Blueprint
Prospectus Supplement
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Filed pursuant to Rule 424(b)(5)
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(to
Prospectus dated
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Registration No. 333-203300
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April
17, 2015)
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$299,640 of Shares
We are
offering directly to our directors and certain of our officers and
employees up to $299,640 of our common stock, par value $0.001 per
share.
Our
common stock is traded on the NYSE American under the symbol
“CRMD.” The last reported sale price of our common
stock on November 16, 2017 was $0.48 per share.
Investing
in our common stock involves a high degree of risk. Please read the
information contained in and incorporated by reference under the
heading “Risk Factors” beginning on page S-10 of this
prospectus supplement, the section captioned “Item
1AóRisk Factors” in our most recently filed annual
report on Form 10-K, which is incorporated by reference into this
prospectus supplement, and under similar headings in the other
documents that are filed after the date hereof and incorporated by
reference into this prospectus supplement.
We
expect that delivery of the securities being offered pursuant to
this prospectus supplement will be made to the purchasers on or
about November 22, 2017.
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Offering
price
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$0.48
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$299,640
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Proceeds,
before expenses, to us
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$0.48
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$299,640
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Neither
the Securities and Exchange Commission nor any state securities
commission has approved or disapproved of these securities or
determined if this prospectus supplement is truthful or complete.
Any representation to the contrary is a criminal
offense.
The
date of this prospectus supplement is November 20,
2017.
TABLE OF CONTENTS
Prospectus Supplement
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Page
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About
this Prospectus Supplement
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S-1
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Prospectus
Supplement Summary
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S-3
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Risk
Factors
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S-10
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Special Note
Regarding Forward-Looking Statements
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S-39
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Use of
Proceeds
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S-40
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Dilution
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S-40
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Market
for Common Stock
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S-43
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Plan
of Distribution
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S-44
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Description of our
Common Stock
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S-44
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Legal
Matters
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S-45
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Experts
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S-45
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Where
You Can Find More Information
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S-45
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Incorporation of
Certain Information by Reference
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S-46
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Prospectus
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Page
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About
this Prospectus
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1
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Prospectus
Summary
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2
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Risk
Factors
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7
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Special Note
Regarding Forward-Looking Statements
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26
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Use of
Proceeds
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28
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Plan
of Distribution
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28
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Description of our
Capital Stock
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29
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Common
Stock
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29
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Issued
and Outstanding Preferred Stock
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30
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Description of
Preferred Stock That May Be Offered
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35
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Description of
Debt Securities
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36
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Description of
Warrants
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39
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Description of
Units
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40
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Certain Provisions
of Delaware Law and of Our Amended and Restated Certificate of
Incorporation and Amended and Restated Bylaws
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40
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Legal
Matters
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41
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Experts
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41
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Where
You Can Find More Information
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41
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Incorporation of
Documents by Reference
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42
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ABOUT THIS PROSPECTUS SUPPLEMENT
On
April 9, 2015, we filed with the Securities and Exchange
Commission, or SEC, a registration statement on Form S-3 (File
No. 333-203300) utilizing a shelf registration process
relating to the securities described in this prospectus supplement,
which registration statement was declared effective on April 17,
2015. Under this shelf registration process, we may, from time to
time, sell up to $100.0 million in the aggregate of common stock,
preferred stock, warrants, various series of debt securities and/or
warrants to purchase any of such securities, either individually or
in units.
This
prospectus supplement relates to the offering of our common stock.
Before buying any of the common stock that we are offering, we urge
you to carefully read this prospectus supplement, together with the
information incorporated by reference as described under the
headings “Where You Can Find More Information” and
“Incorporation of Certain Information by Reference” in
this prospectus supplement, as well as the accompanying prospectus.
These documents contain important information that you should
consider when making your investment decision.
This
prospectus supplement describes the specific terms of the common
stock we are offering and also adds to, and updates information in
the accompanying prospectus and any document incorporated by
reference into it or this prospectus supplement. To the extent
there is a conflict between the information contained in this
prospectus supplement, on the one hand, and the information
contained in any document incorporated by reference into this
prospectus supplement that was filed with the Securities and
Exchange Commission, or SEC, before the date of this prospectus
supplement, on the other hand, you should rely on the information
in this prospectus supplement. If any statement in one of these
documents is inconsistent with a statement in another document
having a later date — for example, a document incorporated by
reference into this prospectus supplement — the statement in
the document having the later date modifies or supersedes the
earlier statement.
You
should rely only on the information contained in, or incorporated
by reference into, this prospectus supplement, the accompanying
prospectus and in any free writing prospectus that we may authorize
for use in connection with this offering. We have not authorized
any other person to provide you with different information. If
anyone provides you with different or inconsistent information, you
should not rely on it. We are not making an offer to sell or
soliciting an offer to buy our securities in any jurisdiction in
which an offer or solicitation is not authorized or in which the
person making that offer or solicitation is not qualified to do so
or to anyone to whom it is unlawful to make an offer or
solicitation. You should assume that the information appearing into
this prospectus supplement, the accompanying prospectus, the
documents incorporated by reference into this prospectus supplement
and the accompanying prospectus, and in any free writing prospectus
that we may authorize for use in connection with this offering, is
accurate only as of the date of those respective documents. Our
business, financial condition, results of operations and prospects
may have changed since those dates. You should read this prospectus
supplement, the accompanying prospectus, the documents incorporated
by reference into this prospectus supplement and the accompanying
prospectus and any free writing prospectus that we may authorize
for use in connection with this offering, in their entirety before
making an investment decision. You should also read and consider
the information in the documents to which we have referred you in
the sections of this prospectus supplement entitled “Where
You Can Find More Information” and “Incorporation of
Certain Information by Reference.”
We are
offering to sell, and seeking offers to buy, shares of common stock
only in jurisdictions where offers and sales are permitted. The
distribution of this prospectus supplement and the offering of the
common stock in certain jurisdictions may be restricted by law.
Persons outside the United States who come into possession of this
prospectus supplement must inform themselves about, and observe any
restrictions relating to, the offering of the common stock and the
distribution of this prospectus supplement outside the United
States. This prospectus supplement does not constitute, and may not
be used in connection with, an offer to sell, or a solicitation of
an offer to buy, any securities offered by this prospectus
supplement by any person in any jurisdiction in which it is
unlawful for such person to make such an offer or
solicitation.
Our primary executive offices are located at 400
Connell Drive, Suite 5000, Berkeley Heights, NJ 07922, and our
telephone number is (908) 517-9500. Our website address is
www.cormedix.com.
The information contained on our website is not a part of, and
should not be construed as being incorporated by reference into,
this prospectus supplement.
Unless
the context otherwise requires, “CorMedix,” the
“company,” “we,” “us,”
“our” and similar names refer to CorMedix
Inc.
Neutrolin®
is our registered trademark and the
CorMedix logo is our trademark. All other trade names, trademarks
and service marks appearing in this prospectus supplement or the
accompanying prospectus are the property of their respective
owners. We have assumed that the reader understands that all such
terms are source-indicating. Accordingly, such terms, when first
mentioned in this prospectus supplement or the accompanying
prospectus, appear with the trade name, trademark or service mark
notice and then throughout the remainder of this prospectus
supplement or the accompanying prospectus without trade name,
trademark or service mark notices for convenience only and should
not be construed as being used in a descriptive or generic
sense.
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PROSPECTUS SUPPLEMENT SUMMARY
This summary highlights certain information about us, this offering
and selected information contained elsewhere in or incorporated by
reference into this prospectus supplement. This summary is not
complete and does not contain all of the information that you
should consider before deciding whether to invest in our common
stock. For a more complete understanding of our company and this
offering, we encourage you to read and consider carefully the more
detailed information in this prospectus supplement, including the
information incorporated by reference into this prospectus
supplement, and the information referred to under the heading
“Risk Factors” in this prospectus supplement beginning
on page S-10, and in the documents incorporated by reference into
this prospectus supplement.
Our Company
Overview
We are
a biopharmaceutical company
focused on developing and commercializing therapeutic products for
the prevention and treatment of infectious and inflammatory
diseases.
Our
primary focus is to develop our lead product candidate,
Neutrolin® (also known as
CRMD003), for potential commercialization in the U.S. and other key
markets. We have in-licensed the worldwide rights to develop and
commercialize Neutrolin, which is a novel anti-infective solution
(a formulation of taurolidine, citrate and heparin 1000 u/ml) under
development in the U.S. for the reduction and prevention of
catheter-related infections and thrombosis in patients requiring
central venous catheters in clinical settings such as dialysis,
critical/intensive care, and oncology. Infection and thrombosis
represent key complicationsamong critical care/ intensive care and
cancer patients with central venous catheters. These complications
can lead to treatment delays and increased costs to the healthcare
system when they occur due to hospitalizations, need for IV
antibiotic treatment,long-term anticoagulation therapy,
removal/replacement of the central venous catheter, related
treatment costs and increased mortality. We believe Neutrolin has
the potential to address a significant unmet medical need and
represents a potential large market opportunity.
We
initiated one Phase 3 clinical trial in hemodialysis patients with
a central venous catheter (“LOCK-IT-100”) in December
2015. The FDA has indicated that two pivotal trials to demonstrate
safety and effectiveness of Neutrolin will be required by the U.S.
Food and Drug Administration (“FDA”) to secure
marketing approval in the United States.
In
April 2017, a safety review by an independent Data and Safety
Monitoring Board, or DSMB was completed. The DSMB unanimously
concluded that it is safe to continue the LOCK-IT-100 clinical
trial as designed based on its evaluation of data from the first
279 patients randomized on trial.
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On
August 2, 2017, we announced that the FDA had agreed to key changes
to the LOCK-IT-100 clinical trial. We believe that the changes
endorsed by the FDA facilitate our ability to complete the ongoing
Phase 3 clinical trial in hemodialysis patients with central venous
catheters, as previously announced, by year-end 2018. We sought
guidance from the FDA to address, in part, the apparent overall
lower rate of catheter-related blood stream infection (CRBSI)
events as announced in April 2017. Changes made to the protocol
were 1) the utilization of a Clinical Adjudication Committee (CAC)
to assess suspected CRBSIs; 2) the use of the CAC to critically and
independently assess suspected CRBSIs in a blinded fashion based on
a single positive blood culture and supporting documentation,
rather than two positive blood cultures as previously required; 3)
the ability to capturecases occurring outside of dialysis centers
to facilitate more complete capture of CRBSI events in the study,
particularly when patients present with CRBSI events outside of the
dialysis center setting (emergency rooms or urgent care centers);
and 4) a revision of the design of the study to detect a treatment
effect of 55% or greater when comparing the Neutrolin and heparin
control arms. The FDA agreed that cases adjudicated by the CAC to
be CRBSI events and the per protocol definition of CRBSI events
will be included in the primary analysis of the primary efficacy
endpoint of the LOCK-IT-100 study. The amended study assumptions
including a reduction in statistical power have resulted in a
reduction in the total number of CRBSI events required from 161
events to 56 events to complete the study.
We
believe that these changes will allow the identification of more
infections, enabling a single interim analysis, which is
anticipated to occur early in the first quarter of 2018 based on 28
CRBSI events. Should the interim analysis show sufficient
efficacy it may be possible to conclude the study earlier than
projected. Further, based on our experience in the LOCK-IT-100
trial, we are reassessing the structure of our planned second Phase
3 clinical trial to seek efficiencies and improvements in its
design and execution.
In July
2013, we received CE Mark approval for Neutrolin. As a result, in
December 2013, we commercially launched Neutrolin in Germany
for the prevention of catheter-related bloodstream infections and
maintenance of catheter patency in hemodialysis patients using a
tunneled, cuffed central venous catheter for vascular
access. To date, Neutrolin is registered and may be sold
in certain European Union and Middle Eastern countries for such
treatment. In April 2017, we
entered into a commercial collaboration with Hemotech SAS covering
France and French overseas territories.
We are
evaluating opportunities for the
possible expansion of taurolidine as a platform compound for use in
certain medical devices. Patent applications have been filed in
wound closure, surgical meshes, wound management, and
osteoarthritis, including visco-supplementation. Based on initial
feasibility work, we are advancing preclinical studies for three
product candidates: surgical meshes, suture materials, and
hydrogels. There exists a need to control and protect against
surgical site infections upon wound closure and we believe
taurolidine may provide benefits not currently available in
marketed antimicrobial medical devices. It may also
provide a significant advantage in devices for burn victims and use
in less sterile environments. We expect to develop and pursue FDA
clearance for these potential products by the 510(k) pathway and
will seek to establish development/commercial partnerships as these
programs advance. We are also involved in a pre-clinical
research collaboration for the use of taurolidine as a possible
combination treatment for rare orphan pediatric
tumors.
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Recent Developments
On
November 9, 2017, we entered into a securities purchase agreement
with Elliott Associates, L.P. and Elliott International, L.P., (the
“Buyers”), long-term institutional investors in
CorMedix, pursuant to which, on November 16, 2017, we sold $2.0
million of our newly designated Series F Convertible preferred
stock (“Series F Stock”) at $1,000 per
share.
On
November 9, 2017, we also entered a backstop agreement with the
Buyers pursuant to which the Buyers have agreed to purchase from
us, at our request, up to an additional $3.0 million of shares of
the Series F Stock at $1,000 per share. We may request purchases
under the backstop agreement from January 15, 2018 until March 31,
2018.
As
consideration for the backstop financing, we will issue the Buyers
warrants, exercisable for three years, to purchase, in the
aggregate, up to 947,329 shares (subject to adjustment) of our
common stock at a per share exercise price of $0.001. The number of
shares issuable under the warrant was determined by the closing
price of our common stock on November 8, 2017, which was $0.5278.
The number of shares issuable under the warrants will be reduced to
the extent that we raise equity capital from investors other than
the Buyers that offsets the $3 million backstop
amount.
Gross
proceeds of the securities purchase agreement and the backstop
agreement, if the backstop agreement is used in full, total an
aggregate of $5,000,000 (assuming cashless exercise of the
warrants).
Each
share of Series F Stock is convertible into shares of our common
stock, at the option of the Buyers, at an effective price of
$0.6334 per share, which represents a 20% premium to the closing
price of our common stock on November 8, 2017. The conversion price
of the Series F Stock is subject to anti-dilution adjustment for
customary recapitalization events such as stock splits, as well as
full ratchet anti-dilution protection in the event that we do not
obtain the subordination of the Series C-3 preferred stock to that
of the Series F Stock (as described below) or obtain stockholder
approval of the issuance of common stock that exceeds NYSE American
rules (as described below). The Series F Stock will be mandatorily
convertible on April 2, 2018, subject to certain equity conditions,
at the lower of $0.6334 and a 10% discount to the notional price at
which an equity or equity linked transaction in an amount of $5.0
million or more is completed by March 31, 2018, or if no such
transaction is completed, a 10% discount to the closing price of
the stock on March 31, 2018.
The
Series F Stock is non-voting and has no dividend right outside of
receiving dividends in the same form as we pay to holders of shares
of our common stock.
The
Series F Stock contains a prohibition on its conversion if, as a
result of such conversion, we would have issued shares of our
common stock in an aggregate amount equal to 13,336,939 shares,
which is 20% of our shares of common stock outstanding on November
9, 2017, unless we have received the approval of our stockholders
for such overage.
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The
Buyers will be prohibited from converting Series F Stock into
shares of our common stock to the extent that, as a result of such
conversion, the Buyers, together with their affiliates, would own
more than 9.99% of the total number of shares of our common stock
then issued and outstanding. In the event of our liquidation,
dissolution, or winding up, holders of the Series F Stock will
receive a payment equal to $1,000 per share of Series F Stock,
subject to adjustment, before any proceeds are distributed to the
holders of common stock. Shares of the Series F Stock will
rank:
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senior to all
common stock and the Series C-2, Series C-3 Convertible Preferred
Stock (subject to the us obtaining any consent, waiver or other
authorization from the holders of the Series C-3 Convertible
Preferred Stock necessary for the subordination of the Series C-3
Convertible Preferred Stock to the Series F Preferred Stock),
Series D Non-Voting Convertible Preferred Stock, Series E
Non-Voting Convertible Stock; and
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senior to any class
or series of capital stock hereafter created.
in each
case, as to distributions of assets upon our liquidation,
dissolution or winding up whether voluntarily or
involuntarily.
As a
part of the financing, we also entered into a registration rights
agreement with the Buyers whereby the Buyers can demand that we
register the shares issuable upon exercise of the warrants, and
shares issuable upon conversion of the Series F Stock, if
issued.
No
placement agent or underwriter was involved in the
offerings.
We
intend to use the net proceeds of the offerings for general
corporate purposes, working capital and capital
expenditures.
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Corporate History and Information
We were
organized as a Delaware corporation on July 28, 2006 under the name
“Picton Holding Company, Inc.” and we changed our
corporate name to “CorMedix Inc.” on January 18, 2007.
Our operations to date have been primarily limited to organizing
and staffing, licensing product candidates, developing clinical
trials for our product candidates, seeking regulatory approvals for
Neutrolin, establishing manufacturing for our product candidates
and maintaining and improving our patent portfolio and launching
Neutrolin in the E.U and other foreign countries.
Our
executive offices are located at 400 Connell Drive, Suite 5000,
Berkeley Heights, NJ 07922. Our telephone number is (908) 517-9500.
Our website address is www.cormedix.com. Information contained in,
or accessible through, our website does not constitute part of this
prospectus supplement.
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The Offering
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Common
stock offered by us
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624,246
shares.
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Common
stock to be outstanding after this offering
(1)
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67,649,665
shares.
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Purchase
price per share
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$0.48
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Use of
proceeds
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We
intend to use the net proceeds from this offering, if any, for
general corporate purposes, including clinical trials, research and
development expenses and general and administrative expenses. See
“Use of Proceeds” on page S-40.
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NYSE
American symbol
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“CRMD”
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Risk
factors
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Investing
in our common stock involves a high degree of risk. Please read the
information contained in and incorporated by reference under the
heading “Risk Factors” beginning on page S-10, the
section captioned “Item 1AóRisk Factors” in our
most recently filed annual report on Form 10-K, which is
incorporated by reference into this prospectus supplement, and
under similar headings in the other documents that are filed after
the date hereof and incorporated by reference into this prospectus
supplement.
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_____________________________
(1) The
number of shares of our common stock that will be outstanding
immediately after this offering as shown above is based on
67,025,419 shares outstanding as of November 17, 2017. The number
of shares outstanding as of November 17, 2017, as used throughout
this prospectus supplement, unless otherwise indicated,
excludes:
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warrants
for up to 473,664 shares of common stock issued on November 16,
2017 with an exercise price of $0.001;
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warrants
for 227,273 shares of common stock issued in July 2013 with an
exercise price of $1.50 that expire on July 30, 2018;
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warrants
for 500,000 shares of common stock issued in May 2013 with an
exercise price of $0.65 per share that expire on May 30,
2019;
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warrants
for 125,000 shares issued to ND Partners in April 2013 in
connection with the amendment to the license and assignment
agreement with an exercise price of $1.50 per share that expire on
April 11, 2018;
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options
to purchase an aggregate of 120,000 shares of our common stock
issued to our officers, directors, employees and non-employee
consultants under our Amended and Restated 2006 Stock Incentive
Plan, or the 2006 Stock Plan, with a weighted average exercise
price of $1.44 per share;
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options
to purchase an aggregate of 4,851,429 shares of our common stock
issued to our officers, directors and non-employee consultants
under our 2013 Stock Plan, with a weighted average exercise price
of $2.06 per share;
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a
warrant to purchase 400,000 shares of our common stock issued on
February 19, 2013 with an exercise price of $1.50 that expire on
February 19, 2018;
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warrants
for 750,000 shares of common stock with an exercise price of $0.90
that expire on October 22, 2019;
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warrants
for 725,000 shares of common stock with an exercise price of $0.90
that expire on January 8, 2020;
●
Series C-2
Preferred Stock convertible into 1,500,000 shares of
common;
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Series C-3
Preferred Stock convertible into 1,040,000 shares of common
stock;
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Series D Preferred
Stock convertible 1,479,240 shares of common stock;
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Series E Preferred
Stock convertible 1,959,759 shares of common stock;
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Series F Preferred
Stock convertible into 3,157,562 shares of common stock, subject to
adjustment;
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warrants for
682,500 shares of common stock issued in March 2014 with an
exercise price of $2.50 per shares that expire on September 10,
2019;
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warrants for
200,000 shares of common stock with an exercise price of $7.00 that
expire on March 3, 2020;
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warrants for 83,400
shares of common stock with an exercise price of $7.00 that expire
on March 25, 2020;
●
Series A warrants
for 4,391,977 shares of common stock with an exercise price of
$0.75 that expire on September 10, 2018;
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Series B warrants
for 13,964,476 shares of common stock with an exercise price of
$1.05 that expire on August 10, 2022;
●
underwriter
warrants for 1,117,158 shares of common stock with an exercise
price of $0.9375 that expire on August 10, 2022; and
●
restricted stock
units for 61,414 shares of common stock with an average grant date
fair value of $2.22 per share.
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RISK FACTORS
Investing in our securities involves risk. Prior to making a
decision about investing in our securities, you should carefully
consider the specific factors discussed below together with all of
the other information contained or incorporated by reference in the
accompanying prospectus or appearing or incorporated by reference
in this prospectus supplement. You should also consider the risks,
uncertainties and assumptions discussed under the heading
“Risk Factors” included in our most recent annual
report on Form 10-K which is on file with the SEC and is
incorporated herein by reference, and which may be amended,
supplemented or superseded from time to time by other reports we
file with the SEC in the future.
Risks Related to Our Financial Position and Need for Additional
Capital
We have a history of operating losses, expect to incur additional
operating losses in the future and may never be
profitable.
Our
prospects must be considered in light of the uncertainties, risks,
expenses, and difficulties frequently encountered by companies in
the early stages of operation. We incurred net losses of
approximately $24.6 million, $18.2 million and $20.5 million for
the years ended December 31, 2016, 2015 and 2014, respectively, and
$7.6 million, $12.7 million and $22.7 million for the three months
ended March 31, 2017, the six months ended June 30, 2017, and the
nine months ended September 30, 2017, respectively. As of September
30, 2017, we had an accumulated deficit of approximately $141.9
million. We expect to incur substantial additional operating
expenses over the next several years as our research, development,
pre-clinical testing, clinical trial and commercialization
activities increase as we develop and commercialize Neutrolin. As a
result, we expect to experience negative cash flow as we fund our
operating losses and capital expenditures. The amount of future
losses and when, if ever, we will achieve profitability are
uncertain. Neutrolin was launched in December 2013 and is currently
available for distribution in certain European Union and Middle
East countries. We have not generated any significant commercial
revenue and do not expect to generate substantial revenues from
Neutrolin until it is approved by the FDA and launched in the U.S.
market, and might never generate significant revenues from the sale
of Neutrolin or any other products. Our ability to generate revenue
and achieve profitability will depend on, among other things, the
following: successfully marketing Neutrolin in Germany and other
countries in which it is approved for sale; obtaining necessary
regulatory approvals for Neutrolin from the other applicable
European and Middle East agencies, other foreign agencies and the
FDA and international regulatory agencies for any other products;
establishing manufacturing, sales, and marketing arrangements,
either alone or with third parties; and raising sufficient funds to
finance our activities. We might not succeed at any of these
undertakings. If we are unsuccessful at some or all of these
undertakings, our business, prospects, and results of operations
may be materially adversely affected.
We have received a going concern opinion from our independent
registered public accounting firm.
Our
operations are subject to a number of factors that can affect our
operating results and financial condition. Such factors include,
but are not limited to: the results of clinical testing and trial
activities of our product candidates; the ability to obtain
regulatory approval to market our products; ability to manufacture
successfully; competition from products manufactured and sold or
being developed by other companies; the price of, and demand for,
our products; our ability to negotiate favorable licensing or other
manufacturing and marketing agreements for our products; and our
ability to raise capital to support our operations.
To
date, our commercial operations have not generated sufficient
revenues to enable profitability. As of September 30, 2017, we had
an accumulated deficit of approximately $141.9 million, and
incurred net losses from operations of $22.7 million for the nine
months then ended. Based on the current development plans for
Neutrolin in both the U.S. and foreign markets (including the
ongoing hemodialysis Phase 3 clinical trial in the U.S.) and our
other operating requirements, management believes that our existing
cash and short-term investments at September 30, 2017 will fund our
operations through the first quarter of 2018 after taking into
consideration the net proceeds received in October 2017 from sales
of common stock under our at the market common stock sales program
and the received and available proceeds from the November 2017
financing with Elliott. These factors raise substantial doubt
regarding our ability to continue as a going concern. We will need
additional funding to complete the LOCK-IT 100 hemodialysis
clinical trial in the U.S. which commenced in December 2015 as well
as to initiate the planned second Phase 3 clinical trial that will
be required in order to file an NDA with the FDA.
As a
result of the above matters, our independent registered public
accounting firm indicated in its report on our December 31, 2016
financial statements that there is substantial doubt about our
ability to continue as a going concern. A “going
concern” opinion indicates that the financial statements have
been prepared assuming we will continue as a going concern and do
not include any adjustments to reflect the possible future effects
on the recoverability and classification of assets, or the amounts
and classification of liabilities that may result if we do not
continue as a going concern. Therefore, you should not rely on our
consolidated balance sheet as an indication of the amount of
proceeds that would be available to satisfy claims of our
creditors, and potentially be available for distribution to our
stockholders, in the event of liquidation.
Our
continued operations will ultimately depend on our ability to raise
additional capital through various potential sources, such as
equity and/or debt financings, strategic relationships, or
out-licensing of our products in order to complete our ongoing and
planned Phase 3 clinical trials and until we achieve profitability,
if ever. We can provide no assurances that such financing or
strategic relationships will be available on acceptable terms, or
at all. Without this funding, we could be required to delay, scale
back or eliminate some or all of our research and development
programs which would likely have a material adverse effect on our
business.
We will need to finance our future cash needs through public or
private equity offerings, debt financings or corporate
collaboration and licensing arrangements. Any additional funds that
we obtain may not be on terms favorable to us or our stockholders
and may require us to relinquish valuable
rights.
We
have launched Neutrolin in certain European Union and Middle East
countries, but to date have no other approved product on the market
and have not generated significant product revenue from Neutrolin
to date. Unless and until we receive applicable regulatory approval
for Neutrolin in the U.S., we cannot sell Neutrolin in the U.S.
Therefore, for the foreseeable future, we will have to fund all of
our operations and capital expenditures from Neutrolin sales in
Europe and other foreign markets, if approved, cash on hand,
additional financings, licensing fees and grants.
We believe that our cash resources as of September
30, 2017, even after taking into consideration the net proceeds
received in October 2017 from sales of common stock under our at
the market common stock sales program and the received and
available proceeds from the November 2017 financing with Elliott,
will not be sufficient to enable us to fund our projected operating
requirements for at least the next 12 months following the balance
sheet date. We will need
additional funding thereafter to complete our ongoing Phase
3 hemodialysis clinical trial in the U.S., as well initiate
as our planned second Phase 3 clinical trial in the U.S. If we are
unable to raise additional funds when needed, we may not be able to
complete our ongoing Phase 3 clinical trial, commence and complete
our planned Phase 3 clinical trial or commercialize Neutrolin and
we could be required to delay, scale back or eliminate some or all
of our research and development programs. We can provide no
assurances that any financing or strategic relationships will be
available to us on acceptable terms, or at all. We expect to incur
increases in our cash used in operations as we continue to
commercialize Neutrolin in Europe and other markets, conduct our
ongoing Phase 3 clinical trial and prepare for our planned second
Phase 3 clinical trial, seek FDA approval of Neutrolin in the U.S.,
commercialize Neutrolin in Europe and other markets, pursue
business development activities, and incur additional legal costs
to defend our intellectual property.
To raise needed capital, we may sell additional
equity or debt securities, obtain a bank credit facility, or enter
into a corporate collaboration or licensing arrangement.
The sale of additional equity or debt
securities, if convertible, could result in dilution to our
stockholders. The incurrence of indebtedness would result in fixed
obligations and could also result in covenants that would restrict
our operations. Raising additional funds through collaboration or
licensing arrangements with third parties may require us 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 or our
stockholders.
Our efforts to explore strategic alternatives aimed at accelerating
Neutrolin’s development and commercialization and maximizing
shareholder value may not result in any definitive transaction or
deliver the expected benefits, and may create a distraction for our
management and uncertainty that may adversely affect our operating
results and business.
Strategic alternatives
we may pursue could include, but are not limited to, joint ventures
or partnering or other collaboration agreements, licensing
arrangements, or another transaction intended to maximize
shareholder value, such as a merger, a sale of the Company or some
or all of its assets, or another strategic transaction. In
March 2015, the Board of Directors commenced
a process to evaluate our strategic alternatives in order to
accelerate the global development of Neutrolin and maximize
shareholder value. The Board of Directors previously
engaged the investment bank Evercore Group L.L.C. to provide
financial advice and assist the Board of Directors with its
evaluation process. After the process with Evercore, we
announced in July 2015 that we expect to continue to pursue product
development and commercialization opportunities as we move forward
with the planned Phase 3 clinical trials, rather than pursuing a
possible sale of our company at that time. No transaction
materialized pursuant to the Evercore
engagement. We terminated the arrangement with
Evercore in July 2016. Although we will remain open to and consider
strategic partnerships, there can be no
assurance that any transaction will present
itself.
There are various uncertainties and risks relating to our
evaluation and negotiation of possible strategic alternatives and
our ability to consummate a definitive transaction,
including:
●
expected benefits
may not be successfully achieved;
●
evaluation and negotiation
of a proposed transaction
may distract management from focusing our time and resources on
execution of our operating plan, which could have a material
adverse effect on our operating results and
business;
●
the process of evaluating
proposed transactions may
be time consuming and expensive and may result in the loss of
business opportunities;
●
perceived
uncertainties as to our future direction may result in increased
difficulties in retaining key employees and recruiting new
employees, particularly senior management;
●
even if our Board
of Directors negotiates a definitive agreement, successful
integration or execution of the strategic alternative will be
subject to additional risks;
●
the current market
price of our common stock may reflect a market assumption that a
transaction will occur, and during the period in which we are
considering a transaction, the market price of our common stock
could be highly volatile; and
●
a failure to
complete a transaction could result in a negative perception by
investors in the Company generally and could cause a decline in the
market price of our common stock, as well as lead to greater
volatility in the market price of our common stock, all of which
could adversely affect our ability to access the equity and
financial markets, as well as our ability to explore and enter into
different strategic alternatives.
Risks Related to the Development and Commercialization of Our
Product Candidates
If we are unable to successfully complete our Phase 3 LOCK-IT-100
clinical trial, or if such clinical trial takes longer to complete
than we project, our ability to execute our current business
strategy will be adversely affected.
Whether or not and how quickly we complete the
Phase 3 LOCK-IT-100 clinical trial is dependent in part upon the
rate of enrollment of patients, the rate we collect, clean, lock
and analyze the clinical trial database, and the frequency with
which CRBSI events occur. Patient enrollment is a function of many
factors, including the size of the patient population, the
proximity of patients to clinical sites, the eligibility criteria
for the study, the existence of competitiveclinical trials, and
whether existing or new products are approved for the indication we
are studying. In addition, the LOCK-IT-100 clinical trial is
designed to continue until a pre-determined number of events have
occurred in the patients enrolled. Event-driven trials such as
LOCK-IT-100 are subject to delays and other risks stemming from
patient withdrawal and from lower than expected event rates.
The lower event rate will require that
we enroll more patients than initially anticipated, which would
require us to incur additional costs and extend the anticipated time for
completion of the trial
in order to achieve the desired number
of events. If we experience delays in patient enrollment in our
clinical trial, or if we experience other issues related to the
number of events or other trial results, we may incur additional
costs and delays in the trial, and may not be able to complete the
clinical trial in a cost-effective or timely manner, which would
have an adverse effect on our development program for Neutrolin as
a treatment for catheter related bloodstream
infections.
Neutrolin is only approved in Europe and is still in development in
the U. S.
Neutrolin
currently and for at least the near future is our only current
product as well as our only late-stage product candidate. Neturolin
has received CE Mark approval in Europe, and we launched it in
Germany in December 2013. We also are pursuing development of
Neutrolin in the U.S. Our product commercialization and development
efforts may not lead to commercially viable products for any of
several reasons. For example, our product candidates may fail to be
proven safe and effective in clinical trials, or we may have
inadequate financial or other resources to pursue development
efforts for our product candidates. Even if approved, our products
may not be accepted in the marketplace. Neutrolin will require
significant additional development, clinical trials, regulatory
clearances and/or investment by us or our collaborators as we
continue its commercialization, as will any of our other products.
Specifically, we plan to expand marketing of Neutrolin in other
foreign countries and to develop Neutrolin for sale in the U.S.,
which will take time and capital.
In
April 2017, we entered into a commercial collaboration with
Hemotech SAS covering France and certain overseas territories. We
have entered into agreements with a Saudi Arabian company to market
and sell Neutrolin in Saudi Arabia, and with a South Korean company
to market, sell and distribute Neutrolinin South Korea upon receipt
of regulatory approval in that country. We also have a commercial
presence in Germany and the United Arab Emirates. Consequently, we
will be dependent on these companies and individuals for the
success of sales in those countries and any other countries in
which we receive regulatory approval and in which we contract with
third parties for the marketing, sale and/or distribution of
Neutrolin. If these companies or individuals do not perform for
whatever reason, our business, prospects and results of operations
will be materially adversely affected. Finding a suitable
replacement organization or individual for these or any other
companies or individuals with whom we might contract could be
difficult, which would further harm our business, prospects and
results of operations.
Successful development and commercialization of our products is
uncertain.
Our development and commercialization of current and future
product candidates is subject to the risks of failure and delay
inherent in the development of new pharmaceutical products,
including but not limited to the following:
●
inability
to produce positive data in pre-clinical and clinical
trials;
●
delays in product development, pre-clinical and clinical testing, or
manufacturing;
●
unplanned expenditures in product
development, clinical testing, or
manufacturing;
●
failure
to receive regulatory approvals;
●
emergence of superior or equivalent
products;
●
inability to manufacture our product
candidates on a commercial scale on
our own, or in collaboration with third parties;
and
●
failure to achieve market
acceptance.
Because
of these risks, our development efforts may not result in any
commercially viable products. If a significant portion of these
development efforts are not successfully completed, required
regulatory approvals are not obtained or any approved products are
not commercialized successfully, our business, financial condition,
and results of operations will be materially harmed.
Clinical trials required for our product candidates are expensive
and time-consuming, and their outcome is uncertain.
In
order to obtain FDA or foreign approval to market a new drug or
device product, we must demonstrate proof of safety and
effectiveness in humans. Foreign regulations and requirements are
similar to those of the FDA. To meet FDA requirements, we must
conduct “adequate and well-controlled” clinical trials.
Conducting clinical trials is a lengthy, time-consuming, and
expensive process. The length of time may vary substantially
according to the type, complexity, novelty, and intended use of the
product candidate, and often can be several years or more per
trial. Delays associated with products for which we are directly
conducting clinical trials may cause us to incur additional
operating expenses. The commencement and rate of completion of
clinical trials may be delayed by many factors, including, for
example:
●
inability
to manufacture sufficient quantities of qualified materials under
the FDA’s cGMP requirements for use in clinical
trials;
●
slower than expected rates of patient
recruitment;
●
failure to recruit a sufficient number
of patients;
●
modification of clinical trial
protocols;
●
changes in regulatory requirements
for clinical
trials;
●
lack of effectiveness during clinical
trials;
●
emergence of unforeseen safety issues;
●
delays, suspension, or termination
of clinical trials due to the
institutional review board responsible for overseeing the study at
a particular study site; and
●
government or regulatory delays
or “clinical holds”
requiring suspension or termination of the
trials.
The
results from early pre-clinical and clinical trials are not
necessarily predictive of results to be obtained in later clinical
trials. Accordingly, even if we obtain positive results from early
pre-clinical or clinical trials, we may not achieve the same
success in later clinical trials.
Our
clinical trials may be conducted in patients with serious or
life-threatening diseases for whom conventional treatments have
been unsuccessful or for whom no conventional treatment exists, and
in some cases, our product is expected to be used in combination
with approved therapies that themselves have significant adverse
event profiles. During the course of treatment, these patients
could suffer adverse medical events or die for reasons that may or
may not be related to our products. We cannot ensure that safety
issues will not arise with respect to our products in clinical
development.
Clinical
trials may not demonstrate statistically significant safety and
effectiveness to obtain the requisite regulatory approvals for
product candidates. The failure of clinical trials to demonstrate
safety and effectiveness for the desired indications could harm the
development of our product candidates. Such a failure could cause
us to abandon a product candidate and could delay development of
other product candidates. Any delay in, or termination of, our
clinical trials would delay the filing of any NDA or any Premarket
Approval Application, or PMA, with the FDA and, ultimately, our
ability to commercialize our product candidates and generate
product revenues. Any change in, or termination of, our clinical
trials could materially harm our business, financial condition, and
results of operations.
If we fail to comply with international regulatory
requirements we could be subject to regulatory delays,
fines or other penalties.
Regulatory
requirements in foreign countries for international sales of
medical devices often vary from country to country. The occurrence
and related impact of the following factors would harm our
business:
●
delays in receipt of, or failure to
receive, foreign regulatory
approvals or clearances;
●
the loss of previously obtained approvals
or clearances; or
●
the failure to comply with existing or
future regulatory
requirements.
The
CE Mark is a mandatory conformity mark for products to be sold in
the European Economic Area. Currently, 28 countries in Europe
require products to bear CE Marking. To market in Europe,
a product must first obtain the certifications necessary to
affix the CE Mark. The CE Mark is an international symbol of
adherence to the Medical Device Directives and the
manufacturer’s declaration that the product complies with
essential requirements. Compliance with these requirements is
ascertained within a certified Quality Management System (QMS)
pursuant to ISO 13485. In order to obtain and to maintain a CE
Mark, a product must be in compliance with the applicable
quality assurance provisions of the aforementioned ISO and obtain
certification of its quality assurance systems by a recognized
European Union notified body. We received CE Mark approval for
Neutrolin on July 5, 2013. However, certain individual countries
within the European Union require further approval by their
national regulatory agencies. Failure to receive or
maintain these other requisite approvals could prohibit us
from marketing and selling Neutrolin in the entire
European Economic Area or elsewhere.
We do not have, and may never obtain, the regulatory approvals we
need to market our product candidates outside of the European
Union.
While
we have received the CE Mark approval for Neutrolin in Europe,
certain individual countries within the European Union require
further approval by their national regulatory
agencies. Failure to receive or maintain these other
requisite approvals could prohibit us from marketing and
selling Neutrolin in the entire European Economic Area. In
addition, we will need regulatory approval to market and sell
Neutrolin in foreign countries outside of Europe. We have received
regulatory approval in Saudi Arabia, Kuwait and
Bahrain.
In
the United States, we have no current application for, and have not
received the regulatory approvals required for, the commercial sale
of any of our products. We have not submitted an NDA, PMA or 510(K)
to the FDA for any product. We have received approval from the FDA
to proceed with our ongoing Phase 3 clinical trial for Neutrolin in
hemodialysis catheters as the first of our required two Phase 3
studies. We are assessing the structure of our planned second Phase
3 clinical trial to seek efficiencies and improvements in its
design and execution. Financing will be required to complete our
current Phase 3 trial and to begin and execute our planned second
Phase 3 trial. However, we might not obtain any financing and may
never start the planned second Phase 3 trial.
It
is possible that Neutrolin will not receive any further approval or
that any of our other product candidates will be approved for
marketing. Failure to obtain regulatory approvals, or delays in
obtaining regulatory approvals, would adversely affect the
successful commercialization of Neutrolin or any other drugs or
products that we or our partners develop, impose additional costs
on us or our collaborators, diminish any competitive advantages
that we or our partners may attain, and/or adversely affect our
cash flow.
Even if approved, our products will be subject to extensive
post-approval regulation.
Once
a product is approved, numerous post-approval requirements apply in
the United States and abroad. Depending on the circumstances,
failure to meet these post-approval requirements can result in
criminal prosecution, fines, injunctions, recall or seizure of
products, total or partial suspension of production,denial or
withdrawal of pre-marketing product approvals, or refusal to allow
us to enter into supply contracts, including government contracts.
In addition, even if we comply with FDA, foreign and other
requirements, new information regarding the safety or effectiveness
of a product could lead the FDA or a foreign regulatory body to
modify or withdraw product approval.
The successful commercialization of Neutrolin will depend on
obtaining coverage and reimbursement for use of Neutrolin from
third-party payors.
Sales of pharmaceutical products largely depend on
the reimbursement of patients’ medical expenses by government
health care programs and/or private health insurers, both in the
U.S. and abroad. Further, significant uncertainty exists as to the
reimbursement status of newly approved health care products.
We initially expect to sell Neutrolin directly to hospitals and key
dialysis center operators, but also plan to expand its usage into
intensive care, oncology and total parenteral nutrition patients
needing catheters, including Medicare patients. All of these
potential customers are healthcare providers who depend upon
reimbursement by government and commercial insurance payors for
dialysis and other treatments. Reimbursement is strictly governed
bythese insurance payors. We believe that Neutrolin would be
eligible for coverage under various reimbursement programs,
including hospital inpatient diagnosis-related groups (DRGs),
outpatient ambulatory payment classification (APCs) and the
End-Stage Renal Disease Prospective Payment System (ESRD PPS) or
under the Durable Medical Equipment, Prosthetics, Orthotics and
Supplies (DMEPOS) Fee Schedule, depending on the treatment setting.
However, coverage by any of these reimbursement programs is not
assured, and even if coverage is granted it could later be revoked
or modified under future regulations. Further, the U.S. Centers for
Medicare & Medicaid Services (CMS), which administers Medicare
and works with states to administer Medicaid, has adopted and will
continue to adopt and/or amend rules governing reimbursement for
specific treatments, including those we intend to address such as
dialysis and ESRD PPS. We anticipate that CMS and private insurers
will increasingly demand that manufacturers demonstrate the cost
effectiveness of their products as part of the reimbursement review
and approval process. Rising healthcare costs have also lead many
European and other foreign countries to adopt healthcare reform
proposals and medical cost containment measures. Any measures
affecting the reimbursement programs of these governmental and
private insurance payors, including any uncertainty in the medical
community regarding their nature and effect on reimbursement
programs, could have an adverse effect on purchasing decisions
regarding Neutrolin, as well as limit the prices we may charge for
Neutrolin. The failure to obtain or
maintain reimbursement coverage for Neutrolin or any other products
could materially harm our operations.
In
anticipation that CMS and private payers will demand that we
demonstrate the cost effectiveness of Neutrolin as part of the
reimbursement review and approval process, we have incorporated
health economic evaluations into our ongoing clinical studies to
support this review in the context of the prospective use of
Neutrolin in dialysis, the ICU and oncology settings.
However, our studies might not be sufficient to support coverage or
reimbursement at levels that allow providers to use
Neutrolin.
Physicians and patients may not accept and use our
products.
Even with the CE Mark approval of Neutrolin, and even if we
receive FDA or other foreign regulatory approval for Neutrolin or
other product candidates, physicians and patients may not accept
and use our products. Acceptance and use of our products will
depend upon a number of factors including the
following:
●
perceptions
by members of the health care community, including physicians,
about the safety and effectiveness of our drug or device
product;
●
cost-effectiveness
of our product relative to competing products;
●
availability of reimbursement for our
product from government or other
healthcare payors; and
●
effectiveness of marketing and distribution
efforts by us and our licensees and
distributors, if any.
Because
we expect sales of Neutrolin to generate substantially all of our
product revenues for the foreseeable future, the failure of
Neutrolin to find market acceptance would harm our business and
would require us to seek additional
financing.
Risks Related to Our Business and Industry
Competition and technological change may make our product
candidates and technologies less attractive or
obsolete.
We
compete with established pharmaceutical and medical device
companies that are pursuing other forms of prevention or treatment
for the same indications we are pursuing and that have greater
financial and other resources. Other companies may succeed in
developing products earlier than we do, obtaining FDA or any other
regulatory agency approval for products more rapidly, or
developingproducts that are more effective than our product
candidates. Research and development by others may render our
technology or product candidates obsolete or noncompetitive, or
result in processes, treatments or cures superior to any therapy we
develop. Weface competition from companies that internally develop
competing technology or acquire competing technology from
universities and other research institutions. As these companies
develop their technologies, they may develop competitive positions
that may prevent, make futile, or limit our product
commercialization efforts, which would result in a decrease in the
revenue we would be able to derive from the sale of any
products.
There
can be no assurance that Neutrolin or any other product candidate
will be accepted by the marketplace as readily as these or other
competing treatments. Furthermore, if our competitors’
products are approved before ours, it could be more difficult for
us to obtain approval from the FDA or any other regulatory agency.
Even if our products are successfully developed and approved for
use by all governing regulatory bodies, there can be no assurance
that physicians and patients will accept any of our products as a
treatment of choice.
Furthermore,
the pharmaceutical and medical device industry is diverse, complex,
and rapidly changing. By its nature, the business risks associated
with the industry are numerous and significant. The effects of
competition, intellectual property disputes, market acceptance, and
FDA or other regulatory agency regulations preclude us from
forecasting revenues or income with certainty or even
confidence.
We face the risk of product liability claims and the amount of
insurance coverage we hold now or in the future may not be adequate
to cover all liabilities we might incur.
Our
business exposes us to the risk of product liability claims that
are inherent in the development of drugs. If the use of one or more
of our or our collaborators’ drugs or devices harms people,
we may be subject to costly and damaging product liability claims
brought against us by clinical trial participants, consumers,
health care providers, pharmaceutical companies or others selling
our products.
We
currently carry product liability insurance that covers our
clinical trials. We cannot predict all of the possible harms or
side effects that may result and, therefore, the amount of
insurance coverage we hold may not be adequate to cover all
liabilities we might incur. Our insurance covers bodily injury and
property damage arisingfrom our clinical trials, subject to
industry-standard terms, conditions and exclusions. This coverage
includes the sale of commercial products. We have expanded our
insurance coverage to include the sale of commercial products due
to the receipt of the CE Mark approval, but we may be unable to
maintain such coverage or obtain commercially reasonable product
liability insurance for any other products approved for
marketing.
If
we are unable to obtain insurance at an acceptable cost or
otherwise protect against potential product liability claims, we
may be exposed to significant liabilities, which may materially and
adversely affect our business and financial position. If we are
sued for any injury allegedly caused by our or our
collaborators’ products and do not have sufficient insurance
coverage, our liability could exceed our total assets and our
ability to pay the liability. A successful product liability claim
or series of claims brought against us would decrease our cash and
could cause the value of our capital stock to
decrease.
We may be exposed to liability claims associated with the use of
hazardous materials and chemicals.
Our
research, development and manufacturing activities and/or those of
our third-party contractors may involve the controlled use of
hazardous materials and chemicals. Although we believe that our
safety procedures for using, storing, handling and disposing of
these materials comply with federal, state and local, as well as
foreign, laws and regulations, we cannot completely eliminate the
risk of accidental injury or contamination from these materials. In
the event of such an accident, we could be held liable for any
resulting damages and any liability could materially adversely
affect our business, financial condition and results of operations.
In addition, the federal, state and local, as well as foreign, laws
and regulations governing the use, manufacture, storage, handling
and disposal of hazardous or radioactive materials and waste
products may require us to incur substantial compliance costs that
could materially adversely affect our business, financial condition
and results of operations.
Healthcare policy changes, including reimbursement policies for
drugs and medical devices, may have an adverse effect on our
business, financial condition and results of
operations.
Market
acceptance and sales of Neutrolin or any other product candidates
that we develop will depend on reimbursement policies and may be
affected by health care reform measures in the United States and
abroad. Government authorities and other third-party payors, such
as private health insurers and health maintenance organizations,
decide which drugs they will pay for and establish reimbursement
levels. We cannot be sure that reimbursement will be availablefor
Neutrolin or any other product candidates that we develop. Also, we
cannot be sure that the amount of reimbursement available, if any,
will not reduce the demand for, or the price of, our products. If
reimbursement is not available or is available only at limited
levels, we may not be able to successfully commercialize Neutrolin
or any other product candidates that we develop.
In
the United States, there have been a number of legislative and
regulatory proposals to change the health care system in ways that
could affect our ability to sell our products profitably. The
Patient Protection and Affordable Care Act, as amended by the
Health Care and Education Reconciliation Act of 2010, or
collectively, the Healthcare Reform Act, substantially changes the
way healthcare is financed by both governmental and private
insurers, and significantly impacts the pharmaceutical industry.
The Healthcare Reform Act contains a number of provisions,
including those governing enrollment in federal healthcare
programs, reimbursement changes and fraud and abuse, which will
impact existing government healthcare programs and will result in
the development of new programs, including Medicare payment for
performance initiatives and improvements to the physician quality
reportingsystem and feedback program. We anticipate that if we
obtain approval for our products, some of our revenue may be
derived from U.S. government healthcare programs, including
Medicare. Furthermore, beginning in 2011, the Healthcare Reform Act
imposed a non-deductible excise tax on pharmaceutical manufacturers
or importers who sell “branded prescription drugs,”
which includes innovator drugs and biologics (excluding orphan
drugs or generics) to U.S. government programs. We expect that the
Healthcare Reform Act and other healthcare reform measures that may
be adopted in the future could have an adverse effect on our
industry generally and our products specifically.
In
addition to the Healthcare Reform Act, we expect that there will
continue to be proposals by legislators at both the federal and
state levels, regulators and third-party payors to keep healthcare
costs down while expanding individual healthcare benefits. Certain
of these changes could impose limitations on the prices we will be
able to charge for any products that are approved or the amounts of
reimbursement available for these products from governmental
agencies or other third-party payors or may increase the tax
requirements for life sciences companies such as ours. While it is
too early to predict what effect the Healthcare Reform Act or any
future legislation or regulation will have on us, such laws could
have an adverse effect on our business, financial condition and
results of operations.
Health
administration authorities in countries other than the United
States may not provide reimbursement for Neutrolin or any of our
other product candidates at rates sufficient for us to achieve
profitability, or at all. Like the United States, these countries
could adopt health care reform proposals and could materially alter
their government-sponsored health care programs by reducing
reimbursement rates.
Any
reduction in reimbursement rates under Medicare or private insurers
or foreign health care programs could negatively affect the pricing
of our products. If we are not able to charge a sufficient amount
for our products, then our margins and our profitability will be
adversely affected.
If we lose key management or scientific personnel, cannot recruit
qualified employees, directors, officers, or other personnel or
experience increases in compensation costs, our business may
materially suffer.
We
are highly dependent on the principal members of our management and
scientific staff, specifically, Khoso Baluch, a director and our
Chief Executive Officer, Robert Cook, our Chief Financial Officer
and John Armstrong, our Executive Vice President for Technical
Operations. Our future success will depend in part on our ability
to identify, hire, and retain current and additional personnel. We
experience intense competition for qualified personnel and may be
unable to attract and retain the personnel necessary for the
development of our business. Moreover, our work force is located in
the New York metropolitan area, where competition for personnel
with the scientific and technical skills that we seek is extremely
high and is likely to remain high. Because of this competition, our
compensation costs may increase significantly. In addition, we have
only limited ability to prevent former employees from competing
with us.
If we are unable to hire additional qualified personnel, our
ability to grow our business may be harmed.
Over
time, we expect to hire additional qualified personnel with
expertise in clinical testing, clinical research and testing,
government regulation, formulation and manufacturing, and sales and
marketing. We compete for qualified individuals with numerous
pharmaceutical companies, universities and other research
institutions. Competition for such individuals is intense, and we
cannot be certain that our search for such personnel will be
successful. Attracting and retaining such qualified personnel will
be critical to our success.
We may not successfully manage our growth.
Our
success will depend upon the expansion of our operations to
commercialize Neutrolin and the effective management of any growth,
which could place a significant strain on our management and our
administrative, operational and financial resources. To manage this
growth, we may need to expand our facilities, augment our
operational, financial and management systems and hire and train
additional qualified personnel. If we are unable to manage our
growth effectively, our business may be materially
harmed.
Risks Related to Our Intellectual Property
If we materially breach or default under any of our license
agreements, the licensor party to such agreement will have the
right to terminate the license agreement, which termination may
materially harm our business.
Our
commercial success will depend in part on the maintenance of our
license agreements. Each of our license agreements provides the
licensor with a right to terminate the license agreement for our
material breach or default under the agreement, including the
failure to make any required milestone or other payments. Should
the licensor under any of our license agreements exercise such a
termination right, we would lose our right to the intellectual
property under the respective license agreement, which loss may
materially harm our business.
If we and our licensors do not obtain protection for and
successfully defend our respective intellectual property rights,
our competitors may be able to take advantage of our research and
development efforts to develop competing
products.
Our
commercial success will depend in part on obtaining further patent
protection for our products and other technologies and successfully
defending any patents that we currently have or will obtain against
third-party challenges. The patents which we currently believe are
most material to our business are as follows:
●
U.S. Patent No. 8,541,393 (expiring
in November 2024) (the “Prosl
Patent”) - use of Neutrolin for preventing infection and
maintenance of catheter patency in hemodialysis catheters (for
CRMD003);
●
U.S.
Patent No. 6,166,007 (expiring May 2019) (the “Sodemann
Patent”) - a method of inhibiting or preventing infection and
blood coagulation at a medical prosthetic device (for CRMD003);
and
●
European Patent EP 1 814 562 B1 (expiring
October 12, 2025) (the “Prosl
European Patent”) - a low heparin catheter lock solution for
maintaining and preventing infection in a hemodialysis
catheter.
We
are currently seeking further patent protection for our compounds
and methods of treating diseases. However, the patent process is
subject to numerous risks and uncertainties, and there can be no
assurance that we will be successful in protecting our products by
obtaining and defending patents. These risks and uncertainties
include the following:
●
patents
that may be issued or licensed may be challenged, invalidated, or
circumvented, or otherwise may not provide any competitive
advantage;
●
our competitors, many of which have
substantially greater resources than
we have and many of which have made significant investments in
competing technologies, may seek, or may already have obtained,
patents that will limit, interfere with, or eliminate our ability
to make, use, and sell our potential products either in the United
States or in international markets;
●
there
may be significant pressure on the United States government and
other international governmental bodies to limit the scope of
patent protection both inside and outside the United States for
treatments that prove successful as a matter of public policy
regarding worldwide health concerns; and
●
countries other than the United States may
have less restrictive patent laws than
those upheld by United States courts, allowing foreign competitors
the ability to exploit these laws to create, develop, and market
competing products.
In
addition, the United States Patent and Trademark Office, or PTO,
and patent offices in other jurisdictions have often required that
patent applications concerning pharmaceutical and/or
biotechnology-related inventions be limited or narrowed
substantially to cover only the specific innovations exemplified in
the patent application, thereby limiting the scope of protection
against competitive challenges. Thus, even if we or our licensors
are able to obtain patents, the patents may be substantially
narrower than anticipated.
The
above mentioned patents and patent applications are exclusively
licensed to us. To support our patent strategy, we have engaged in
a review of patentability and certain freedom to operate issues,
including performing certain searches. However, patentability and
certain freedom to operate issues are inherently complex, and we
cannot provide assurances that a relevant patent office and/or
relevant court will agree with our conclusions regarding
patentability issues or with our conclusions regarding freedomto
operate issues, which can involve subtle issues of claim
interpretation and/or claim liability. Furthermore, we may not be
aware of all patents, published applications or published
literature that may affect our business either by blocking our
ability to commercialize our product candidates, preventing the
patentability of our product candidates to us or our licensors, or
covering the same or similar technologies that may invalidate our
patents, limit the scope of our future patent claims or adversely
affect our ability to market our product
candidates. Additionally, it is also possible that prior art
of which we are aware, but which we do not believe affects the
validity or enforceability of a claim, may, nonetheless, ultimately
be found by a court of law or an administration panel to affect the
validity or enforceability of a claim. If a third party 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. Such loss of patent
protection could have a material adverse impact on our
business.
In
addition to patents, we also rely on trade secrets and proprietary
know-how. We take measures to protect this information by entering
into confidentiality and inventions agreements with our employees
and some, but not all, of our scientific advisors, consultants, and
collaborators. However, we cannot provide any assurances that these
agreements will not be breached, that we will be able to protect
ourselves from the harmful effects of disclosure or dispute
ownership if they are breached, or that our trade secrets will not
otherwise become known or be independently discovered by
competitors. If any of these events occurs, or we otherwise lose
protection for our trade secrets or proprietary know-how, the value
of our intellectual property may be greatly
reduced.
Ongoing and future intellectual property disputes could require us
to spend time and money to address such disputes and could limit
our intellectual property rights.
The
biotechnology and pharmaceutical industries have been characterized
by extensive litigation regarding patents and other intellectual
property rights, and companies have employed intellectual property
litigation to gain a competitive advantage. We may initiate or
become subject to infringement claims or litigation arising out of
patents and pending applications of our competitors, or we may
become subject to proceedings initiated by our competitors or other
third parties or the PTO or applicable foreign bodies to reexamine
the patentability of our licensed or owned patents. In addition,
litigation may be necessary to enforce our issued patents, to
protect our trade secrets and know-how, or to determine the
enforceability, scope, and validity of the proprietary rights of
others.
We initiated court proceedings in Germany for
patent infringement and unfair use of our proprietary information
related to Neutrolin (as described below). We also have had
opposition proceedings brought against the European Patent and the
German utility model patent which are the basis of our infringement
proceedings (as described below). The defense and prosecution of
these ongoing and any future intellectual property suits, PTO or
foreign proceedings, and related legal and administrative
proceedings are costly and time-consuming to pursue, and their
outcome is uncertain. An adverse determination in litigation or PTO
or foreign proceedings to which we may become a party could subject
us to significant liabilities, including damages, require us to
obtain licenses from third parties, restrict or prevent us from
selling our products in certain markets, or invalidate or render
unenforceable our licensed or owned patents. Although patent and
intellectual property disputes might be settled through licensing
or similar arrangements, the costs associated with such
arrangements may be substantial and could include our paying large
fixed payments and ongoing royalties. Furthermore, the necessary
licenses may not be available on satisfactory terms or at
all.
In
February 2007, Geistlich Söhne AG für Chemische
Industrie, Switzerland (“Geistlich”) brought an action
against the European Sodemann Patent covering our Neutrolin product
candidate, which is owned by ND Partners, LLC (“NDP”)
and licensed to us pursuant to the License and Assignment Agreement
between us and NDP. This action was brought at the Board of the
European Patent Office (“EPO”) opposition division (the
“Opposition Board”) based upon alleged lack of
inventiveness in the use of citric acid and a pH value in the range
of 4.5 to 6.5 with having the aim to provide an alternative lock
solution through having improved anticoagulant characteristics
compared to the lock solutions of the prior art. The
OppositionBoard rejected the opposition by Geistlich. In a letter
dated September 30, 2013, we were notified that the opposition
division of the EPO reopened the proceedings before the first
instance and gave their preliminary non-binding opinion that the
patent as amended during the appeal proceedings fulfills the
requirements of clarity, novelty, and inventive step, and invited
the parties to provide their comments and/or requests by February
10, 2014. We filed our response on February 3, 2014 to
request that the patent be maintained as amended during the appeal
proceedings. Geistlich did not file a further statement
within the required timeline. On November 5, 2014, the
Opposition Division at the EPO issued the interlocutory decision to
maintain the patent on the basis of the claims as amended during
the appeal proceedings. This decision became final as no further
appeal was lodged by Geistlich.
On
September 9, 2014, we filed in the District Court of Mannheim,
Germany a patent infringement action against TauroPharm GmbH and
Tauro-Implant GmbH as well as their respective CEOs (the
“Defendants”) claiming infringement of our European
Patent EP 1 814 562 B1, which was granted by the EPO on January 8,
2014 (the “Prosl European Patent”). The Prosl European
Patent covers a low dose heparin catheter lock solution for
maintaining patency and preventing infection in a hemodialysis
catheter. In this action, we claim that the Defendants
infringe on the Prosl European Patent by manufacturing and
distributing catheter locking solutions to the extent they are
covered by the claims of the Prosl European Patent. We
believe that our patent is sound, and are seeking injunctive relief
and raising claims for information, rendering of accounts, calling
back, destruction and damages. Separately, TauroPharm has filed an
opposition with the EPO against the Prosl European Patent alleging
that it lacks novelty and inventive step. We cannot
predict what other defenses the Defendants may raise, or the
ultimate outcome of either of these related matters.
In the
same complaint against the same Defendants, we also alleged an
infringement (requesting the same remedies) of NDP’s utility
model DE 20 2005 022 124 U1 (the “Utility Model”),
which we believe is fundamentally identical to the Prosl European
Patent in its main aspects and claims. The Court separated the two
proceedings and the Prosl European Patent and the Utility Model
claims are now being tried separately. TauroPharm has
filed a cancellation action against the Utility Model before the
German Patent and Trademark Office (the “German PTO”)
based on the similar arguments as those in the opposition against
the Prosl European Patent.
On
March 27, 2015, the District Court held a hearing to evaluate
whether the Utility Model has been infringed by TauroPharm in
connection with the manufacture, sale and distribution of its
TauroLock-HEP100TM and TauroLock-HEP500TM products. A hearing
before the same court was held on January 30, 2015 on the separate,
but related, question of infringement of the Prosl European Patent
by TauroPharm.
The
Court issued its decisions on May 8, 2015, staying both
proceedings. In its decisions, the Court found that the
commercialization by TauroPharm in Germany of its TauroLock
catheter lock solutions Hep100 and Hep500 infringes both the
Prosl European Patent and the Utility Model and further that there
is no prior use right that would allow TauroPharm to continue to
make, use or sell its product in Germany. However, the Court
declined to issue an injunction in favor of us that would preclude
the continued commercialization by TauroPharm based upon its
finding that there is a sufficient likelihood that the EPO, in the
case of the Prosl European Patent, or the German PTO, in the case
of the Utility Model, may find that such patent or utility model is
invalid. Specifically, the Court noted the
possible publication of certain instructions for product use
that may be deemed to constitute prior art. As such, the District
Court determined that it will defer any consideration of the
request by us for injunctive and other relief until such time as
the EPO or the German PTO made a final decision on the underlying
validity of the Prosl European Patent and the Utility
Model.
The
opposition proceeding against the Prosl European Patent before the
EPO is ongoing. In its preliminary consideration of the matter, the
EPO (and the German PTO) regarded the patent as not inventive or
novel due to publication of prior art. Oral proceedings
before the Opposition Division at the EPO were held on November 25,
2015, at which the three judge patent examiner panel considered
arguments related to the validity of the Prosl European Patent. The
hearing was adjourned due to the fact that the panel was of the
view that Claus Herdeis, one of the managing directors of
TauroPharm, has to be heard as a witness in a further hearing in
order to close some gaps in the documentation presented by
TauroPharm as regards the publication of prior art. In October
2016, TauroPharm submitted a further writ to theEPO requesting a
date for the hearing and bringing forward further arguments, in
particular in view of the recent decision of the German PTO on the
invalidity of the utility model. The EPO has scheduled a further
oral hearing for November 22-23, 2017. While we continue to believe
that the referenced publication and instructions for use do not, in
fact, constitute prior art and that the Prosl European Patent will
be found to be valid by the EPO. There can be no assurance that we
will prevail in this matter.
The
German PTO held a hearing in the validity proceedings relating to
the Utility Model on June 29, 2016, at which the panel affirmed its
preliminary finding that the Utility Model was invalid based upon
prior publication of a reference to the benefits that may be
associated with adding heparin to a taurolidine based solution. The
decision is subject to appeal and has only a declaratory effect, as
the Utility Model had expired in November 2015. Furthermore, it has
no bearing on the ongoing consideration of the validity and
possible infringement of the Prosl Patent by the EPO. We filed an
appeal against the ruling on September 7, 2016.
On
January 16, 2015, we filed a complaint against TauroPharm GmbH and
its managing directors in the District Court of Cologne,
Germany. In the complaint, we allege violation of the
German Unfair Competition Act by TauroPharm for the unauthorized
use of its proprietary information obtained in confidence by
TauroPharm. We allege that TauroPharm is improperly and
unfairly using its proprietary information relating to the
composition and manufacture of Neutrolin, in the manufacture and
sale of TauroPharm’s products TauroLockTM, TauroLock-HEP100
and TauroLock-HEP500. We seek a cease and desist order
against TauroPharm from continuing to manufacture and sell any
product containing taurolidine (the active pharmaceutical
ingredient (“API”) of Neutrolin) and citric acid in
addition to possible other components, damages for any sales in the
past and the removal of all such products from the market. An
initial hearing in the District Court of Cologne, Germany was held
on November 19, 2015 to consider our claims. The judge made no
decision on the merits of our complaint. On January 14, 2016,
the court issued an interim decision in the form of a court order
outlining several issues of concern that relate primarily to
court's interest in clarifying the facts and reviewing any and all
available documentation, in particular with regard to the question
which specific know-how was provided to TauroPharm by whom and
when. We have prepared the requested reply and produced the
respective documentation. TauroPharm has also filed another writ
within the same deadline and both parties have filed further writs
at the end of April setting out their respective argumentation in
more detail. A further oral hearing in this matter was held on
November 15, 2016. In this hearing, the court heard arguments from
us and TauroPharm concerning the allegations of unfair competition.
The court made no rulings from the bench, and indicated that it is
prepared to further examine the underlying facts of our
allegations. On March 7, 2017, the court issued another interim
decision in the form of a court order outlining again several
issues relating to the argumentation of both sides in the
proceedings. In particular the court requested us to further
specify our requests and to further substantiate in even more
detail which know know-how was provided by Biolink to TauroPharm by
whom and when. The court also raised the question whether the
know-how provided at the time to TauroPharm could still be
considered to be secret know-how or may have become public in the
meantime. The court granted both sides the opportunity to reply to
this court order and provide additional facts and evidence until
May 15, 2017. Both parties have submitted further writs in this
matter and the court has now scheduled a further hearing for May 8,
2018. We intend to continue to pursue this matter, and to provide
additional supplemental documentary and other evidence as may be
necessary to support our claims.
If we infringe the rights of third parties we could be prevented
from selling products and forced to pay damages and defend against
litigation.
If our products, methods, processes and other
technologies infringe the proprietary rights of other parties, we
could incur substantial costs
and we may have to do one or more of the
following:
●
obtain licenses, which may not be available
on commercially reasonable terms, if
at all;
●
abandon an infringing product
candidate;
●
redesign
our products or processes to avoid infringement;
●
stop using the subject matter claimed in
the patents held by
others;
●
defend litigation or administrative proceedings, which may be costly
whether we win or lose, and which could result in a substantial
diversion of our financial and management
resources.
Risks Related to Dependence on Third Parties
If we are not able to develop and maintain collaborative marketing
relationships with licensees or partners, or create an effective
sales, marketing, and distribution capability, we may be unable to
market our products or market them successfully.
Our
business strategy for Neutrolin in Europe and the Middle East
relies on collaborating with larger firms with experience in
marketing and selling medical devices and pharmaceutical products;
for other products we may also rely on such marketing
collaborations or out-licensing of our product candidates.
Specifically, for Neutrolin we have a distributor agreement with
each of a Saudi Arabian, an Emirati and a South Korean company for
sales and marketing (upon receipt of approval to market in South
Korea). In April 2017, we announced a commercial collaboration with
Hemotech SAS covering France and certain overseas territories.
Assuming we receive applicable regulatory approval for other
markets, we plan to enter into distribution agreements with one or
more third parties for the sale of Neutrolin in various European,
Middle East and other markets. However, there can be no assurance
that we will be able to successfully maintain those relationships
or establish and maintain additional marketing, sales, or
distribution relationships, nor can there be assurance that such
relationships will be successful, or that we will be successful in
gaining market acceptance for our products. To the extent that we
enter into any marketing, sales, or distribution arrangements with
third parties, our product revenues will be lower than if we
marketed and sold our products directly, and any revenues we
receive will depend upon the efforts of such
third-parties.
If
we are unable to establish and maintain such third-party sales and
marketing relationships, or choose not to do so, we will have to
establish our own in-house capabilities. We currently have no
sales, marketing, or distribution infrastructure. To market any of
our products directly, we would need to develop a marketing, sales,
and distribution force that has both technical expertise and the
ability to support a distribution capability.The establishment of a
marketing, sales, and distribution capability would take time and
significantly increase our costs, possibly requiring substantial
additional capital. In addition, there is intense competition for
proficient sales and marketing personnel, and we may not be able to
attract individuals who have the qualifications necessary to
market, sell, and distribute our products. There can be no
assurance that we will be able to establish internal marketing,
sales, or distribution capabilities. Ifwe are unable to, or choose
not to establish these capabilities, or if the capabilities we
establish are not sufficient to meet our needs, we will be required
to establish collaborative marketing, sales, or distribution
relationships with third parties, which we might not be able to do
on acceptable terms or at all.
We currently have no internal marketing and sales organization and
currently rely and intend to continue to rely on third parties to
market and sell Neutrolin. If we are unable to enter into or
maintain agreements with third parties to market and sell Neutrolin
or any other product after approval or are unable to establish our
own marketing and sales capabilities, we may not be able to
generate significant or any product revenues.
We do
not have an internal sales organization. To date we have relied,
and intend to continue to rely, on third parties for the marketing,
sales and distribution of Neutrolin and any other product we might
develop. However, we may not be able to maintain current and future
arrangements or enter into new arrangements with third parties to
sell Neutrolin or any other product on favorable terms or at all.
In that event, we would have to develop our own marketing and sales
force. The establishment and development of our own sales force
would be expensive and time consuming and could delay any product
launch, and we cannot be certain that we would be able to
successfully develop this capability. In addition, the use of third
parties to commercialize our approved products reduces the revenues
that we would receive if we commercialized these products
ourselves.
We have
entered into agreements with independent companies to market
Neutrolin in Saudi Arabia, the United Arab Emirates and France,
and, upon regulatory approval, South Korea. We may seek a sales
partner in the U.S. if Neutrolin receives FDA approval.
Consequently, we will be dependent on these firms and individuals
for the success of sales in these and any other countries in which
approval is granted. If these firms or individuals do not perform
for whatever reason, our business, prospects and results of
operations may be materially adversely affected. Finding a new or
replacement organization for sales and marketing could be
difficult, which would further harm our business, prospects and
results of operations.
If we or our collaborators are unable to manufacture our products
in sufficient quantities or are unable to obtain regulatory
approvals for a manufacturing facility, we may be unable to meet
demand for our products and we may lose potential
revenues.
Completion
of our clinical trials and commercialization of Neutrolin and any
other product candidate require access to, or development of,
facilities to manufacture a sufficient supply of our product
candidates. All of our manufacturing processes currently are, and
we expect them to continue to be, outsourced to third parties.
Specifically, we will rely on one or more manufacturers to supply
us and/or our distribution partners with commercial quantities of
Neutrolin. If, for any reason, we become unable to rely on our
current sources for the manufacture of Neutrolin or any other
product candidates or for active pharmaceutical ingredient, or API,
either for clinical trials or for commercial quantities, then we
would need to identify and contract with additional or replacement
third-party manufacturers to manufacture compounds for
pre-clinical, clinical, and commercial purposes. We may not be
successful in identifying such additional or replacement
third-party manufacturers, or in negotiating acceptable terms with
any that we do identify. Such third-party manufacturers must
receive FDA or applicable foreign approval before they can produce
clinical material or commercial product, and any that are
identified may not receive such approval or may fail to maintain
such approval. In addition, we may be in competition with other
companies for access to these manufacturers’ facilities and
may be subject to delays in manufacturing if the manufacturers give
other clients higher priority than they give to us. If we are
unable to secure and maintain third-party manufacturing capacity,
the development and sales of our products and our financial
performance may be materially affected.
Before
we could begin to commercially manufacture Neutrolin or any other
product candidate on our own, we must obtain regulatory approval of
the manufacturing facility and process. The manufacture of drugs
for clinical and commercial purposes must comply with cGMP and
applicable non-U.S. regulatoryrequirements. The cGMP requirements
govern quality control and documentation policies and procedures.
Complying with cGMP and non-U.S. regulatory requirements would
require that we expend time, money, and effort in production,
recordkeeping, and quality control to assure that the product meets
applicable specifications and other requirements. We would also
have to pass a pre-approval inspection prior to FDA or non-U.S.
regulatory agency approval. Failure to pass a pre-approval
inspection may significantly delay regulatory approval of our
products. If we fail to comply with these requirements, we would be
subject to possible regulatory action and may be limited in the
jurisdictions in which we are permitted to sell our products. As a
result, our business, financial condition, and results of
operations could be materially adversely
affected.
Corporate and academic collaborators may take actions that delay,
prevent, or undermine the success of our products.
Our
operating and financial strategy for the development, clinical
testing, manufacture, and commercialization of our product
candidates is heavily dependent on our entering into collaborations
with corporations, academic institutions, licensors, licensees, and
other parties. Our current strategy assumesthat we will
successfully establish and maintain these collaborations or similar
relationships. However, there can be no assurance that we will be
successful establishing or maintaining such collaborations. Some of
our existing collaborations, such as our licensing agreements, are,
and future collaborations may be, terminable at the sole discretion
of the collaborator in certain circumstances. Replacement
collaborators might not be available on attractive terms, or at
all.
In
addition, the activities of any collaborator will not be within our
control and may not be within our power to influence. There can be
no assurance that any collaborator will perform its obligations to
our satisfaction or at all, that we will derive any revenue or
profits from such collaborations, or that any collaborator will not
compete with us. If any collaboration is not pursued, we may
require substantially greater capital to undertake on our own the
development and marketing of our product candidates and may not be
able to develop and market such products successfully, if at all.
In addition, a lack of development and marketing collaborations may
lead to significant delays in introducing product candidates into
certain markets and/or reduced sales of products in such
markets.
Data provided by collaborators and others upon which we rely that
has not been independently verified could turn out to be false,
misleading, or incomplete.
We
rely on third-party vendors, scientists, and collaborators to
provide us with significant data and other information related to
our projects, clinical trials, and business. If such third parties
provide inaccurate, misleading, or incomplete data, our business,
prospects, and results of operations could be materially adversely
affected.
Risks Related to our Common Stock
Prior to fiscal 2015, we had identified a material weakness in our
internal control over financial reporting, and our current internal
control over financial reporting and our disclosure controls and
procedures may not prevent all possible errors that could
occur.
In the
several years prior to fiscal 2015, we had identified a material
weakness in our internal control over financial reporting that was
related to our limited finance staff and the resulting ineffective
management review over financial reporting, coupled with
increasingly complex accounting treatments associated with our
financing activities and European expansion. While we remediated
this material weakness in 2015, we cannot be certain that material
weaknesses will not arise again.
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 satisfied. Internal control over
financial reporting and disclosure controls and procedures are
designed to give a reasonable assurance that they are effective to
achieve their objectives. We cannot provide absolute assurance that
all of our possible future control issues will be detected. These
inherent limitations include the possibility that judgments in our
decision making can be faulty, and that isolated breakdowns can
occur because of simple human error or mistake. The design of our
system of controls is based in part upon assumptions about the
likelihood of future events, and there can be no assurance that any
design will succeed absolutely in achieving our stated goals under
all potential future or unforeseeable conditions. Because of the
inherent limitations in a cost-effective control system,
misstatements due to error could occur and not be detected. This
and any future failures could cause investors to lose confidence in
our reported financial information, which could have a negative
impact on our financial condition and stock price.
Our common stock price has fluctuated considerably and is likely to
remain volatile, in part due to the limited market for our common
stock, and you could lose all or a part of your
investment.
During
the period from the completion of our initial public offering, or
IPO, on March 30, 2010 through November 17, 2017, the high and low
sales prices for our common stock were $10.40 and $0.15,
respectively. There is a limited public market for our common stock
and we cannot provide assurances that an active trading market will
develop or continue. As a result of low trading volume in our
common stock, the purchase or sale of a relatively small number of
shares could result in significant share price
fluctuations.
Additionally,
the market price of our common stock may continue to fluctuate
significantly in response to a number of factors, some of which are
beyond our control, including the following:
●
market acceptance of Neutrolin in those markets
in which it is approved for
sale;
●
our need for additional capital;
●
the
receipt of or failure to obtain additional regulatory approvals for
Neutrolin, including FDA approval in the U.S.;
●
results of clinical trials of our product candidates, including our ongoing
and planned Phase 3 trials for Neutrolin in the U.S., or those of
our competitors;
●
our entry into or the loss of a significant
collaboration;
●
regulatory
or legal developments in the United States and other countries,
including changes in the healthcare payment systems;
●
changes in financial estimates or investment recommendations by
securities analysts relating to our common
stock;
●
announcements
by our competitors of significant developments, strategic
partnerships, joint ventures or capital commitments;
●
changes in key personnel;
●
variations in our financial results or those of companies that are perceived
to be similar to us;
●
market conditions in the pharmaceutical
and medical device sectors and
issuance of new or changed securities analysts’ reports or
recommendations;
●
general economic, industry and market conditions;
●
developments
or disputes concerning patents or other proprietary
rights;
●
future sales or anticipated sales of our securities by us or our stockholders;
and
●
any other factors described in this “Risk Factors”
section.
In
addition, the stock markets in general, and the stock of
pharmaceutical and medical device companies in particular, have
experienced extreme price and volume fluctuations that have often
been unrelated or disproportionate to the operating performance of
these companies. Broad market and industry factors may negatively
affect the market price of our common stock, regardless of our
actual operating performance.
For
these reasons and others, an investment in our securities is risky
and you should invest only if you can withstand a significant loss
and wide fluctuations in the value of your
investment.
A significant number of additional shares of our common stock may
be issued at a later date, and their sale could depress the market
price of our common stock.
As
of November 17, 2017, we had outstanding the following securities
that are convertible into or exercisable for shares of our common
stock:
●
warrants
for up to 473,664 shares of common stock issued on November 16,
2017 with an exercise price of $0.001;
●
warrants
for 227,273 shares of common stock issued in July 2013 with an
exercise price of $1.50 that expire on July 30, 2018;
●
warrants
for 500,000 shares of common stock issued in May 2013 with an
exercise price of $0.65 per share that expire on May 30,
2019;
●
warrants for 125,000 shares issued
to ND Partners in April 2013 in
connection with the amendment to the license and assignment
agreement with an exercise price of $1.50 per share that expire on
April 11, 2018;
●
options to purchase an aggregate of 120,000 shares
of our common stock issued to our officers, directors, employees
and non-employee consultants under our Amended and Restated 2006 Stock Incentive
Plan, or the 2006 Stock Plan, with a weighted average exercise
price of $1.44 per share;
●
options
to purchase an aggregate of 4,851,429 shares of our common stock
issued to our officers, directors and non-employee consultants
under our 2013 Stock Plan, with a weighted average exercise price
of $2.06 per share;
●
a warrant to purchase 400,000 shares of our common stock issued on
February 19, 2013 with an exercise price of $1.50 that expire on
February 19, 2018;
●
warrants
for 750,000 shares of common stock with an exercise price of $0.90
that expire on October 22, 2019;
●
warrants for 725,000 shares of common stock with an exercise price of $0.90
that expire on January 8, 2020;
●
150,000 shares of
Series C-2 Preferred Stock, which are convertible into 1,500,000
shares of common stock;
●
104,000 shares of
Series C-3 Preferred Stock, which are convertible into 1,040,000
shares of common stock;
●
73,962 shares of
Series D Preferred Stock, which are convertible into 1,479,240
shares of common stock;
●
89,623 shares of
Series E Preferred Stock, which are convertible into 1,959,759
shares of common stock;
●
2,000 shares of
Series F Preferred Stock, which are convertible into 3,157,562
shares of common stock, subject to adjustment;
●
warrants for
682,500 shares of common stock issued in March 2014 with an
exercise price of $2.50 per shares that expire on September 10,
2019;
●
warrants for
200,000 shares of common stock with an exercise price of $7.00 that
expire on March 3, 2020;
●
warrants for 83,400
shares of common stock with an exercise price of $7.00 that expire
on March 25, 2020;
●
Series A warrants
for 4,391,977 shares of common stock with an exercise price of
$0.75 that expire on September 10, 2018;
●
Series B warrants
for 13,964,476 shares of common stock with an exercise price of
$1.05 that expire on August 10, 2022;
●
underwriter
warrants for 1,117,158 shares of common stock with an exercise
price of $0.9375 that expire on August 10, 2022; and
●
restricted stock
units for 61,414 shares of common stock with an average grant date
fair value of $2.22 per share.
The
possibility of the issuance of these shares, as well as the actual
sale of such shares, could substantially reduce the market price
for our common stock and impede our ability to obtain future
financing.
We will need additional financing to fund our activities in the
future, which likely will dilute our stockholders.
To
date, our commercial operations have not generated sufficient
revenues to enable profitability. As of September 30, 2017, we had
an accumulated deficit of approximately $141.9 million, and
incurred net losses from operations of $22.7 million for the nine
months then ended. Based on the current development plans for
Neutrolinin both the U.S. and foreign markets (including the
ongoing hemodialysis Phase 3 clinical trial in the U.S.) and our
other operating requirements, management believes that our existing
cash and short-term investments at September 30, 2017 will fund our
operations through the first quarter of 2018 after taking into
consideration the net proceeds received in October 2017 from sales
of common stock under our at the market common stock sales program
and the received and available proceeds from the November 2017
financing with Elliott. We will need additional funding to complete
the LOCK-IT-100 hemodialysis clinical trial in the U.S. which
commenced in December 2015 as well as to initiate the planned
second Phase 3 clinical trial that will be required in order to
file an NDA with the FDA. Further, we
anticipate that we will incur operating losses for the foreseeable
future. Additionally, we will require substantial funds in the
future to support our operations. We expect to seek equity or debt
financings in the future to fund our operations. The issuance of
additional equity securities, or convertible debt or other
derivative securities, likely will dilute some if not all of our
then existing stockholders, depending on the financing
terms.
Future sales and issuances of our equity securities or rights to
purchase our equity securities, including pursuant to equity
incentive plans, would result in additional dilution of the
percentage ownership of our stockholders and could cause our stock
price to fall.
To the extent we raise additional capital by
issuing equity securities, our stockholders may experience
substantial dilution. We may, as we have in the past, sell common
stock, convertible securities or other equity securities in
one or more transactions at
prices and in a manner we determine from time to time. If we sell
common stock, convertible securities or other equity securities in
more than one transaction, investors may be further diluted by
subsequent sales. Such sales may also result in material dilution
to our existing stockholders, and new investors could gain rights
superior to existing stockholders.
Pursuant
to our 2013 Stock Plan, our Board of Directors is authorized to
award up to a total of 11,000,000 shares of common stock or options
to purchase shares of common stock to our officers, directors,
employees and non-employee consultants. As of November 17, 2017,
options to purchase 120,000 shares of common stock issued under our
2006 Stock Plan at a weighted average exercise price of $2.44 per
share, and options to purchase 4,851,429 shares of common stock
issued under our 2013 Stock Plan at a weighted average exercise
price of $2.06 per share were outstanding. In addition, at November
17, 2017, there were outstanding warrants to purchase an aggregate
of 23,640,448 shares of our common stock at prices ranging from
$0.001 to $7.00, and shares of our outstanding Series C-2, C-3, D,
E and F preferred stock convertible into an aggregate of 9,136,561
(subject to adjustment for the Series F preferred stock) shares of
our common stock. Stockholders will experience dilution in the
event that additional shares of common stock are issued under our
2006 Stock Plan or 2013 Stock Plan, or options issued under our
2006 Stock Plan or 2013 Stock Plan are exercised, or any warrants
are exercised for, or preferred stock shares are converted to,
common stock.
Provisions in our corporate charter documents and under Delaware
law could make an acquisition of us, which may be beneficial to our
stockholders, more difficult.
Provisions in our Amended and Restated Certificate
of Incorporation, as amended, and our Amended and Restated Bylaws,
as well as provisions of the General Corporation Law of the State
of Delaware, or DGCL, may discourage, delay or prevent a merger,
acquisition or other change in control of our company, even if such
a change in control would be beneficial to our stockholders. These
provisions include the following:
●
authorizing
the issuance of “blank check” preferred stock, the
terms of which may be established and shares of which may be issued
without stockholder approval;
●
prohibiting our stockholders from
fixing the number of our directors;
and
●
establishing advance notice requirements
for stockholder proposals that can be
acted on at stockholder meetings and nominations to our Board of
Directors.
These
provisions may frustrate or prevent any attempts by our
stockholders to replace or remove our current management by making
it more difficult for stockholders to replace members of our board
of directors, which is responsible for appointing the members of
our management. In addition, we are subject to Section 203 of the
DGCL, which generally prohibits a Delaware corporation from
engaging in any of a broad range of business combinations with an
interested stockholder for a period of three years following the
date on which the stockholder became an interested stockholder,
unless such transactions are approved by the board of directors.
This provision could have the effect of discouraging, delaying or
preventing someone from acquiring us or merging with us, whether or
not it is desired by, or beneficial to, our stockholders. Any
provision of our Amended and Restated Certificate of Incorporation,
as amended, or Amended and Restated Bylaws or Delaware law that has
the effect of delaying or deterring a change in control could limit
the opportunity for our stockholders to receive a premium for their
shares of our common stock and could also affect the price that
some investors are willing to pay for our common
stock.
If we fail to comply with the continued listing standards of the
NYSE American, it may result in a delisting of our common stock
from the exchange.
Our
common stock is currently listed for trading on the NYSE American,
and the continued listing of our common stock on the NYSE American
is subject to our compliance with a number of listing standards.
These listing standards include the requirement for avoiding
sustained losses and maintaining a minimum level of
stockholders’ equity. In 2012 and 2014, we
received notices from the NYSE American that we did not meet
continued listing standards of the NYSE American as set forth in
Part 10 of the Company Guide. Specifically, we were not
in compliance with Section 1003(a)(i) and Section 1003(a)(ii) of
the Company Guide because we reported stockholders’ equity of
less than the required amounts. As a result, we became
subject to the procedures and requirements of Section 1009 of the
Company Guide and were subject to possible delisting. In March
2015, we regained compliance with the NYSE American listing
requirements due to our market capitalization, pursuant to Section
1003(a) of the Company Guide. However, there can be no assurance
that we will continue to meet the continued listing standards of
the NYSE American.
If our common stock were no longer listed on the
NYSE American, investors might only be able to trade on the OTC
Bulletin Board ® or in the Pink Sheets ® (a quotation medium operated by Pink Sheets LLC).
This would impair the liquidity of our common stock not only in the
number of shares that could be bought and sold at a given price,
which might be depressed by the relative illiquidity, but also
through delays in the timing of transactions and reduction in media
coverage.
Because the average daily trading volume of our common stock has
been low historically, the ability to sell our shares in the
secondary trading market may be limited.
Because the average daily trading volume of our
common stock on the NYSE American has been low historically, the
liquidity of our common stock may be impaired. As a result, prices
for shares of our common stock may be lower than might otherwise
prevail if the average daily trading volume of our common stock was
higher. The average daily trading volume of our common stock may be
low relative to the stocks of other exchange-listed companies,
which could limit investors’ ability to sell shares in the
secondary trading market.
Penny stock regulations may impose certain restrictions on
marketability of our securities.
The SEC has adopted regulations which generally
define a “penny stock” to be any equity security that
has a market price of less than $5.00 per share or an exercise
price of less than $5.00 per share, subject to certain exceptions.
A security listed on a national securities exchange is exempt from
the definition of a penny stock. Our common stock is listed on the
NYSE American and so is not considered a penny stock. However, if
we fail to maintain our common stock’s listing on the NYSE
American, our common stock would be considered a penny stock. In
that event, our common stock would be subject to rules that impose
additional sales practice requirements on broker-dealers who sell
such securities to persons other than established customers and
accredited investors (generally those with assets in excess of
$1,000,000 or annual income exceeding $200,000, or $300,000
together with their spouse). For transactions covered by such
rules, the broker-dealer must make a special suitability
determination for the purchase of such securities and have received
the purchaser’s written consent to the transaction prior to
the purchase. Additionally, for any transaction involving a penny
stock, unless exempt, the rules require the delivery, prior to the
transaction, of a risk disclosure document mandated by the SEC
relating to the penny stock market. The broker-dealer must also
disclose the commission payable to both the broker-dealer and the
registered representative, current quotations for the securities
and, if the broker-dealer is the sole market maker, the
broker-dealer must disclose this fact and the broker-dealer’s
presumed control over the market. Finally, monthly statements must
be sent disclosing recent price information for the penny stock
held in the account and information on the limited market in penny
stocks. Broker-dealers must wait two business days after providing
buyers with disclosure materials regarding a security before
effecting a transaction in such security. Consequently, the
“penny stock” rules restrict the ability of
broker-dealers to sell our securities and affect the ability of
investors to sell our securities in the secondary market and the
price at which such purchasers can sell any such securities,
thereby affecting the liquidity of the market for our common
stock.
Stockholders
should be aware that, according to the SEC, the market for penny
stocks has suffered in recent years from patterns of fraud and
abuse. Such patterns include:
●
control of the market for the security by
one or more broker-dealers that are
often related to the promoter or issuer;
●
manipulation of prices through prearranged
matching of purchases and sales and
false and misleading press releases;
●
“boiler room” practices
involving high pressure sales
tactics and unrealistic price projections by inexperienced sales
persons;
●
excessive and undisclosed bid-ask
differentials and markups by selling
broker-dealers; and
●
the
wholesale dumping of the same securities by promoters and
broker-dealers after prices have been manipulated to a desired
level, along with the inevitable collapse of those prices with
consequent investor losses.
We do not intend to pay dividends on our common stock so any
returns on our common stock will be limited to the value of our
common stock.
We
have never declared dividends on our common stock, and currently do
not plan to declare dividends on shares of our common stock in the
foreseeable future. Pursuant to the terms of our Series D and E
Non-Voting Convertible Preferred Stock, we may not declare or pay
any dividends or make any distributions on any of our shares or
other equity securities as long as any of those preferred shares
remain outstanding. We currently expect to retain future earnings,
if any, for use in the operation and expansion of our business. The
payment of cash dividends in the future, if any, will be at the
discretion of our board of directors and will depend upon such
factors as earnings levels, capital requirements, our overall
financial condition and any other factors deemed relevant by our
board of directors. Any return to holders of our common stock will
be limited to the value of their common stock.
Additional Risks Related to This Offering
Management will have broad
discretion as to the use of the proceeds from this offering, and
may not use the proceeds effectively.
Because
we have not designated the amount of net proceeds from this
offering to be used for any particular purpose, our management will
have broad discretion as to the application of the net proceeds
from this offering and could use them for purposes other than those
contemplated at the time of the offering. Our management may use
the net proceeds for corporate purposes that may not improve our
financial condition or market value. The failure by management to
apply these funds effectively could result in financial losses that
could have a material adverse effect on our business, cause the
price of our common stock to decline and delay the development and
commercialization of our product candidates.
You may experience immediate and substantial dilution.
The
offering price per share in this offering may exceed the net
tangible book value per share of our common stock outstanding prior
to this offering. Assuming that an aggregate of 624,246
shares of our common stock
are sold at a purchase price of $0.48 per share, the last reported sale price
of our common stock on the NYSE American on November 16, 2017, for
aggregate gross proceeds of $299,640, after deducting estimated
offering expenses payable by us, you will experience immediate
dilution of $0.3208 per
share, representing the difference between our as-adjusted net
tangible book value per share as of September 30, 2017, after
giving effect to this offering and the assumed offering price. The
exercise of outstanding stock options and warrants may result in
further dilution of your investment. See the section entitled
“Dilution” below for a more detailed illustration of
the dilution you would incur if you participate in this
offering.
You may experience future dilution as a result of future equity
offerings.
We will
need significant additional funds to complete the U.S development
of Neutrolin. In order to raise additional capital, we plan to
offer in the future additional shares of our common stock or other
securities convertible into or exchangeable for our common stock at
prices that may not be the same as the price per share in this
offering. We may sell shares or other securities in any other
offering at a price per share that is less than the price per share
paid by investors in this offering, and investors purchasing shares
or other securities in the future could have rights superior to
existing stockholders. The price per share at which we sell
additional shares of our common stock, or securities convertible or
exchangeable into common stock, in future transactions may be
higher or lower than the price per share paid by investors in this
offering.
SPECIAL NOTE REGARDING FORWARD-LOOKING STATEMENTS
The
SEC encourages companies to disclose forward-looking information so
that investors can better understand a company’s future
prospects and make informed investment decisions. This prospectus
supplement and the documents we have filed with the SEC that are
incorporated herein by reference contain such
“forward-looking statements” within the meaning of the
Private Securities Litigation Reform Act of 1995.
Words such as “may,”
“might,” “should,”
“anticipate,” “estimate,”
“expect,” “projects,”
“intends,” “plans,” “believes”
and words and terms of similar substance used in connection with
any discussion of future operating or financial performance,
identify forward-looking statements. Forward-looking statements
represent management’s current judgment regarding future
events and are subject to a number of risks and uncertainties that
could cause actual results to differ materially from those
described in the forward-looking statements. These risks include,
but are not limited to: the cost, timing and results of the
planned and ongoing Phase 3 trials for Neutrolin® in the U.S.,
including variances in the expected rate of catheter-related
bloodstream infection events and the resources needed to commence
and complete those trials; the risks and uncertainties associated
with CorMedix’s ability to manage its limited cash resources;
CorMedix’s ability to continue as a going concern;
CorMedix’s ability to obtain financing to support its
research and development and clinical activities and operations;
CorMedix’s ability to gain alignment with the FDA on proposed
protocol changes its LOCK-IT 100 trial; later developments with the
FDA that may be inconsistent with the FDA’s acceptance of
interim analyses of the LOCK-IT 100 trial; obtaining regulatory
approvals to conduct clinical trials and to commercialize
CorMedix’s product candidates, including the planned second
Phase 3 trial of Neutrolin and the marketing of Neutrolin in
countries other than Europe; the outcome of clinical trials of
CorMedix’s product candidates and whether they demonstrate
these candidates’ safety and effectiveness; the risks
associated with the launch of Neutrolin in new markets;
CorMedix’s ability to enter into, execute upon and maintain
collaborations with third parties for its development and marketing
programs; CorMedix’s dependence on its collaborations and its
license relationships; CorMedix’s ability to maintain its
listing on the NYSE American; achieving milestones under
CorMedix’s collaborations; CorMedix’s dependence on
preclinical and clinical investigators, preclinical and clinical
research organizations, manufacturers, sales and marketing
organizations, and consultants; and protecting the intellectual
property developed by or licensed to CorMedix. Please also see the discussion of risks and
uncertainties under “Risk Factors” above, and contained
in the accompanying prospectus and otherwise incorporated by
reference herein, and in our most recent annual report on
Form 10-K as well as any amendments thereto, as filed with the
SEC and which are incorporated herein by
reference.
In
light of these assumptions, risks and uncertainties, the results
and events discussed in the forward-looking statements contained in
this prospectus supplement, the accompanying prospectus, or in any
document incorporated herein or therein by reference might not
occur. Investors are cautioned not to place undue reliance on the
forward-looking statements, which speak only as of the date of this
prospectus supplement, the accompanying prospectus, or the date of
the document incorporated by reference herein or therein. We are
not under any obligation, and we expressly disclaim any obligation,
to update or alter any forward-looking statements, whether as a
result of new information, future events or otherwise. All
subsequent forward-looking statements attributable to us or to any
person acting on our behalf are expressly qualified in their
entirety by the cautionary statements contained or referred to in
this section.
USE OF PROCEEDS
We
currently intend to use the net proceeds from this offering, if
any, for general corporate purposes, including clinical trials,
research and development expenses, and general and administrative
expenses.
The
amounts and timing of our use of the net proceeds from this
offering will depend on a number of factors, such as the timing and
progress of our research and development efforts, the timing and
progress of any collaborative or strategic partnering efforts, and
the competitive environment for our planned products. As of the
date of this prospectus supplement, we cannot specify with
certainty all of the particular uses for the net proceeds to us
from this offering. Accordingly, our management will have broad
discretion in the timing and application of these proceeds. Pending
application of the net proceeds as described above, we intend to
temporarily invest the proceeds in short-term, interest-bearing
instruments.
DILUTION
Our net tangible book value as of September 30,
2017 was approximately $9,676,292, or $0.1561 per share of common stock. Net tangible book value
per share is calculated by subtracting our total liabilities from
our total tangible assets, which is total assets less intangible
assets, and dividing this amount by the number of shares of common
stock outstanding. After giving effect to the sale by us of the
full $299,640 of common stock being offered in this offering at the
offering price of $0.48 per share, which was the closing price of
our common stock on the NYSE American on November 16,
2017, and after deducting estimated
offering expenses payable by us, our as-adjusted net tangible book
value as of September 30, 2017 would have been approximately
$9,965,932, or $0.1592 per share of common stock. This represents an
immediate increase in the net tangible book value of $0.0031 per
share to our existing stockholders and an immediate and substantial
dilution in net tangible book value of $0.3208 per share to new
investors. The following table illustrates this hypothetical per
share dilution:
Assumed public
offering price per share
|
|
$0.48
|
Net tangible book
value per share as of September 30, 2017
|
$0.1561
|
|
Increase in net
tangible book value per share attributable to this
offering
|
$0.0031
|
|
As adjusted net
tangible book value per share as of September 30, 2017, after
giving effect to this offering
|
|
$0.1592
|
Dilution per share
to new investors purchasing shares in this offering
|
|
$0.3208
|
To
the extent that any outstanding options or warrants are exercised,
new options are issued under our 2006 Stock Incentive Plan or our
2013 Stock Incentive Plan or we otherwise issue additional shares
of common stock in the future, there will be further dilution to
new investors.
The
above discussion and table are based on 61,978,609 shares of our
common stock outstanding as of September 30, 2017 and excludes the
following securities outstanding on September 30,
2017:
●
warrants
for 227,273 shares of common stock issued in July 2013 with an
exercise price of $1.50 that expire on July 30, 2018;
●
warrants
for 500,000 shares of common stock issued in May 2013 with an
exercise price of $0.65 per share that expire on May 30,
2019;
●
warrants
for 125,000 shares issued to ND Partners in April 2013 in
connection with the amendment to the license and assignment
agreement with an exercise price of $1.50 per share that expire on
April 11, 2018;
●
options
to purchase an aggregate of 120,000 shares of our common stock
issued to our officers, directors, employees and non-employee
consultants under our Amended and Restated 2006 Stock Incentive
Plan, or the 2006 Stock Plan, with a weighted average exercise
price of $1.44 per share;
●
options
to purchase an aggregate of 4,826,429 shares of our common stock
issued to our officers, directors and non-employee consultants
under our 2013 Stock Plan, with a weighted average exercise price
of $2.07 per share;
●
a
warrant to purchase 400,000 shares of our common stock issued on
February 19, 2013 with an exercise price of $1.50 that expire on
February 19, 2018;
●
warrants
for 750,000 shares of common stock with an exercise price of $0.90
that expire on October 22, 2019;
●
warrants for 725,000 shares of common stock with
an exercise price of $0.90 that expire on January 8,
2020;
●
Series C-2
Preferred Stock convertible into 1,500,000 shares of
common;
●
Series C-3
Preferred Stock convertible into 1,040,000 shares of common
stock;
●
Series D Preferred
Stock convertible 1,479,240 shares of common stock;
●
Series E Preferred
Stock convertible 1,959,759 shares of common stock;
●
warrants for
682,500 shares of common stock issued in March 2014 with an
exercise price of $2.50 per shares that expire on September 10,
2019;
●
warrants for
200,000 shares of common stock with an exercise price of $7.00 that
expire on March 3, 2020;
●
warrants for 83,400
shares of common stock with an exercise price of $7.00 that expire
on March 25, 2020;
●
Series A warrants
for 13,964,476 shares of common stock with an exercise price of
$0.75 that expire on September10, 2018 (decreased to 4,414,476
shares at September 30, 2017);
●
Series B warrants
for 13,964,476 shares of common stock with an exercise price of
$1.05 that expire on August 10, 2022;
●
underwriter
warrants for 1,117,158 shares of common stock with an exercise
price of $0.9375 that expire on August 10, 2022; and
●
restricted stock
units for 61,414 shares of common stock with an average grant date
fair value of $2.22 per share.
Also
excluded from the discussion and table above are the following
securities issued after September 30, 2017:
●
5,625 shares of
common stock issued upon the exchange of 22,500
warrants;
●
5,041,185 shares of
common stock issued in sales under the at the market common stock
sales program;
●
warrants for up to
473,664 shares of common stock issued on November 16, 2017 with an
exercise price of $0.001; and
●
Series F Preferred
Stock convertible into 3,157,562 shares of common stock, subject to
adjustment.
MARKET FOR COMMON STOCK
Our
common stock trades on the NYSE American under the symbol
“CRMD.” The following table sets forth the high and low
sales prices for our common stock for the periods indicated as
reported by NYSE American:
Fiscal Year
2017
|
|
|
First
Quarter
|
$2.48
|
$1.44
|
Second
Quarter
|
$1.64
|
$0.36
|
Third
Quarter
|
$0.45
|
$0.32
|
Fourth Quarter
(through November 17, 2017
|
$0.78
|
$0.48
|
Fiscal Year
2016
|
|
|
First
Quarter
|
$2.88
|
$1.15
|
Second
Quarter
|
$4.54
|
$1.72
|
Third
Quarter
|
$3.12
|
$1.35
|
Fourth
Quarter
|
$3.26
|
$1.46
|
Fiscal Year
2015
|
|
|
First
Quarter
|
$9.90
|
$1.63
|
Second
Quarter
|
$10.40
|
$3.20
|
Third
Quarter
|
$4.31
|
$1.72
|
Fourth
Quarter
|
$2.96
|
$1.72
|
Based
upon information furnished by our transfer agent, at November 16,
2017, we had approximately 62 holders of record of our common
stock.
We have
never declared dividends on our equity securities, and currently do
not plan to declare dividends on shares of our common stock in the
foreseeable future. We expect to retain our future earnings, if
any, for use in the operation and expansion of our business.
Further, pursuant to the terms of our
Series D and Series E Non-Voting Convertible Preferred Stock, we
may not declare or pay any dividends or make any distributions on
any of our shares or other equity securities as long as any of
those preferred shares remain outstanding. Subject to the
foregoing, the payment of cash dividends in the future, if any,
will be at the discretion of our Board of Directors and will depend
upon such factors as earnings levels, capital requirements, our
overall financial condition and any other factors deemed relevant
by our Board of Directors.
PLAN OF DISTRIBUTION
We
are offering the shares of common stock directly to the purchasers
hereunder. We currently anticipate that the closing of the sale of
such securities under this prospectus supplement will take place on
or about November 22, 2017. On the closing date, we will issue the
shares of common stock to the purchasers and we will receive funds
in the amount of the aggregate purchase price of
$299,640.
We
have entered into a securities purchase agreement, dated as of
November 17, 2017, with the purchasers relating to the sale of the
shares of our common stock under this prospectus supplement. Our
obligation to issue and sell securities to the purchaser is subject
to the customary conditions set forth in the securities purchase
agreement, which may be waived by us in our discretion. The
purchasers’ obligation to purchase securities is subject to
customary conditions set forth in the securities purchase agreement
as well, which also may be waived.
The
shares of common stock were offered directly to the purchasers
without a placement agent, underwriter, broker or dealer. The
expenses of this offering payable by us are estimated to be
approximately $10,000.
DESCRIPTION
OF OUR COMMON STOCK
Pursuant to our Amended and Restated Certificate
of Incorporation, as amended, we are authorized to issue
160,000,000 shares of common stock, $0.001 par value per share. As
of November 17, 2017, we had 67,025,419 shares of common stock
outstanding.
The following summary of certain provisions of our
common stock does not purport to be complete. You should refer to
our Amended and Restated Certificate of Incorporation, as amended,
and our Amended and Restated Bylaws. We filed our Amended and
Restated Certificate of Incorporation, as amended, as an exhibit to
our definitive proxy statement on Schedule 14A with the SEC on
October 17, 2012, and filed the amendment to the Amended and
Restated Certificate that increased our authorized capital and
common stock in a Current Report on Form 8-K with the SEC on August
10, 2017. We filed our Amended and Restated Bylaws as an exhibit to
the registration statement on Form S-1 filed with the SEC on March
1, 2010. We filed a Certificate of Designation for each of
our Series B, C-2, C-3, D, E and F non-voting preferred stock as
exhibits to our current reports on Form 8-K on July 26, 2013,
October 23, 2013, January 9, 2014, and November 13, 2017,
respectively, and amendments to the Certificate of Designation for
each of our Series C-2, C-3, D and E non-voting preferred stock on
September 16, 2014. The summary below
is also qualified by provisions of applicable
law.
The
holders of our common stock are entitled to one vote per share on
all matters to be voted on by the stockholders, and there are no
cumulative voting rights. Generally, all matters to be voted on by
stockholders must be approved by a majority (or, in the case of
election of directors, by a plurality) of the votes entitled to be
cast by all shares of common stock present in person or represented
by proxy, subject to any voting rights granted to holders of any
preferred stock.
The
holders of common stock are entitled to receive ratable dividends,
if any, payable in cash, in stock or otherwise if, as and when
declared from time to time by our board of directors out of funds
legally available for the payment of dividends, subject to any
preferential rights that may be applicable to any outstanding
preferred stock. In the event of a liquidation, dissolution, or
winding up of our company, after payment in full of all outstanding
debts and other liabilities, the holders of common stock are
entitled to share ratably in all remaining assets, subject to prior
distribution rights of preferred stock, if any, then outstanding.
No shares of common stock have preemptive rights or other
subscription rights to purchase additional shares of common stock.
There are no redemption or sinking fund provisions applicable to
the common stock. All outstanding shares of common stock are fully
paid and nonassessable, and the shares of common stock included in
this registration statement will be fully paid and nonassessable.
The rights, preferences and privileges of holders of our common
stock will be subject to, and might be adversely affected by, the
rights of holders of any preferred stock that we may issue in the
future. All shares of common stock that are acquired by us shall be
available for reissuance by us at any time.
LEGAL MATTERS
Wyrick
Robbins Yates & Ponton LLP, Raleigh, North Carolina, will pass
upon the validity of the common stock offered by this prospectus
supplement.
EXPERTS
The balance sheets of CorMedix Inc. as of December
31, 2016 and 2015 and the related consolidated statements of
operations and comprehensive income (loss), stockholders’
equity, and cash flows for each of the years in the two-year period
ended December 31, 2016 (which report expresses an unqualified
opinion on the financial statements and includes an explanatory
paragraph referring to the Company's ability to continue as a going
concern), and management’s assessment of the
effectiveness of internal control over financial reporting as of
December 31, 2016 (which is included in management’s report
on internal control over financial reporting in the Annual Report
on Form 10-K for the year ended December 31, 2016), have been incorporated herein by reference in
reliance on the report of Friedman LLP, independent registered
public accounting firm, given upon their authority as experts in
accounting and auditing.
WHERE YOU CAN FIND MORE INFORMATION
This
prospectus supplement and the accompanying prospectus are part of
the registration statement on Form S-3 we filed with the SEC under
the Securities Act and do not contain all the information set forth
in the registration statement. Whenever a reference is made in this
prospectus supplement or the accompanying prospectus to any of our
contracts, agreements or other documents, the reference may not be
complete and you should refer to the exhibits that are a part of
the registration statement or the exhibits to the reports or other
documents incorporated by reference into this prospectus supplement
or the accompanying prospectus for a copy of such contract,
agreement or other document. Because we are subject to the
information and reporting requirements of the Exchange Act, we file
annual, quarterly and current reports, proxy statements and other
information with the SEC. Our SEC filings are available to the
public over the Internet at the SEC’s website at
http://www.sec.gov. You may also read and copy any document we file
at the SEC’s Public Reference Room at 100 F Street, N.E.,
Washington, D.C. 20549. Please call the SEC at 1-800-SEC-0330 for
further information on the operation of the Public Reference
Room.
INCORPORATION OF CERTAIN INFORMATION BY REFERENCE
The SEC
allows us to “incorporate by reference” information
from other documents that we file with it, which means that we can
disclose important information to you by referring you to those
documents. The information incorporated by reference is considered
to be part of this prospectus supplement and the accompanying
prospectus. Information in this prospectus supplement supersedes
information incorporated by reference that we filed with the SEC
prior to the date of this prospectus supplement, while information
that we file later with the SEC will automatically update and
supersede the information in this prospectus supplement. The
documents we are incorporating by reference are:
●
our
Annual Report on Form 10-K for the fiscal year ended December 31,
2016, filed with the SEC on March 16, 2017;
●
our
Quarterly Report on Form 10-Q for the quarter ended March 31, 2017,
filed with the SEC on May 10, 2017;
●
our
Quarterly Report on Form 10-Q for the quarter ended June 30, 2017,
filed with the SEC on August 9, 2017;
●
our
Quarterly Report on Form 10-Q for the quarter ended September 20,
2017, filed with the SEC on November 9, 2017;
●
our
Current Reports on Form 8-K, filed with the SEC pursuant to Section
13 of the Exchange Act on April 20, April 28, May 3, June 13, June
27, July 12, August 1, August 2, August 7, August 9 (Form 8-K/A),
August 10, August 28, August 30, September 1, September 5, November
13, and November 20, 2017 ; and
●
all
of the filings pursuant to the Securities Exchange Act of 1934, as
amended, after the date of the filing of the registration statement
and prior to the effectiveness of the registration
statement.
We also
incorporate by reference any future filings (other than current
reports furnished under Item 2.02 or Item 7.01 of Form 8-K and
exhibits filed on such form that are related to such items unless
such Form 8-K expressly provides to the contrary) made with the SEC
pursuant to Sections 13(a), 13(c), 14 or 15(d) of the Exchange Act,
including those made after the date of the initial filing of the
registration statement of which this prospectus supplement is a
part and prior to effectiveness of such registration statement,
until we file a post-effective amendment that indicates the
termination of the offering of the common stock made by this
prospectus supplement and will become a part of this prospectus
supplement from the date that such documents are filed with the
SEC. Information in such future filings updates and the information
provided in this prospectus supplement.
Any
statements in any such future filings will automatically be deemed
to modify and supersede any information in any document we
previously filed with the SEC that is incorporated or deemed to be
incorporated herein by reference to the extent that statements in
the later filed document modify or replace such earlier
statements.
The information relating to us contained in this prospectus
supplement should be read together with the documents incorporated
herein by reference.
Upon
oral or written request and at no cost to the requester, we will
provide to any person, including a beneficial owner, to whom a
prospectus supplement is delivered, a copy of any or all of the
information that has been incorporated by reference in this
prospectus supplement but not delivered with this prospectus
supplement. All requests should be made to: CorMedix Inc.,
Attention: Secretary, 400 Connell Drive, Suite 5000, Berkeley
Heights, NJ 07922, (908) 517-9500.
You
should rely only on the information incorporated by reference or
provided in this prospectus supplement. We have not authorized
anyone to provide you with different information. You should not
assume that the information in this prospectus supplement or the
documents incorporated herein by reference is accurate as of any
date other than the date on the front of this prospectus supplement
or those documents.
Prospectus
$100,000,000
of
Common
Stock,
Preferred
Stock,
Warrants,
Debt
Securities and/or
Units
From time to time,
we may offer up to $100,000,000 of any combination of the
securities described in this prospectus, either individually or in
units, in one or more offerings in amounts, at prices and on the
terms that we will determine at the time of offering. We
may also offer common stock or preferred stock upon conversion of
debt securities, common stock upon conversion of preferred stock,
or common stock, preferred stock or debt securities upon the
exercise of warrants.
Each time we sell
securities, we will provide specific terms of the securities
offered in a supplement to this prospectus. The
prospectus supplement may also add, update or change information
contained in this prospectus. We will specify in any
accompanying prospectus supplement the terms of any
offering. You should read this prospectus and the
applicable prospectus supplement, as well as any documents
incorporated by reference in this prospectus and any prospectus
supplement, carefully before you invest in any
securities. This
prospectus may not be used by us to consummate a sale of securities
unless accompanied by the applicable prospectus
supplement.
We will sell these
securities directly to our stockholders or to other purchasers or
through agents on our behalf or through underwriters or dealers as
designated from time to time. If any agents or
underwriters are involved in the sale of any of these securities,
the applicable prospectus supplement will provide the names of the
agents or underwriters and any applicable fees, commissions or
discounts.
Our common stock
trades on the NYSE MKT under the trading symbol
“CRMD.” On April 7, 2015, the last reported
sale price of our common stock was $9.24 per share. We
recommend that you obtain current market quotations for our common
stock prior to making an investment decision.
You
should carefully read this prospectus, the prospectus supplement
relating to any specific offering of securities and all information
incorporated by reference herein and therein.
Investing
in our securities involves a high degree of risk. These
risks are discussed in this prospectus under “Risk
Factors” beginning on page 7 and in the documents
incorporated by reference into this prospectus.
Neither the
Securities and Exchange Commission nor any state securities
commission has approved or disapproved of these securities or
determined if this prospectus is truthful or complete. Any
representation to the contrary is a criminal offense.
The date of this
prospectus is April 17, 2015.
Table of Contents
Prospectus
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Page
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About
this Prospectus
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1
|
Prospectus
Summary
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2
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Risk
Factors
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7
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Special Note
Regarding Forward-Looking Statements
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26
|
Use of
Proceeds
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28
|
Plan
of Distribution
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28
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Description of our
Capital Stock
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29
|
Common
Stock
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29
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Issued
and Outstanding Preferred Stock
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30
|
Description of
Preferred Stock That May Be Offered
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35
|
Description of
Debt Securities
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36
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Description of
Warrants
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39
|
Description of
Units
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40
|
Certain Provisions
of Delaware Law and of Our Amended and Restated Certificate of
Incorporation and Amended and Restated Bylaws
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40
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Legal
Matters
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41
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Experts
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41
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Where
You Can Find More Information
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41
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Incorporation of
Documents by Reference
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42
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ABOUT
THIS PROSPECTUS
This prospectus is
part of a registration statement that we filed with the Securities
and Exchange Commission, or SEC, utilizing a “shelf”
registration process. Under this shelf registration
process, we may offer shares of our common stock and preferred
stock, various series of debt securities and/or warrants to
purchase any of such securities, either individually or in units,
in one or more offerings, of an indeterminate
amount. This prospectus provides you with a general
description of the securities we may offer. Each time we
offer a type or series of securities under this prospectus, we will
provide a prospectus supplement that will contain specific
information about the terms of that offering.
This prospectus
does not contain all of the information included in the
registration statement. For a more complete
understanding of the offering of the securities, you should refer
to the registration statement, including its
exhibits. Prospectus supplements may also add, update or
change information contained or incorporated by reference in this
prospectus. However, no prospectus supplement will
fundamentally change the terms that are set forth in this
prospectus or offer a security that is not registered and described
in this prospectus at the time of its
effectiveness. This prospectus, together with the
applicable prospectus supplements and the documents incorporated by
reference into this prospectus, includes all material information
relating to this offering. You should carefully read
this prospectus, the applicable prospectus supplement, the
information and documents incorporated herein by reference and the
additional information under the heading “Where You Can Find
More Information” before making an investment
decision.
You should rely
only on the information we have provided or incorporated by
reference in this prospectus or any prospectus
supplement. We have not authorized anyone to provide you
with information different from that contained or incorporated by
reference in this prospectus. No dealer, salesperson or
other person is authorized to give any information or to represent
anything not contained or incorporated by reference in this
prospectus. You must not rely on any unauthorized
information or representation. This prospectus is an
offer to sell only the securities offered hereby, but only under
circumstances and in jurisdictions where it is lawful to do
so. You should assume that the information in this
prospectus or any prospectus supplement is accurate only as of the
date on the front of the document and that any information we have
incorporated herein by reference is accurate only as of the date of
the document incorporated by reference, regardless of the time of
delivery of this prospectus or any sale of a security.
To the extent there
are inconsistencies between any prospectus supplement, this
prospectus and any documents incorporated by reference, the
document with the most recent date will control.
This
prospectus may not be used to consummate sales of our securities,
unless it is accompanied by a prospectus supplement.
Unless the context
otherwise requires, “CorMedix,” the
“company,” “we,” “us,”
“our” and similar names refer to CorMedix
Inc.
Neutrolin®
is our registered trademark and the CorMedix logo is our trademark.
All other trade names, trademarks and service marks appearing in
this prospectus are the property of their respective owners. We
have assumed that the reader understands that all such terms are
source-indicating. Accordingly, such terms, when first mentioned in
this prospectus, appear with the trade name, trademark or service
mark notice and then throughout the remainder of this prospectus
without trade name, trademark or service mark notices for
convenience only and should not be construed as being used in a
descriptive or generic sense.
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PROSPECTUS
SUMMARY
This summary highlights information contained elsewhere in this
prospectus. Because it is a summary, it might not contain all of
the information that is important to you. Accordingly, you are
urged to carefully review this prospectus in its entirety,
including “Risk Factors” beginning on page 7 and
our financial statements and related notes thereto incorporated by
reference herein, before making an investment
decision.
Our
Company
Overview
We seek to
in-license, develop and commercialize prophylactic and therapeutic
products for the prevention and treatment of infectious diseases in
cardiac, renal and oncology patients. As of the date of this
report, we have in-licensed all of the product candidates in our
pipeline.
We have the
worldwide rights to develop and commercialize our product
candidates, CRMD003 (Neutrolin®) and CRMD004, which we believe
address potentially large market opportunities in the instances in
which a central venous catheter is used, such as hemodialysis,
intensive care units, oncology and total parenteral nutrition
patients.
Our primary product is
Neutrolin, a catheter lock solution, is for the prevention of
catheter-related infections and thrombosis in the central venous
catheter markets such as dialysis, critical care, and
oncology. We believe this is a multi-billion dollar
global market opportunity. There are seven million
central venous catheters and 160 million peripheral catheters
placed per year in patients in the United States. There
are 1.7 million infections per year of which 25% are due to
catheter related bloodstream infections (CRBSI), which are also
referred to as central line associated bloodstream infections
(CLABSI). The mortality rate ranges from 20 to 25%.
Neutrolin is a novel formulation of taurolidine, citrate and
heparin 1000 u/ml that provides a combination preventative solution
to decrease the development of biofilm, which reduces infection and
thrombosis thereby keeping catheters operating optimally in the
clinical settings in hemodialysis, critical care/intensive care and
oncology. Hemodialysis using a tunneled central vein
catheter was our initial target market with Germany being the first
market in which we launched Neutrolin as a medical device in
December 2013. Hemodialysis patients represent over 30 million
catheter/dialysis treatment days per year in the U.S. and Europe.
The market in the critical care/intensive care units is 15 million
catheter days per year in the United States alone. There
were over 13 million patients living with cancer in the United
States in 2010 with an estimated 4 million having a long-term
central venous catheter. However, when stages of
disease, chemotherapy regimens and catheter types are factored, the
oncology market is of a similar order. Infection and
thrombosis represent key complications among critical
care/intensive care and cancer patients with central venous
catheters. These complications can lead to treatment
delays and increased costs to the healthcare system when they occur
due to hospitalizations, need for IV antibiotic treatment,
long-term anticoagulation therapy, removal/replacement of the
central venous catheter, related treatment costs and increased
mortality when they occur. We estimate that catheter related
bloodstream infections and thrombosis cost the U.S. healthcare
system approximately $5 billion dollars each year.
During the third
quarter of 2011, we received a notice from the U.S. Food and Drug
Administration, or FDA, that Neutrolin had been assigned to the
Center for Drug Evaluation and Research, or CDER, for review as a
drug rather than a device. As a result of this, and given our
limited resources, we decided to change our business strategy and
focus the majority of our resources on the research and development
of Neutrolin, rather than CRMD004 and to seek regulatory and
commercialization approval for Neutrolin in Europe through a CE
Mark application rather than pursue FDA approval at that time.
During the first half of 2011, we submitted our design dossier to
TÜV SÜD, the European notified body managing our CE Mark
application. In the fourth quarter of 2011, we successfully
completed our stage 1 audit with TÜV SÜD and we
successfully completed the stage 2 audit in the third quarter of
2012.
On October 10,
2012, we received ISO 13485:2003 certification from TÜV
SÜD. This certification, which is a stand-alone standard
developed by the International Organization for Standardization, is
the globally recognized standard that outlines consistent
international processes for the design and manufacturing of medical
devices, including many supply chain functions such as assembly,
packaging, warehousing and distribution. Compliance with ISO 13485
is often seen as a step towards achieving compliance with European
regulatory requirements. The conformity of medical devices and
in-vitro diagnostic medical devices according to applicable EU
standards must be assessed before sale is permitted. The preferred
method to prove conformity is the certification by a notified body
of the quality management system according to ISO 9001 and/or ISO
13485 and ISO 14971. The result of a positive assessment is the
issuance of a certificate of conformity allowing the CE Mark and
the permission to sell the medical device in the European
Union.
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On July 5, 2013, we
received CE Mark approval for Neutrolin. As a result, in 2013, we
began the commercial launch of Neutrolin in Germany for the
prevention of catheter-related bloodstream infections, or CRBI, and
maintenance of catheter patency in hemodialysis patients using a
tunneled, cuffed central venous catheter for vascular
access. To date, Neutrolin is registered and may be sold
in Austria, Germany, Italy, Malta, Saudi Arabia and The Netherlands
for such treatment.
We have entered
into agreements with human4farma, a German contract sales company,
and with Arabian Trade House, a Saudi Arabian company, to market
and sell Neutrolin for hemodialysis, critical care/intensive care
and oncolytic patients in Germany and Saudi Arabia, respectively,
and with Wonik Corporation, a South Korean company, to market, sell
and distribute Neutrolin for hemodialysis, critical care/intensive
care and oncolytic patients in that country upon receipt of
regulatory approval. We also have independent sales
representatives in The Netherlands and Austria.
In December 2014,
we received approval from the Hessian District President in Germany
to expand the label to include use in oncology patients receiving
chemotherapy, IV hydration and IV medications via central venous
catheters. The expansion also adds patients receiving medication
and IV fluids via central venous catheters in intensive or critical
care units (cardiac care unit, surgical care unit, neonatal
critical care unit, and urgent care centers). An indication for use
in total parenteral, or IV, nutrition was also
approved. In September 2014, the TUV-SUD and The
Medicinal Evaluation Board of the Netherlands (MEB) granted a label
expansion for Neutrolin for these same expanded indications for the
E.U.
In late 2013, we
met with the FDA to determine the pathway for U.S. approval of
Neutrolin. Based on our discussions with the FDA, we
expect to conduct at least one Phase 3 clinical trial in
hemodialysis catheters and one Phase 3 clinical trial in
oncology/total parenteral nutrition. We have worked with
the FDA to design the protocol for a planned Phase 3 trial in
hemodialysis patients with a central venous catheter; this protocol
was accepted in August 2014 and we filed an investigational new
drug application, or IND, in September 2014. In October
2014, the FDA informed us that it had determined that the IND is
not subject to a clinical hold, and that the Phase 3 clinical trial
in hemodialysis patients can be initiated in the U.S. We are
seeking one or more strategic partners or other sources of capital
to complete the development of Neutrolin in the U.S.
Neutrolin has Class III CE
mark approval for use in the European Union and was recently
approved to enter a Phase 3 clinical trial program in the United
States where it will be reviewed as a new drug. The U.S. Food and
Drug Administration (FDA) designated Neutrolin as a Qualified
Infectious Disease Product (QIDP) for oncology, hemodialysis, and
critical care/intensive care patients, where catheter-related blood
stream infections and clotting can be
life-threatening. The QIDP designation will make
Neutrolin eligible to benefit from certain incentives such as FDA
priority review, fast-track status and it also provides an
additional five years of market exclusivity in addition to the five
years granted for a New Chemical Entity under Hatch-Waxman patent
exclusivity.
In January 2015,
the FDA granted Fast Track designation to
Neutrolin®
Catheter Lock Solution, pursuant to the Food and Drug
Administration Safety and Innovation Act (FDASIA). Fast
Track designation is granted to drug products designed to treat a
serious condition, for which clinical data has been generated and
shown to potentially address an unmet medical need. The
Fast Track designation of Neutrolin provides CorMedix with the
opportunity to meet with the FDA on a more frequent basis during
the review process, and also ensures an expedited review of any
marketing application.
Our other product
candidate is CRMD004, which is the gel formulation of Neutrolin
that we may develop for a variety of indications that include but
are not limited to the treatment of wounds, skin infections, soft
tissue infections, the prevention of catheter exit site infections
and, based on the gel’s thixotropic properties which cause it
to liquefy under pressure/kinetic energy, as a follow-on to our
Neutrolin catheter lock solution. CRMD004 is currently
in the pre-clinical stage of development.
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Recent
Developments
From January 1,
2015 to March 31, 2015, warrants to purchase 2,597,591 shares of
our common stock were exercised on a cashless basis resulting in
the issuance of 2,158,033 shares of common stock.
From January 1,
2015 to March 31, 2015, 42,500 shares of our Series C-3 preferred
stock were converted into 425,000 shares of our common
stock.
In March 2015, all
454,546 shares of our Series B preferred stock were converted into
454,546 shares of our common stock.
In March 2015,
2,817 shares of our Series E preferred stock were converted into
61,598 shares of our common stock.
From January 1,
2015 to March 31, stock options to purchase 50,000 shares of our
common stock were exercised resulting in gross proceeds to us of
$125,500.
From January 1,
2015 to March 31, 2015, the following warrants were exercised,
resulting in aggregate gross proceeds to us of
approximately $6.7 million:
●
125,000 shares of
our common stock with an exercise price of $0.90 per
share;
●
125,000 shares of
our common stock with an exercise price of $0.40 per
share;
●
353,500 shares
of our common stock with an exercise price of $2.50 per share;
and
●
1,645,358 shares of
our common stock with an exercise price of $3.4375 per
share.
On March 2, 2015,
our Board of Directors approved an extension to April 30, 2015 of
the expiration date for our publicly traded warrants.
On March 2, 2015,
the NYSE MKT notified us that we had regained compliance with the
NYSE MKT listing requirements because, as of February 26, 2015, we
qualified for the market capitalization exception in Section
1003(a) of the NYSE MKT Company Guide.
In March 2015, we
issued two warrants for an aggregate of 283,400 common
shares with an exercise price of $7.00 per share and a term of
five years as a result of entering into the Backstop Agreement
with Manchester Securities Corp.
Corporate
History and Information
We were organized
as a Delaware corporation on July 28, 2006 under the name
“Picton Holding Company, Inc.” and we changed our
corporate name to “CorMedix Inc.” on January 18,
2007. Our operations to date have been primarily limited
to organizing and staffing, licensing product candidates,
developing clinical trials for our product candidates, seeking
regulatory approvals for Neutrolin, establishing manufacturing for
our product candidates and maintaining and improving our patent
portfolio and launching Neutrolin in the E.U and other foreign
countries.
Our executive
offices are located at 1430 US Highway 206, Suite 200, Bedminster,
NJ 07921. Our telephone number is (908) 517-9500. Our
website address is www.cormedix.com. Information contained in, or
accessible through, our website does not constitute part of this
prospectus.
Offerings
Under This Prospectus
We may offer shares
of our common stock and preferred stock, various series of debt
securities and/or warrants to purchase any of such securities,
either individually or in units, up to an indeterminate amount from
time to time under this prospectus at prices and on terms to be
determined by market conditions at the time of any
offering. This prospectus provides you with a general
description of the securities we may offer. Each time we
offer a type or series of securities under this prospectus, we will
provide a prospectus supplement that will describe the specific
amounts, prices and other important terms of the
securities.
The prospectus
supplement also may add, update or change information contained in
this prospectus or in documents we have incorporated by reference
into this prospectus. However, no prospectus supplement will
fundamentally change the terms that are set forth in this
prospectus or offer a security that is not registered and described
in this prospectus at the time of its effectiveness.
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This prospectus may not be used to consummate a
sale of any securities unless it is accompanied by a prospectus
supplement.
We may sell the
securities directly to investors or to or through agents,
underwriters or dealers. We, and our agents or underwriters,
reserve the right to accept or reject all or part of any proposed
purchase of securities. If we offer securities through agents or
underwriters, we will include in the applicable prospectus
supplement:
●
the names of those
agents or underwriters;
●
applicable fees,
discounts and commissions to be paid to them;
●
details regarding
over-allotment options, if any; and
●
the net proceeds to
us.
Common
Stock
We may issue shares
of our common stock from time to time. The holders of common stock
are entitled to one vote per share on all matters to be voted upon
by stockholders. Subject to preferences that may be applicable to
any outstanding preferred stock, the holders of common stock are
entitled to receive ratably any dividends that may be declared from
time to time by our board of directors out of funds legally
available for that purpose. In the event of our liquidation,
dissolution or winding up, the holders of common stock are entitled
to share ratably in all assets remaining after payment of
liabilities, subject to prior distribution rights of any preferred
stock then outstanding.
Preferred
Stock
We may issue shares
of our preferred stock from time to time, in one or more
series. Our board of directors will determine the
rights, preferences, privileges and restrictions of the preferred
stock, including dividend rights, conversion rights, voting rights,
terms of redemption, liquidation preferences, sinking fund terms
and the number of shares constituting any series or the designation
of such series, without any further vote or action by stockholders.
Convertible preferred stock will be convertible into our common
stock or exchangeable for our other securities. Conversion may be
mandatory or at your option or both and would be at prescribed
conversion rates.
If we sell any
series of preferred stock under this prospectus and applicable
prospectus supplements, we will fix the rights, preferences,
privileges and restrictions of the preferred stock of such series
in the certificate of designation relating to that
series. We will file as an exhibit to the registration
statement of which this prospectus is a part, or will incorporate
by reference from reports that we file with the SEC, the form of
any certificate of designation that describes the terms of the
series of preferred stock we are offering before the issuance of
the related series of preferred stock. We urge you to read the
applicable prospectus supplement related to the series of preferred
stock being offered, as well as the complete certificate of
designation that contains the terms of the applicable series of
preferred stock.
Warrants
We may issue
warrants for the purchase of common stock, preferred stock and/or
debt securities in one or more series. We may issue warrants
independently or together with common stock, preferred stock and/or
debt securities, and the warrants may be attached to or separate
from these securities. We will evidence each series of
warrants by warrant certificates that we will issue under a
separate agreement. We may enter into warrant agreements
with a bank or trust company that we select to be our warrant
agent. We will indicate the name and address of the
warrant agent in the applicable prospectus supplement relating to a
particular series of warrants.
In this prospectus,
we have summarized certain general features of the warrants. We
urge you, however, to read the applicable prospectus supplement
related to the particular series of warrants being offered, as well
as the warrant agreements and warrant certificates that contain the
terms of the warrants. We will file as exhibits to the registration
statement of which this prospectus is a part, or will incorporate
by reference from reports that we file with the SEC, the form of
warrant agreement or warrant certificate containing the terms of
the warrants we are offering before the issuance of the
warrants.
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Debt
Securities
We may offer debt
securities from time to time, in one or more series, as either
senior or subordinated debt or as senior or subordinated
convertible debt. The senior debt securities will rank equally with
any other unsecured and unsubordinated debt. The
subordinated debt securities will be subordinate and junior in
right of payment, to the extent and in the manner described in the
instrument governing the debt, to all of our senior indebtedness.
Convertible debt securities will be convertible into or
exchangeable for our common stock or our other securities.
Conversion may be mandatory or at your option or both and would be
at prescribed conversion rates.
With respect to any
debt securities that we issue, we will issue such debt securities
under an indenture, which we would enter into with the trustee
named in the indenture. The form of indenture was filed
as an exhibit to the registration statement of which this
prospectus is a part and is incorporated herein by reference. Any
indenture would be qualified under the Trust Indenture Act of
1939.
Units
We may issue units
consisting of common stock, preferred stock, debt securities and/or
warrants for the purchase of common stock, preferred stock and/or
debt securities in one or more series. In this
prospectus, we have summarized certain general features of the
units. We urge you, however, to read the applicable
prospectus supplement related to the series of units being offered,
as well as the unit agreements that contain the terms of the
units. We will file as exhibits to the registration
statement of which this prospectus is a part, or will incorporate
by reference reports that we file with the SEC, the form of unit
agreement and any supplemental agreements that describe the terms
of the series of units we are offering before the issuance of the
related series of units.
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Investing in our
securities involves risk. The prospectus supplement
applicable to each offering of our securities will contain a
discussion of the risks applicable to an investment in our
company. Prior to making a decision about investing in
our securities, you should carefully consider the specific factors
discussed below and under the heading “Risk Factors” in
the applicable prospectus supplement, together with all of the
other information contained or incorporated by reference in the
prospectus supplement or appearing or incorporated by reference in
this prospectus. You should also consider the risks, uncertainties
and assumptions discussed under the heading “Risk
Factors” included in our most recent annual report on
Form 10-K which is on file with the SEC and is incorporated
herein by reference, and which may be amended, supplemented or
superseded from time to time by other reports we file with the SEC
in the future.
Risks
Related to Our Financial Position and Need for Additional
Capital
We have a limited operating history and a history of operating
losses, and expect to incur additional operating losses in
2015.
We
were established in July 2006 and have only a limited operating
history. Therefore, there is limited historical financial
information upon which to base an evaluation of our performance.
Our prospects must be considered in light of the uncertainties,
risks, expenses, and difficulties frequently encountered by
companies in the early stages of operation. We incurred a net loss
of approximately $20.5 million for the year ended December 31,
2014. As of December 31, 2014, we had an accumulated
deficit of approximately $76.2 million. We expect to incur
substantial additional operating expenses over the next several
years as our research, development, pre-clinical testing, clinical
trial and commercialization activities increase. The amount of
future losses and when, if ever, we will achieve profitability are
uncertain. Neutrolin was launched in December 2013 and is currently
distributed in Germany and Saudi Arabia. We have not
generated any significant commercial revenue and do not expect to
generate substantial revenues from Neutrolin until late 2015 at the
earliest, and might never generate significant revenues from the
sale of Neutrolin or any other products. Our ability to generate
revenue and achieve profitability will depend on, among other
things, the following: successfully marketing Neutrolin
in Germany and other countries in which it is approved for sale;
obtaining necessary regulatory approvals for Neutrolin from the
other applicable European and Middle East agencies, other foreign
agencies and the FDA and international regulatory agencies for any
other products; successful completion of the development of our
other product candidates; establishing manufacturing, sales, and
marketing arrangements, either alone or with third parties; and
raising sufficient funds to finance our activities. We might not
succeed at any of these undertakings. If we are unsuccessful at
some or all of these undertakings, our business, prospects, and
results of operations may be materially adversely
affected.
We are not currently
profitable and may never become
profitable.
We
have a history of losses, and we may never achieve or maintain
profitability. Until we successfully commercialize Neutrolin or
other product candidates and generate substantial earnings from
those products, we expect to incur losses and may never become
profitable. We also expect to continue to incur significant
operating and capital expenditures as we pursue the U.S.
development of Neutrolin and anticipate that our expenses will
increase substantially in the foreseeable future as we continue to
undertake development and commercialization of Neutrolin and our
other product candidates, undertake clinical trials of our product
candidates, seek regulatory approvals for product candidates,
implement additional internal systems and infrastructure, and hire
additional personnel.
We
also expect to experience negative cash flow as we fund our
operating losses and capital expenditures. As a result, we will
need to generate significant revenues in order to achieve and
maintain profitability. We may not be able to generate these
revenues or achieve profitability in the future. Our failure to
achieve or maintain profitability would negatively impact the value
of our securities.
We will need to finance our future cash needs through public or
private equity offerings, debt financings or corporate
collaboration and licensing arrangements. Any additional funds that
we obtain may not be on terms favorable to us or our stockholders
and may require us to relinquish valuable
rights.
We have launched Neutrolin in Germany, Austria, The Netherlands and
the Kingdom of Saudi Arabia, but to date have no other approved
product on the market and have not generated significant product
revenue from Neutrolin to date. Unless and until we receive
applicable regulatory approval for Neutrolin in the U.S. and for
any other product candidates, we cannot sell those products in the
U.S. Therefore, for the foreseeable future, we will have
to fund all of our operations and capital expenditures from
Neutrolin sales in Europe and other foreign markets, if approved,
cash on hand, additional financings, licensing fees and
grants.
We
believe that our cash resources as of December 31, 2014, after
giving effect to the receipt of approximately $6.8 million from the
exercises of warrants and stock options in January through March
31, 2015, will be sufficient to enable us to fund our projected
operating requirements into the fourth quarter of
2015. However, we may need to raise additional funds
more quickly if one or more of our assumptions prove to be
incorrect or if we choose to expand our research and development
efforts more rapidly than we presently anticipate. We
can provide no assurances that any financing or strategic
relationships will be available to us on acceptable terms, or at
all. We expect to incur increases in our cash used in operations as
we continue to commercialize Neutrolin in Europe and other markets,
increase our business development activities, incur additional
legal costs to defend our intellectual property and seek FDA
approval of Neutrolin in the U.S.
On March 3, 2015,
we entered into a backstop agreement with an existing institutional
investor, Manchester Securities Corp., an affiliate of Elliott
Associates, L.P., pursuant to which Manchester has agreed to lend
us, at our request, up to $4,500,000 less the dollar amount of
gross proceeds received by us upon the exercise of warrants to
purchase common stock issued in connection with our initial public
offering on or before April 30, 2015, provided that the loan may
not exceed $3,000,000. We were able to access this
financing until April 30, 2015. However, because we have
received approximately $5.7 million from the exercise of warrants
issued in connection with our initial public offering, we cannot
and will not access the loan.
We
may seek to sell additional equity or debt securities, obtain a
bank credit facility, or enter into a corporate collaboration or
licensing arrangement. The sale of additional equity or debt
securities, if convertible, could result in dilution to our
stockholders. The incurrence of indebtedness would result in fixed
obligations and could also result in covenants that would restrict
our operations. Raising additional funds through collaboration or
licensing arrangements with third parties may require us 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 or our
stockholders.
Our independent registered public accounting firm expressed
substantial doubt as to our ability to continue as a going concern
and may do so again in the future.
Based on our cash resources
at December 31, 2014, we believe that existing cash will be
sufficient to enable us to fund our projected operating
requirements into the third quarter of 2015, after giving effect to
the receipt of approximately $2 million from the exercises of
warrants and stock options through March 9, 2015, and the $2.5
million of availability under the Backstop Agreement, dated March
3, 2015, with Manchester Securities Corp. As a result, our
independent registered public accounting firm in their report to
accompany our audited financial statements for the year ended
December 31, 2014, expressed substantial doubt as to our ability to
continue as a going concern. A “going
concern” opinion could impair our ability to finance our
operations through the sale of debt or equity securities or through
bank financing. Our ability to continue as a going
concern will depend, on our ability to obtain additional
financing. Thereafter, our ability to generate positive
cash flow from operations will depend on our ability to
successfully commercialize Neutrolin, which is
uncertain. Additional capital may not be available on
reasonable terms, or at all. If adequate financing is
not available, we would be required to terminate or significantly
curtail our operations, or enter into arrangements with
collaborative partners or others that may require us to relinquish
rights to certain aspects of our technologies, or potential markets
that we would not otherwise relinquish. If we are unable
to achieve these goals, our business would be jeopardized and we
may not be able to continue operation. These and other
factors raise substantial doubt about our ability to continue as a
going concern.
During the first
quarter of 2015, we received proceeds of $6.8 million from the
exercise of warrants and stock options which we believe will be
sufficient to fund operations into the fourth quarter of 2015. As a
result of the proceeds received, we will not be able to access the
loan under the Backstop Agreement. The proceeds received through
March 31, 2015 have not alleviated the substantial doubt about our
ability to continue as a going concern issued by our independent
registered public accounting firm, which will be reassessed each
reporting period. To alleviate such concern, we will need to
have sufficient liquidity to fund our operations for 12 months from
each reporting period.
Our continued
operations will depend on whether we are able to generate
substantial revenue from the sale of Neutrolin and on our ability
to raise additional capital through various potential sources, such
as equity and/or debt financings, strategic relationships, or
out-licensing of its products, until it achieves profitability, if
ever. However, we can provide no assurances that such
financing or strategic relationships will be available on
acceptable terms, or at all. We expect to incur
increases in our cash used in operations as we continue to
commercialize Neutrolin in Europe and other foreign markets,
increase our business development activities, incur additional
legal costs to defend our intellectual property and seek FDA
approval of Neutrolin in the U.S.
The financial
statements do not include any adjustments relating to the
recoverability and classification of asset carrying amounts or the
amount and classification of liabilities that might result should
we be unable to continue as a going concern.
Our efforts to explore strategic alternatives aimed at accelerating
Neutrolin’s development and commercialization and maximizing
shareholder value may not result in any definitive transaction or
deliver the expected benefits, and may create a distraction for our
management and uncertainty that may adversely affect our operating
results and business.
As announced on
March 4, 2015, the Board has commenced a process to evaluate
our strategic alternatives in order to accelerate the global
development of Neutrolin and maximize shareholder value. No
timetable has been set for completion of this evaluation process,
and there can be no assurance that any transaction will
result. The Board has engaged investment bank Evercore
Group L.L.C. to provide financial advice and assist the Board with
its evaluation process. Strategic alternatives we may pursue
could include, but are not limited to, joint ventures or partnering
or other collaboration agreements, licensing arrangements, or
another transaction intended to maximize shareholder value, such as
a merger, a sale of the Company or some or all of its assets, or
another strategic transaction. There can be no assurance that the
exploration of strategic alternatives will result in any agreements
or transactions, or that, if completed, any agreements or
transactions will be successful or on attractive
terms.
There are various
uncertainties and risks relating to our evaluation and negotiation
of possible strategic alternatives and our ability to consummate a
definitive transaction, including:
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expected benefits
may not be successfully achieved;
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evaluation and
negotiation of a proposed transaction may distract management from
focusing our time and resources on execution of our operating plan,
which could have a material adverse effect on our operating results
and business;
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the process of
evaluating proposed transactions may be time consuming and
expensive and may result in the loss of business
opportunities;
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perceived
uncertainties as to our future direction may result in increased
difficulties in retaining key employees and recruiting new
employees, particularly senior management;
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even if our Board
of Directors negotiates a definitive agreement, successful
integration or execution of the strategic alternative will be
subject to additional risks;
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the current market
price of our common stock may reflect a market assumption that a
transaction will occur, and during the period in which we are
considering a transaction, the market price of our common stock
could be highly volatile; and
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a failure to
complete a transaction could result in a negative perception by
investors in the Company generally and could cause a decline in the
market price of our common stock, as well as lead to greater
volatility in the market price of our common stock, all of which
could adversely affect our ability to access the equity and
financial markets, as well as our ability to explore and enter into
different strategic alternatives.
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Risks Related to the Development and Commercialization of Our
Product Candidates
Our lead product has only recently been approved in Europe and is
still in development in the U. S.
We
are a pharmaceutical and medical device company with one
commercially available product and another product candidate in
various stages of development. In late 2011, we changed
our strategy to primarily focus on the commercialization of
Neutrolin in Europe through the CE Marking process and had elected
to delay our other product candidates’ development until we
had obtained CE Marking approval in Europe for Neutrolin. Our
product candidates are currently at the following
stages:
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CRMD003 (Neutrolin)
- received CE Mark approval in Europe on July 5, 2013, with first
launch in Germany late in the fourth quarter of
2013;
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CRMD003 (Neutrolin)
– IND filed with the FDA for a planned Phase 3 trial was
accepted in October 2014 and we are seeking one or more strategic
partners or other sources of capital to undertake the planned Phase
3 trial and to complete the development of Neutrolin in the U.S.;
and
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CRMD004 - currently
in the pre-clinical phase.
Our product development
efforts may not lead to commercially viable products for any of
several reasons. For example, our product candidates may fail to be
proven safe and effective in clinical trials, or we may have
inadequate financial or other resources to pursue development
efforts for our product candidates. Even if approved, our products
may not be accepted in the marketplace. Neutrolin will
require significant additional development, clinical trials,
regulatory clearances and/or investment by us or our collaborators
as we continue its commercialization, as will any of our other
products. Specifically, we plan to expand marketing of
Neutrolin in other foreign countries and to develop Neutrolin for
sale in the U.S., which will take time and capital.
We have entered
into an agreement with human4farma to market and sell Neutrolin in
Germany, which launched in Germany in the fourth quarter of 2013.
We also have entered into agreements with Arabian Trade House to
market and sell Neutrolin in Saudi Arabia, and with Wonik
Corporation, a South Korean company, to market, sell and distribute
Neutrolin in South Korea upon receipt of regulatory approval in
that country. We also have independent sales representatives in
Austria and The Netherlands. Consequently, we will be dependent on
these companies and individuals for the success of sales in those
countries and any other countries in which we receive regulatory
approval and in which we contract with third parties for the
marketing, sale and/or distribution of Neutrolin. If these
companies or individuals do not perform for whatever reason, our
business, prospects and results of operations will me materially
adversely affected. Finding a suitable replacement
organization or individual for these or any other companies or
individuals with whom we might contract could be difficult, which
would further harm our business, prospects and results of
operations.
Successful development and commercialization of our products is
uncertain.
Our
development and commercialization of current and future product
candidates is subject to the risks of failure and delay inherent in
the development of new pharmaceutical products, including but not
limited to the following:
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inability to
produce positive data in pre-clinical and clinical
trials;
delays in product
development, pre-clinical and clinical testing, or
manufacturing;
unplanned
expenditures in product development, clinical testing, or
manufacturing;
failure to receive
regulatory approvals;
emergence of
superior or equivalent products;
inability to
manufacture our product candidates on a commercial scale on our
own, or in collaboration with third parties;
and
failure to achieve
market acceptance.
Because
of these risks, our development efforts may not result in any
commercially viable products. If a significant portion of these
development efforts are not successfully completed, required
regulatory approvals are not obtained or any approved products are
not commercialized successfully, our business, financial condition,
and results of operations will be materially harmed.
Clinical trials required for our product candidates are expensive
and time-consuming, and their outcome is uncertain.
In
order to obtain FDA or foreign approval to market a new drug or
device product, we must demonstrate proof of safety and
effectiveness in humans. Foreign regulations and requirements are
similar to those of the FDA. To meet FDA requirements, we must
conduct “adequate and well-controlled” clinical trials.
Conducting clinical trials is a lengthy, time-consuming, and
expensive process. The length of time may vary substantially
according to the type, complexity, novelty, and intended use of the
product candidate, and often can be several years or more per
trial. Delays associated with products for which we are directly
conducting clinical trials may cause us to incur additional
operating expenses. The commencement and rate of completion of
clinical trials may be delayed by many factors, including, for
example:
inability to
manufacture sufficient quantities of qualified materials under the
FDA’s cGMP requirements for use in clinical
trials;
slower than
expected rates of patient recruitment;
failure to recruit
a sufficient number of patients;
modification of
clinical trial protocols;
changes in
regulatory requirements for clinical trials;
lack of
effectiveness during clinical trials;
emergence of
unforeseen safety issues;
delays, suspension,
or termination of clinical trials due to the institutional review
board responsible for overseeing the study at a particular study
site; and
government or
regulatory delays or “clinical holds” requiring
suspension or termination of the trials.
The results from early
pre-clinical and clinical trials are not necessarily predictive of
results to be obtained in later clinical trials. Accordingly, even
if we obtain positive results from early pre-clinical or clinical
trials, we may not achieve the same success in later clinical
trials.
Our clinical trials may be
conducted in patients with serious or life-threatening diseases for
whom conventional treatments have been unsuccessful or for whom no
conventional treatment exists, and in some cases, our product is
expected to be used in combination with approved therapies that
themselves have significant adverse event profiles. During the
course of treatment, these patients could suffer adverse medical
events or die for reasons that may or may not be related to our
products. We cannot ensure that safety issues will not arise with
respect to our products in clinical development.
Clinical trials may not
demonstrate statistically significant safety and effectiveness to
obtain the requisite regulatory approvals for product candidates.
As an example, in late 2011, we terminated development of CRMD001
due to disappointing data from our Phase II study. The
failure of clinical trials to demonstrate safety and effectiveness
for the desired indications could harm the development of our
product candidates. Such a failure could cause us to abandon a
product candidate and could delay development of other product
candidates. Any delay in, or termination of, our clinical trials
would delay the filing of any NDA or any Premarket Approval
Application, or PMA, with the FDA and, ultimately, our ability to
commercialize our product candidates and generate product revenues.
Any change in, or termination of, our clinical trials could
materially harm our business, financial condition, and results of
operations.
If we fail to comply with international regulatory
requirements we could be subject to regulatory delays,
fines or other penalties.
Regulatory
requirements in foreign countries for international sales of
medical devices often vary from country to country. The occurrence
and related impact of the following factors would harm our
business:
delays in receipt
of, or failure to receive, foreign regulatory approvals or
clearances;
the loss of
previously obtained approvals or clearances; or
the failure to
comply with existing or future regulatory
requirements.
The CE Mark is a mandatory
conformity mark for products to be sold in the European Economic
Area. Currently, 28 countries in Europe require products to bear CE
Marking. To market in Europe, a product must first obtain the
certifications necessary to affix the CE Mark. The CE Mark is an
international symbol of adherence to the Medical Device Directives
and the manufacturer’s declaration that the product complies
with essential requirements. Compliance with these requirements is
ascertained within a certified Quality Management System (QMS)
pursuant to ISO 13485. In order to obtain and to maintain a CE
Mark, a product must be in compliance with the applicable
quality assurance provisions of the aforementioned ISO and obtain
certification of its quality assurance systems by a recognized
European Union notified body. We received CE Mark approval for
Neutrolin on July 5, 2013. However, certain individual countries
within the European Union require further approval by their
national regulatory agencies. Failure to receive or
maintain these other requisite approvals could prohibit us
from marketing and selling Neutrolin in the entire
European Economic Area or elsewhere.
We do not have, and may never obtain, the regulatory approvals we
need to market our product candidates outside of the European
Union.
While we have received the
CE Mark approval for Neutrolin in Europe, certain individual
countries within the European Union require further approval by
their national regulatory agencies. Failure to receive or
maintain these other requisite approvals could prohibit us
from marketing and selling Neutrolin in the entire
European Economic Area. In addition, we will need
regulatory approval to market and sell Neutrolin in foreign
countries outside of Europe. We have received regulatory
approval in Saudi Arabia and Kuwait.
In the United States, we
have no current application for, and have not received the
regulatory approvals required for, the commercial sale of any of
our products. None of our product candidates has been determined to
be safe and effective in the United States, and we have not
submitted an NDA or PMA to the FDA for any
product. Although we have received approval from the FDA
to proceed with a planned Phase 3 trial for Neutrolin, we do not
have immediate plans to initiate that trial and are seeking one or
more strategic partners or other sources of capital to start that
trial. However, we might not obtain any commercial partner or
financing and may never start the Phase 3 trial.
It is possible that
Neutrolin will not receive any further approval or that any of our
other product candidates will be approved for marketing. Failure to
obtain regulatory approvals, or delays in obtaining regulatory
approvals, would adversely affect the successful commercialization
of Neutrolin or any other drugs or products that we or our partners
develop, impose additional costs on us or our collaborators,
diminish any competitive advantages that we or our partners may
attain, and/or adversely affect our cash flow.
Even if approved, our products will be subject to extensive
post-approval regulation.
Once
a product is approved, numerous post-approval requirements apply in
the United States and abroad. Depending on the circumstances,
failure to meet these post-approval requirements can result in
criminal prosecution, fines, injunctions, recall or seizure of
products, total or partial suspension of production, denial or
withdrawal of pre-marketing product approvals, or refusal to allow
us to enter into supply contracts, including government contracts.
In addition, even if we comply with FDA, foreign and other
requirements, new information regarding the safety or effectiveness
of a product could lead the FDA or a foreign regulatory body to
modify or withdraw product approval.
The successful commercialization of our products will depend on
obtaining coverage and reimbursement for use of these products from
third-party payors.
Sales
of pharmaceutical products largely depend on the reimbursement of
patients’ medical expenses by government health care programs
and/or private health insurers, both in the U.S. and abroad.
Without the financial support of these government or private
third-party payors, the market for our products will be limited.
These third-party payors are increasingly challenging the price and
examining the cost effectiveness of medical products and services.
Recent proposals to change the health care system in the United
States have included measures that would limit or eliminate
payments for medical products and services or subject the pricing
of medical treatment products to government control. Significant
uncertainty exists as to the reimbursement status of newly approved
health care products. Third-party payors may not reimburse sales of
our products or enable our collaborators to sell them at profitable
prices. The failure to obtain or maintain reimbursement
coverage for any of our products could materially harm our
operations.
Physicians and patients may not accept and use our
products.
Even
with the CE Mark approval of Neutrolin, and even if we receive FDA
or other foreign regulatory approval for Neutrolin or other product
candidates, physicians and patients may not accept and use our
products. Acceptance and use of our products will depend upon a
number of factors including the following:
perceptions by
members of the health care community, including physicians, about
the safety and effectiveness of our drug or device
product;
cost-effectiveness
of our product relative to competing products;
availability of
reimbursement for our product from government or other healthcare
payors; and
effectiveness of
marketing and distribution efforts by us and our licensees and
distributors, if any.
Because we expect sales of
Neutrolin to generate substantially all of our product revenues for
the foreseeable future, the failure of Neutrolin to find market
acceptance would harm our business and would require us to seek
additional financing.
Risks Related to
Our Business and Industry
Competition and technological change may make our product
candidates and technologies less attractive or
obsolete.
We compete with established pharmaceutical and medical device
companies that are pursuing other forms of treatment for the same
indications we are pursuing and that have greater financial and
other resources. Other companies may succeed in developing products
earlier than we do, obtaining FDA or any other regulatory agency
approval for products more rapidly, or developing products that are
more effective than our product candidates. Research and
development by others may render our technology or product
candidates obsolete or noncompetitive, or result in processes,
treatments or cures superior to any therapy we develop. We face
competition from companies that internally develop competing
technology or acquire competing technology from universities and
other research institutions. As these companies develop their
technologies, they may develop competitive positions that may
prevent, make futile, or limit our product commercialization
efforts, which would result in a decrease in the revenue we would
be able to derive from the sale of any products.
There can be no assurance
that Neutrolin or any other product candidate will be accepted by
the marketplace as readily as these or other competing treatments.
Furthermore, if our competitors’ products are approved before
ours, it could be more difficult for us to obtain approval from the
FDA or any other regulatory agency. Even if our products are
successfully developed and approved for use by all governing
regulatory bodies, there can be no assurance that physicians and
patients will accept any of our products as a treatment of
choice.
Furthermore, the
pharmaceutical and medical device industry is diverse, complex, and
rapidly changing. By its nature, the business risks associated with
the industry are numerous and significant. The effects of
competition, intellectual property disputes, market acceptance, and
FDA or other regulatory agency regulations preclude us from
forecasting revenues or income with certainty or even
confidence.
We face the risk of product liability claims and the amount of
insurance coverage we hold now or in the future may not be adequate
to cover all liabilities we might incur.
Our business exposes us to the risk of product liability claims
that are inherent in the development of drugs. If the use of one or
more of our or our collaborators’ drugs or devices harms
people, we may be subject to costly and damaging product liability
claims brought against us by clinical trial participants,
consumers, health care providers, pharmaceutical companies or
others selling our products.
We currently carry product
liability insurance that covers our clinical trials. We cannot
predict all of the possible harms or side effects that may result
and, therefore, the amount of insurance coverage we hold may not be
adequate to cover all liabilities we might incur. Our insurance
covers bodily injury and property damage arising from our clinical
trials, subject to industry-standard terms, conditions and
exclusions. This coverage includes the sale of commercial products.
We have expanded our insurance coverage to include the sale of
commercial products due to the receipt of the CE Mark approval, but
we may be unable to maintain such coverage or obtain commercially
reasonable product liability insurance for any other products
approved for marketing.
If we are unable to obtain
insurance at an acceptable cost or otherwise protect against
potential product liability claims, we may be exposed to
significant liabilities, which may materially and adversely affect
our business and financial position. If we are sued for any injury
allegedly caused by our or our collaborators’ products and do
not have sufficient insurance coverage, our liability could exceed
our total assets and our ability to pay the liability. A successful
product liability claim or series of claims brought against us
would decrease our cash and could cause the value of our capital
stock to decrease.
We may be exposed to liability claims associated with the use of
hazardous materials and chemicals.
Our
research, development and manufacturing activities and/or those of
our third-party contractors may involve the controlled use of
hazardous materials and chemicals. Although we believe that our
safety procedures for using, storing, handling and disposing of
these materials comply with federal, state and local, as well as
foreign, laws and regulations, we cannot completely eliminate the
risk of accidental injury or contamination from these materials. In
the event of such an accident, we could be held liable for any
resulting damages and any liability could materially adversely
affect our business, financial condition and results of operations.
In addition, the federal, state and local, as well as foreign, laws
and regulations governing the use, manufacture, storage, handling
and disposal of hazardous or radioactive materials and waste
products may require us to incur substantial compliance costs that
could materially adversely affect our business, financial condition
and results of operations.
Healthcare policy changes, including reimbursement policies for
drugs and medical devices, may have an adverse effect on our
business, financial condition and results of
operations.
Market acceptance and sales
of Neutrolin or any other product candidates that we develop will
depend on reimbursement policies and may be affected by health care
reform measures in the United States and abroad. Government
authorities and other third-party payors, such as private health
insurers and health maintenance organizations, decide which drugs
they will pay for and establish reimbursement levels. We cannot be
sure that reimbursement will be available for Neutrolin or any
other product candidates that we develop. Also, we cannot be sure
that the amount of reimbursement available, if any, will not reduce
the demand for, or the price of, our products. If reimbursement is
not available or is available only at limited levels, we may not be
able to successfully commercialize Neutrolin or any other product
candidates that we develop.
In the United States, there
have been a number of legislative and regulatory proposals to
change the health care system in ways that could affect our ability
to sell our products profitably. The Patient Protection and
Affordable Care Act, as amended by the Health Care and Education
Reconciliation Act of 2010, or collectively, the Healthcare Reform
Act, substantially changes the way healthcare is financed by both
governmental and private insurers, and significantly impacts the
pharmaceutical industry. The Healthcare Reform Act contains a
number of provisions, including those governing enrollment in
federal healthcare programs, reimbursement changes and fraud and
abuse, which will impact existing government healthcare programs
and will result in the development of new programs, including
Medicare payment for performance initiatives and improvements to
the physician quality reporting system and feedback program. We
anticipate that if we obtain approval for our products, some of our
revenue may be derived from U.S. government healthcare programs,
including Medicare. Furthermore, beginning in 2011, the Healthcare
Reform Act imposed a non-deductible excise tax on pharmaceutical
manufacturers or importers who sell “branded prescription
drugs,” which includes innovator drugs and biologics
(excluding orphan drugs or generics) to U.S. government programs.
We expect that the Healthcare Reform Act and other healthcare
reform measures that may be adopted in the future could have an
adverse effect on our industry generally and our products
specifically.
In addition to the
Healthcare Reform Act, we expect that there will continue to be
proposals by legislators at both the federal and state levels,
regulators and third-party payors to keep healthcare costs down
while expanding individual healthcare benefits. Certain of these
changes could impose limitations on the prices we will be able to
charge for any products that are approved or the amounts of
reimbursement available for these products from governmental
agencies or other third-party payors or may increase the tax
requirements for life sciences companies such as ours. While it is
too early to predict what effect the Healthcare Reform Act or any
future legislation or regulation will have on us, such laws could
have an adverse effect on our business, financial condition and
results of operations.
Health administration
authorities in countries other than the United States may not
provide reimbursement for Neutrolin or any of our other product
candidates at rates sufficient for us to achieve profitability, or
at all. Like the United States, these countries could adopt health
care reform proposals and could materially alter their
government-sponsored health care programs by reducing reimbursement
rates.
Any reduction in
reimbursement rates under Medicare or private insurers or foreign
health care programs could negatively affect the pricing of our
products. If we are not able to charge a sufficient amount for our
products, then our margins and our profitability will be adversely
affected.
If we lose key management or scientific personnel, cannot recruit
qualified employees, directors, officers, or other personnel or
experience increases in compensation costs, our business may
materially suffer.
We are highly
dependent on the principal members of our management and scientific
staff, specifically, Randy Milby, a director and our Chief
Executive Officer, Harry O’Grady, our Chief Financial
Officer, and Dr. Antony Pfaffle, a director and Chief Scientific
Officer. We have an employment agreement with Mr. Milby but this
agreement cannot ensure our retention of him. Furthermore, our
future success will also depend in part on our ability to identify,
hire, and retain additional personnel. We experience intense
competition for qualified personnel and may be unable to attract
and retain the personnel necessary for the development of our
business. Moreover, our work force is located in the New Jersey
metropolitan area, where competition for personnel with the
scientific and technical skills that we seek is extremely high and
is likely to remain high. Because of this competition, our
compensation costs may increase significantly. In addition, we have
only limited ability to prevent former employees from competing
with us.
If we are unable to hire additional qualified personnel, our
ability to grow our business may be harmed.
Over
time, we expect to hire additional qualified personnel with
expertise in clinical testing, clinical research and testing,
government regulation, formulation and manufacturing, and sales and
marketing. We compete for qualified individuals with numerous
pharmaceutical companies, universities and other research
institutions. Competition for such individuals is intense, and we
cannot be certain that our search for such personnel will be
successful. Attracting and retaining such qualified personnel will
be critical to our success.
We may not successfully manage our growth.
Our
success will depend upon the expansion of our operations to
commercialize Neutrolin and the effective management of any growth,
which could place a significant strain on our management and our
administrative, operational and financial resources. To manage this
growth, we may need to expand our facilities, augment our
operational, financial and management systems and hire and train
additional qualified personnel. If we are unable to manage our
growth effectively, our business may be materially
harmed.
Risks Related to
Our Intellectual Property
If we materially breach or default under any of our license
agreements, the licensor party to such agreement will have the
right to terminate the license agreement, which termination may
materially harm our business.
Our
commercial success will depend in part on the maintenance of our
license agreements. Each of our license agreements provides the
licensor with a right to terminate the license agreement for our
material breach or default under the agreement, including the
failure to make any required milestone or other payments.
Additionally, our license agreement with Dr. Hans-Dietrich
Polaschegg (referred to herein as the Polaschegg License Agreement)
provides for a right of termination for, among other things, our
failure to make a product with respect to either of the licensed
technologies available to the market within eight years after (i)
the effective date of the Polaschegg License Agreement, which was
January 20, 2008, or (ii) the priority date of any new patent,
whichever is later. Our intellectual property licensed under the
Polaschegg License Agreement serves as a basis for CRMD004, the gel
formation of Neutrolin. Should the licensor under any of our
license agreements exercise such a termination right, we would lose
our right to the intellectual property under the respective license
agreement, which loss may materially harm our
business.
If we and our licensors do
not obtain protection for and successfully defend our respective
intellectual property rights, our competitors may be able to take
advantage of our research and development efforts to develop
competing products.
Our commercial
success will depend in part on obtaining further patent protection
for our products and other technologies and successfully defending
any patents that we currently have or will obtain against
third-party challenges. The patents which we currently believe are
most material to our business are as follows:
U.S. Patent No.
8,541,393 (expiring in November 2024) (the “Prosl
Patent”) - use of Neutrolin for preventing infection and
maintenance of catheter patency in hemodialysis catheters (for
CRMD003);
U.S. Patent No.
6,166,007 (expiring May 2019) (the “Sodemann Patent”) -
a method of inhibiting or preventing infection and blood
coagulation at a medical prosthetic device (for
CRMD003);
European Patent EP
1 442 753 (expiring February 2023) (the “Polaschegg
Patent”) - use of a thixotropic gel as a catheter locking
composition, and method of locking a catheter (for CRMD004);
and
European Patent EP
1 814 562 B1 (expiring October 12, 2025) (the “Prosl European
Patent”) - a low heparin catheter lock solution for
maintaining and preventing infection in a hemodialysis
catheter.
We are currently
seeking further patent protection for our compounds and methods of
treating diseases. However, the patent process is subject to
numerous risks and uncertainties, and there can be no assurance
that we will be successful in protecting our products by obtaining
and defending patents. These risks and uncertainties include the
following:
patents that may be
issued or licensed may be challenged, invalidated, or circumvented,
or otherwise may not provide any competitive
advantage;
our competitors,
many of which have substantially greater resources than we have and
many of which have made significant investments in competing
technologies, may seek, or may already have obtained, patents that
will limit, interfere with, or eliminate our ability to make, use,
and sell our potential products either in the United States or in
international markets;
there may be
significant pressure on the United States government and other
international governmental bodies to limit the scope of patent
protection both inside and outside the United States for treatments
that prove successful as a matter of public policy regarding
worldwide health concerns; and
countries other
than the United States may have less restrictive patent laws than
those upheld by United States courts, allowing foreign competitors
the ability to exploit these laws to create, develop, and market
competing products.
In addition, the United
States Patent and Trademark Office, or PTO, and patent offices in
other jurisdictions have often required that patent applications
concerning pharmaceutical and/or biotechnology-related inventions
be limited or narrowed substantially to cover only the specific
innovations exemplified in the patent application, thereby limiting
the scope of protection against competitive challenges. Thus, even
if we or our licensors are able to obtain patents, the patents may
be substantially narrower than anticipated.
The above mentioned patents
and patent applications are exclusively licensed to us. To support
our patent strategy, we have engaged in a review of patentability
and certain freedom to operate issues, including performing certain
searches. However, patentability and certain freedom to operate
issues are inherently complex, and we cannot provide assurances
that a relevant patent office and/or relevant court will agree with
our conclusions regarding patentability issues or with our
conclusions regarding freedom to operate issues, which can involve
subtle issues of claim interpretation and/or claim liability.
Furthermore, we may not be aware of all patents, published
applications or published literature that may affect our business
either by blocking our ability to commercialize our product
candidates, preventing the patentability of our product candidates
to us or our licensors, or covering the same or similar
technologies that may invalidate our patents, limit the scope of
our future patent claims or adversely affect our ability to market
our product candidates.
In addition to patents, we
also rely on trade secrets and proprietary know-how. Although we
take measures to protect this information by entering into
confidentiality and inventions agreements with our employees,
scientific advisors, consultants, and collaborators, we cannot
provide any assurances that these agreements will not be breached,
that we will be able to protect ourselves from the harmful effects
of disclosure if they are breached, or that our trade secrets will
not otherwise become known or be independently discovered by
competitors. If any of these events occurs, or we otherwise lose
protection for our trade secrets or proprietary know-how, the value
of our intellectual property may be greatly
reduced.
Ongoing and future
intellectual property disputes could require us to spend time and
money to address such disputes and could limit our intellectual
property rights.
The biotechnology
and pharmaceutical industries have been characterized by extensive
litigation regarding patents and other intellectual property
rights, and companies have employed intellectual property
litigation to gain a competitive advantage. We may become subject
to infringement claims or litigation arising out of patents and
pending applications of our competitors, or we may become subject
to proceedings initiated by our competitors or other third parties
or the PTO or applicable foreign bodies to reexamine the
patentability of our licensed or owned patents. In addition,
litigation may be necessary to enforce our issued patents, to
protect our trade secrets and know-how, or to determine the
enforceability, scope, and validity of the proprietary rights of
others. We recently initiated court proceedings in
Germany for patent infringement and unfair use of our proprietary
information related to Neutrolin (as described
below). We also recently had opposition proceedings
brought against the European Patent and the German utility model
patent which are the basis of our infringement proceedings (as
described below). The defense and prosecution of these ongoing and
any future intellectual property suits, PTO or foreign proceedings,
and related legal and administrative proceedings are costly and
time-consuming to pursue, and their outcome is uncertain. An
adverse determination in litigation or PTO or foreign proceedings
to which we may become a party could subject us to significant
liabilities, including damages, require us to obtain licenses from
third parties, restrict or prevent us from selling our products in
certain markets, or invalidate or render unenforceable our licensed
or owned patents. Although patent and intellectual property
disputes might be settled through licensing or similar
arrangements, the costs associated with such arrangements may be
substantial and could include our paying large fixed payments and
ongoing royalties. Furthermore, the necessary licenses may not be
available on satisfactory terms or at all.
In February 2007,
Geistlich Söhne AG für Chemische Industrie, Switzerland,
or Geistlich, brought an action against the European Sodemann
Patent covering our Neutrolin® product
candidate which is owned by ND Partners, LLC and licensed to us
pursuant to the License and Assignment Agreement between us and ND
Partners LLC. The action that was brought against the counterpart
of the Sodemann Patent in Germany at the Board of the European
Patent Office opposition division was for lack of inventiveness in
the use of citric acid and a pH value in the range of 4.5 to 6.5
with having the aim to provide an alternative lock solution through
having improved anticoagulant characteristics compared to the lock
solutions of the prior art. The Board of the European Patent Office
opposition division rejected the opposition by Geistlich. On August
27, 2008, Geistlich appealed the court's ruling, alleging
the same arguments as presented during the opposition proceedings.
We filed a response to the appeal of Geistlich on March 25, 2009
where we requested a dismissal of the appeal and to maintain the
patent as granted. As of March 27, 2014, no further petitions have
been filed by ND Partners or Geistlich. On October 10, 2012, we
became aware that the Board of Appeals of the European Patent
Office issued, on September 4, 2012, a summons for oral
proceedings. On November 28, 2012, the Board of Appeals of the
European Patent Office held oral proceedings and verbally upheld
the counterpart of the Sodemann Patent covering
Neutrolin®, but remanded
the proceeding to the lower court to consider restricting certain
of the counterpart of the Sodemann Patent claims. We received the
Appeals Board final written decision on March 28, 2013 which was
consistent with the oral proceedings. In a letter dated September
30, 2013, we were notified that the opposition division of the
European Patent Office reopened the proceedings before the first
instance again, and has given their preliminary non-binding opinion
that the patent as amended during the appeal proceedings fulfils
the requirements of Clarity, Novelty, and Inventive Step, and
invited the parties to provide their comments and/or requests by
February 10, 2014. We filed our response on February 3,
2014 to request that the patent be maintained as amended during the
appeal proceedings. Geistlich did not provide any filing
by February 10, 2014; however, the Board of the European Patent
Office opposition division has granted Geistlich an extension to
respond by the end of July 2014 because its representative did not
receive the September 30, 2013 letter due to a change of
address. Geistlich did not file a further statement
within the required timeline. On November 5, 2014, the
Opposition Division at the EPO issued the interlocutory decision to
maintain the patent on the basis of the claims as amended during
the appeal proceedings. This decision becomes final if no further
appeal is lodged by Geistlich by January 15, 2015. As of the date
of this report, we have not received a communication from the
European Patent Office that Geistlich has filed such an
appeal.
On September 9,
2014, we filed in the Mannheim, Germany District Court a patent
infringement action against TauroPharm GmbH and Tauro-Implant GmbH
as well as their respective CEOs (the "Defendants") claiming
infringement of our European Patent EP 1 814 562 B1, which was
granted by the European Patent Office on January 8, 2014 (the
“Prosl European Patent”). The Prosl European
Patent covers a low heparin catheter lock solution for maintaining
patency and preventing infection in a hemodialysis
catheter. In this action, we claim that the Defendants
infringe on the Prosl European Patent by manufacturing and
distributing catheter locking solutions to the extent they are
covered by the claims of the Prosl European Patent. We
believe that our patent is sound, and we are seeking injunctive
relief and raising claims for information, rendering of accounts,
calling back, destruction and damages. Separately, TauroPharm has
filed an opposition with the European Patent Office against the
Prosl European Patent alleging that it lacks novelty and inventive
step. We cannot predict what other defenses the
Defendants may raise, or the ultimate outcome of either of these
related matters.
In the same
complaint against the same Defendants, we also alleged an
infringement (requesting the same remedies) of ND Partners’
utility model DE 20 2005 022 124 U1 (the “Utility
Model”) which is basically identical to the Prosl European
Patent in its main aspects and claims. The Mannheim court separated
the two proceedings so that the Prosl European Patent and the
Utility Model proceeding are now tried separately and independently
from each other due to the slightly differing requirements for both
IP rights. TauroPharm has filed a cancellation action against the
Utility Model before the German Patent and Trademark Office based
on the same arguments as the opposition against the Prosl European
Patent. We cannot predict what other defenses the
Defendants may raise, or the ultimate outcome of this
matter.
On March 27, 2015,
the Mannheim District Court held a hearing to evaluate whether the
Utility Model has been infringed by TauroPharm in connection with
the manufacture, sale and distribution of its TauroLock-HEP100 and
HEP500 products. A hearing before the same court was held on
January 30, 2015 on the separate, but related, question of
infringement of the Prosl European Patent by TauroPharm based upon
the same circumstances. While the Court had indicated that it might
render a decision in the patent infringement matter, it has now
informed us that decisions in each of these related matters
likely will be issued on May 8, 2015, although we cannot assure
that any decision will be rendered on that date. The Court’s
decisions will be subject to appeal.
Parallel to the
Court proceedings, both the opposition proceedings against the
Prosl European Patent before the European Patent Office, or
EPO, and the cancellation action against the Utility Model
before the German Patent and Trademark Office, or German PTO, are
ongoing. We do not expect a decision from the EPO before
the middle of 2016 (in the case of the Prosl European Patent) or
late 2015 from the German PTO (in the case of the Utility Model),
with each such decision being subject to appeal.
On January 16,
2015, we filed a complaint against TauroPharm GmbH and its managing
directors in the District Court of Cologne,
Germany. In the complaint, we allege violation of the
German Unfair Competition Act by TauroPharm for the unauthorized
use of our proprietary information obtained in confidence by
TauroPharm. We allege that TauroPharm is improperly and
unfairly using our proprietary information relating to the
composition and manufacture of our product Neutrolin®, which
is approved for sale in Germany, in its manufacture and sale of
TauroPharm’s products TauroLockTM, TauroLock-HEP100TM and
TauroLock-HEP500TM. We seek a cease and desist
order against TauroPharm from continuing to manufacture and sell
any product containing taurolidine as well as citric acid in
addition to possible other components, damages for any sales in the
past and the removal of all such products from the market. A
hearing in this matter has been scheduled in the District Court of
Cologne for July 2, 2015.
If we infringe the rights of third parties we could be prevented
from selling products and forced to pay damages and defend against
litigation.
If
our products, methods, processes and other technologies infringe
the proprietary rights of other parties, we could incur substantial
costs and we may have to do one or more of the
following:
obtain licenses,
which may not be available on commercially reasonable terms, if at
all;
abandon an
infringing product candidate;
redesign our
products or processes to avoid infringement;
stop using the
subject matter claimed in the patents held by
others;
defend litigation
or administrative proceedings, which may be costly whether we win
or lose, and which could result in a substantial diversion of our
financial and management resources.
Risks Related to
Dependence on Third Parties
If we are not able to develop and maintain collaborative marketing
relationships with licensees or partners, or create an effective
sales, marketing, and distribution capability, we may be unable to
market our products or market them successfully.
Our
business strategy for Neutrolin relies on collaborating with larger
firms with experience in marketing and selling medical devices and
pharmaceutical products; for other products we may also rely on
such marketing collaborations or out-licensing or our product
candidates. Specifically, for Neutrolin, we have entered into an
agreement with human4farma to market and sell Neutrolin in Germany
and a distributor agreement with a Saudi Arabian and a South Korean
company for sales and marketing in those two countries (upon
receipt of approval to market in South Korea). In addition, we have
independent sales representatives marketing and selling in Austria
and The Netherlands. Assuming we receive applicable
regulatory approval for other markets, we plan to enter into
distribution agreements with one or more third parties for the sale
of Neutrolin in various European, Middle East and other markets.
However, there can be no assurance that we will be able to
successfully maintain those relationships or establish and maintain
additional marketing, sales, or distribution relationships. Nor can
there be assurance that such relationships will be successful, or
that we will be successful in gaining market acceptance for our
products. To the extent that we enter into any marketing, sales, or
distribution arrangements with third parties, our product revenues
will be lower than if we marketed and sold our products directly,
and any revenues we receive will depend upon the efforts of such
third-parties.
If we are unable to
establish and maintain such third-party sales and marketing
relationships, or choose not to do so, we will have to establish
our own in-house capabilities. We currently have no sales,
marketing, or distribution infrastructure. To market any of our
products directly, we would need to develop a marketing, sales, and
distribution force that has both technical expertise and the
ability to support a distribution capability. The establishment of
a marketing, sales, and distribution capability would take time and
significantly increase our costs, possibly requiring substantial
additional capital. In addition, there is intense competition for
proficient sales and marketing personnel, and we may not be able to
attract individuals who have the qualifications necessary to
market, sell, and distribute our products. There can be no
assurance that we will be able to establish internal marketing,
sales, or distribution capabilities. If we are unable to, or choose
not to establish these capabilities, or if the capabilities we
establish are not sufficient to meet our needs, we will be required
to establish collaborative marketing, sales, or distribution
relationships with third parties, which we might not be able to do
on acceptable terms or at all.
We currently have no internal marketing and sales organization and
have no experience as a company in marketing medical devices or
drug products. If we are unable to establish our own marketing and
sales capabilities, or enter into agreements with third parties, to
market and sell our products after they are approved, we may not be
able to generate product revenues.
We do not have an
internal sales organization for the marketing, sales and
distribution of any drug products. In order to commercialize any
products, we must develop these capabilities on our own or make
arrangements with third parties for the marketing, sales and
distribution of our products. The establishment and development of
our own sales force would be expensive and time consuming and could
delay any product launch, and we cannot be certain that we would be
able to successfully develop this capability. As a result, we may
seek one or more third party organizations to handle some or all of
the sales and marketing of Neutrolin, which we have done with
independent companies in Germany and in Saudi Arabia and South
Korea (upon receipt of approval to market in South Korea) and with
independent sales representatives in Austria and The Netherlands.
However, we may not be able to enter into or maintain arrangements
with third parties to sell Neutrolin on favorable terms or at all.
In the event we are unable to develop our own marketing and sales
force or collaborate with a third-party marketing and sales
organization, we would not be able to commercialize Neutrolin or
any other product candidates that we develop, which would
negatively impact our ability to generate product revenues.
Further, whether we commercialize products on our own or rely on a
third party to do so, our ability to generate revenue will be
dependent on the effectiveness of the sales force. In addition, to
the extent we rely on third parties to commercialize our approved
products, we will likely receive less revenues than if we
commercialized these products ourselves.
We have entered into an
agreement with independent companies to market Neutrolin in Germany
and in Saudi Arabia and, upon regulatory approval, South Korea. We
also have independent sales representatives in Austria and The
Netherlands. Consequently, we will be dependent on these firms and
individuals for the success of sales in these countries and any
continued success of the marketing and sales of Neutrolin in these
countries. If these firms or individuals do not perform for
whatever reason, our business, prospects and results of operations
will be materially adversely affected. Finding a
replacement organization for these or any other organizations or
individuals with which we might contract could be difficult, which
would further harm our business, prospects and results of
operations.
If we or our collaborators are unable to manufacture our products
in sufficient quantities or are unable to obtain regulatory
approvals for a manufacturing facility, we may be unable to meet
demand for our products and we may lose potential
revenues.
Completion of
our clinical trials and commercialization of Neutrolin and any
other product candidate require access to, or development of,
facilities to manufacture a sufficient supply of our product
candidates. All of our manufacturing processes currently are, and
we expect them to continue to be, outsourced to third parties.
Specifically, we will rely on one or more manufacturers to supply
us and/or our distribution partners with commercial quantities of
Neutrolin. If, for any reason, we become unable to rely on our
current sources for the manufacture of Neutrolin or any other
product candidates or for active pharmaceutical ingredient, or API,
either for clinical trials or for commercial quantities, then we
would need to identify and contract with additional or replacement
third-party manufacturers to manufacture compounds for
pre-clinical, clinical, and commercial purposes. We may not be
successful in identifying such additional or replacement
third-party manufacturers, or in negotiating acceptable terms with
any that we do identify. Such third-party manufacturers must
receive FDA or applicable foreign approval before they can produce
clinical material or commercial product, and any that are
identified may not receive such approval or may fail to maintain
such approval. In addition, we may be in competition with other
companies for access to these manufacturers’ facilities and
may be subject to delays in manufacturing if the manufacturers give
other clients higher priority than they give to us. If we are
unable to secure and maintain third-party manufacturing capacity,
the development and sales of our products and our financial
performance may be materially affected.
Before we could
begin to commercially manufacture Neutrolin or any other product
candidate on our own, we must obtain regulatory approval of the
manufacturing facility and process. The manufacture of drugs for
clinical and commercial purposes must comply with cGMP and
applicable non-U.S. regulatory requirements. The cGMP requirements
govern quality control and documentation policies and procedures.
Complying with cGMP and non-U.S. regulatory requirements would
require that we expend time, money, and effort in production,
recordkeeping, and quality control to assure that the product meets
applicable specifications and other requirements. We would also
have to pass a pre-approval inspection prior to FDA or non-U.S.
regulatory agency approval. Failure to pass a pre-approval
inspection may significantly delay regulatory approval of our
products. If we fail to comply with these requirements, we would be
subject to possible regulatory action and may be limited in the
jurisdictions in which we are permitted to sell our products. As a
result, our business, financial condition, and results of
operations could be materially adversely
affected.
Corporate and academic collaborators may take actions that delay,
prevent, or undermine the success of our products.
Our operating and
financial strategy for the development, clinical testing,
manufacture, and commercialization of our product candidates is
heavily dependent on our entering into collaborations with
corporations, academic institutions, licensors, licensees, and
other parties. Our current strategy assumes that we will
successfully establish and maintain these collaborations or similar
relationships. However, there can be no assurance that we will be
successful establishing or maintaining such collaborations. Some of
our existing collaborations, such as our licensing agreements, are,
and future collaborations may be, terminable at the sole discretion
of the collaborator in certain circumstances. Replacement
collaborators might not be available on attractive terms, or at
all.
In
addition, the activities of any collaborator will not be within our
control and may not be within our power to influence. There can be
no assurance that any collaborator will perform its obligations to
our satisfaction or at all, that we will derive any revenue or
profits from such collaborations, or that any collaborator will not
compete with us. If any collaboration is not pursued, we may
require substantially greater capital to undertake on our own the
development and marketing of our product candidates and may not be
able to develop and market such products successfully, if at all.
In addition, a lack of development and marketing collaborations may
lead to significant delays in introducing product candidates into
certain markets and/or reduced sales of products in such
markets.
Data provided by collaborators and others upon which we rely that
has not been independently verified could turn out to be false,
misleading, or incomplete.
We
rely on third-party vendors, scientists, and collaborators to
provide us with significant data and other information related to
our projects, clinical trials, and business. If such third parties
provide inaccurate, misleading, or incomplete data, our business,
prospects, and results of operations could be materially adversely
affected.
Risks Related to our Common Stock
We have identified a material weakness in our internal control over
financial reporting, and our internal control over financial
reporting and our disclosure controls and procedures may not
prevent all possible errors that could occur.
We have identified
material weaknesses in our internal control over financial
reporting related to our limited finance staff and the resulting
ineffective management review over financial reporting, coupled
with increasingly complex accounting associated with our financing
activities as well as the European commercialization and start up
related activities. We have taken initial measures to
remediate these weaknesses by increasing internal review processes,
in addition to the previously established accounting oversight
committee, which is comprised of members of our senior management
and our third party GAAP advisor. The hiring of our
full-time Chief Financial Officer in July 2014 and our increased
use of external advisors were key steps in bolstering our financial
infrastructure. We continue to build on our
infrastructure to address these weaknesses. However, we
cannot be assured that these weaknesses will be fully remediated or
that other material weaknesses will not be discovered.
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 satisfied. Internal control over financial
reporting and disclosure controls and procedures are designed to
give a reasonable assurance that they are effective to achieve
their objectives. We cannot provide absolute assurance that all of
our possible future control issues will be detected. These inherent
limitations include the possibility that judgments in our decision
making can be faulty, and that isolated breakdowns can occur
because of simple human error or mistake. The design of our system
of controls is based in part upon assumptions about the likelihood
of future events, and there can be no assurance that any design
will succeed absolutely in achieving our stated goals under all
potential future or unforeseeable conditions. Because of the
inherent limitations in a cost effective control system,
misstatements due to error could occur and not be
detected. This and any future failures could cause
investors to lose confidence in our reported financial information,
which could have a negative impact on our financial condition and
stock price.
Our common stock price has fluctuated considerably and is likely to
remain volatile, in part due to the limited market for our common
stock and you could lose all or a part of your
investment.
During
the period from the completion of our initial public offering, or
IPO, on March 30, 2010 through April 7, 2015, the high and low
sales prices for our common stock were $10.40 and $0.15,
respectively. There is a limited public market for our common stock
and we cannot provide assurances that an active trading market will
develop. As a result of low trading volume in our common stock, the
purchase or sale of a relatively small number of shares could
result in significant share price fluctuations.
Additionally,
the market price of our common stock may continue to fluctuate
significantly in response to a number of factors, some of which are
beyond our control, including the following:
market acceptance
of Neutrolin in those markets in which it is approved for
sale;
our need for
additional capital;
the receipt of or
failure to obtain additional regulatory approvals for Neutrolin,
including FDA approval in the U.S.;
results of clinical
trials of our product candidates, including our planned Phase 3
trial for Neutrolin in the U.S., or those of our
competitors;
our entry into or
the loss of a significant collaboration;
regulatory or legal
developments in the United States and other countries, including
changes in the healthcare payment systems;
changes in
financial estimates or investment recommendations by securities
analysts relating to our common stock;
announcements by
our competitors of significant developments, strategic
partnerships, joint ventures or capital
commitments;
changes in key
personnel;
variations in our
financial results or those of companies that are perceived to be
similar to us;
market conditions
in the pharmaceutical and medical device sectors and issuance of
new or changed securities analysts’ reports or
recommendations;
general economic,
industry and market conditions;
developments or
disputes concerning patents or other proprietary
rights;
future sales or
anticipated sales of our securities by us or our stockholders;
and
any other factors
described in this “Risk Factors”
section.
In addition, the
stock markets in general, and the stock of pharmaceutical and
medical device companies in particular, have experienced extreme
price and volume fluctuations that have often been unrelated or
disproportionate to the operating performance of these companies.
Broad market and industry factors may negatively affect the market
price of our common stock, regardless of our actual operating
performance.
For these reasons and
others, an investment in our securities is risky and invest only if
you can withstand a significant loss and wide fluctuations in the
value of your investment.
A significant number of additional shares of our common stock may
be issued at a later date, and their sale could depress the market
price of our common stock.
As of March 31, 2015, we had
outstanding the following securities that are convertible into or
exercisable for shares of our common stock:
warrants for
227,273 shares of common stock issued in July 2013 with an exercise
price of $1.50 that expire on July 30, 2018;
warrants for
500,000 shares of common stock issued in May 2013 with an exercise
price of $0.65 per share that expire on May 30,
2019;
warrants for
125,000 shares issued to ND Partners in April 2013 in connection
with the amendment to the license and assignment agreement with an
exercise price of $1.50 per share that expire on April 11,
2018;
warrants for
2,443,139 shares of our common stock issued in connection with our
IPO with an exercise price of $3.4375 per share that expire on
April 30, 2015;
warrants for
390,720 shares of our common stock held by Manchester Securities
Corp. issued in connection with our IPO with an exercise price of
$3.4375 per share that expire on March 24,
2016;
options to purchase
an aggregate of 1,015,000 shares of our common stock issued to our
officers, directors, employees and non-employee consultants under
our Amended and Restated 2006 Stock Incentive Plan, or the 2006
Stock Plan, with a weighted average exercise price of $0.68 per
share;
options to purchase
an aggregate of 2,999,500 shares of our common stock issued to our
officers, directors and non-employee consultants under our 2013
Stock Plan, with a weighted average exercise price of $1.98 per
share;
warrants issued to
investors in our 2012 private placement to purchase an aggregate of
337,500 shares of our common stock with an exercise price of $0.40
per share, of which 312,500 expire on September 20, 2017 and 25,000
expire on November 13, 2017;
a warrant for 795
shares of our common stock issued to the placement agent for our
2012 private placement with an exercise price of $0.40 per share,
which expires on September 20, 2017;
a warrant to
purchase 400,000 shares of our common stock issued on February 19,
2013 with an exercise price of $1.50 that expire on February 19,
2018;
warrants for
750,000 shares of common stock with an exercise price of $0.90 that
expire on October 22, 2019;
warrants for
750,000 shares of common stock with an exercise price of $0.90 that
expire on January 8, 2020;
Series C-2
Preferred Stock convertible into 1,500,000 shares of
common;
Series C-3
Preferred Stock convertible into 1,365,000 shares of common
stock;
Series D Preferred
Stock convertible 1,479,240 shares of common
stock;
Series E Preferred
Stock convertible 1,959,759 shares of common
stock;
warrants for
682,500 shares of common stock issued in March 2014 with an
exercise price of $2.50 per shares that expire on September 9,
2019;
a warrant for
200,000 shares of common stock with an exercise price of $7.00 that
expires on March 3, 2020 issued on March 3, 2015, to Manchester
Securities Corp. in connection with the Backstop Financing;
and
a warrant for
83,400 shares of common stock with an exercise price of $7.00 that
expires on March 3, 2020 issued on March 25, 2015, to Kingsbrook
Opportunities Master Fund LP in connection with the Backstop
Financing.
The
possibility of the issuance of these shares, as well as the actual
sale of such shares, could substantially reduce the market price
for our common stock and impede our ability to obtain future
financing.
We will need additional financing to fund our activities in the
future, which likely will dilute our stockholders.
We
anticipate that we will incur operating losses for the foreseeable
future. Additionally, we believe we will require substantial funds
in the future to support our operations. We expect to seek equity
or debt financings in the future to fund our operations. The
issuance of additional equity securities, or convertible debt or
other derivative securities, likely will dilute some if not all of
our then existing stockholders, depending on the financing
terms.
Future sales and issuances of our equity securities or rights to
purchase our equity securities, including pursuant to equity
incentive plans, would result in additional dilution of the
percentage ownership of our stockholders and could cause our stock
price to fall.
To
the extent we raise additional capital by issuing equity
securities, our stockholders may experience substantial dilution.
We may, as we have in the past, sell common stock, convertible
securities or other equity securities in one or more transactions
at prices and in a manner we determine from time to time. If we
sell common stock, convertible securities or other equity
securities in more than one transaction, investors may be further
diluted by subsequent sales. Such sales may also result in material
dilution to our existing stockholders, and new investors could gain
rights superior to existing stockholders.
Pursuant
to our 2006 Stock Plan, our Board of Directors is authorized to
award up to a total of 2,300,000 shares of common stock or options
to purchase shares of common stock to our officers, directors,
employees and non-employee consultants. As of March 31, 2015,
options to purchase 1,015,000 shares of common stock issued under
our 2006 Stock Plan at a weighted average exercise price of $0.68
per share, and options to purchase 2,999,500 shares of common stock
issued under our 2013 Stock Plan at a weighted average exercise
price of $1.98 per share were outstanding. In addition, at March
31, 2015, there were outstanding warrants to purchase an aggregate
of 6,890,327 shares of our common stock at prices ranging from
$0.40 to $7.00, and shares of our outstanding Series C-2, C-3, D
and E preferred stock convertible into an aggregate of 6,303,999
shares of our common stock. Stockholders will experience dilution
in the event that additional shares of common stock are issued
under our 2006 Stock Plan or 2013 Stock Plan, or options issued
under our 2006 Stock Plan or 2013 Stock Plan are exercised, or any
warrants are exercised for, or preferred stock shares are converted
to, common stock.
Provisions in our corporate charter documents and under Delaware
law could make an acquisition of us, which may be beneficial to our
stockholders, more difficult.
Provisions
in our Amended and Restated Certificate of Incorporation, as
amended, and our Amended and Restated Bylaws, as well as provisions
of the General Corporation Law of the State of Delaware, or DGCL,
may discourage, delay or prevent a merger, acquisition or other
change in control of our company, even if such a change in control
would be beneficial to our stockholders. These provisions include
the following:
authorizing the
issuance of “blank check” preferred stock, the terms of
which may be established and shares of which may be issued without
stockholder approval;
prohibiting our
stockholders from fixing the number of our directors;
and
establishing
advance notice requirements for stockholder proposals that can be
acted on at stockholder meetings and nominations to our Board of
Directors.
These provisions may
frustrate or prevent any attempts by our stockholders to replace or
remove our current management by making it more difficult for
stockholders to replace members of our board of directors, which is
responsible for appointing the members of our management. In
addition, we are subject to Section 203 of the DGCL, which
generally prohibits a Delaware corporation from engaging in any of
a broad range of business combinations with an interested
stockholder for a period of three years following the date on which
the stockholder became an interested stockholder, unless such
transactions are approved by the board of directors. This provision
could have the effect of discouraging, delaying or preventing
someone from acquiring us or merging with us, whether or not it is
desired by, or beneficial to, our stockholders. Any provision of
our Amended and Restated Certificate of Incorporation, as amended,
or Amended and Restated Bylaws or Delaware law that has the effect
of delaying or deterring a change in control could limit the
opportunity for our stockholders to receive a premium for their
shares of our common stock and could also affect the price that
some investors are willing to pay for our common
stock.
If we fail to comply with
the continued listing standards of the NYSE MKT, it may result in a
delisting of our common stock from the
exchange.
Our common stock is
currently listed for trading on the NYSE MKT, and the continued
listing of our common stock on the NYSE MKT is subject to our
compliance with a number of listing standards. These listing
standards include the requirement for avoiding sustained losses and
maintaining a minimum level of stockholders’
equity. In 2012 and 2014, we received notices from the
NYSE MKT that we did not meet continued listing standards of the
NYSE MKT as set forth in Part 10 of the Company
Guide. Specifically, we were not in compliance with
Section 1003(a)(i) and Section 1003(a)(ii) of the Company Guide
because we reported stockholders’ equity of less than the
required amounts. As a result, we became subject to the
procedures and requirements of Section 1009 of the Company Guide
and were subject to possible delisting. In March 2015,
we regained compliance with the NYSE MKT listing requirements due
to our market capitalization, pursuant to Section 1003(a) of the
Company Guide. However, there can be no assurance that
we will continue to meet the continued listing standards of the
NYSE MKT.
If our common stock
were no longer listed on the NYSE MKT, investors might only be able
to trade on the OTC Bulletin Board ® or in the
Pink Sheets ® (a quotation
medium operated by Pink Sheets LLC). This would impair the
liquidity of our common stock not only in the number of shares that
could be bought and sold at a given price, which might be depressed
by the relative illiquidity, but also through delays in the timing
of transactions and reduction in media coverage.
Because the average daily trading volume of our common stock has
been low historically, the ability to sell our shares in the
secondary trading market may be limited.
Because the average daily trading volume of our common stock
on the NYSE MKT has been low historically, the liquidity of our
common stock may be impaired. As a result, prices for shares of our
common stock may be lower than might otherwise prevail if the
average daily trading volume of our common stock was higher. The
average daily trading volume of our common stock may be low
relative to the stocks of other exchange-listed companies, which
could limit investors’ ability to sell shares in the
secondary trading market.
Penny stock regulations may
impose certain restrictions on marketability of our
securities.
The SEC has adopted
regulations which generally define a “penny stock” to
be any equity security that has a market price of less than $5.00
per share or an exercise price of less than $5.00 per share,
subject to certain exceptions. A security listed on a national
securities exchange is exempt from the definition of a penny
stock. Our common stock is listed on the NYSE MKT and so
is not considered a penny stock. However, if we fail to maintain
our common stock’s listing on the NYSE MKT, our common stock
would be considered a penny stock. In that event, our
common stock would be subject to rules that impose additional sales
practice requirements on broker-dealers who sell such securities to
persons other than established customers and accredited investors
(generally those with assets in excess of $1,000,000 or annual
income exceeding $200,000, or $300,000 together with their spouse).
For transactions covered by such rules, the broker-dealer must make
a special suitability determination for the purchase of such
securities and have received the purchaser’s written consent
to the transaction prior to the purchase. Additionally, for any
transaction involving a penny stock, unless exempt, the rules
require the delivery, prior to the transaction, of a risk
disclosure document mandated by the SEC relating to the penny stock
market. The broker-dealer must also disclose the commission payable
to both the broker-dealer and the registered representative,
current quotations for the securities and, if the broker-dealer is
the sole market maker, the broker-dealer must disclose this fact
and the broker-dealer’s presumed control over the market.
Finally, monthly statements must be sent disclosing recent price
information for the penny stock held in the account and information
on the limited market in penny stocks. Broker-dealers must wait two
business days after providing buyers with disclosure materials
regarding a security before effecting a transaction in such
security. Consequently, the “penny stock” rules
restrict the ability of broker-dealers to sell our securities and
affect the ability of investors to sell our securities in the
secondary market and the price at which such purchasers can sell
any such securities, thereby affecting the liquidity of the market
for our common stock.
Stockholders
should be aware that, according to the SEC, the market for penny
stocks has suffered in recent years from patterns of fraud and
abuse. Such patterns include:
control of the
market for the security by one or more broker-dealers that are
often related to the promoter or issuer;
manipulation of
prices through prearranged matching of purchases and sales and
false and misleading press releases;
“boiler
room” practices involving high pressure sales tactics and
unrealistic price projections by inexperienced sales
persons;
excessive and
undisclosed bid-ask differentials and markups by selling
broker-dealers; and
the wholesale
dumping of the same securities by promoters and broker-dealers
after prices have been manipulated to a desired level, along with
the inevitable collapse of those prices with consequent investor
losses.
We do not intend to pay dividends on our common stock so any
returns on our common stock will be limited to the value of our
common stock.
We have never declared
dividends on our common stock, and currently do not plan to declare
dividends on shares of our common stock in the foreseeable future.
Pursuant to the terms of our Series D and E Non-Voting Convertible
Preferred Stock, we may not declare or pay any dividends or make
any distributions on any of our shares or other equity securities
as long as any of those preferred shares remain outstanding. We
currently expect to retain future earnings, if any, for use in the
operation and expansion of our business. The payment of cash
dividends in the future, if any, will be at the discretion of our
board of directors and will depend upon such factors as earnings
levels, capital requirements, our overall financial condition and
any other factors deemed relevant by our board of directors. Any
return to holders of our common stock will be limited to the value
of their common stock.
SPECIAL
NOTE REGARDING FORWARD-LOOKING STATEMENTS
The SEC encourages
companies to disclose forward-looking information so that investors
can better understand a company’s future prospects and make
informed investment decisions. This prospectus and the documents we
have filed with the SEC that are incorporated herein by reference
contain such “forward-looking statements” within the
meaning of the Private Securities Litigation Reform Act of
1995.
Words such as
“may,” “might,” “should,”
“anticipate,” “estimate,”
“expect,” “projects,”
“intends,” “plans,” “believes”
and words and terms of similar substance used in connection with
any discussion of future operating or financial performance,
identify forward-looking statements. Forward-looking statements
represent management’s current judgment regarding future
events and are subject to a number of risks and uncertainties that
could cause actual results to differ materially from those
described in the forward-looking statements. These risks include,
but are not limited to: the cost, timing and results
of the planned Phase III trial for Neutrolin® in
the U.S.; obtaining regulatory approvals to conduct clinical trials
and to commercialize our product candidates, including marketing of
Neutrolin in countries other than Europe; the risks associated with
the launch of Neutrolin in new markets; our ability to
enter into, execute upon and maintain collaborations with third
parties for its development and marketing programs; our
ability to achieve expected cost savings in our pharmaceutical
manufacturing margins; the unpredictability of the size of the
markets for, and market acceptance of, Neutrolin; our ability to identify and enter
into strategic transactions; our ability to maintain our listing on
the NYSE MKT; the risks and uncertainties associated with our
ability to manage our limited cash resources; the outcome of
clinical trials of our product candidates and whether they
demonstrate these candidates’ safety and effectiveness; our
dependence on our collaborations and our license relationships;
achieving milestones under our collaborations; obtaining additional
financing to support our research and development and clinical
activities and operations; our dependence on preclinical and
clinical investigators, preclinical and clinical research
organizations, manufacturers, sales and marketing organizations,
and consultants; protecting the intellectual property developed by
or licensed to us; the unpredictability of the market acceptance of
any of our products, including Neutrolin; our ability to sell any
approved products and the prices we are able to realize; our
ability to retain and hire necessary employees and to staff our
operations appropriately; our ability to compete in our industry
and innovation by our competitors; and our ability to stay abreast
of and comply with new or modified laws and regulations that
currently apply or become applicable to our business. Please also
see the discussion of risks and uncertainties under “Risk
Factors” below and contained in any supplements to this
prospectus, and in our most recent annual report on Form 10-K,
as well as any amendments thereto, as filed with the SEC and which
are incorporated herein by reference.
In light of these
assumptions, risks and uncertainties, the results and events
discussed in the forward-looking statements contained in this
prospectus or in any document incorporated herein by reference
might not occur. Investors are cautioned not to place undue
reliance on the forward-looking statements, which speak only as of
the date of this prospectus or the date of the document
incorporated by reference in this prospectus. We are not under any
obligation, and we expressly disclaim any obligation, to update or
alter any forward-looking statements, whether as a result of new
information, future events or otherwise. All subsequent
forward-looking statements attributable to us or to any person
acting on our behalf are expressly qualified in their entirety by
the cautionary statements contained or referred to in this
section.
We cannot assure
you that we will receive any proceeds in connection with securities
offered by us pursuant to this prospectus. Unless
otherwise provided in the applicable prospectus supplement, we
intend to use the net proceeds from the sale of our securities by
us under this prospectus for general corporate purposes, including
clinical trials, research and development expenses, and general and
administrative expenses. We will set forth in the applicable
prospectus supplement our intended use for the net proceeds
received from the sale of any securities by us. Pending the
application of the net proceeds, we intend to invest the net
proceeds generally in short-term, investment grade,
interest-bearing securities.
PLAN
OF DISTRIBUTION
We may sell the
securities from time to time pursuant to underwritten public
offerings, negotiated transactions, block trades or a combination
of these methods. We may sell the securities to or through
underwriters or dealers, through agents, or directly to one or more
purchasers. We may distribute securities from time to time in one
or more transactions:
at a fixed price or
prices, which may be changed;
at market prices
prevailing at the time of sale;
at prices related
to such prevailing market prices; or
A prospectus
supplement or supplements (and any related free writing prospectus
that we may authorize to be provided to you) will describe the
terms of the offering of the securities, including, to the extent
applicable:
the name or names
of the underwriters, if any;
the purchase price
of the securities or other consideration therefor, and the
proceeds, if any, we will receive from the
sale;
any over-allotment
options under which underwriters may purchase additional securities
from us;
any agency fees or
underwriting discounts and other items constituting agents’
or underwriters’ compensation;
any public offering
price;
any discounts or
concessions allowed or reallowed or paid to dealers;
and
any securities
exchange or market on which the securities may be
listed.
Only underwriters
named in the prospectus supplement will be underwriters of the
securities offered by the prospectus supplement.
If underwriters are
used in the sale, they will acquire the securities for their own
account and may resell the securities from time to time in one or
more transactions at a fixed public offering price or at varying
prices determined at the time of sale. The obligations of the
underwriters to purchase the securities will be subject to the
conditions set forth in the applicable underwriting agreement. We
may offer the securities to the public through underwriting
syndicates represented by managing underwriters or by underwriters
without a syndicate. Subject to certain conditions, the
underwriters will be obligated to purchase all of the securities
offered by the prospectus supplement, other than securities covered
by any over-allotment option. Any public offering price and any
discounts or concessions allowed or reallowed or paid to dealers
may change from time to time. We may use underwriters with whom we
have a material relationship. We will describe in the prospectus
supplement, naming the underwriter, the nature of any such
relationship.
We may sell
securities directly or through agents we designate from time to
time. We will name any agent involved in the offering and sale of
securities and we will describe any commissions we will pay the
agent in the prospectus supplement. Unless the prospectus
supplement states otherwise, our agent will act on a best-efforts
basis for the period of its appointment.
We may authorize
agents or underwriters to solicit offers by certain types of
institutional investors to purchase securities from us at the
public offering price set forth in the prospectus supplement
pursuant to delayed delivery contracts providing for payment and
delivery on a specified date in the future. We will describe the
conditions to these contracts and the commissions we must pay for
solicitation of these contracts in the prospectus
supplement.
We may provide
agents and underwriters with indemnification against civil
liabilities, including liabilities under the Securities Act, or
contribution with respect to payments that the agents or
underwriters may make with respect to these liabilities. Agents and
underwriters may engage in transactions with, or perform services
for, us in the ordinary course of business.
All securities we
may offer, other than common stock, will be new issues of
securities with no established trading market. Any underwriters may
make a market in these securities, but will not be obligated to do
so and may discontinue any market making at any time without
notice. We cannot guarantee the liquidity of the trading markets
for any securities.
Any underwriter may
engage in over-allotment, stabilizing transactions, short-covering
transactions and penalty bids in accordance with Regulation M
under the Exchange Act. Over-allotment involves sales in excess of
the offering size, which create a short position. Stabilizing
transactions permit bids to purchase the underlying security so
long as the stabilizing bids do not exceed a specified maximum
price. Syndicate-covering or other short-covering transactions
involve purchases of the securities, either through exercise of the
over-allotment option or in the open market after the distribution
is completed, to cover short positions. Penalty bids permit the
underwriters to reclaim a selling concession from a dealer when the
securities originally sold by the dealer are purchased in a
stabilizing or covering transaction to cover short positions. Those
activities may cause the price of the securities to be higher than
it would otherwise be. If commenced, the underwriters may
discontinue any of the activities at any time.
Any underwriters
that are qualified market makers on the NYSE MKT may engage in
passive market making transactions in the common stock on the NYSE
MKT in accordance with Regulation M under the Exchange Act,
during the business day prior to the pricing of the offering,
before the commencement of offers or sales of the common stock.
Passive market makers must comply with applicable volume and price
limitations and must be identified as passive market makers. In
general, a passive market maker must display its bid at a price not
in excess of the highest independent bid for such security; if all
independent bids are lowered below the passive market maker’s
bid, however, the passive market maker’s bid must then be
lowered when certain purchase limits are exceeded. Passive market
making may stabilize the market price of the securities at a level
above that which might otherwise prevail in the open market and, if
commenced, may be discontinued at any time.
DESCRIPTION
OF OUR CAPITAL STOCK
Common
Stock
Pursuant to our
Amended and Restated Certificate of Incorporation, as amended, we
are authorized to issue 80,000,000 shares of common stock, $0.001
par value per share. As of March 31, 2015, we had 27,864,841 shares
of common stock outstanding.
The following
summary of certain provisions of our common stock does not purport
to be complete. You should refer to our Amended and Restated
Certificate of Incorporation, as amended, and our Amended and
Restated Bylaws. We filed our Amended and Restated Certificate of
Incorporation, as amended, as an exhibit to our definitive proxy
statement on Schedule 14A with the SEC on October 17, 2012 and
filed our Amended and Restated Bylaws as an exhibit to the
registration statement on Form S-1 filed with the SEC on March 1,
2010. We filed a Certificate of Designation for each of our Series
B, C-2, C-3, D and E non-voting preferred stock as exhibits to our
current reports on Form 8-K on July 26, 2013, October 23, 2013 and
January 9, 2014, and amendments to the Certificate of Designation
for each of our Series C-2, C-3, D and E non-voting preferred stock
on September 16, 2014. The summary below is also qualified by
provisions of applicable law.
The holders of our
common stock are entitled to one vote per share on all matters to
be voted on by the stockholders, and there are no cumulative voting
rights. Generally, all matters to be voted on by stockholders must
be approved by a majority (or, in the case of election of
directors, by a plurality) of the votes entitled to be cast by all
shares of common stock present in person or represented by proxy,
subject to any voting rights granted to holders of any preferred
stock.
The holders of
common stock are entitled to receive ratable dividends, if any,
payable in cash, in stock or otherwise if, as and when declared
from time to time by our board of directors out of funds legally
available for the payment of dividends, subject to any preferential
rights that may be applicable to any outstanding preferred stock.
In the event of a liquidation, dissolution, or winding up of our
company, after payment in full of all outstanding debts and other
liabilities, the holders of common stock are entitled to share
ratably in all remaining assets, subject to prior distribution
rights of preferred stock, if any, then outstanding. No shares of
common stock have preemptive rights or other subscription rights to
purchase additional shares of common stock. There are no redemption
or sinking fund provisions applicable to the common stock. All
outstanding shares of common stock are fully paid and
nonassessable, and the shares of common stock included in this
registration statement will be fully paid and nonassessable. The
rights, preferences and privileges of holders of our common stock
will be subject to, and might be adversely affected by, the rights
of holders of any preferred stock that we may issue in the future.
All shares of common stock that are acquired by us shall be
available for reissuance by us at any time.
Issued
and Outstanding Preferred Stock
Under the terms of
our Amended and Restated Certificate of Incorporation, as amended,
our board of directors is authorized to issue up to 2,000,000
shares of preferred stock in one or more series without stockholder
approval. Our board of directors has the discretion to determine
the rights, preferences, privileges and restrictions, including
voting rights, dividend rights, conversion rights, redemption
privileges and liquidation preferences, of each series of preferred
stock. Of the 2,000,000 shares of preferred stock authorized, our
board of directors has designated (all with par value of $0.001 per
share): 454,546 shares as Series B Non-Voting Convertible Preferred
Stock; 150,000 shares as Series C-2 Non-Voting Convertible
Preferred Stock; 200,000 shares as Series C-3 Non-Voting
Convertible Preferred Stock; 73,962 shares as Series D Non-Voting
Convertible Preferred Stock; and 92,440 shares as Series E
Non-Voting Convertible Preferred Stock. At March 31,
2015, we had outstanding: 150,000 shares as Series C-2 Non-Voting
Convertible Preferred Stock; 136,500 shares as Series C-3
Non-Voting Convertible Preferred Stock; 73,962 shares as Series D
Non-Voting Convertible Preferred Stock; and 89,623 shares as Series
E Non-Voting Convertible Preferred Stock. The Series A
Non-Voting Convertible Preferred Stock and Series C-1 Non-Voting
Convertible Preferred Stock that was previously designated has all
been converted to shares of common stock.
Series C-2 and C-3 Non-Voting
Convertible Preferred Stock
The Series C-2 and
C-3 Preferred Stock, referred to collectively as the Series C
Preferred Stock, have identical rights, privileges and terms, as
described below.
Rank
The Series C
Preferred Stock will rank:
senior to our
common stock;
senior to any class or series of capital
stock created after the issuance of the Series C Preferred
Stock;
on parity with the Series B
Non-Voting Convertible Preferred Stock; and
junior to the
Series D Non-Voting Convertible Preferred Stock and Series E
Non-Voting Convertible Preferred Stock.
in each case, as to
dividends or distributions of assets upon our liquidation,
dissolution or winding up whether voluntarily or
involuntarily.
Conversion
Each
share of Series C Preferred Stock is convertible into 10 shares of
our common stock (subject to adjustment in the event of stock
dividends and distributions, stock splits, stock combinations, or
reclassifications affecting our common stock) at a per share price
of $1.00 at any time at the option of the holder, except that a
holder will be prohibited from converting shares of Series C
Preferred Stock into shares of common stock if, as a result of such
conversion, such holder, together with its affiliates, would
beneficially own more than 9.99% of the total number of shares of
our common stock then issued and outstanding.
Liquidation Preference
In the event of our
liquidation, dissolution or winding up, holders of Series C
Preferred Stock will receive a payment equal to $10.00 per share of
Series C Preferred Stock before any proceeds are distributed to the
holders of our common stock. After the payment of this preferential
amount, and subject to the rights of holders of any class or series
of our capital stock hereafter created specifically ranking by its
terms senior to the Series C Preferred Stock and holders of Series
C Preferred Stock will participate ratably in the distribution of
any remaining assets with the common stock and any other class or
series of our capital stock hereafter created that participates
with the common stock in such distributions.
Voting Rights
Shares of Series C
Preferred Stock will generally have no voting rights, except as
required by law and except that the consent of holders of two
thirds of the outstanding Series C-2 and Series C-3 Preferred
Stock, respectively, will be required to amend the terms of the
Series C-2 and C-3 Preferred Stock or the certificate of
designation for the Series C-2 and C-3 Preferred Stock,
respectively.
Dividends
Holders of Series C
Preferred Stock are entitled to receive, and we are required to
pay, dividends on shares of the Series C Preferred Stock equal (on
an as-if-converted-to-common-stock basis) to and in the same form
as dividends (other than dividends in the form of common stock)
actually paid on shares of the common stock when, as and if such
dividends (other than dividends in the form of common stock) are
paid on shares of the common stock.
Redemption
We are not
obligated to redeem or repurchase any shares of Series C Preferred
Stock. Shares of Series C Preferred Stock are not otherwise
entitled to any redemption rights, or mandatory sinking fund or
analogous fund provisions.
Listing
There is no
established public trading market for the Series C Preferred Stock,
and we do not expect a market to develop. In addition, we do not
intend to apply for listing of the Series C Preferred Stock on any
national securities exchange or trading system.
Fundamental Transactions
If, at any time
that shares of Series C Preferred Stock are outstanding, we effect
a merger or other change of control transaction, as described in
the certificate of designation and referred to as a fundamental
transaction, then a holder will have the right to receive, upon any
subsequent conversion of a share of Series C Preferred Stock (in
lieu of conversion shares) for each issuable conversion share, the
same kind and amount of securities, cash or property as such holder
would have been entitled to receive upon the occurrence of such
fundamental transaction if such holder had been, immediately prior
to such fundamental transaction, the holder of a share of common
stock.
Debt Restriction
As long as any the
Series C-2 Preferred Stock is outstanding, we cannot
incur any indebtedness other than indebtedness existing prior to
September 15, 2014, trade payables incurred in the ordinary course
of business consistent with past practice, and letters of credit
incurred in an aggregate amount of $3.0 million at any point in
time.
Series D Non-Voting Convertible
Preferred Stock
Rank
The Series D
Preferred Stock will rank:
senior to our
common stock;
senior to any class
or series of capital stock created after the issuance of the Series
D Preferred Stock;
senior to the
Series B Non-Voting Convertible Preferred Stock, the Series C-2
Non-Voting Convertible Preferred Stock and the Series C-3
Non-Voting Convertible Preferred Stock; and
on parity with the
Series E Non-Voting Convertible Preferred
Stock.
in each case, as to
dividends or distributions of assets upon our liquidation,
dissolution or winding up whether voluntarily or
involuntarily.
Conversion
Each share of
Series D Preferred Stock is convertible into 20 shares of our
common stock (subject to adjustment in the event of stock dividends
and distributions, stock splits, stock combinations, or
reclassifications affecting our common stock ) at a per share price
of $0.35 at any time at the option of the holder, except that a
holder will be prohibited from converting shares of Series D
Preferred Stock into shares of common stock if, as a result of such
conversion, such holder, together with its affiliates, would
beneficially own more than 9.99% of the total number of shares of
our common stock then issued and outstanding.
Liquidation Preference
In the event of our
liquidation, dissolution or winding up, holders of Series D
Preferred Stock will receive a payment equal to $21.00 per share of
Series D Preferred Stock on parity with the payment of the
liquidation preference due the Series E Preferred Stock, but before
any proceeds are distributed to the holders of common stock, Series
B Non-Voting Convertible Preferred Stock, the Series C-2 Non-Voting
Convertible Preferred Stock and the Series C-3 Non-Voting
Convertible Preferred Stock. After the payment of this preferential
amount, holders of Series D Preferred Stock will participate
ratably in the distribution of any remaining assets with the common
stock and any other class or series of our capital stock that
participates with the common stock in such
distributions.
Voting Rights
Shares of Series D
Preferred Stock will generally have no voting rights, except as
required by law and except that the consent of holders of a
majority of the outstanding Series D Preferred Stock will be
required to amend the terms of the Series D Preferred Stock or the
certificate of designation for the Series D Preferred
Stock.
Dividends
Holders of Series D
Preferred Stock are entitled to receive, and we are required to
pay, dividends on shares of the Series D Preferred Stock equal (on
an as-if-converted-to-common-stock basis) to and in the same form
as dividends (other than dividends in the form of common stock)
actually paid on shares of the common stock when, as and if such
dividends (other than dividends in the form of common stock) are
paid on shares of the common stock.
Redemption
We are not
obligated to redeem or repurchase any shares of Series D Preferred
Stock. Shares of Series D Preferred Stock are not otherwise
entitled to any redemption rights, or mandatory sinking fund or
analogous fund provisions.
Listing
There is no
established public trading market for the Series D Preferred Stock,
and we do not expect a market to develop. In addition, we do not
intend to apply for listing of the Series D Preferred Stock on any
national securities exchange or trading system.
Fundamental Transactions
If, at any time
that shares of Series D Preferred Stock are outstanding, we effect
a merger or other change of control transaction, as described in
the certificate of designation and referred to as a fundamental
transaction, then a holder will have the right to receive, upon any
subsequent conversion of a share of Series D Preferred Stock (in
lieu of conversion shares) for each issuable conversion share, the
same kind and amount of securities, cash or property as such holder
would have been entitled to receive upon the occurrence of such
fundamental transaction if such holder had been, immediately prior
to such fundamental transaction, the holder of a share of common
stock.
Debt Restriction
As long as any the
Series D Preferred Stock is outstanding, we cannot incur any
indebtedness other than indebtedness existing prior to September
15, 2014, trade payables incurred in the ordinary course of
business consistent with past practice, and letters of credit
incurred in an aggregate amount of $3.0 million at any point in
time.
Series E Non-Voting Convertible
Preferred Stock
Rank
The Series E
Preferred Stock will rank:
senior to our
common stock;
senior to any class
or series of capital stock created after the issuance of the Series
E Preferred Stock;
senior to the
Series B Non-Voting Convertible Preferred Stock, the Series C-2
Non-Voting Convertible Preferred Stock and the Series C-3
Non-Voting Convertible Preferred Stock; and
on parity with the
Series D Non-Voting Convertible Preferred
Stock.
in each case, as to
dividends or distributions of assets upon our liquidation,
dissolution or winding up whether voluntarily or
involuntarily.
Conversion
Each share of
Series E Preferred Stock is convertible into 21.8667 shares of our
common stock (subject to adjustment as provided in the certificates
of designation for the Series E Preferred Stock) at a per share
price of $0.75 at any time at the option of the holder, except that
a holder will be prohibited from converting shares of Series E
Preferred Stock into shares of common stock if, as a result of such
conversion, such holder, together with its affiliates, would
beneficially own more than 9.99% of the total number of shares of
our common stock then issued and outstanding.
Liquidation Preference
In the event of our
liquidation, dissolution or winding up, holders of Series E
Preferred Stock will receive a payment equal to $49.20 per share of
Series E Preferred Stock on parity with the payment of the
liquidation preference due the Series D Preferred Stock, but before
any proceeds are distributed to the holders of common stock, Series
B Non-Voting Convertible Preferred Stock, the Series C-2 Non-Voting
Convertible Preferred Stock and the Series C-3 Non-Voting
Convertible Preferred Stock. After the payment of this preferential
amount, holders of Series E Preferred Stock will participate
ratably in the distribution of any remaining assets with the common
stock and any other class or series of our capital stock that
participates with the common stock in such
distributions.
Voting Rights
Shares of Series E
Preferred Stock will generally have no voting rights, except as
required by law and except that the consent of holders of
a majority of the outstanding Series E Preferred Stock
will be required to amend the terms of the Series E Preferred Stock
or the certificate of designation for the Series E Preferred
Stock.
Dividends
Holders of Series E
Preferred Stock are entitled to receive, and we are required to
pay, dividends on shares of the Series E Preferred Stock equal (on
an as-if-converted-to-common-stock basis) to and in the same form
as dividends (other than dividends in the form of common stock)
actually paid on shares of the common stock when, as and if such
dividends (other than dividends in the form of common stock) are
paid on shares of the common stock.
Redemption
We are not
obligated to redeem or repurchase any shares of Series E Preferred
Stock. Shares of Series E Preferred Stock are not otherwise
entitled to any redemption rights, or mandatory sinking fund or
analogous fund provisions.
Listing
There is no
established public trading market for the Series E Preferred Stock,
and we do not expect a market to develop. In addition, we do not
intend to apply for listing of the Series E Preferred Stock on any
national securities exchange or trading system.
Fundamental Transactions
If, at any time
that shares of Series E Preferred Stock are outstanding, we effect
a merger or other change of control transaction, as described in
the certificate of designation and referred to as a fundamental
transaction, then a holder will have the right to receive, upon any
subsequent conversion of a share of Series E Preferred Stock (in
lieu of conversion shares) for each issuable conversion share, the
same kind and amount of securities, cash or property as such holder
would have been entitled to receive upon the occurrence of such
fundamental transaction if such holder had been, immediately prior
to such fundamental transaction, the holder of a share of common
stock.
Debt Restriction
As long as any the
Series E Preferred Stock is outstanding, we cannot incur any
indebtedness other than indebtedness existing prior to September
15, 2014, trade payables incurred in the ordinary course of
business consistent with past practice, and letters of credit
incurred in an aggregate amount of $3.0 million at any point in
time.
Other Covenants
In addition to the
debt restrictions above, as long as any the Series E Preferred
Stock is outstanding , we cannot, among others things: create,
incur, assume or suffer to exist any encumbrances on any of our
assets or property; redeem, repurchase or pay any cash dividend or
distribution on any of our capital stock (other than as permitted,
which includes the dividends on the Series D Preferred Stock and
the Series E Preferred Stock); redeem, repurchase or prepay any
indebtedness; or engage in any material line of business
substantially different from our current lines of
business.
Purchase Rights
In the event we
issue any options, convertible securities or rights to purchase
stock or other securities pro rata to the holders of common stock,
then the a holder of Series E Preferred Stock will be entitled to
acquire, upon the same terms a pro rata amount of such stock or
securities as if the Series E Preferred Stock had been converted to
common stock.
Transfer
Agent and Registrar
The transfer agent and
registrar for our common stock is VStock Transfer, LLC. The
transfer agent’s address is 18 Lafayette Place, Woodmere, New
York 11598 and its telephone number is (212) 828-8436.
We act as our own transfer
agent and registrar for the Series C-2, C-3, D and E Preferred
Stock.
Description
of Preferred Stock That May Be Offered
Our board of
directors has the authority, without further action by the
stockholders, to issue up to 2,000,000 shares of preferred stock in
one or more series and to fix the rights, preferences, privileges
and restrictions thereof, including dividend rights, conversion
rights, voting rights, terms of redemption, liquidation
preferences, sinking fund terms and the number of shares
constituting any series or the designation of such series, without
any further vote or action by our stockholders. As of
the date of this prospectus, no shares of preferred stock were
outstanding. The issuance of preferred stock could
adversely affect the voting power of holders of common stock and
the likelihood that such holders will receive dividend payments and
payments upon liquidation and could have the effect of delaying,
deferring or preventing a change in control of our
company.
We will fix the
rights, preferences, privileges and restrictions of the preferred
stock of each series in the certificate of designation relating to
that series. We will file as an exhibit to the
registration statement of which this prospectus is a part, or will
incorporate by reference from reports that we file with the SEC,
the form of any certificate of designation that describes the terms
of the series of preferred stock we are offering before the
issuance of the related series of preferred stock. This
description will include any or all of the following, as
required:
the title and
stated value;
the number of
shares we are offering;
the liquidation
preference per share;
the dividend rate,
period and payment date and method of calculation for
dividends;
whether dividends
will be cumulative or non-cumulative and, if cumulative, the date
from which dividends will accumulate;
the procedures for
any auction and remarketing, if any;
the provisions for
a sinking fund, if any;
the provisions for
redemption or repurchase, if applicable, and any restrictions on
our ability to exercise those redemption and repurchase
rights;
any listing of the
preferred stock on any securities exchange or
market;
whether the
preferred stock will be convertible into our common stock, and, if
applicable, the conversion price, or how it will be calculated, and
the conversion period;
whether the
preferred stock will be exchangeable into debt securities, and, if
applicable, the exchange price, or how it will be calculated, and
the exchange period;
voting rights, if
any, of the preferred stock;
preemptive rights,
if any;
restrictions on
transfer, sale or other assignment, if any;
whether interests
in the preferred stock will be represented by depositary
shares;
a discussion of any
material or special United States federal income tax considerations
applicable to the preferred stock;
the relative
ranking and preferences of the preferred stock as to dividend
rights and rights if we liquidate, dissolve or wind up our
affairs;
any limitations on
issuance of any class or series of preferred stock ranking senior
to or on a parity with the series of preferred stock as to dividend
rights and rights if we liquidate, dissolve or wind up our affairs;
and
any other specific
terms, preferences, rights or limitations of, or restrictions on,
the preferred stock.
If we issue shares
of preferred stock under this prospectus, the shares will be fully
paid and non-assessable.
The General
Corporation Law of the State of Delaware, the state of our
incorporation, provides that the holders of preferred stock will
have the right to vote separately as a class on any proposal
involving fundamental changes in the rights of holders of that
preferred stock. This right is in addition to any voting
rights that may be provided for in the applicable certificate of
designation.
Our board of
directors may authorize the issuance of preferred stock with voting
or conversion rights that could adversely affect the voting power
or other rights of the holders of our common
stock. Preferred stock could be issued quickly with
terms designed to delay or prevent a change in control of our
company or make removal of management more
difficult. Additionally, the issuance of preferred stock
may have the effect of decreasing the market price of our common
stock.
DESCRIPTION
OF DEBT SECURITIES
The following description, together with the
additional information we include in any applicable prospectus
supplement, summarizes the material terms and provisions of any
debt securities that we may offer under this
prospectus. While the terms we have summarized below
will apply generally to any future debt securities we may offer, we
will describe the particular terms of any debt securities that we
may offer in more detail in the applicable prospectus
supplement. The terms of any debt securities we may
offer under a prospectus supplement may differ from the terms
described below. For any debt securities that we may
offer, an indenture (and any relevant supplemental indenture) will
contain additional important terms and provisions, the form of
which we filed as an exhibit to the registration statement of which
this prospectus is a part and is incorporated therein by reference.
We will file any definitive indenture as an exhibit to reports that
we file with the SEC and incorporate by reference in this
prospectus and the applicable prospectus supplement. Any indenture
would be qualified under the Trust Indenture Act of
1939.
With respect to any
debt securities that we issue, we will describe in each prospectus
supplement the following terms relating to a series of debt
securities:
the principal
amount being offered, and if a series, the total amount authorized
and the total amount outstanding;
any limit on the
amount that may be issued;
whether or not we
will issue the series of debt securities in global form, and if so,
the terms and who the depository will be;
the principal
amount due at maturity;
whether and under
what circumstances, if any, we will pay additional amounts on any
debt securities held by a person who is not a United States person
for tax purposes, and whether we can redeem the debt securities if
we have to pay such additional amounts;
the annual interest
rate, which may be fixed or variable, or the method for determining
the rate and the date interest will begin to accrue, the dates
interest will be payable and the regular record dates for interest
payment dates or the method for determining such
dates;
whether or not the
debt securities will be convertible into shares of our common stock
or our preferred stock and, if so, the terms of such
conversion;
whether or not the
debt securities will be secured or unsecured by some or all of our
assets, and the terms of any secured debt;
the terms of the
subordination of any series of subordinated
debt;
the place where
payments will be payable;
restrictions on
transfer, sale or other assignment, if any;
our right, if any,
to defer payment or interest and the maximum length of any such
deferral period;
the date, if any,
after which and the conditions upon which, and the price at which,
we may, at our option, redeem the series of debt securities
pursuant to any optional or provisional redemption provisions and
the terms of those redemptions provisions;
the date, if any,
on which, and the price at which we are obligated, pursuant to any
mandatory sinking fund or analogous fund provisions or otherwise,
to redeem, or at the holder’s option to purchase, the series
of debt securities and the currency or currency unit in which the
debt securities are payable;
whether the
indenture will restrict our ability to pay dividends, or will
require us to maintain any asset ratios or
reserves;
whether we will be
restricted from incurring any additional indebtedness, issuing
additional securities, or entering into a merger, consolidation or
sale of our business;
a discussion of any
material or special United States federal income tax considerations
applicable to the debt securities;
information
describing any book-entry features;
any provisions for
payment of additional amounts for taxes;
whether the debt
securities are to be offered at a price such that they will be
deemed to be offered at an “original issue discount” as
defined in paragraph (a) of Section 1273 of the Internal
Revenue Code of 1986, as amended;
the denominations
in which we will issue the series of debt securities, if other than
denominations of $1,000 and any integral multiple
thereof;
whether we and/or
the indenture trustee may change an indenture without the consent
of any holders;
the form of debt
security and how it may be exchanged and
transferred;
description of the
indenture trustee and paying agent, and the method of
payments; and
any other specified
terms, preferences, rights or limitations of, or restrictions on,
the debt securities and any terms that may be required by us or
advisable under applicable laws or regulations.
We summarize below
the material terms of the form of indenture or indicate which
material terms will be described in the applicable prospectus
supplement. The indenture:
does not limit the
amount of debt securities that we may issue;
●
allows
us to issue debt securities in one or more
series;
●
does
not require us to issue all of the debt securities of a series at
the same time;
●
allows
us to reopen a series to issue additional debt securities without
the consent of the holders of the debt securities of such series;
and
●
provides
that the debt securities will be unsecured, except as may be set
forth in the applicable prospectus supplement.
DESCRIPTION
OF WARRANTS
The following
description, together with the additional information we may
include in any applicable prospectus supplement, summarizes the
material terms and provisions of any warrants that we may offer
under this prospectus and the related warrant agreements and
warrant certificates. While the terms summarized below
will apply generally to any warrants that we may offer, we will
describe the particular terms of any series of warrants in more
detail in the applicable prospectus supplement. The
terms of any warrants offered under a prospectus supplement may
differ from the terms described below. With respect to
any warrants that we offer, specific warrant agreements will
contain additional important terms and provisions and will be
incorporated by reference as an exhibit to the registration
statement that includes this prospectus or as an exhibit to reports
that we file with the SEC and incorporated by reference in this
prospectus:
●
the specific
designation and aggregate number of, and the price at which we will
issue, the warrants;
the currency or
currency units in which the offering price, if any, and the
exercise price are payable;
if applicable, the
exercise price for shares of our common stock or preferred stock
and the number of shares of common stock or preferred stock to be
received upon exercise of the warrants;
in the case of
warrants to purchase debt securities, the principal amount of debt
securities purchasable upon exercise of one warrant and the price
at, and currency in which, this principal amount of debt securities
may be purchased upon such exercise;
the date on which
the right to exercise the warrants will begin and the date on which
that right will expire or, if you may not continuously exercise the
warrants throughout that period, the specific date or dates on
which you may exercise the warrants;
whether the
warrants will be issued in fully registered form or bearer form, in
definitive or global form or in any combination of these forms,
although, in any case, the form of a warrant included in a unit
will correspond to the form of the unit and of any security
included in that unit;
any applicable
material U.S. federal income tax
consequences;
the identity of the
warrant agent for the warrants and of any other depositaries,
execution or paying agents, transfer agents, registrars or other
agents;
the proposed
listing, if any, of the warrants or the common stock issuable upon
exercise of the warrants on any securities
exchange;
if applicable, the
date from and after which the warrants and the common stock will be
separately transferable;
if applicable, the
minimum or maximum amount of the warrants that may be exercised at
any one time;
information with
respect to book-entry procedures, if any;
the anti-dilution
provisions of the warrants, if any;
any redemption or
call provisions;
whether the
warrants are to be sold separately or with other securities as
parts of units; and
any additional
terms of the warrants, including terms, procedures and limitations
relating to the exchange and exercise of the
warrants.
Before exercising
their warrants, holders of warrants will not have any of the rights
of holders of the securities purchasable upon such exercise,
including:
in the case of
warrants to purchase debt securities, the right to receive payments
of principal of, or premium, if any, or interest on, the debt
securities purchasable upon exercise or to enforce covenants in the
applicable indenture; or
in the case of
warrants to purchase common stock or preferred stock, the right to
receive dividends, if any, or, payments upon our liquidation,
dissolution or winding up or to exercise voting rights, if
any.
Transfer Agent and
Registrar
The transfer agent
and registrar for any warrants will be set forth in the applicable
prospectus supplement.
We might issue
units composed of one or more debt securities, shares of common
stock, shares of preferred stock and warrants in any
combination. Each unit will be issued so that the holder
of the unit is also the holder of each security included in the
unit. Thus, the holder of a unit will have the rights
and obligations of a holder of each included
security. The unit agreement under which a unit is
issued may provide that the securities included in the unit may not
be held or transferred separately, at any time or at any time
before a specified date. We will file as exhibits
to the registration statement of which this prospectus is a part,
or will incorporate by reference from reports that we file with the
SEC, the form of unit agreement, warrant and any supplemental
agreements that describe the terms of the series of units we are
offering before the issuance of the related series of
units.
We may choose to
evidence each series of units by unit certificates that we would
issue under a separate agreement. If we choose to
evidence the units by unit certificates, we will enter into the
unit agreements with a unit agent and will indicate the name and
address of the unit agent in the applicable prospectus supplement
relating to the particular series of units.
CERTAIN PROVISIONS OF DELAWARE LAW AND OF
OUR
AMENDED
AND RESTATED CERTIFICATE OF INCORPORATION AND AMENDED AND RESTATED
BYLAWS
Certain provisions
of DGCL and our Amended and Restated Certificate of Incorporation,
as amended, and our Amended and Restated Bylaws discussed below may
have the effect of making more difficult or discouraging a tender
offer, proxy contest or other takeover attempt. These provisions
are expected to encourage persons seeking to acquire control of our
company to first negotiate with our board of directors. We believe
that the benefits of increasing our ability to negotiate with the
proponent of an unfriendly or unsolicited proposal to acquire or
restructure our company outweigh the disadvantages of discouraging
these proposals because negotiation of these proposals could result
in an improvement of their terms.
Delaware Anti-takeover Law
We are subject to
Section 203 of the DGCL, an anti-takeover law. In general, Section
203 prohibits a publicly held Delaware corporation from engaging in
a “business combination” with an “interested
stockholder” for a period of three years following the date
the person became an interested stockholder, unless:
the board of
directors approves the transaction in which the stockholder became
an interested stockholder prior to the date the interested
stockholder attained that status;
when the
stockholder became an interested stockholder, he or she owned at
least 85% of the voting stock of the corporation outstanding at the
time the transaction commenced, excluding shares owned by persons
who are directors and also officers and certain shares owned by
employee benefits plans; or
on or subsequent to
the date the business combination is approved by the board of
directors, the business combination is authorized by the
affirmative vote of at least 66 2/3% of the voting stock of the
corporation at an annual or special meeting of
stockholders.
Generally, a
“business combination” includes a merger, asset or
stock sale, or other transaction resulting in a financial benefit
to the interested stockholder. Generally, an “interested
stockholder” is a person who, together with affiliates and
associates, owns, or is an affiliate or associate of the
corporation and within three years prior to the determination of
interested stockholder status did own, 15% or more of a
corporation’s voting stock.
The existence of
Section 203 of the DGCL would be expected to have an anti-takeover
effect with respect to transactions not approved in advance by our
board of directors, including discouraging attempts that might
result in a premium over the market price for the shares of our
common stock.
Charter Documents
Our Amended and
Restated Certificate of Incorporation, as amended, and Amended and
Restated Bylaws include a number of provisions that may have the
effect of deterring hostile takeovers or delaying or preventing
changes in control or management of our company. First, our Amended
and Restated Bylaws limit who may call special meetings of the
stockholders, such meetings may only be called by the chairman of
the board, the chief executive officer, the board of directors or
holders of an aggregate of at least 15% of our outstanding entitled
to vote. Second, our Amended and Restated Certificate of
Incorporation does not include a provision for cumulative voting
for directors. Under cumulative voting, a minority stockholder
holding a sufficient percentage of a class of shares may be able to
ensure the election of one or more directors. Third, our Amended
and Restated Bylaws provide that the number of directors on our
board, which may range from five to nine directors, shall be
exclusively fixed by our board, which has set the number of
directors at seven. Fourth, newly created directorships resulting
from any increase in our authorized number of directors and any
vacancies in our board resulting from death, resignation,
retirement, disqualification or other cause (including removal from
office by a vote of the shareholders) will be filled by a majority
of our board then in office. Finally, our Amended and Restated
Bylaws establish procedures, including 90-day advance notice
requirement, with regard to the nomination of candidates for
election as directors and stockholder proposals. These and other
provisions of our Amended and Restated Certificate of Incorporation
and Amended and Restated Bylaws and Delaware law could discourage
potential acquisition proposals and could delay or prevent a change
in control or management of our company.
LEGAL
MATTERS
The validity of the
securities being offered hereby will be passed upon by Wyrick
Robbins Yates & Ponton, LLP, Raleigh, North
Carolina.
EXPERTS
The consolidated
balance sheet of CorMedix Inc. as of December 31, 2014 and the
related consolidated statements of operations, changes in
stockholders’ equity (deficiency), and cash flows for the
year then ended have been audited by Friedman LLP, independent
registered public accounting firm, as stated in their report (which
includes an explanatory paragraph relating to the Company's ability
to continue as a going concern as discussed in Note 2 of the
financial statements), which is incorporated by
reference. The consolidated balance sheet of CorMedix
Inc. as of December 31, 2013, and the related consolidated
statements of operations, changes in stockholders’ equity
(deficiency), and cash flows for the year then ended have been
audited by CohnReznick LLP, independent registered public
accounting firm, as stated in their report, which is incorporated
herein by reference. Such financial statements have been
incorporated herein by reference in reliance on the report of each
of Friedman LLP and CohnReznick LLP given upon their
respective authority as experts in accounting and
auditing.
WHERE
YOU CAN FIND MORE INFORMATION
We are subject to
the reporting requirements of the Securities Exchange Act of 1934,
as amended, and file annual, quarterly and current reports, proxy
statements and other information with the SEC. You may read and
copy these reports, proxy statements and other information at the
SEC’s public reference facilities at 100 F Street, N.E.,
Room 1580, Washington, D.C. 20549. You can request copies
of these documents by writing to the SEC and paying a fee for the
copying cost. Please call the SEC at 1-800-SEC-0330 for more
information about the operation of the public reference facilities.
SEC filings are also available at the SEC’s web site at
http://www.sec.gov.
This prospectus is
only part of a registration statement on Form S-3 that we have
filed with the SEC under the Securities Act of 1933, as amended,
and therefore omits certain information contained in the
registration statement. We have also filed exhibits and schedules
with the registration statement that are excluded from this
prospectus, and you should refer to the applicable exhibit or
schedule for a complete description of any statement referring to
any contract or other document. You may inspect a copy of the
registration statement, including the exhibits and schedules,
without charge, at the public reference room or obtain a copy from
the SEC upon payment of the fees prescribed by the SEC.
INCORPORATION
OF DOCUMENTS BY REFERENCE
The SEC allows us
to “incorporate by reference” information that we file
with them. Incorporation by reference allows us to disclose
important information to you by referring you to those other
documents. The information incorporated by reference is an
important part of this prospectus, and information that we file
later with the SEC will automatically update and supersede this
information. We filed a registration statement on Form S-3
under the Securities Act of 1933, as amended, with the SEC with
respect to the securities being offered pursuant to this
prospectus. This prospectus omits certain information contained in
the registration statement, as permitted by the SEC. You should
refer to the registration statement, including the exhibits, for
further information about us and the securities being offered
pursuant to this prospectus. Statements in this prospectus
regarding the provisions of certain documents filed with, or
incorporated by reference in, the registration statement are not
necessarily complete and each statement is qualified in all
respects by that reference. Copies of all or any part of the
registration statement, including the documents incorporated by
reference or the exhibits, may be obtained upon payment of the
prescribed rates at the offices of the SEC listed above in
“Where You Can Find More Information.” The documents we
are incorporating by reference are:
our Annual Report
on Form 10-K for the fiscal year ended December 31, 2014,
filed with the SEC on March 12, 2015;
our Current Reports
on Form 8-K, filed with the SEC pursuant to Section 13 of the
Exchange Act on January 9, January 10, January 13, February 25,
February 28, March 5, April 8, May 15, May 16, May 23, May 28 (Form
8-K/A), June 17, June 26, July 24, August 14, September 12,
September 16, September 22, September 25, October 27, December 4
and December 23, 2014, and January 15, January 20, January 29,
February 6, February 9 (Form 8-K/A), March 4, March 9, March 30,
and April 9, 2015; and
all of the filings
pursuant to the Securities Exchange Act of 1934, as amended, after
the date of the filing of the registration statement and prior to
the effectiveness of the registration
statement.
In addition, all
documents (other than current reports furnished under Item 2.02 or
Item 7.01 of Form 8-K and exhibits filed in such forms that are
related to such items unless such Form 8-K expressly provides to
the contrary) subsequently filed by us pursuant to
Section 13(a), 13(c), 14 or 15(d) of the Securities Exchange
Act of 1934, as amended, before the date our offering is terminated
or completed are deemed to be incorporated by reference into, and
to be a part of, this prospectus.
Any statement
contained in this prospectus or in a document incorporated or
deemed to be incorporated by reference into this prospectus will be
deemed to be modified or superseded for purposes of this prospectus
to the extent that a statement contained in this prospectus or any
other subsequently filed document that is deemed to be incorporated
by reference into this prospectus modifies or supersedes the
statement. Any statement so modified or superseded will not be
deemed, except as so modified or superseded, to constitute a part
of this prospectus.
We will furnish
without charge to you, on written or oral request, a copy of any or
all of the documents incorporated by reference, including exhibits
to these documents. You should direct any requests for documents to
CorMedix Inc., Attention: Secretary, 1430 U.S. Highway 206, Suite
200, Bedminster, NJ 07921, (908) 517-9500.
You should rely
only on information contained in, or incorporated by reference
into, this prospectus and any prospectus supplement. We have not
authorized anyone to provide you with information different from
that contained in this prospectus or incorporated by reference in
this prospectus. We are not making offers to sell the securities in
any jurisdiction in which such an offer or solicitation is not
authorized or in which the person making such offer or solicitation
is not qualified to do so or to anyone to whom it is unlawful to
make such offer or solicitation.
$299,640
Common Stock
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PROSPECTUS
SUPPLEMENT
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November 20, 2017