from an independent certified public accounting firm (relative to Borrower’s audited consolidated financial 
statements prepared underGAAP) for Borrower’s 2021 fiscal year end (the “Stated Default”). Lenders’waiver of the 
StatedDefault is a one-time waiverthat shall applyonly to the foregoing specificperiod. Borrower hereby 
acknowledges and agrees that except as specifically providedherein, nothing in this Sectionor anywhere in this 
Amendment shall be deemed or otherwise construed as a waiver by Lenders of any of its rights and remedies 
pursuantto the Loan Documents, applicable law or otherwise.

6.   Updated Perfection Certificate. Borrower has delivered an updated Perfection Certificate in connection with this 

Amendmentdated as of the date hereof (the “UpdatedPerfection Certificate” ) which UpdatedPerfection Certificate 
shall supersede in all respectsthat certain Perfection Certificate dated as of October 26, 2020. Borrower hereby 
acknowledges and agrees that all references in the Loan 

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Agreement to “Perfection Certificate” shall hereinafter be deemed to be references to the UpdatedPerfection 
Certificate, as defined herein.

7.   Release by Borrower:

a)    FOR GOOD AND VALUABLE CONSIDERATION, Borrower hereby forever relieves, releases, and discharges 

Agent and the Lenders and its present or former employees, officers, directors, agents, representatives, attorneys, and 
each of them, from any and all claims, debts, liabilities, demands, obligations, promises, acts, agreements, costs and 
expenses, actionsand causes of action, of every type,kind, nature, description or character whatsoever, whether known 
or unknown, suspected or unsuspected, absolute or contingent, arising out of or in any manner whatsoever connected 
with or related to facts, circumstances, issues, controversies or claims existing or arising from the beginning of time 
throughand including the date of execution of this Amendment(collectively “Released Claims”). Without limiting the 
foregoing, the Released Claims shall includeany and all liabilities or claims arisingout of or in any manner 
whatsoever connected with or related to the Loan Documents, the recitals hereto, any instruments, agreements or 
documents executed in connection with any of the foregoingor the origination, negotiation, administration, servicing 
and/or enforcement of any of the foregoing.

b)    In furtherance of this release, Borrower expressly acknowledges and waives any and all rights under Section1542 of 

the California CivilCode, which providesas follows:

“A general release does not extend to claims that the creditor or releasing party does not know or suspect to exist in his or her 
favor at the time of executing the release and that, if known by him or her, would have materially affected his or her settlement 
with the debtoror released party.”(Emphasis added.)

c)    By entering into this release, Borrower recognizes that no facts or representations are ever absolutely certain and it 

may hereafter discover facts in addition to or different from those which it presently knows or believes to be true, but 
that it is the intention of Borrower hereby to fully, finally and forever settle and release all matters, disputes and 
differences, known or unknown, suspected or unsuspected; accordingly, if Borrowershould subsequently discoverthat 
any fact that it relied upon in enteringinto this releasewas untrue, or that any understanding of the facts was incorrect, 
Borrower shall not be entitledto set aside this releaseby reason thereof,regardless of any claim of mistake of fact or 
law or any other circumstances whatsoever.Borrower acknowledges that it is not relying upon and has not relied upon 
any representation or statement made by Agent or the Lenders with respect to the facts underlying this release or with 
regard to any of such party’srights or assertedrights.

d)    This release may be pleaded as a full and complete defense and/or as a cross-complaint or counterclaim against any 

action, suit, or other proceeding that may be instituted, 

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prosecuted or attempted in breach of this release. Borrower acknowledges that the release contained herein constitutes 
a material inducement to Agent and the Lendersto enter into this Loan Modification Agreement, and that Agent and 
the Lenders would not have done so but for Agent’s and the Lenders’ expectation that such release is valid and 
enforceable in all events.

e)    Borrower hereby represents and warrants to Agent and the Lenders, and Agentand the Lendersare relying thereon,as 

follows:

a.    Except as expressly stated in this Amendment, neither Agent, the Lenders, nor any agent, employee or 

representative of Agent or the Lenders has made any statement or representation to Borrower regarding any fact 
relied upon by Borrower in entering into this Amendment.

b.    Borrower has made such investigation of the factspertaining to this Amendment and all of the 

mattersappertaining thereto, as it deems necessary.

c.     The terms of this Amendmentare contractual and not a mere recital.

d.    This Amendment has been carefullyread by Borrower, the contentshereof are known and understood by 

Borrower, and this Amendment is signed freely, and without duress,by Borrower.

e.     Borrower represents and warrants that it is the sole and lawfulowner of all right, title and interest in and to every 

claim and every other matter which it releases herein, and that it has not heretofore assigned or transferred, or 
purported to assign or transfer, to any person,firm or entityany claims or other mattersherein released. 
Borrowershall indemnify Agent and the Lenders, defendand hold it

harmless  from  and  againstall  claims  basedupon  or  arisingin  connection  with  prior  assignments  or  purported  assignments  or 
transfers of any claimsor matters releasedherein.

8.   Integration. This Amendment and the Loan Documents represent the entire agreement about this subject matter and 
supersede prior negotiations or agreements. All prior agreements, understandings, representations, warranties, and 
negotiations between the parties about the subjectmatter of this Amendment and the Loan Documents merge into this 
Amendment and the Loan Documents.

9.   Counterparts. This Amendment may be executed in any number of counterparts and all of such counterparts taken 

together shall be deemed to constitute one and the same instrument.

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10.   Effectiveness. This Amendment shall be deemed effective upon (a) the due execution and delivery to Agent of this 
Amendment by each party hereto and (b) Borrower’s payment to Agent of Agent’sand the Lenders’ legal fees and 
expensesincurred in connection with this Amendment.

11.   Governing Law. The provisions of Section 12 of the Loan Agreement shall apply to this Amendment as if set forth 

herein,mutatis mutandis.

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IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be duly executed and delivered as of the date first written above.

BORROWER:

VERRICA PHARMACEUTICALS INC.

By /s/ Ted White

Name: Ted White

Title: Chief Executive Officer

AGENT:

SILICON VALLEY BANK, as Agent

By /s/ Michael McMahon

Name: Michael McMahon

Title:  Director

LENDERS:

SILICON VALLEY BANK

By /s/ Michael McMahon

Name: Michael McMahon

Title:  Director

SVB INNOVATION CREDITFUND VIII, L.P.

By: SVB Innovation Credit Partners VIII, LLC, a Delaware limited liability company, its General 
Partner

By       /s/ Ryan Grammer                                                                                

Name: Ryan Grammer

Title: Senior Managing Director

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Schedule 1

EXHIBIT B

COMPLIANCE CERTIFICATE

Date:   

TO:  SILICON VALLEY BANK, as Agent, SVB, and SVB INNOVATION CREDIT FUND VIII, L.P., as Lender 
FROM:  VERRICA PHARMACEUTICALS INC.

The undersigned authorized officer of VERRICA PHARMACEUTICALS INC. (“Borrower”) certifies that under the terms and conditions of the Loan and 
Security Agreement among Borrower, SVB, and SVB Innovation Fund (the “Loan Agreement”), (1) Borrower is in complete compliance for the period 
ending _______________ with all required covenants except as noted below, (2) there are no Events of Default, (3) all representations and warranties in the 
Agreement are true and correct in all material respects on this date except as noted below; provided, however, that such materiality qualifier shall not be 
applicable to any representations and warranties that already are qualified or modified by materiality in the text thereof; and provided, further that those 
representations  and  warranties  expressly  referring  to  a  specific  date  shall  be  true,  accurate  and  complete  in  all  material  respects  as  of  such  date,  (4) 
Borrower, and each of its Subsidiaries, has timely filed all required tax returns and reports, and Borrower has timely paid all foreign, federal, state and local 
taxes, assessments, deposits and contributions owed by Borrower except as otherwise permitted pursuant to the terms of Section 5.8 of the Agreement, and 
(5)  no  Liens  have  been  levied  or  claims  made  against  Borrower  or  any  of  its  Subsidiaries  relating  to  unpaid  employee  payroll  or  benefits  of  which 
Borrower has not previously provided written notification to Agent.  Attached are the required documents supporting the certification.  The undersigned 
certifies that these are prepared in accordance with GAAP consistently applied from one period to the next except as explained in an accompanying letter or 
footnotes.  The undersigned acknowledges that no borrowings may be requested at any time or date of determination that Borrower is not in compliance 
with any of the terms of the Agreement, and that compliance is determined not just at the date this certificate is delivered.  Capitalized terms used but not 
otherwise defined herein shall have the meanings given them in the Agreement.

Please indicate compliance status by circling Yes/No under “Complies” column.

Reporting Covenants

Required

Quarterly financial statements with 
Compliance Certificate

Within 45 days of quarter end (within 90 days of quarter 
end for Q4)  

Annual financial statement with Compliance Certificate (CPA Audited) 

FYE within 180 days

10-Q Report

Filed 10‑Q, 10‑K and 8-K

Board approved projections

Other Matters

Within 45 days of quarter end for 10-Q (within 90 
days of quarter end for Q4)
Within 5 days after filing with SEC

30 days of FYE and as amended/updated

Complies

Yes   No

Yes   No

Yes   No

Yes   No

Yes   No

Have there been any amendments of or other changes to the capitalization table of Borrower and to the 
Operating Documents of Borrower or any of its Subsidiaries?  If yes, provide copies of any such amendments or 
changes with this Compliance Certificate.

Yes

No

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The following are the exceptions with respect to the certification above: (If no exceptions exist, state “No exceptions to note.”)

-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------

VERRICA PHARMACEUTICALS INC. 

AGENT USE ONLY

By: 
Name: 
Title: 

264474835 v4

Received by: _____________________

AUTHORIZED SIGNER

Date:  _________________________

Verified: ________________________

AUTHORIZED SIGNER

Date:  _________________________

Compliance Status: Yes     No

2
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SCHEDULE 2

SCHEDULE 1

LENDERS AND COMMITMENTS

TERM LOAN COMMITMENTS

Lender

Silicon ValleyBank

SVB Innovation
Credit Fund VIII,L.P.
TOTAL

Lender

Silicon ValleyBank

SVB Innovation
Credit Fund VIII,L.P.
TOTAL

Lender

Silicon ValleyBank

SVB Innovation
Credit Fund VIII,L.P.
TOTAL

Term A Loan Advance

Term A Loan Advance
Commitment

Term A Loan
Advance Commitment Percentage

$17,500,000.00

$17,500,000.00

50.0%

50.0%

$35,000,000.00

100.0000%

Term B1 Loan Advance

Term B1 Loan Advance
Commitment

Term B1 Loan
Advance Commitment Percentage

$2,500,000.00

$2,500,000.00

50.0%

50.0%

$5,000,000.00

100.0000%

Term B2 Loan Advance

Term B2 Loan Advance
Commitment

Term B2 Loan
Advance Commitment Percentage

$5,000,000.00

$5,000,000.00

50.0%

50.0%

$10,000,000.00

100.0000%

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SCHEDULE 3

DISBURSEMENT LETTER 

[DATE]

The undersigned, being the duly elected and acting  
hereby certify to (a) SILICON VALLEY BANK, a California corporation (“SVB”), in its capacity as administrative agent and collateral agent (“Agent”), 
(b) SILICON VALLEY BANK, a California corporation, as a lender, (c) ) SVB INNOVATION CREDIT FUND VIII, L.P., a Delaware limited 
partnership (“SVB Innovation Fund”), as a lender (SVB and SVB Innovation Fund and each of the other “Lenders” from time to time a party hereto are 
referred to herein collectively as the “Lenders” and each individually as a “Lender”) in connection with that certain Mezzanine Loan and Security 
Agreement dated as of [_________], by and among Borrower, Agent and the Lenders from time to time party thereto (the “Loan Agreement”; with other 
capitalized terms used below having the meanings ascribed thereto in the Loan Agreement) that:

 of VERRICA PHARMACEUTICALS INC., a Delaware corporation (“Borrower”), does 

1.  The representations and warranties made by Borrower in Section 5 of the Loan Agreement and in the other Loan Documents are true and correct 

in all material respects as of the date hereof. 

2.  No event or condition has occurred that would constitute an Event of Default under the Loan Agreement or any other Loan Document.

3.  Borrower is in compliance with the covenants and requirements contained in Sections 4, 6 and 7 of the Loan Agreement.

4.  All conditions referred to in Section 3 of the Loan Agreement to the making of a Credit Extension to be made on or about the date hereof have 

been satisfied or waived by Agent.

5.  No Material Adverse Change has occurred.

6.  The undersigned is an Authorized Signer.

7A.  The proceeds of the [Term Loan Advance] shall be disbursed as follows:

[Balance of Page Intentionally Left Blank]

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Disbursement from SVB:

Loan Amount

Plus:
‑‑Deposit Received

Less:
‑‑Commitment Fee
--Lender’s Legal Fees

Net Proceeds due from SVB:

Disbursement from SVB Innovation Fund:

Loan Amount

Plus:
‑‑Deposit Received

Less:
‑‑Commitment Fee

Net Proceeds due from SVB Innovation Fund:

Loan Amount
Plus:

 --Deposit Received

Less:

 --Commitment Fee

Net Proceeds due from Agent

$_______________

$__________

($__________)
($_________)

$_______________ 

$_______________

$__________

($_________)

$_______________ 

$_______________

$__________

($_________)

$_____________

TOTAL [TERM LOAN ADVANCE] NET PROCEEDS FROM LENDERS

$_______________ 

7B.  Funds from VERRICA PHARMACEUTICALS INC. (“Borrower”) Designated Deposit Account shall be disbursed as follows:

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SVB:

Term Loan Fees
Revolver Loan Fees
Lender’s Legal Fees

SVB Innovation Fund: Designated Deposit Account:_____________________

Term Loan Fees
Revolver Loan Fees

Funds due from Borrower (“Total Funds”)

$_______________

$_______________ 
$_______________

$_______________
$_______________ 
$_______________ 

8A.  The aggregate net proceeds of the [Term Loan Advance] shall be transferred to the Designated Deposit Account as follows:

Account Name:

Bank Name:

Bank Address:

Account Number:

ABA Number:

____________________________________

Silicon Valley Bank

3003 Tasman Drive
Santa Clara, California 95054

____________________________________

____________________________________

8B.  Borrower authorized SVB to debit the Total Funds from the Designated Deposit Account set forth below:

Account Name:

Bank Name:

Bank Address:

Account Number:

ABA Number:

____________________________________

Silicon Valley Bank

3003 Tasman Drive
Santa Clara, California 95054

____________________________________

____________________________________

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Exhibit 10.27

VERRICA PHARMACEUTICALS INC.

AMENDED AND RESTATED NON-EMPLOYEE DIRECTOR COMPENSATION POLICY

As adopted by the Board on February 24, 2022

Each member of the Board of Directors (the “Board”) who is not also serving as an employee of Verrica Pharmaceuticals Inc. 
(the “Company”)  and  is  not  affiliated  with  an  entity  that  beneficially  owns  5%  or  more  of  the  Company’s  outstanding  shares 
(each  such  member,  an  “Eligible  Director”)  will  receive  the  compensation  described  in  this  Amended  and  Restated  Non-
Employee Director Compensation Policy for his or her Board service. An Eligible Director may decline all or any portion of his 
or her compensation by giving notice to the Company prior to the date cash may be paid or equity awards are to be granted, as the 
case may be. This amended and restated policy is effective as of the date hereof and may be amended at any time in the sole 
discretion of the Board or the Compensation Committee of the Board.

Annual Cash Compensation

Unless  a  director  elects  otherwise,  the  annual  cash  compensation  amount  set  forth  below  is  payable  in  equal  quarterly 
installments, payable in advance during the first 30 days of each quarter in which the service will occur. If an Eligible Director 
joins  the  Board  or  a  committee  of  the  Board  at  a  time  other  than  effective  as  of  the  first  day  of  a  fiscal  quarter,  each  annual 
retainer set forth below will be pro-rated based on days served in the applicable fiscal year, with the pro-rated amount paid for the 
first fiscal quarter in which the Eligible Director provides the service (payable not later than 30 days after the Eligible Director 
commences such service), and regular full quarterly payments thereafter. All annual cash fees are vested upon payment.

1. Annual Board Service Retainer:

a. All Eligible Directors: $40,000

2. Annual Committee Chair Service Retainer:

a.

Chairman of the Audit Committee: $10,000

b. Chairman of the Compensation Committee: $10,000

c.

Chairman of the Nominating and Corporate Governance Committee: $10,000

3. Annual Committee Member Service Retainer:

a. Member of the Audit Committee: $5,000

b. Member of the Compensation Committee: $5,000

c. Member of the Nominating and Corporate Governance Committee: $5,000

Equity Compensation
221255977 v1 

 
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
The equity compensation set forth below will be granted under the Company’s 2018 Equity Incentive Plan (the “Plan”), subject 
to the approval of the Plan by the Company’s stockholders.

All stock options granted under this policy will be nonstatutory stock options, with an exercise price per share equal to 100% of 
the Fair Market Value (as defined in the Plan) of the underlying common stock on the date of grant, and a term of ten years from 
the date of grant (subject to earlier termination in connection with a termination of service as provided in the Plan, provided that 
upon  a  termination  of  service  other  than  for  death,  disability  or  cause,  the  post-termination  exercise  period  will  be  12  months 
from the date of termination).

1. Initial Grant: For each Eligible Director who is first elected or appointed to the Board, on the date of such Eligible Director’s 
initial election or appointment to the Board (or, if such date is not a market trading day, the first market trading day thereafter), 
the Eligible Director will be automatically, and without further action by the Board or Compensation Committee of the Board, 
granted a stock option for 17,502 shares (the “Initial Grant”). The shares subject to each Initial Grant will vest over a period of 
three years as follows: (i) one-third of the total shares subject to the option shall vest on the first anniversary of the date of grant 
and  (ii)  1/36th  of  total  shares  subject  to  the  option  shall  vest  monthly  thereafter  over  the  remaining  two  years  of  the  vesting 
period, subject to the Eligible Director’s Continuous Service (as defined in the Plan) through such vesting date and will vest in 
full upon a Change in Control (as defined in the Plan).

2. Annual Grant: On the date of each annual stockholders meeting of the Company, each Eligible Director who continues to serve 
as a non-employee member of the Board following such stockholders meeting will be automatically, and without further action 
by the Board or Compensation Committee of the Board, granted a stock option for 10,384 shares (the “Annual Grant”). The 
shares subject to each Annual Grant will vest in equal monthly installments over the 12 months following the date of grant, 
provided that the Annual Grant will in any case be fully vested on the date of the Company’s next annual stockholder meeting, 
subject to the Eligible Director’s Continuous Service (as defined in the Plan) through such vesting date and will vest in full upon 
a Change in Control (as defined in the Plan).

221255977 v1 

 
  
 
 
 
WAIVER AND SECONDAMENDMENT TO

LOAN AND SECURITYAGREEMENT

Exhibit 10.28

This Waiver and Second Amendmentto Loan and Security Agreement(this “Amendment”) is entered into this 1st day of March, 
2022,  by  and  between  SILICON  VALLEY  BANK  (“Bank”)  and  VERRICA  PHARMACEUTICALS  INC.,a  Delaware 
corporation (“Borrower”), whose address is 44 West Gay Street, Suite 400, West Chester, Pennsylvania 19380.

RECITALS

a) Bank and Borrower have entered into that certain Loan and Security Agreement dated as of March 10, 2020, as amended 
by that certain First Amendment to Loan and Security Agreement dated as of October 26, 2020 (as the same may 
from time to time be further amended, modified, supplemented or restated, the “Loan Agreement”).

b) Bank has extended credit to Borrower for the purposes permitted in the Loan Agreement.

c) Borrower has requested that Bank amend the Loan Agreement to (i) waive the Stated Default (as hereinafter defined) 

and (ii) make certainother revisions to the Loan Agreement as more fullyset forth herein.

d) Bank has agreed to waive the Stated Default (as hereinafter defined) and so amend certain provisions of the Loan 

Agreement, but only to the extent, in accordance with the terms, subject to the conditions and in relianceupon the 
representations and warranties set forth below.

AGREEMENT

NOW, THEREFORE, inconsideration of the foregoing recitalsand other good and valuable consideration, the receipt and adequacy 
of which is hereby acknowledged, and intending to be legally bound, the parties heretoagree as follows:

1. Definitions. Capitalized terms used but not defined in this Amendment shall have the meaningsgiven to them in the 

Loan Agreement.

2. Amendment to Loan Agreement.

and Bank has not further obligation to make, any Advances under the Revolving Line.

2.1 No Further Advances. Borrower acknowledges and agrees that it has no further right to request or receive, 

b. Section 6.9. Section 6.9 is deletedin its entirety and replacedwith the

following:

 
  
  
  
  
  
  
  
  
  
  
  
  
 
“6.9     [Reserved].”

c. Section 6.2 (Financial Statements, Reports, Certificates). Section 6.2(c)is amended in its entiretyand replaced 

with the following:

“          (c)        [Reserved];”

d. Exhibit B (Compliance Certificate). The Compliance Certificate appearing as Exhibit B to the Loan Agreement 

is deleted in its entirety and replaced with the Compliance Certificate attached as Schedule 1 attached hereto.

3. Limitation of Amendment.

a. The amendment set forth in Section 2, above, is effective for the purposes set forth herein and shall be limited 

precisely as written and shall not be deemedto (a) be a consentto any amendment, waiver or modification of any 
other term or condition of any Loan Document, or (b) otherwise prejudice any right or remedy which Bank may 
now have or may have in the future under or in connectionwith any Loan Document.

b. This Amendment shall be construed in connection with and as part of the Loan Documents and all terms, 

conditions, representations, warranties, covenants and agreements set forth in the Loan Documents, exceptas 
herein amended,are hereby ratifiedand confirmed and shall remainin full force and effect.

4. Representations and Warranties. To induce Bank to enter into this Amendment, Borrower hereby represents and 

warrantsto Bank as follows:

a. Immediately after giving effect to this Amendment (a) the representations and warranties contained in the Loan 

Documents are true, accurate and complete in all material respectsas of the date hereof(except to the extent such 
representations and warranties relateto an earlier date, in which case they are true and correct in all 
materialrespects as of such date), and
(b) no Event of Default has occurred and iscontinuing;

b. Borrower has the power and authority to execute and deliver this Amendment and to perform its obligations under 

the Loan Agreement, as amended by this Amendment;

c. The organizational documentsof Borrower deliveredto Bank on the Effective Date remain true, accurate and 

complete and have not been amended, supplemented or restated and are and continueto be in full force and 
effect;

 
  
  
  
  
  
  
  
  
  
  
 
d. The execution and delivery by Borrower of this Amendmentand the performance by Borrower of its obligations 

under the Loan Agreement, as amended by this Amendment, have been duly authorized;

e. The execution and delivery by Borrower of this Amendmentand the performance by Borrower of its obligations 

under the Loan Agreement, as amended by this Amendment, do not and will not contravene (a) any law or 
regulation binding on or affecting Borrower, (b) any contractual restriction with a Person binding on Borrower, 
(c) any order, judgment or decree of any court or othergovernmental or publicbody or authority, or subdivision

thereof, binding on Borrower,or (d) the organizational documents of Borrower;

f. The execution and delivery by Borrower of this Amendmentand the performance by Borrower of its obligations 

under the Loan Agreement, as amended by this Amendment, do not require any order, consent, approval, 
license, authorization or validation of, or filing, recording or registration with, or exemption by any 
governmental or public body or authority, or subdivision thereof, binding on Borrower, except as already has 
been obtained or made; and

g. This Amendment has been duly executed and delivered by Borrower and is the binding obligation of Borrower, 

enforceable against Borrower in accordance with its terms, except as such enforceability may be limitedby 
bankruptcy, insolvency, reorganization, liquidation, moratorium or other similar laws of general application and 
equitable principles relating to or affecting creditors’ rights.

5. Waiver. Bank hereby waives Borrower’s anticipated default under the Loan Agreement by virtue of Borrower’s 

anticipated failure to comply with Section 6.2(g) of the Loan Agreement in connection with delivery of an 
unqualified opinion from an independent certified public accounting firm (relative to Borrower’s audited consolidated 
financial statements prepared under GAAP) for Borrower’s 2021 fiscal year end (the “Stated Default”). Bank’s 
waiver of the Stated Defaultis a one-time waiver that shall applyonly to the foregoing specificperiod. Borrower 
hereby acknowledges and agrees that except as specifically providedherein, nothing in this Sectionor anywhere in this 
Amendment shall be deemed or otherwise construed as a waiver by Bank of any of its rights and remediespursuant to 
the Loan Documents, applicable law or otherwise.

6. Updated Perfection Certificate. Borrower has delivered an updated Perfection Certificate in connection with this 

Amendmentdated as of the date hereof (the “UpdatedPerfection Certificate” ) which UpdatedPerfection Certificate 
shall supersede in all respectsthat certain Perfection Certificate dated as of October 26, 2020. Borrower hereby 
acknowledges and agrees that all references in the Loan Agreement to “Perfection Certificate” shall hereinafter be 
deemed to be references to the UpdatedPerfection Certificate, as defined herein.

  
 
  
  
  
  
  
 
7. Release by Borrower:

a) FOR GOOD AND VALUABLE CONSIDERATION, Borrower hereby forever relieves, releases, and discharges Bank 

and its present or former employees, officers, directors, agents, representatives, attorneys, and each of them, from any 
and all claims, debts, liabilities, demands, obligations, promises, acts, agreements, costs and expenses,actions and 
causesof action, of every type, kind, nature,description or characterwhatsoever, whether knownor unknown, suspected 
or unsuspected, absoluteor contingent, arisingout of or in any manner whatsoever connected with or related to facts, 
circumstances, issues, controversies or claims existing or arising from the beginning of time through and including 
the date of execution of this Amendment(collectively “Released Claims”). Without limiting the foregoing, the 
Released Claims shall includeany and all liabilities or claims arisingout of or in any manner whatsoever connected 
with or related to the Loan Documents, the recitals hereto,any instruments, agreements or

documents executed in connection with any of the foregoingor the origination, negotiation, administration, servicing and/or 
enforcement of any of the foregoing.

b) In furtherance of this release, Borrower expressly acknowledges and waives any and all rights under Section1542 of the 

California CivilCode, which providesas follows:

“A general release does not extend to claims that the creditor or releasing party does not know or suspect to exist in his or her 
favor at the time of executing the release and that, if known by him or her, would have materially affected his or her settlement 
with the debtoror released party.”(Emphasis added.)

c) By entering into this release, Borrower recognizes that no facts or representations are ever absolutely certain and it may 
hereafter discover facts in addition to or different from those which it presently knows or believes to be true, but that 
it is the intention of Borrower hereby to fully, finally and forever settle and release all matters, disputes and 
differences, known or unknown, suspected or unsuspected; accordingly, if Borrowershould subsequently discoverthat 
any fact that it relied upon in enteringinto this releasewas untrue, or that any understanding of the facts was incorrect, 
Borrower shall not be entitledto set aside this releaseby reason thereof,regardless of any claim of mistake of fact or 
law or any other circumstances whatsoever.Borrower acknowledges that it is not relying upon and has not relied upon 
any representation or statement made by Bank with respect to the facts underlying this release or with regard to any 
of such party’s rights or asserted rights.

d) This release may be pleaded as a full and complete defense and/or as a cross-complaint or counterclaim against any 

action, suit, or other proceeding that may be instituted, prosecuted or attempted in breach of this release. Borrower 
acknowledges that the release contained herein constitutes a material inducement to Bank to enter into this 
Amendment, and that Bank would not have done so but for Bank’s expectation that such release is valid and 
enforceable in all events.

  
 
  
  
  
  
  
 
e) Borrower hereby represents and warrants to Bank, and Bank is relying thereon,as follows:

a. Except as expresslystated in this Amendment, neitherBank nor any agent, employeeor representative of Bank has 
made any statement or representation to Borrower regarding any fact relied upon by Borrower in entering into 
this Amendment.

b. Borrower has made such investigation of the factspertaining to this Amendment and all of the mattersappertaining 

thereto, as it deems necessary.

c. The terms of this Amendmentare contractual and not a mere recital.

d. This Amendment has been carefullyread by Borrower, the contentshereof are known and understood by Borrower, 

and this Amendment is signed freely, and without duress,by Borrower.

e. Borrower represents and warrants that it is the sole and lawfulowner of all right, title and interest in and to every 
claim and every other matter which it releases herein, and that it has not heretofore assigned or transferred, or 
purported to assign or transfer, to any person,firm or entityany claims or other mattersherein released. Borrower 
shall indemnify Bank, defend and hold it harmless from and against all claims based upon or arising in 
connection with prior assignments or purportedassignments or transfers of any claims or matters releasedherein.

8. Integration. This Amendment and the Loan Documents represent the entire agreement about this subject matter and 
supersede prior negotiations or agreements. All prior agreements, understandings, representations, warranties, and 
negotiations between the parties about the subjectmatter of this Amendment and the Loan Documents merge into this 
Amendment and the Loan Documents.

9. Counterparts. This Amendment may be executed in any number of counterparts and all of such counterparts taken 

together shall be deemed to constitute one and the same instrument.

10. Effectiveness. This Amendment shall be deemed effective upon (a) the due execution and delivery to Bank of this 

Amendment by each party hereto, and (b) Borrower’s payment to Bank of Bank’s legal fees and expensesincurred in 
connection with this Amendment.

11. Governing Law. The provisions of Section 11 of the Loan Agreement shall apply to this Amendment as if set forth 

herein,mutatis mutandis.

[Signature page follows.]WAIVER AND SECONDAMENDMENT TO
LOAN AND SECURITYAGREEMENT

  
  
  
  
 
  
  
  
  
  
 
This Waiver and Second Amendmentto Loan and Security Agreement(this “Amendment”) is entered into this 1st day of March, 
2022,  by  and  between  SILICON  VALLEY  BANK  (“Bank”)  and  VERRICA  PHARMACEUTICALS  INC.,a  Delaware 
corporation (“Borrower”), whose address is 44 West Gay Street, Suite 400, West Chester, Pennsylvania 19380.

RECITALS

a) Bank and Borrower have entered into that certain Loan and Security Agreement dated as of March 10, 2020, as amended 
by that certain First Amendment to Loan and Security Agreement dated as of October 26, 2020 (as the same may 
from time to time be further amended, modified, supplemented or restated, the “Loan Agreement”).

b) Bank has extended credit to Borrower for the purposes permitted in the Loan Agreement.

c) Borrower has requested that Bank amend the Loan Agreement to (i) waive the Stated Default (as hereinafter defined) 

and (ii) make certainother revisions to the Loan Agreement as more fullyset forth herein.

d) Bank has agreed to waive the Stated Default (as hereinafter defined) and so amend certain provisions of the Loan 

Agreement, but only to the extent, in accordance with the terms, subject to the conditions and in relianceupon the 
representations and warranties set forth below.

AGREEMENT

NOW, THEREFORE, inconsideration of the foregoing recitalsand other good and valuable consideration, the receipt and adequacy 
of which is hereby acknowledged, and intending to be legally bound, the parties heretoagree as follows:

1. Definitions. Capitalized terms used but not defined in this Amendment shall have the meaningsgiven to them in the 

Loan Agreement.

2.Amendment to Loan Agreement.

and Bank has not further obligation to make, any Advances under the Revolving Line.

2.1 No Further Advances. Borrower acknowledges and agrees that it has no further right to request or receive, 

b. Section 6.9. Section 6.9 is deletedin its entirety and replacedwith the

following:

“6.9     [Reserved].”

c. Section 6.2 (Financial Statements, Reports, Certificates). Section 6.2(c)is amended in its entiretyand replaced 

with the following:

  
  
  
  
  
  
  
  
  
  
  
  
 
  
 
“          (c)        [Reserved];”

d. Exhibit B (Compliance Certificate). The Compliance Certificate appearing as Exhibit B to the Loan Agreement 

is deleted in its entirety and replaced with the Compliance Certificate attached as Schedule 1 attached hereto.

3. Limitation of Amendment.

a. The amendment set forth in Section 2, above, is effective for the purposes set forth herein and shall be limited 

precisely as written and shall not be deemedto (a) be a consentto any amendment, waiver or modification of any 
other term or condition of any Loan Document, or (b) otherwise prejudice any right or remedy which Bank may 
now have or may have in the future under or in connectionwith any Loan Document.

b. This Amendment shall be construed in connection with and as part of the Loan Documents and all terms, 

conditions, representations, warranties, covenants and agreements set forth in the Loan Documents, exceptas 
herein amended,are hereby ratifiedand confirmed and shall remainin full force and effect.

4. Representations and Warranties. To induce Bank to enter into this Amendment, Borrower hereby represents and 

warrantsto Bank as follows:

a. Immediately after giving effect to this Amendment (a) the representations and warranties contained in the Loan 

Documents are true, accurate and complete in all material respectsas of the date hereof(except to the extent such 
representations and warranties relateto an earlier date, in which case they are true and correct in all 
materialrespects as of such date), and
(b) no Event of Default has occurred and iscontinuing;

b. Borrower has the power and authority to execute and deliver this Amendment and to perform its obligations under 

the Loan Agreement, as amended by this Amendment;

c. The organizational documentsof Borrower deliveredto Bank on the Effective Date remain true, accurate and 

complete and have not been amended, supplemented or restated and are and continueto be in full force and 
effect;

d. The execution and delivery by Borrower of this Amendmentand the performance by Borrower of its obligations 

under the Loan Agreement, as amended by this Amendment, have been duly authorized;

e. The execution and delivery by Borrower of this Amendmentand the performance by Borrower of its obligations 

under the Loan Agreement, as amended by this Amendment, do not and will not contravene (a) any law or 
regulation binding on or affecting Borrower, (b) any contractual restriction with a Person binding on 

  
  
  
  
  
  
  
  
  
  
 
Borrower, (c) any order, judgment or decree of any court or othergovernmental or publicbody or authority, or 
subdivision

thereof, binding on Borrower,or (d) the organizational documents of Borrower;

f. The execution and delivery by Borrower of this Amendmentand the performance by Borrower of its obligations 

under the Loan Agreement, as amended by this Amendment, do not require any order, consent, approval, 
license, authorization or validation of, or filing, recording or registration with, or exemption by any 
governmental or public body or authority, or subdivision thereof, binding on Borrower, except as already has 
been obtained or made; and

g. This Amendment has been duly executed and delivered by Borrower and is the binding obligation of Borrower, 

enforceable against Borrower in accordance with its terms, except as such enforceability may be limitedby 
bankruptcy, insolvency, reorganization, liquidation, moratorium or other similar laws of general application and 
equitable principles relating to or affecting creditors’ rights.

5. Waiver. Bank hereby waives Borrower’s anticipated default under the Loan Agreement by virtue of Borrower’s 

anticipated failure to comply with Section 6.2(g) of the Loan Agreement in connection with delivery of an 
unqualified opinion from an independent certified public accounting firm (relative to Borrower’s audited consolidated 
financial statements prepared under GAAP) for Borrower’s 2021 fiscal year end (the “Stated Default”). Bank’s 
waiver of the Stated Defaultis a one-time waiver that shall applyonly to the foregoing specificperiod. Borrower 
hereby acknowledges and agrees that except as specifically providedherein, nothing in this Sectionor anywhere in this 
Amendment shall be deemed or otherwise construed as a waiver by Bank of any of its rights and remediespursuant to 
the Loan Documents, applicable law or otherwise.

6. Updated Perfection Certificate. Borrower has delivered an updated Perfection Certificate in connection with this 

Amendmentdated as of the date hereof (the “UpdatedPerfection Certificate” ) which UpdatedPerfection Certificate 
shall supersede in all respectsthat certain Perfection Certificate dated as of October 26, 2020. Borrower hereby 
acknowledges and agrees that all references in the Loan Agreement to “Perfection Certificate” shall hereinafter be 
deemed to be references to the UpdatedPerfection Certificate, as defined herein.

7. Release by Borrower:

a) FOR GOOD AND VALUABLE CONSIDERATION, Borrower hereby forever relieves, releases, and discharges Bank 

and its present or former employees, officers, directors, agents, representatives, attorneys, and each of them, from any 
and all claims, debts, liabilities, demands, obligations, promises, acts, agreements, costs and expenses,actions and 
causesof action, of every type, kind, nature,description or characterwhatsoever, whether knownor unknown, suspected 
or unsuspected, 

 
  
  
  
  
  
  
 
absoluteor contingent, arisingout of or in any manner whatsoever connected with or related to facts, circumstances, 
issues, controversies or claims existing or arising from the beginning of time through and including the date of 
execution of this Amendment(collectively “Released Claims”). Without limiting the foregoing, the Released Claims 
shall includeany and all liabilities or claims arisingout of or in any manner whatsoever connected with or related to 
the Loan Documents, the recitals hereto,any instruments, agreements or

documents executed in connection with any of the foregoingor the origination, negotiation, administration, servicing and/or 
enforcement of any of the foregoing.

b) In furtherance of this release, Borrower expressly acknowledges and waives any and all rights under Section1542 of the 

California CivilCode, which providesas follows:

“A general release does not extend to claims that the creditor or releasing party does not know or suspect to exist in his or her 
favor at the time of executing the release and that, if known by him or her, would have materially affected his or her settlement 
with the debtoror released party.”(Emphasis added.)

c) By entering into this release, Borrower recognizes that no facts or representations are ever absolutely certain and it may 
hereafter discover facts in addition to or different from those which it presently knows or believes to be true, but that 
it is the intention of Borrower hereby to fully, finally and forever settle and release all matters, disputes and 
differences, known or unknown, suspected or unsuspected; accordingly, if Borrowershould subsequently discoverthat 
any fact that it relied upon in enteringinto this releasewas untrue, or that any understanding of the facts was incorrect, 
Borrower shall not be entitledto set aside this releaseby reason thereof,regardless of any claim of mistake of fact or 
law or any other circumstances whatsoever.Borrower acknowledges that it is not relying upon and has not relied upon 
any representation or statement made by Bank with respect to the facts underlying this release or with regard to any 
of such party’s rights or asserted rights.

d) This release may be pleaded as a full and complete defense and/or as a cross-complaint or counterclaim against any 

action, suit, or other proceeding that may be instituted, prosecuted or attempted in breach of this release. Borrower 
acknowledges that the release contained herein constitutes a material inducement to Bank to enter into this 
Amendment, and that Bank would not have done so but for Bank’s expectation that such release is valid and 
enforceable in all events.

e) Borrower hereby represents and warrants to Bank, and Bank is relying thereon,as follows:

a. Except as expresslystated in this Amendment, neitherBank nor any agent, employeeor representative of Bank has 

made any statement or representation to 

 
  
  
  
  
  
  
 
Borrower regarding any fact relied upon by Borrower in entering into this Amendment.

b. Borrower has made such investigation of the factspertaining to this Amendment and all of the mattersappertaining 

thereto, as it deems necessary.

c. The terms of this Amendmentare contractual and not a mere recital.

d. This Amendment has been carefullyread by Borrower, the contentshereof are known and understood by Borrower, 

and this Amendment is signed freely, and without duress,by Borrower.

e Borrower represents and warrants that it is the sole and lawfulowner of all right, title and interest in and to every 

claim and every other matter which it releases herein, and that it has not heretofore assigned or transferred, or 
purported to assign or transfer, to any person,firm or entityany claims or other mattersherein released. Borrower 
shall indemnify Bank, defend and hold it harmless from and against all claims based upon or arising in 
connection with prior assignments or purportedassignments or transfers of any claims or matters releasedherein.

8. Integration. This Amendment and the Loan Documents represent the entire agreement about this subject matter and 
supersede prior negotiations or agreements. All prior agreements, understandings, representations, warranties, and 
negotiations between the parties about the subjectmatter of this Amendment and the Loan Documents merge into this 
Amendment and the Loan Documents.

9. Counterparts. This Amendment may be executed in any number of counterparts and all of such counterparts taken 

together shall be deemed to constitute one and the same instrument.

10. Effectiveness. This Amendment shall be deemed effective upon (a) the due execution and delivery to Bank of this 

Amendment by each party hereto, and (b) Borrower’s payment to Bank of Bank’s legal fees and expensesincurred in 
connection with this Amendment.

11. Governing Law. The provisions of Section 11 of the Loan Agreement shall apply to this Amendment as if set forth 

herein,mutatis mutandis.

[Signature page follows.]WAIVER AND SECONDAMENDMENT TO
LOAN AND SECURITYAGREEMENT

This Waiver and Second Amendmentto Loan and Security Agreement(this “Amendment”) is entered into this 1st day of March, 
2022, by and between SILICON VALLEY BANK (“Bank”) 

  
  
  
 
  
  
  
  
  
  
 
and  VERRICA  PHARMACEUTICALS  INC.,a  Delaware  corporation  (“Borrower”),  whose  address  is  44  West  Gay  Street, 
Suite 400, West Chester, Pennsylvania 19380.

RECITALS

a) Bank and Borrower have entered into that certain Loan and Security Agreement dated as of March 10, 2020, as amended 
by that certain First Amendment to Loan and Security Agreement dated as of October 26, 2020 (as the same may 
from time to time be further amended, modified, supplemented or restated, the “Loan Agreement”).

b) Bank has extended credit to Borrower for the purposes permitted in the Loan Agreement.

c) Borrower has requested that Bank amend the Loan Agreement to (i) waive the Stated Default (as hereinafter defined) 

and (ii) make certainother revisions to the Loan Agreement as more fullyset forth herein.

d) Bank has agreed to waive the Stated Default (as hereinafter defined) and so amend certain provisions of the Loan 

Agreement, but only to the extent, in accordance with the terms, subject to the conditions and in relianceupon the 
representations and warranties set forth below.

AGREEMENT

NOW, THEREFORE, inconsideration of the foregoing recitalsand other good and valuable consideration, the receipt and adequacy 
of which is hereby acknowledged, and intending to be legally bound, the parties heretoagree as follows:

1. Definitions. Capitalized terms used but not defined in this Amendment shall have the meaningsgiven to them in the 

Loan Agreement.

2. Amendment to Loan Agreement.

and Bank has not further obligation to make, any Advances under the Revolving Line.

2.1 No Further Advances. Borrower acknowledges and agrees that it has no further right to request or receive, 

b. Section 6.9. Section 6.9 is deletedin its entirety and replacedwith the

following:

“6.9     [Reserved].”

c. Section 6.2 (Financial Statements, Reports, Certificates). Section 6.2(c)is amended in its entiretyand replaced 

with the following:

“          (c)        [Reserved];”

  
  
  
  
  
  
  
  
  
  
  
 
  
  
 
d. Exhibit B (Compliance Certificate). The Compliance Certificate appearing as Exhibit B to the Loan Agreement 

is deleted in its entirety and replaced with the Compliance Certificate attached as Schedule 1 attached hereto.

3. Limitation of Amendment.

a. The amendment set forth in Section 2, above, is effective for the purposes set forth herein and shall be limited 

precisely as written and shall not be deemedto (a) be a consentto any amendment, waiver or modification of any 
other term or condition of any Loan Document, or (b) otherwise prejudice any right or remedy which Bank may 
now have or may have in the future under or in connectionwith any Loan Document.

b. This Amendment shall be construed in connection with and as part of the Loan Documents and all terms, 

conditions, representations, warranties, covenants and agreements set forth in the Loan Documents, exceptas 
herein amended,are hereby ratifiedand confirmed and shall remainin full force and effect.

4. Representations and Warranties. To induce Bank to enter into this Amendment, Borrower hereby represents and 

warrantsto Bank as follows:

a. Immediately after giving effect to this Amendment (a) the representations and warranties contained in the Loan 

Documents are true, accurate and complete in all material respectsas of the date hereof(except to the extent such 
representations and warranties relateto an earlier date, in which case they are true and correct in all 
materialrespects as of such date), and
(b) no Event of Default has occurred and iscontinuing;

b. Borrower has the power and authority to execute and deliver this Amendment and to perform its obligations under 

the Loan Agreement, as amended by this Amendment;

c. The organizational documentsof Borrower deliveredto Bank on the Effective Date remain true, accurate and 

complete and have not been amended, supplemented or restated and are and continueto be in full force and 
effect;

d. The execution and delivery by Borrower of this Amendmentand the performance by Borrower of its obligations 

under the Loan Agreement, as amended by this Amendment, have been duly authorized;

e. The execution and delivery by Borrower of this Amendmentand the performance by Borrower of its obligations 

under the Loan Agreement, as amended by this Amendment, do not and will not contravene (a) any law or 
regulation binding on or affecting Borrower, (b) any contractual restriction with a Person binding on Borrower, 
(c) any order, judgment or decree of any court or othergovernmental or publicbody or authority, or subdivision

  
  
  
  
  
  
  
  
  
 
thereof, binding on Borrower,or (d) the organizational documents of Borrower;

f. The execution and delivery by Borrower of this Amendmentand the performance by Borrower of its obligations 

under the Loan Agreement, as amended by this Amendment, do not require any order, consent, approval, 
license, authorization or validation of, or filing, recording or registration with, or exemption by any 
governmental or public body or authority, or subdivision thereof, binding on Borrower, except as already has 
been obtained or made; and

g. This Amendment has been duly executed and delivered by Borrower and is the binding obligation of Borrower, 

enforceable against Borrower in accordance with its terms, except as such enforceability may be limitedby 
bankruptcy, insolvency, reorganization, liquidation, moratorium or other similar laws of general application and 
equitable principles relating to or affecting creditors’ rights.

5. Waiver. Bank hereby waives Borrower’s anticipated default under the Loan Agreement by virtue of Borrower’s 

anticipated failure to comply with Section 6.2(g) of the Loan Agreement in connection with delivery of an 
unqualified opinion from an independent certified public accounting firm (relative to Borrower’s audited consolidated 
financial statements prepared under GAAP) for Borrower’s 2021 fiscal year end (the “Stated Default”). Bank’s 
waiver of the Stated Defaultis a one-time waiver that shall applyonly to the foregoing specificperiod. Borrower 
hereby acknowledges and agrees that except as specifically providedherein, nothing in this Sectionor anywhere in this 
Amendment shall be deemed or otherwise construed as a waiver by Bank of any of its rights and remediespursuant to 
the Loan Documents, applicable law or otherwise.

6. Updated Perfection Certificate. Borrower has delivered an updated Perfection Certificate in connection with this 

Amendmentdated as of the date hereof (the “UpdatedPerfection Certificate” ) which UpdatedPerfection Certificate 
shall supersede in all respectsthat certain Perfection Certificate dated as of October 26, 2020. Borrower hereby 
acknowledges and agrees that all references in the Loan Agreement to “Perfection Certificate” shall hereinafter be 
deemed to be references to the UpdatedPerfection Certificate, as defined herein.

7. Release by Borrower:

a) FOR GOOD AND VALUABLE CONSIDERATION, Borrower hereby forever relieves, releases, and discharges Bank 

and its present or former employees, officers, directors, agents, representatives, attorneys, and each of them, from any 
and all claims, debts, liabilities, demands, obligations, promises, acts, agreements, costs and expenses,actions and 
causesof action, of every type, kind, nature,description or characterwhatsoever, whether knownor unknown, suspected 
or unsuspected, absoluteor contingent, arisingout of or in any manner whatsoever connected with or related to facts, 
circumstances, issues, controversies or claims existing or arising from the beginning of time through and including 
the date of execution of this 

 
  
  
  
  
  
  
 
Amendment(collectively “Released Claims”). Without limiting the foregoing, the Released Claims shall includeany 
and all liabilities or claims arisingout of or in any manner whatsoever connected with or related to the Loan 
Documents, the recitals hereto,any instruments, agreements or

documents executed in connection with any of the foregoingor the origination, negotiation, administration, servicing and/or 
enforcement of any of the foregoing.

b) In furtherance of this release, Borrower expressly acknowledges and waives any and all rights under Section1542 of the 

California CivilCode, which providesas follows:

“A general release does not extend to claims that the creditor or releasing party does not know or suspect to exist in his or her 
favor at the time of executing the release and that, if known by him or her, would have materially affected his or her settlement 
with the debtoror released party.”(Emphasis added.)

c) By entering into this release, Borrower recognizes that no facts or representations are ever absolutely certain and it may 
hereafter discover facts in addition to or different from those which it presently knows or believes to be true, but that 
it is the intention of Borrower hereby to fully, finally and forever settle and release all matters, disputes and 
differences, known or unknown, suspected or unsuspected; accordingly, if Borrowershould subsequently discoverthat 
any fact that it relied upon in enteringinto this releasewas untrue, or that any understanding of the facts was incorrect, 
Borrower shall not be entitledto set aside this releaseby reason thereof,regardless of any claim of mistake of fact or 
law or any other circumstances whatsoever.Borrower acknowledges that it is not relying upon and has not relied upon 
any representation or statement made by Bank with respect to the facts underlying this release or with regard to any 
of such party’s rights or asserted rights.

d) This release may be pleaded as a full and complete defense and/or as a cross-complaint or counterclaim against any 

action, suit, or other proceeding that may be instituted, prosecuted or attempted in breach of this release. Borrower 
acknowledges that the release contained herein constitutes a material inducement to Bank to enter into this 
Amendment, and that Bank would not have done so but for Bank’s expectation that such release is valid and 
enforceable in all events.

e) Borrower hereby represents and warrants to Bank, and Bank is relying thereon,as follows:

a. Except as expresslystated in this Amendment, neitherBank nor any agent, employeeor representative of Bank has 
made any statement or representation to Borrower regarding any fact relied upon by Borrower in entering into 
this Amendment.

 
  
  
  
  
  
  
  
 
b. Borrower has made such investigation of the factspertaining to this Amendment and all of the mattersappertaining 

thereto, as it deems necessary.

c. The terms of this Amendmentare contractual and not a mere recital.

d. This Amendment has been carefullyread by Borrower, the contentshereof are known and understood by Borrower, 

and this Amendment is signed freely, and without duress,by Borrower.

e. Borrower represents and warrants that it is the sole and lawfulowner of all right, title and interest in and to every 
claim and every other matter which it releases herein, and that it has not heretofore assigned or transferred, or 
purported to assign or transfer, to any person,firm or entityany claims or other mattersherein released. Borrower 
shall indemnify Bank, defend and hold it harmless from and against all claims based upon or arising in 
connection with prior assignments or purportedassignments or transfers of any claims or matters releasedherein.

8. Integration. This Amendment and the Loan Documents represent the entire agreement about this subject matter and 
supersede prior negotiations or agreements. All prior agreements, understandings, representations, warranties, and 
negotiations between the parties about the subjectmatter of this Amendment and the Loan Documents merge into this 
Amendment and the Loan Documents.

9. Counterparts. This Amendment may be executed in any number of counterparts and all of such counterparts taken 

together shall be deemed to constitute one and the same instrument.

10. Effectiveness. This Amendment shall be deemed effective upon (a) the due execution and delivery to Bank of this 

Amendment by each party hereto, and (b) Borrower’s payment to Bank of Bank’s legal fees and expensesincurred in 
connection with this Amendment.

11. Governing Law. The provisions of Section 11 of the Loan Agreement shall apply to this Amendment as if set forth 

herein,mutatis mutandis.

  
  
 
  
  
  
  
  
 
[Signature page follows.]

IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be duly executed and delivered as of the date first 
written above.

BANK

BORROWER

SILICON VALLEY BANK

VERRICA PHARMACEUTICALS INC.

By:  __________________________
Name: Tom Gordon
Title:  Managing Director

By:  __________________________
Name: Ted White
Title:  Chief Executive Officer 

 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
Schedule 1

EXHIBIT B

COMPLIANCE CERTIFICATE

TO:   
FROM:    VERRICA PHARMACEUTICALS INC.

SILICON VALLEY BANK 

Date:   

The  undersigned  authorized  officer  of  VERRICA  PHARMACEUTICALS  INC.  (“Borrower”)  certifies  that  under  the  terms  and 
conditions of the Loan and Security Agreement between Borrower and Bank (the “Agreement”), (1) Borrower is in complete compliance for the period 
ending _______________ with all required covenants except as noted below, (2) there are no Events of Default, (3) all representations and warranties in the 
Agreement are true and correct in all material respects on this date except as noted below; provided, however, that such materiality qualifier shall not be 
applicable to any representations and warranties that already are qualified or modified by materiality in the text thereof; and provided, further that those 
representations  and  warranties  expressly  referring  to  a  specific  date  shall  be  true,  accurate  and  complete  in  all  material  respects  as  of  such  date,  (4) 
Borrower, and each of its Subsidiaries, has timely filed all required tax returns and reports, and Borrower has timely paid all foreign, federal, state and local 
taxes, assessments, deposits and contributions owed by Borrower except as otherwise permitted pursuant to the terms of Section 5.9 of the Agreement, and 
(5) no Liens have been levied or claims made against Borrower or any of its Subsidiaries, if any, relating to unpaid employee payroll or benefits of which 
Borrower has not previously provided written notification to Bank.  Attached are the required documents supporting the certification.  The undersigned 
certifies that these are prepared in accordance with GAAP consistently applied from one period to the next except as explained in an accompanying letter or 
footnotes.  The undersigned acknowledges that no borrowings may be requested at any time or date of determination that Borrower is not in compliance 
with any of the terms of the Agreement, and that compliance is determined not just at the date this certificate is delivered.  Capitalized terms used but not 
otherwise defined herein shall have the meanings given them in the Agreement. 

Please indicate compliance status by circling Yes/No under “Complies” column.

Reporting Covenants

Required

Complies

Quarterly financial statements with 
Compliance Certificate
Annual financial statement with Compliance Certificate 
(CPA Audited)  
10-Q Report

Filed 10-Q, 10-K and 8-K

A/R Agings, A/P Agings & Inventory Reports 

Borrowing Base Reports 

Board approved projections

Within 45 days of quarter end (within 90 days of quarter end for Q4)  

Yes   No

FYE within 180 days

Within 45 days of quarter end for 10-Q (within 90 days of quarter 
end for Q4) 
Within 5 days after filing with 
SEC
At all times following the occurrence of the FDA Event, monthly 
within 30 days when an Advance is outstanding
or has been requested 
At all times following the occurrence of the FDA Event, with each 
Advance request and monthly within 30 days
when an Advance is outstanding 
30 days of FYE and as amended/updated 

Yes   No

Yes   No

Yes   No

Yes   No

Yes   No

Yes   No

The following are the exceptions with respect to the certification above: (If no exceptions exist, state “No exceptions to note.”)

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------

VERRICA PHARMACEUTICALS INC.

BANK USE ONLY

By: 
Name: 
Title: 

Received by: _____________________

Date:  

AUTHORIZED SIGNER
_________________________

Verified: ________________________

Date:  

AUTHORIZED SIGNER
_________________________

Compliance Status: Yes     No

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Consent of Independent Registered Public Accounting Firm 

Exhibit 23.1

The Board of Directors 
Verrica Pharmaceuticals Inc.: 

We consent to the incorporation by reference in the registration statements (Nos. 333-226153, 333-231265, 333-237174, and 333-255919) on Form S-8 and 
(No. 333-237171) on Form S-3 of Verrica Pharmaceuticals Inc. of our report dated March 2, 2022, with respect to financial statements of Verrica 
Pharmaceuticals Inc.  

/s/ KPMG LLP 

Philadelphia, Pennsylvania
March 2, 2022

   
   
   
  
   
   
   
 
Exhibit 31.1

CERTIFICATION OF PRINCIPAL EXECUTIVE OFFICER
PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, Ted White, certify that:

1. 

I have reviewed this Annual Report on Form 10-K for the year ended December 31, 2021 of Verrica Pharmaceuticals Inc. (the “registrant”);

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

(c)  Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal 

control over financial reporting.

Date: March 2, 2022

/s/ Ted White
Ted White
President and Chief Executive Officer
(Principal Executive Officer)

 
 
 
 
 
 
 
 
 
Exhibit 31.2

CERTIFICATION OF PRINCIPAL EXECUTIVE OFFICER
PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, P.Terence Kohler, Jr., certify that:

1. 

I have reviewed this Annual Report on Form 10-K for the year ended December 31, 2021 of Verrica Pharmaceuticals Inc. (the “registrant”);

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)

(b)

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;

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

(c)

Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal 
control over financial reporting.

Date: March 2, 2022

/s/ P. Terence Kohler, Jr.
P. Terence Kohler, Jr.
Chief Financial Officer
(Principal Financial Officer)

 
 
 
 
 
 
 
 
CERTIFICATIONS OF
PRINCIPAL EXECUTIVE OFFICER AND PRINCIPAL FINANCIAL OFFICER
PURSUANT TO 18 U.S.C. SECTION 1350,
AS ADOPTED PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 32.1

Pursuant to the requirement set forth in Rule 13a-14(b) of the Securities Exchange Act of 1934, as amended, (the “Exchange Act”) and Section 1350 

of Chapter 63 of Title 18 of the United States Code (18 U.S.C. §1350),Ted White, President and Chief Executive Officer of Verrica Pharmaceuticals Inc. 
(the “Company”), and P.Terence Kohler, Jr., Chief Financial Officer of the Company, each hereby certifies that, to the best of his knowledge:

1. 

The Company’s Annual Report on Form 10-K for the year ended December 31, 2021, to which this Certification is attached as Exhibit 32.1 (the 
“Annual Report”), fully complies with the requirements of Section 13(a) or Section 15(d) of the Exchange Act; and

2.  The information contained in the Annual Report fairly presents, in all material respects, the financial condition and results of operations of the 

Company.

IN WITNESS WHEREOF, the undersigned have set their hands hereto as of the 2nd day of March, 2022.

/s/ Ted White
Ted White
President and Chief Executive Officer 
(Principal Executive Officer)

/s/ P. Terence Kohler, Jr.
P. Terence Kohler, Jr.
Chief Financial Officer 
(Principal Financial Officer)

* 

This certification accompanies the Form 10-K to which it relates, is not deemed filed with the Securities and Exchange Commission and is not to be 
incorporated by reference into any filing of the Company under the Securities Act of 1933, as amended, or the Exchange Act (whether made before 
or after the date of the Form 10-K), irrespective of any general incorporation language contained in such filing.